Jane Doe v. United States ( 2023 )


Menu:
  •                United States Court of Appeals
    For the Eighth Circuit
    ___________________________
    No. 22-1703
    ___________________________
    Jane Doe
    lllllllllllllllllllllPlaintiff - Appellant
    v.
    United States of America
    lllllllllllllllllllllDefendant - Appellee
    ____________
    Appeal from United States District Court
    for the Eastern District of Missouri - St. Louis
    ____________
    Submitted: September 22, 2022
    Filed: January 24, 2023
    ____________
    Before SMITH, Chief Judge, KELLY and GRASZ, Circuit Judges.
    ____________
    SMITH, Chief Judge.
    ______________________________
    Jane Doe sued the government after being sexually assaulted by an employee
    of the United States Department of Veterans Affairs (VA). The government moved
    to dismiss for lack of subject matter jurisdiction. The district court1 granted the
    government’s motion. Doe appeals the district court’s determination that the assault
    occurred outside the scope of the employee’s employment. We affirm.
    I. Background
    A. Factual History
    Doe was being treated for a hip injury at the St. Louis VA Medical Center. She
    was referred to the battlefield acupuncture (BFA) therapy group. BFA is a form of
    therapy that involves placing needles or tacks into five spaces in a patient’s ear.
    The incident in question occurred during a private BFA session. William B.
    Luchtefeld, a nurse practitioner employed by the VA, was treating Doe. Luchtefeld
    performed the BFA therapy and then asked Doe if she wanted the hip pain “massaged
    out.” Doe v. United States, No. 4:21-CV-00173-AGF, 
    2022 WL 898788
    , at *1 (E.D.
    Mo. Mar. 28, 2022). Luchtefeld instructed Doe to lay on her side. He began
    massaging Doe’s lower back, hip, and stomach. He then instructed Doe to remove her
    pants to expose her injured hip area. Luchtefeld moved his hands between Doe’s legs
    and groped and digitally penetrated her vagina. Luchtefeld also placed his hands
    under Doe’s shirt and groped her breast. Luchtefeld documented the BFA therapy, not
    the massage and subsequent sexual assault.
    After the incident, Doe went to the front desk with tears in her eyes. She asked
    another VA employee to see Luchtefeld’s supervisor and a VA staff psychiatrist. A
    doctor purporting to be Luchtefeld’s supervisor arrived, but Luchtefeld interrupted
    the conversation. Luchtefeld offered Doe his business card and prevented her from
    fully reporting the assault.
    1
    The Honorable Audrey G. Fleissig, United States District Judge for the
    Eastern District of Missouri.
    -2-
    In a statement given to a special agent of the VA Office of Inspector General,
    Luchtefeld admitted to touching Doe’s vagina because he “got kind of excited.” R.
    Doc. 34-5, at. 4. He admitted that it was inappropriate for him to massage a patient.
    Doe also gave a statement, in which she stated Luchtefeld was not wearing gloves and
    was breathing hard. She noted that he had an erection.
    B. Procedural History
    Doe filed a complaint, pursuant to the Federal Tort Claims Act (FTCA),
    asserting multiple negligent and intentional tort causes of action. The government
    moved to dismiss for lack of subject matter jurisdiction. It argued that Luchtefeld’s
    job responsibility during his appointment was limited to treating Doe with BFA. It
    asserts that Luchtefeld was neither acting within the scope of his employment nor
    furnishing medical care or treatment when he ceased performing BFA and began to
    massage and sexually assault Doe. Based on Luchtefeld’s unauthorized conduct, the
    government argued that Doe failed to establish jurisdiction under the FTCA.
