MATTER OF CAHILL v. RosaMATTER OF CAHILL v. Rosa
OPINION OF THE COURT
In separate proceedings, petitioners, dentists in private practice, have been found guilty of an unlawful discriminatory practice because they failed to treat patients who were known or suspected to be HIV positive. The question presented is whether private dental offices are "placets] of public accommodation” within the definition of the Human Rights Law and subject to its provisions (see, Executive Law § 292 [9]).
In Cahill, complainant alleged that he went to petitioner’s office, without appointment, for treatment of a cracked tooth. He stated that the dental assistant told him the dentist would see him immediately but that when he informed the assistant that he had been exposed to AIDS and was awaiting test results to determine if he was HIV positive, he was told by her that the treatment would have to await the result of the test and that he would be treated only if the test result was negative. The complaint against Dr. Lasser and the Newburgh Dental Group was filed by a patient who had been treated by Dr. Lasser previously but who alleged that he refused to treat her after she became HIV positive.
The Appellate Division concluded that petitioners’ dental practices could not be considered places of public accommodation within the meaning of the Human Rights Law because "dental offices” are not listed in the statute (Executive Law § 292 [9]), and because the dental practice of each petitioner operated in privately owned premises and by "appointment-only.” Accordingly, it granted the petitions and annulled the determinations of the Commissioner. We granted the Commissioner’s motions for leave to appeal, and now reverse the judgments of the Appellate Division.
The Human Rights Law (Executive Law art 15) provides that it shall be "an unlawful discriminatory practice for any person, being the owner, lessee, proprietor, manager, superintendent, agent or employee of
any place of public accommodation,
resort or amusement, because of the * * * disability* * * of any person * * * to refuse, withhold from or deny to such person any of the accommodations, advantages, facilities or privileges thereof’ (Executive Law § 296 [2] [a] [emphasis added]). The definition of the italicized phrase is set forth in Executive Law § 292 (9), which lists places which are and which are not places of public accommodation.
1
Inasmuch as the statute does not expressly cite "dental offices” within either the
Analysis starts by recognizing that the provisions of the Human Rights Law must be liberally construed to accomplish the purposes of the statute (Executive Law § 300;
see, Matter of United States Power Squadrons v State Human Rights Appeal Bd.,
Petitioners assert three reasons why they are not. First, petitioners note that the statute does not expressly include dental offices in its list of public accommodations and they maintain that under those circumstances the doctrine of
ex-pressio unius est exclusio alterius
requires a finding that the Legislature must have intended such facilities to be excluded from the statutory definition. Next they contend that the phrase "wholesale and retail” modifies the phrase "stores and establishments dealing with goods or services of any kind” and that dental offices are not "wholesale or retail establishments.” Lastly, petitioners assert that the only statutory reference that
might
incorporate dental offices is "clinics,” but that they are
The prefatory sentence of Executive Law § 292 (9) states that "[t]he term 'place of public accommodation, resort or amusement’
shall include,
except as hereinafter specified,
all places included in the meaning of such terms
as” (emphasis added). This is broad and inclusive language, and the statutory list that follows it is illustrative, not specific
(see, Matter of United States Power Squadrons v State Human Rights Appeal Bd., supra,
Petitioners contend, and the Appellate Division agreed, that the phrase "establishments dealing with goods or services of any kind” cannot be construed to include dental offices because that phrase is modified by "wholesale and retail” thus limiting the meaning of "establishments” to something akin to stores (citing
Matter of Sattler v City of New York Commn. on Human Rights,
Dentists’ offices come within this definition of places of public accommodation because they provide services to the public. Though they may be conducted on private premises and by appointment, such places are generally open to all comers.
Nor are dentists’ offices one of the places of public accommodation exempt from the provisions of the statute. The narrow and restrictive language identifying such places and limiting the exemption stands in contrast to the expansive language identifying those included within the definition of a "place of public accommodation.” Section 292 (9) states that only those places that are "hereinafter specified” are not included in the statutory definition. It then identifies as exempt certain educational institutions and "any institution, club or place of accommodation which is in its nature distinctly private.” Thus, while the Legislature intended that the inclusive list be broadly construed, it specified that exemptions were to be narrowly construed.
