LEE v. BUENO
381 P.3d 736
| Okla. | 2016Background
- Lee sued Bueno for personal injuries from a 2014 motor-vehicle collision; Lee claimed about $10,154 in medical expenses and alleged total damages over $26,000. Lee's insurer (Blue Cross Blue Shield) was billed $8,112.81 and paid $2,845.11.
- Before discovery, Lee filed a declaratory-judgment motion challenging the constitutionality of 12 O.S. 2011 § 3009.1 (which limits admissible medical-cost evidence to amounts actually paid or owed, not amounts billed). Trial court denied relief and certified the interlocutory order for appeal; the Oklahoma Supreme Court granted certiorari.
- The statutory text at issue (12 O.S. 2011 § 3009.1) admits at trial amounts actually paid or, with provider statement or lien, amounts owed; if unpaid, Medicare rates may be admitted with a provider statement. A 2015 amendment (not applicable here) modified and added a fallback allowing billed amounts if pretrial requirements are unmet.
- Lee challenged § 3009.1 as: an unconstitutional special law (Okla. Const. art. 5, § 46); a violation of access-to-courts and jury-trial rights (art. 2, §§ 6 & 19); a due-process violation (art. 2, § 7); a separation-of-powers violation (art. 4, § 1) for encroaching on evidentiary rules; and an unlawful abrogation of the collateral-source rule.
- The Court reviewed de novo, emphasizing the heavy presumption in favor of statutory constitutionality and that legislative changes to rules of evidence are within legislative authority unless clearly unconstitutional.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether § 3009.1 is an unconstitutional special law under art. 5, § 46 | Lee: statute creates impermissible subclasses (insured v. uninsured; provider decisions) and treats similarly situated tort claimants differently | Statute applies uniformly to all personal-injury plaintiffs and standardizes admissible proof to amounts paid/owed to avoid windfalls | Court: Not a special law; applies uniformly and aims to prevent inequality, so constitutional |
| Whether § 3009.1 denies access to courts or jury trial rights (art. 2, §§ 6 & 19) | Lee: limiting admissible evidence effectively restricts jury’s ability to award full damages and limits access | Statute regulates admissibility of evidence but does not bar filing claims or deny jury factfinding; evidence rules are permissible | Court: No violation; evidence limits do not deny access or the right to jury trial |
| Whether § 3009.1 violates due process (art. 2, § 7) | Lee: (1) restricts insured plaintiffs’ evidence, (2) deprives a vested property interest (value of insurer-negotiated write-downs), (3) creates unequal treatment | Defs: statute applies to all plaintiffs equally; no vested property right shown; evidentiary rules do not offend due process | Court: No due-process violation; arguments unsupported and largely recycle special-law claim |
| Whether § 3009.1 infringes separation of powers (art. 4, § 1) by usurping judicial factfinding | Lee: Legislature cannot dictate evidentiary facts or predetermine adjudicative outcomes | Legislature has authority to set rules of evidence; statute does not predetermine adjudicative facts | Court: No separation-of-powers violation; Legislature may modify rules of evidence |
| Whether § 3009.1 unlawfully abolishes the collateral-source rule | Lee: collateral-source rule should protect billed amounts even if later written down | Defs: Legislature may limit admissible evidence; § 3009.1 does not eliminate collateral-source doctrine generally but controls where conflict exists | Court: § 3009.1 abrogates common-law collateral-source effect only to the extent it conflicts with the statute; statute controls |
Key Cases Cited
- Montgomery v. Potter, 341 P.3d 660 (Okla. 2014) (statute limiting recovery by uninsured motorists created unconstitutional special class)
- Zeier v. Zimmer, 152 P.3d 861 (Okla. 2006) (affidavit-of-merit requirement for medical-malpractice claims impermissible special law)
- Wall v. Marouk, 302 P.3d 775 (Okla. 2013) (affidavit requirement created a new subclass and violated art. 5, § 46)
- Gowens v. Barstow, 364 P.3d 644 (Okla. 2015) (acknowledged § 3009.1’s controlling effect over collateral-source questions in some contexts)
- Gilbert v. Security Fin. Corp. of Okla., 152 P.3d 165 (Okla. 2006) (discussion of judicial review of damages and statutory restraints on jury discretion)
- Denco Bus. Lines v. Hargis, 229 P.2d 560 (Okla. 1951) (recognition of the collateral-source rule under Oklahoma law)
- Howell v. Hamilton Meats & Provisions, 257 P.3d 1130 (Cal. 2011) (collateral-source rule does not protect billed-but-not-liable amounts)