    After Doe responded to the government’s dismissal motion, the parties jointly
    moved for limited discovery on the issue of subject matter jurisdiction and for
    additional time to allow Doe to supplement her response. The district court granted
    the joint motion.2
    Doe’s supplemental response argued that Luchtefeld had broad authority and
    duties, such that he was acting within the scope of his employment when he assaulted
    Doe. She further argued that her allegations that Luchtefeld committed intentional
    torts while furnishing medical care or treatment suffice to establish jurisdiction. Doe
    2
    In addition to four affidavits from VA employees filed with its motion to
    dismiss, R. Docs. 10-1–10-4, the government filed statements given by Doe and some
    of her medical records. R. Docs. 13-1–13-4. It also submitted the bylaws of the
    medical staff for the St. Louis VA Medical Center. R. Doc. 39-2. Doe also provided
    medical records, as well as depositions from VA employees and a statement given by
    Luchtefeld. R. Docs. 34-4–34-11.
    -3-
    maintained that Luchtefeld was furnishing medical care or treatment when he
    assaulted her. She asserted that to hold otherwise would nullify the FTCA because
    negligence and intentional torts are never authorized by an employer.
    The district court granted the government’s motion. It concluded that
    jurisdiction under the FTCA requires a showing that the tortfeasor acted within the
    scope of employment as defined by state law. The district court further concluded that
    under Missouri law, sexual misconduct is generally never within the scope of
    employment because it only serves the interests of the tortfeasor, not the employer.
    The district court found that Luchtefeld’s treatment authority was limited to BFA
    therapy and that any massage that he performed was not authorized nor intended to
    treat her hip pain. The district court concluded that Luchtefeld’s actions were
    motivated wholly by his personal desires, such that he was not acting within the scope
    of his employment under Missouri law. The court’s rulings eliminated the FTCA’s
    sovereign immunity waiver with respect to Doe’s claim.
    II. Discussion
    Doe brings three arguments on appeal challenging the district court’s order.
    First, she argues that the district court relied on an interpretation of 
    38 U.S.C. § 7316
    that nullified both the letter and intent of the statute. Second, she argues that the
    district court misinterpreted applicable Missouri law on the liability of an employer
    for the intentional torts of its employees. Third, she argues that the district court erred
    in (1) concluding the VA limited Luchtefeld’s duties to BFA and (2) in determining
    that he was not acting within the scope of his employment.
    A. Standard of Review
    “We review de novo a district court’s decision to dismiss a complaint for lack
    of subject matter jurisdiction.” Magee v. United States, 
    9 F.4th 675
    , 680 (8th Cir.
    2021). “The burden of proving the existence of subject matter jurisdiction rests with
    the party invoking federal jurisdiction.” 
    Id.
    -4-
    We review the district court’s interpretation of both federal statutes and state
    law de novo. Dowd v. United Steelworkers of Am., Loc. No. 286, 
    253 F.3d 1093
    , 1099
    (8th Cir. 2001) (federal statutes); Dupps v. Travelers Ins. Co., 
    80 F.3d 312
    , 313 (8th
    Cir. 1996) (state law). “When the district court makes findings of fact on disputed
    issues, we review those findings for clear error.” Magee, 9 F.4th at 680.
    B. Interpretation of 
    38 U.S.C. § 7316
    Doe’s first argument implicates various provisions of the FTCA and § 7316.
    “Generally, sovereign immunity prevents the United States from being sued without
    its consent.” Iverson v. United States, 
    973 F.3d 843
    , 846 (8th Cir. 2020) (cleaned up).
    “When it passed the FTCA, Congress removed the sovereign immunity of the United
    States from suits in tort.” 
    Id.
     (cleaned up). The FTCA waives immunity with respect
    to
    civil actions on claims against the United States, for . . . personal injury
    . . . caused by the negligent or wrongful act or omission of any employee
    of the Government while acting within the scope of his office or
    employment, under circumstances where the United States, if a private
    person, would be liable to the claimant in accordance with the law of the
    place where the act or omission occurred.
    
    28 U.S.C. § 1346
    (b)(1).
    Section 7316(a)(1) applies this waiver to claims against employees of the VA
    Veterans Health Administration. It makes § 1346(b)(1) the exclusive remedy “for
    damages for personal injury, including death, allegedly arising from malpractice or
    negligence of a health care employee of the Administration in furnishing health care
    or treatment while in the exercise of that employee’s duties in or for the
    Administration.” 