Petitioners do not claim that they are among the educational institutions specifically exempted by Executive Law § 292 (9) and to the extent they argue that their practices are places of accommodation that are "distinctly private,” the evidence in the records does not support those arguments.
The hallmark of a "private” place within the meaning of the Human Rights Law is its selectivity or exclusivity, and persons seeking the benefit of the exemption have the burden of establishing that their place of accommodation is "distinctly” private (see,
Matter of United States Power Squadrons v State Human Rights Appeal Bd., supra,
The construction of the statute we adopt advances the statutory policy of protecting the civil rights necessary to enjoy a full and productive life. To hold otherwise would impute to the Legislature approval of legal discrimination by dentists (and other health care providers) on the basis of disability, race, gender, or any other protected classifications. Finding a categorical exemption in this context would signify that the Legislature intended that persons with disabilities should be free from discrimination in such places as ice cream parlors and skating rinks, but that dental and medical providers could lawfully deny health care to them solely on the basis of their disability, a result wholly inconsistent with the purposes of the Human Rights Law.
Examining the question from a broader perspective, Executive Law § 296 (2) (a) deems it unlawful discrimination if a place of public accommodation denies its accommodations to any person on the basis of "race, creed, color, national origin, sex, or disability or marital status.” No case has been drawn to our attention in which a private health care provider claimed that its practice was not a place of public accommodation within the meaning of the Human Rights Law until the advent of HIV and AIDS. Though it may be that a complaint was never before filed against a private health care provider, it is inconceivable that a dentist would challenge the application of the statute if a patient complained that she was denied dental treatment because she was a woman, a member of a distinct racial group, or had been disabled by the amputation of an extremity. Though we recognize that potentially contagious bloodborne conditions may raise specific concerns among the health care community, the statute does not discriminate between types of disabilities — the very essence of the Human Rights Law is that persons within the reach of the statute may not pick and choose those against whom they discriminate.
Nor do we perceive any conflict between our interpretation of the statute and modern dental and medical practice. The National Institute for Occupational Safety and Health in col
Our resolution of these matters does not interfere with a provider’s ability to prescribe treatment or refer patients elsewhere for treatment. They may do so for any legitimate, nondiscriminatory reason, subject only to the condition that if such reasons are suspect they may be tested under the usual rules
(see, Matter of North Shore Univ. Hosp. v Rosa,
Accordingly, in each case, the judgment of the Appellate Division should be reversed, with costs, and the matter remitted to that Court for consideration of issues raised but not considered on the appeal to that Court.
Levine, J. (dissenting). In our view, the majority’s construction of the key Human Rights Law jurisdictional phrase, "place of public accommodation, resort or amusement” (Executive Law § 292 [9]), to cover, in words or substance, any provision of goods or services to any members of the public
(see,
majority opn, at 21), empties the phrase of any substantive content and will result in an explosive increase in the jurisdiction of the
The majority does not dispute that, prior to the 1960 amendment to Executive Law § 292 (9)’s definition of a place of public accommodation, resort or amusement (L 1960, ch 779), a typical private dental practice would not have been considered a place of public accommodation, nor indeed would any other professional private practice as commonly conducted. This was so despite the presence in the statute of a liberal construction provision (Executive Law § 300). Prior to 1960, Executive Law § 292 (9) both defined and at the same time limited the meaning of a place of public accommodation by reference to "all places included in the meaning of such term as it appears in section forty of the civil rights law,” and by providing that "it is intended hereby to limit the procedures and jurisdiction of the commission [against discrimination] to such places” (see, L 1952, ch 285 [adding subdivision (9) of section 292]).
