79 F.4th 939
8th Cir.2023Background:
- J.T. Johnson sued Jenna Friesen for injuries from a 2015 car accident; Friesen admitted negligence.
- Johnson alleged mostly subjective injuries (chronic low‑back pain requiring a pain stimulator, neck pain, PTSD, etc.).
- Johnson disclosed 13 treating providers as potential expert witnesses with minimal Rule 26(a)(2) disclosures; one letter from neurosurgeon Dr. Harold Hess opined causation “within a reasonable degree of medical certainty.”
- The district court found the initial disclosures "bare‑bones," allowed amendments, but concluded Hess’s causation opinion was formed after counsel’s request and review of records, making him a prospective expert required to file a Rule 26(a)(2)(B) report.
- The court excluded Dr. Hess’s testimony (and other treating‑physician testimony for inadequate disclosures) under Rule 37(c)(1); because Nebraska law requires expert proof of causation for subjective injuries and Hess was the only causation witness, the court granted summary judgment for Friesen.
- The Eighth Circuit affirmed, holding Hess was a retained-type expert who failed to provide the required written report and whose exclusion warranted summary judgment for the defendant.
Issues:
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether a treating physician who later forms a causation opinion must provide a written report under Rule 26(a)(2)(B) rather than a summary under 26(a)(2)(C) | Hess was a treating physician and Johnson’s 26(a)(2)(C) disclosure (plus Hess’s letter) sufficed; no B report required | Hess formed his causation opinion after treatment in response to counsel and is therefore a retained/specially employed expert subject to 26(a)(2)(B) | Treating physician who forms causation opinion outside the course of treatment is a retained expert and must provide a 26(a)(2)(B) report; affirmed |
| Whether exclusion of Dr. Hess’s testimony for failure to file a 26(a)(2)(B) report was proper | Exclusion was improper because amended disclosures and Hess’s letter disclosed his opinion | Failure to provide the required written report justified exclusion under Rule 37(c)(1); the letter was insufficient | Exclusion proper: Hess’s opinion was formed post‑treatment, no compliant report was filed, letter insufficient; exclusion affirmed |
| Whether summary judgment for defendant was proper given Nebraska law on causation | Summary judgment was erroneous because disputes of fact remain regarding causation | Nebraska requires expert medical testimony to prove causation for subjective injuries; absent Hess’s testimony plaintiff cannot establish causation | Summary judgment proper: injuries are subjective under Nebraska law and, with Hess excluded, Johnson lacked necessary expert causation testimony; affirmed |
Key Cases Cited
- Vanderberg v. Petco Animal Supplies Stores, Inc., 906 F.3d 698 (8th Cir. 2018) (Rule 37(c)(1) exclusion for insufficient expert disclosures)
- Eiting v. Godding, 214 N.W.2d 241 (Neb. 1974) (subjective symptoms require medical testimony to prove causation)
- Gruttemeyer v. Transit Auth., 31 F.4th 638 (8th Cir. 2022) (treating physician who forms causation opinion outside treatment may be treated as retained expert)
- Brooks v. Union Pac. R.R. Co., 620 F.3d 896 (8th Cir. 2010) (treating physician opinions are subject to the same reliability standards as hired experts)
- Meyers v. Nat'l R.R. Passenger Corp., 619 F.3d 729 (7th Cir. 2010) (treating physicians must provide a 26(a)(2)(B) report when causation opinion is not formed during treatment)
- Goodman v. Staples The Office Superstore, LLC, 644 F.3d 817 (9th Cir. 2011) (same principle on treating‑physician reports)
- Bradshaw v. FFE Transp. Servs., Inc., 715 F.3d 1104 (8th Cir. 2013) (federal law governs admissibility of expert testimony in diversity cases)
- Eno v. Watkins, 429 N.W.2d 371 (Neb. 1988) (severe physical pain is a subjective injury)