    38 U.S.C. § 7316
    (a)(1). “‘[H]ealth care employee of the
    Administration’ means a physician, dentist, podiatrist, chiropractor, optometrist,
    nurse, physician assistant, expanded-function dental auxiliary, pharmacist, or
    -5-
    paramedical (such as medical and dental technicians, nursing assistants, and
    therapists), or other supporting personnel.” 
    Id.
     § 7316(a)(2).
    However, intentional torts are excepted from the § 1346(b)(1) waiver. Section
    2680(h) of the FTCA states that, “[t]he provisions of . . . section 1346(b) of this title
    shall not apply to . . . any claim arising out of assault, battery, false imprisonment,
    false arrest, malicious prosecution, abuse of process, libel, slander, misrepresentation,
    deceit, or interference with contract rights.” 
    28 U.S.C. § 2680
    (h).
    Conversely, § 7316(f) provides an exception to § 2680(h):
    The exception provided in section 2680(h) of title 28 shall not apply to
    any claim arising out of a negligent or wrongful act or omission of any
    person described in subsection (a) in furnishing medical care or
    treatment (including medical care or treatment furnished in the course
    of a clinical study or investigation) while in the exercise of such
    person’s duties in or for the Administration.
    
    38 U.S.C. § 7316
    (f). “[S]ubsection (a)” refers to § 7316(a), stated above.
    Doe contends that the district court erred in its analysis of § 7316(f). She
    asserts that it placed too much focus on the language, “while in the exercise of such
    person’s duties in or for the Administration,” but ignored the language, “wrongful act
    or omission of any person described in subsection (a) in furnishing medical care or
    treatment.” She argues that the latter gives the statute practical meaning. Doe
    maintains that “the express words of the statute and their plain meaning indicates that,
    if an intentional tort is committed by a VA employee who is supposed to be
    delivering medical care as part of their duties, and is delivering medical care, then
    federal jurisdiction under the FTCA is mandated.” Appellant’s Br. at 16. The district
    court’s analysis, according to Doe, nullifies the statute because wrongful acts will
    never be defined in a person’s job duties. The government replies that Doe’s
    interpretation is inconsistent with the FTCA’s general design that only waives
    -6-
    sovereign immunity for acts committed by a government employee, “while acting
    within the scope of his office or employment.” Appellee’s Br. at 39 (quoting Magee,
    9 F.4th at 679–80).
    Doe’s argument misinterprets the effect of § 7316(f). As the district court
    correctly concluded: “[Section 7316(f)] merely extends FTCA liability to intentional
    torts committed by VA health care employees; it does not eliminate the jurisdictional
    inquiry under the FTCA. . . . [F]ederal courts determining their jurisdiction under
    [§ 7316] still look to the FTCA’s scope-of-employment test and corresponding state
    law.” Doe, 
    2022 WL 898788
    , at *4.
    Section 7316(f), in pertinent part states, “[t]he exception provided in section
    2680(h) of title 28 shall not apply to any claim.” 
    38 U.S.C. § 7316
    (f). This language
    excepts certain claims from § 2680(h). Such claims are identified by the remaining
    language of § 7316(f). Thus, certain intentional torts that arise from medical care or
    treatment provided by “VA health care employees” in the exercise of their duties are
    not subject to § 2680(h)’s jurisdictional bar. See Ingram v. Faruque, 
    728 F.3d 1239
    ,
    1249 (10th Cir. 2013) (“Section 7316(f) . . . insulates the individual government
    employee by nullifying § 2680(h) and thereby expanding the injured party’s remedy
    against the government under the FTCA.” (cleaned up)).
    However, § 7316(f) does not grant jurisdiction to claims. Jurisdiction for
    claims against “a health care employee of the Administration” is exclusively granted
    by § 1346(b)(1), via § 7316(a)(1). See 
    38 U.S.C. § 7316
    (a)(1) (“The remedy . . .
    against the United States provided by section[] 1346(b) . . . for damages . . . arising
    from malpractice or negligence of a health care employee of the Administration . . .
    shall be exclusive of any other civil action or proceeding.” (emphasis added)). In
    other words, § 7316 extends the FTCA remedy against the United States to claims
    “arising from the provision of medical services by health care employees of the VA.”