In turn, Civil Rights Law § 40 defines a place of public accommodation "to include” a lengthy enumeration of specific kinds of establishments. Undeniably, that list of categories of such places was the product of a gradual expansion from the original roll of places of public accommodation — innkeepers, common carriers, theaters and other places of public amusement — contained in New York’s first Civil Rights Act of 1873 (see,
Gibbs v Arras Bros.,
Under Civil Rights Law § 40, all categories of public lodging are designated places of public accommodation, as are all places serving food and drink to the public, health care dispensaries, clinics and hospitals, and places providing public entertainment, education, recreation and athletics and sports activities. Most of the same facilities and establishments are now incorporated in the definition of a place of public accommodation in Executive Law § 292 (9). All share common characteristics, having roots in the common-law principle that certain callings, such as that of innkeeper or common carrier, have
The list of such quasi-public establishments has, of course, been legislatively expanded to reflect changing public attitudes as to what services are " 'essential or directly auxiliary to the prosperity, health, development or happiness of the citizen’ ”
(id.,
at 239 [quoting
Gibbs v Arras Bros., supra,
at 336-337]). However, the essential character of these places of public accommodation for purposes of civil rights legislation has remained the same. These establishments offer important amenities and hold themselves out as " 'facilities ostensibly open to the general public’ ”
(Daniel v Paul,
Although the professional private practice of dentistry, or medicine, is important to the public, traditionally it lacks that openness of access by the general public that has been an essential characteristic of a place of public accommodation. That explains why, among health providers, only dispensaries, clinics and hospitals are included in the statute as places of public
The majority here, in broadly construing Executive Law § 292 (9) to include as a place of public accommodation all occupations providing a service availed of by members of the public, has eliminated the "quasi-public character” (de Wolf v Ford, supra) traditionally and up to now generally considered inherent in the concept of a place of public accommodation. One can hardly conceive of any gainful enterprise that does not directly or indirectly serve members of the public. Thus, the majority has essentially written this jurisdictional prerequisite out of the statute and fashioned its own statute of general applicability. "By restricting anti-discrimination laws to places of 'public accommodation,’ the legislatures of the various states obviously did not intend to include all businesses since otherwise the statutes would have said so, as does the law of California now” (Avins, op. cit., 52 Marq L Rev, at 32). The majority has essentially replicated the California statute, 2 without the benefit of a legislative enactment.
The majority purports to find the legislative basis for this drastically expansive substantive change in the commonly understood meaning of a place of public accommodation in the 1960 and 1962 amendments to Executive Law § 292 (9) (L 1960, ch 779; L 1962, ch 370; see, majority opn, at 21). To be sure, as the majority points out, the 1960 amendment had a liberalizing effect. In addition to transferring almost all of the listed types of establishments from Civil Rights Law § 40, it eliminated the restrictive language limiting the jurisdiction of the statute to just those categories of places of public accommodation. Yet, the 1960 amendment left intact the statutory catchall phrase in the definition of a place of public accommodation, resort or amusement: "all places included in the meaning of such terms” (L 1960, ch 779 [emphasis supplied]).
Likewise, the 1962 amendment to Executive Law § 292 (9) does not support the majority’s extreme substantive change in the meaning of a place of public accommodation. That amendment added eight new specific categories of places of public accommodation, including motels, laundries, airline terminals and travel agencies. It also modified an already existing category, "retail stores and establishments,” by inserting thereafter the phrase "dealing with goods or services of any kind”
3
(L 1962, ch 370). Contrary to the majority’s interpretation, the Legislature by the latter modification did not intend to create a new, free-standing category of place of public accommodation consisting of " 'establishments dealing with goods or services of any kind’ ”
(see,
majority opn, at 21). First, prior to the 1962 amendment, the category in question undeniably read "retail stores and establishments,” set off by commas, as were each of the other listed types of places of public accommodation
(see,
L 1960, ch 779;
cf.,
Civil Rights Law § 40). To make any sense at all, "retail” had to modify both "stores” and "establishments.” The 1962 amendment merely added a further modifying phrase to that category. The insertion of "dealing with goods or services of any kind” was made in the same clause, without any additional punctuation, and there is no reason to believe that it was not intended to refer to both antecedents (i.e., retail stores
and
retail establishments) in that clause
(see, Randall v Bailey,
"(a) motels;
"(b) those retail stores and establishments which deal with goods or services of any kind” (emphasis supplied).