    Ingram, 
    728 F.3d at 1245
    ; see also Brown v. Mercadante, 
    687 F. App’x 220
    , 223 (3d
    Cir. 2017) (unpublished per curiam) (holding a veteran’s intentional tort and
    -7-
    negligence claims against individual VA healthcare employees were barred because
    her exclusive remedy was an FTCA claim against the government).
    We have long recognized that the “threshold requirement to establish
    jurisdiction under the Federal Tort Claims Act is that the federal employee must have
    been acting within the scope of his employment when the tort was committed” as
    “governed by the law of the State where the alleged tort was committed.” Magee, 9
    F.4th at 680 (cleaned up); see also Johnson v. United States, 
    534 F.3d 958
    , 963 (8th
    Cir. 2008) (same); Primeaux v. United States, 
    181 F.3d 876
    , 878 (8th Cir. 1999) (en
    banc) (“In determining the extent of the government’s FTCA liability, scope of
    employment sets the line.” (cleaned up)).
    Requiring the federal employee to have acted within the scope of his
    employment does not “nullify” the statute. The FTCA makes clear that the scope-of-
    employment test is defined by state law, not the employer. Magee, 9 F.4th at 680
    (stating that scope of employment “is governed by the law of the State where the
    alleged tort was committed”). Indeed, Doe relies heavily on Leininger v. United
    States, 
    499 F. Supp. 3d 973
    , 988–91 (D. Kan. 2020), where a physician assistant was
    determined to have been acting within the scope of his employment, as defined by
    Kansas law, when he sexually assaulted several patients. Similarly, the Supreme
    Court held that a provision “functionally indistinguishable” from § 7316(f) abrogates
    § 2160(h) and permitted a lawsuit “against the United States alleging medical battery
    by a Navy doctor acting within the scope of his employment.” Levin v. United States,
    
    568 U.S. 503
    , 518 (2013).
    Accordingly, the district court’s analysis was not in error.
    C. Interpretation of Missouri Law
    Second, Doe argues that the district court erroneously held that “because sexual
    molestation is at issue, . . . the matter cannot entail employer responsibility either in
    negligence or intentional tort.” Appellant’s Br. at 43. She further argues that the
    -8-
    district court ignored several principles of Missouri law that require a more fact
    intensive analysis. Doe notes that Missouri courts have held that employer liability
    can be found “although the act was unauthorized, if the act was not unexpectable in
    view of the duties of the servant.” Id. at 35 (quoting Henderson v. Laclede Radio,
    Inc., 
    506 S.W.2d 434
    , 436 (Mo. 1974)).
    The district court began its analysis with this court’s conclusion in Magee,
    which provides:
    Under Missouri law, the analysis focuses on whether the act was done
    “by virtue of the employment and in furtherance of the business or
    interest of the employer.” Cluck v. Union Pac. R.R. Co., 
    367 S.W.3d 25
    ,
    29 (Mo. 2012) (internal quotation omitted). An act is done while
    engaged in the employer’s business if it is “fairly and naturally incident
    to the employer’s business” and “did not arise wholly from some
    external, independent or personal motive.” Higgenbotham v. Pit Stop
    Bar & Grill, LLC, 
    548 S.W.3d 323
    , 328 (Mo. Ct. App. 2018).
    Magee, 9 F.4th at 680.
    The district court then acknowledged Wellman v. Pacer Oil Co., 
    504 S.W.2d 55
     (Mo. 1973) (en banc), which relied on the Restatement (Second) of Agency,
    §§ 231 and 235 (1958), to hold:
    The fact that the servant intends a crime, especially if the crime is of
    some magnitude, is considered in determining whether or not the act is
    within the employment, since the master is not responsible for acts
    which are clearly inappropriate to or unforeseeable in the
    accomplishment of the authorized result. The master can reasonably
    anticipate that servants may commit minor crimes in the prosecution of
    the business, but serious crimes are not only unexpectable but in general
    are in nature different from what servants in a lawful occupation are
    expected to do.
    ...
    -9-
    [In the case of outrageous acts,] the facts may indicate that the servant
    is merely using the opportunity afforded by the circumstances to do the
    harm.
    Wellman, 504 S.W.2d at 58 (internal quotation marks omitted).
    In addition, the district court noted three Missouri cases holding that sexual
    misconduct was outside the scope of employment,
    even where, as here, the employee took advantage of his job position to
    commit the misconduct and the misconduct took place during work
    hours and at the workplace. . . . [because] such sexual acts generally
    arise wholly from the employee’s personal motive rather than to serve
    the employer in any part.
    Doe, 
    2022 WL 898788
    , at *4 (citing Gibson v. Brewer, 
    952 S.W.2d 239
    , 246 (Mo.
    1997) (en banc) (“[I]ntentional sexual misconduct and intentional infliction of
    emotional distress are not within the scope of employment of a priest, and are in fact
    forbidden.”); P.S. v. Psychiatric Coverage, Ltd., 
    887 S.W.2d 622
    , 625 (Mo. Ct. App.
    1994) (“Regardless of whether sexual misconduct takes place during or in connection
    with therapy, it is not the general kind of activity a therapist is employed to perform.
    The sexual encounters between plaintiff . . . and [the therapist] resulted from purely
    private and personal desires.”); Gilley v. Mo. Pub. Entity Risk Mgmt. Fund, 
    437 S.W.3d 315
    , 319 (Mo. Ct. App. 2014) (“It is absurd to think that [the tortfeasor]’s
    rape of [plaintiff] was undertaken in furtherance of the interests of Cole County.
    Clearly, the act arose from [the tortfeasor]’s personal motive.”)).
    On this precedential foundation, the district court determined that Luchtefeld
    was not acting within the scope of his employment under Missouri law. The district
    court concluded that “all evidence and inferences here point to Luchtefeld’s purely
    personal desire.” Doe, 
    2022 WL 898788
    , at *5. Doe’s cited authorities do not defeat
    the district court’s analysis. For instance, Doe relies on Noah v. Ziehl, which involved
    -10-
    a bar patron who was violently assaulted by a bouncer employed by the bar. 
    759 S.W.2d 905
     (Mo. Ct. App. 1988). The patron sued the bar, and, after a jury trial, the
    jury returned a verdict in the patron’s favor. Id. at 909. The Missouri Court of
    Appeals reversed. Id. at 913. The court found that the bouncer was not acting within
    the scope of his employment. Id. It concluded “that when conduct of an employee
    exceeds the scope and course of employment and are done, not in furtherance of the
    employer’s business, but to gratify the employee’s feelings or resentment or revenge,
    the conduct is outside the scope and course of the employment.” Id. at 911. This is
    essentially the same holding in Magee, adopted by Missouri courts, which requires
    an act to be “‘fairly and naturally incident to the employer’s business,’ and . . . ‘not
    arise wholly from some external, independent or personal motive.’” Magee, 9 F.4th
    at 680 (quoting Higgenbotham, 
    548 S.W.3d at 328
    ).
    Doe also relies on a factor-based test in Noah for determining whether a
    particular use of physical force is within the scope of employment. But six years later,
    as cited by the district court, the Missouri Court of Appeals treated sexual misconduct
    by a therapist differently. In P.S., the court examined “whether [a sexual relationship
    between a therapist and his patient] was done by virtue of the employment and in
    furtherance of the business or interest of the employer.” 
    887 S.W.2d at 624
    .
    Determining the therapist was not acting within the scope of his employment, the
    court found that “[r]egardless of whether sexual misconduct takes place during or in
    connection with therapy, it is not the general kind of activity a therapist is employed
    to perform,” and that “[t]he sexual encounters between plaintiff . . . and [the therapist]
    resulted from purely private and personal desires.” 
    Id. at 625
    . The P.S. court also
    found that “[t]he acts did not occur as part of any therapy program and they were not
    intended to further employer’s business,” 
    id.,
     and that the “[p]laintiff . . . testified that
    she did not believe this behavior was part of therapy,” 
    id. at 624
    .