In short, there is simply no support in the language or legislative history of Executive Law § 292 (9) or its amendments for the majority’s all-encompassing interpretation of a place of public accommodation to include every person who provides a service to any member of the public. Although a place of public accommodation is not a static concept, it takes its essential meaning from well understood, traditional uses of the phrase and from the kinds of establishments specifically named in the statute. To the extent that any vagueness exists in the legislation, the
ejusdem generis
canon of construction is especially appropriate here in giving the statute certainty and predictability of application (see,
People v Shapiro,
For all of the foregoing reasons, we would affirm the orders of annulment in the instant cases.
Chief Judge Kaye and Judges Smith and Ciparick concur with Judge Simons; Judge Levine dissents and votes to affirm in a separate opinion in which Judges Titone and Bellacosa concur.
In each case: Judgment reversed, etc.
Notes
. Executive Law § 292 (9) states: "The term 'place of public accommodation, resort or amusement’
shall include,
except as hereinafter specified, all places included in the meaning of such terms as: inns, taverns, road houses, hotels, motels, whether conducted for the entertainment of transient guests or for the accommodation of those seeking health, recreation or rest, or restaurants, or eating houses, or any place where food is sold for consumption on the premises; buffets, saloons, barrooms, or any store, park or enclosure where spirituous or malt liquors are sold, ice cream parlors, confectionaries, soda fountains and all stores where ice cream, ice and fruit preparations or their derivatives, or where beverages of any kind are retailed for consumption on the premises; wholesale and retail stores and establishments dealing with goods or services of any kind, dispensaries, clinics, hospitals, bath-houses, swimming pools, laundries and all other cleaning establishments, barber shops, beauty parlors, theatres, motion picture houses, airdromes, roof gardens, music halls, race courses, skating rinks, amusement and recreation parks, trailer camps, resort camps, fairs, bowling alleys, golf courses, gymnasiums, shooting galleries, billiard and pool parlors; garages, all public conveyances operated on land or water or in the air, as well as the stations and terminals thereof; travel or tour advisory services, agencies or bureaus; public halls and public elevators of buildings and structures oc
In 1994, the Legislature amended this subdivision, narrowing and further defining the organizations that may be considered "distinctly private” and imposing on those who seek that exemption the burden of proving their distinctly private nature (L 1994, ch 262, § 1).
. The dissenter refers to an informal opinion of counsel contained in the 1959 Report of Progress of the Commission Against Discrimination (at 73) which stated that the office of a " 'privately practicing dentist, who may specialize or limit his practice in any way he sees fit’ ” is not a place of public accommodation (see, dissenting opn, at 27). The opinion interpreted a statute which has since been amended to broadly expand its applicability and it relied heavily on the distinctions between a profession and a business, a distinction less clear today than it was 40 years ago. Significantly, too, petitioners here do not claim that their practices were limited in any way.
. In light of our conclusion that dentists’ offices are generally places of public accommodation because they are "included in the meaning of * * * establishments dealing with goods or services of any kind” we need not consider whether they are included in the meaning of "clinics”.
. At the least, the majority’s holding clearly would make all of the practitioners of all of the professions places of public accommodation. These would include some 570,000 professionals licensed by the State Education Department (1994-1995 Ann Report of Office of Professions, State Educ Dept, at 18), plus some 164,000 attorneys registered to practice in the State (State of New York, Office of Court Administration).
. California Civil Code § 51 (providing for "full and equal accommodations, advantages, facilities, privileges, or services in all business establishments of every kind whatsoever” [emphasis supplied]).
. In 1969, the Legislature amended this category in the definition to include "wholesale”, as well as retail, stores and establishments (L 1969, ch 388).