    The findings in P.S. resemble this case. See Doe, 
    2022 WL 898788
    , at *5
    (“Luchtefeld’s treatment authority in this case was limited to BFA therapy and . . .
    any massage of [Doe] was not intended in any way to treat [her] hip pain (and thereby
    -11-
    serve the VA) but rather motivated wholly by Luchtefeld’s personal desires.”); 
    id.
    (“[A]ll evidence and inferences here point to Luchtefeld’s purely personal desire.
    Indeed, [Doe] apparently did not believe that Luchtefeld’s contact with her genitalia
    and breasts was part of her treatment, as she stopped [him] from engaging in such
    contact and immediately attempted to report the incident. And according to [Doe],
    Luchtefeld attempted to interfere with [Doe] reporting [the incident], suggesting that
    he did not want his employer to learn of the incident.”).
    Doe also relies on Daugherty v. Allee’s Sports Bar & Grill, 
    260 S.W.3d 869
    (Mo. Ct. App. 2008). She argues that Daugherty “provides a clear understanding of
    the ‘course and scope’ analysis under Missouri law.” Appellant’s Br. at 39. Doe
    construes Daugherty’s holding that “an employer is liable for an employee’s torts
    even if the employer did not authorize the employee’s conduct as long as the
    employee committed such act while engaged in an activity falling within the scope
    of the employee’s authority or employment” to be a strong, favorable precedent. 
    Id.
    (quoting Daugherty, 
    260 S.W.3d at 873
     (internal quotation marks omitted)). But this
    holding was quoted from and applied in P.S., which ultimately found that the
    tortfeasor’s sexual misconduct was not within his scope of employment. See
    Daugherty, 620 S.W.3d at 873 (quoting P.S., 
    887 S.W.2d at 624
    ). The instant facts
    track the facts in P.S. better than the facts in Daughtery, which involved an injury
    caused by a bartender placing a toothpick in the plaintiff’s drink.
    Doe’s reliance on Henderson, fairs no better. Henderson involved a violent
    attempt to collect a debt owed to the tortfeasor’s employer. 506 S.W.2d at 434. Doe
    contends this case “demonstrates the Court’s placing ‘primary importance’ on ‘the
    nature of the principal’s business,’ and ‘whether or not the employment will bring the
    employee into contact with the public,’ as well as looking at motive and
    foreseeability.” Appellant’s Br. at 36–37. However, Henderson gave controlling
    weight to Wellman, specifically Wellman’s explanation and application of the
    Restatement (Second) of Agency, which, as previously noted, was also relied on by
    the district court. Henderson, 506 S.W.2d at 436–37.
    -12-
    Therefore, we find no error in the district court’s analysis of relevant Missouri
    law.
    D. Whether Luchtefeld was Acting Within the Scope of Employment
    Third, Doe argues that the district court erred in concluding that Luchtefeld’s
    duties were restricted to providing BFA. She argues that the evidence showed that
    Luchtefeld had full authority as her primary care provider. She asserts that Luchtefeld
    had authority to use his discretion to provide all non-surgical care for her hip pain.
    Doe also challenges the overall finding that Luchtefeld was not acting within the
    scope of his employment.
    After allowing limited discovery, the district court concluded that Luchtefeld’s
    treatment authority was limited to BFA therapy. Further, as explained above, the
    district court found that Doe’s injuries arose specifically out of Luchtefeld’s physical
    contact with her genitalia and breasts and that such contact was motivated by a purely
    personal desire. Based on these findings, the district court determined that Luchtefeld
    was not acting within the scope of his employment.
    These findings were not clearly erroneous. Viewing the record as a whole, “we
    are not left with the definite and firm conviction that a mistake has been committed.”
    United States v. Finley, 
    612 F.3d 998
    , 1003 (8th Cir. 2010).
    Initially, Luchtefeld denied sexually assaulting or massaging Doe. He later
    admitted to the sexual assault and admitted that it was inappropriate for him to
    massage a patient. He also failed to document anything that occurred after the BFA
    therapy, including the massage. This is consistent with the finding that the massage
    and subsequent sexual assault exceeded the scope of his treatment authority.
    The record also indicated that Luchtefeld was breathing hard while he touched
    Doe and that he had an erection after committing the sexual assault. It also indicates
    that he attempted to prevent Doe from reporting the incident to his superiors. He even
    admitted to touching her vagina because he “got kind of excited.” R. Doc. 34-5, at 4.
    -13-
    Additionally, he was not wearing gloves when he began massaging her. This supports
    the finding that the massage and subsequent sexual assault were motived by
    Luchtefeld’s personal desires, not any effort to treat Doe.
    Doe also challenges four affidavits provided by the government in support of
    its motion to dismiss. She claims that “[s]tripped of legal conclusions and innuendo,
    nothing in these affidavits demonstrated that Luchtefeld’s duties were strictly
    confined to . . . BFA[].” Appellant’s Br. at 22–23. We disagree.
    For example, the affidavit of Dr. Kavitha Reddy, who performed over 1,000
    BFA procedures from 2017 to 2020, indicated that BFA appointments are limited to
    providing BFA therapy and that no additional therapies are provided. It also noted
    that BFA only requires the provider to touch the patient’s ears. R. Doc. 10-4.
    Similarly, the affidavit of Licensed Acupuncturist Laura Devaney, who was the
    BFA Program Coordinator for the St. Louis VA Medical Center, detailed a seven-step
    protocol for completing BFA. None of the steps require giving massages. In fact, after
    the procedure the provider “encourages a patient to stand and move the painful body
    region.” R. Doc. 10-3, at 3.
    The affidavit of Associate Chief Nurse Pamela Becker Weilitz, which Doe
    relies on, provides a broad explanation of Luchtefeld’s duties. However, Weilitz’s
    affidavit indicated that Luchtefeld did not have chiropractor core privileges and was
    not a designated Woman’s Health Provider. This meant that he could not “perform
    massages as part of his duties” and that “the VA would not have scheduled him to
    provide Well Woman Exams for routine, annual examinations.” R. Doc. 10-2, at 4.
    In light of the pleadings and undisputed evidence, the district court did not err
    determining that Luchtefeld acted outside the scope of his employment.
    Doe reasserts that the district court’s analysis would result in no FTCA claims
    moving forward because “negligence (nor intentional tort) is never a stated part of the
    -14-
    scope and practice of an employee.” Appellant’s Br. at 32. But the opinion in Cluck
    is instructive. There, a railroad employee carried a loaded firearm in his luggage,
    which accidently discharged and struck another employee’s knee. Cluck, 367 S.W.3d
    at 27. The injured employee sued the railroad. Id. The Cluck court, in explaining
    Missouri’s respondeat superior principles, relied on Daugherty and Lavender v.
    Illinois Central Railroad Co., 
    219 S.W.2d 353
     (Mo. 1949), to hold that the act
    causing the injury must be in furtherance of the employer’s business. Id. at 29.
    Notably, the plaintiff in Cluck argued that such holding “is unfair, for an
    employer will seldom have ordered the employee to perform the negligent act, and,
    therefore, the negligent act will almost never be found to be in furtherance of the
    employer’s interests.” Cluck, 367 S.W.3d at 29–30. The Cluck court stated:
    This argument misconstrues the standard. As Lavender explained:
    “In order for the master to be liable, it is, of course, not
    necessary that the servant or servants at fault have the
    authority of the master to do the particular thing which was
    done. Under certain circumstances the master may be liable
    if the act of the servant was contrary to the master’s
    express orders. But to hold the master liable the act must
    always have been done in furtherance of the master’s
    business.”
    Id. at 30 (quoting Lavender, 219 S.W.2d at 357–58). Under Missouri law, the focus
    is on whether the act was done in furtherance of the business, not whether the act was
    defined within an employee’s duties. Indeed, Doe quoted a similar holding from
    Daugherty, as stated above. The district court’s findings were not clearly erroneous.
    III. Conclusion
    Accordingly, we affirm the district court’s grant of the government’s motion
    to dismiss for lack of jurisdiction due to the unavailability of the FTCA’s waiver of
    the United States’ sovereign immunity.
    ______________________________
    -15-