Texas Health Presbyterian Hospital of Denton, Marc Wilson, M.D., and Alliance ob/gyn Specialists, Pllc D/B/A ob/gyn Specialists, Pllc v. D.A. and M.A., Individually and as Next Friends of A.A., a Minor
569 S.W.3d 126
Tex.2018Background
- Baby A.A. suffered brachial plexus injuries during delivery at Texas Health Presbyterian Hospital of Denton after shoulder dystocia and forceps/arm extraction maneuvers.
- Parents sued the delivering physician, his practice, and the hospital alleging negligent maneuvers caused the injury.
- Defendant (Dr. Wilson) moved for partial summary judgment invoking Tex. Civ. Prac. & Rem. Code § 74.153, arguing the claim arises from emergency medical care in a hospital obstetrical unit and thus requires proof of willful and wanton negligence.
- Trial court granted partial summary judgment, concluding the maneuvers were emergency medical care and the heightened willful-and-wanton standard applied.
- The court of appeals reversed, reading § 74.153 to require the "immediately following" limitation for obstetrical-unit care (i.e., protection applies only when care in the OB unit immediately follows ER evaluation), creating a split about the scope of the statutory modifier.
- The Texas Supreme Court granted review to decide whether § 74.153’s "immediately following" phrase modifies only "surgical suite" or also the emergency-department and obstetrical-unit references.
Issues
| Issue | Plaintiff's Argument (Family) | Defendant's Argument (Wilson) | Held |
|---|---|---|---|
| Whether Tex. Civ. Prac. & Rem. Code § 74.153 requires willful-and-wanton negligence for claims arising from emergency care in an obstetrical unit when the patient was not evaluated/treated in the ER immediately before | § 74.153’s "immediately following" phrase modifies the whole series, so its protection applies to OB-unit care only if it immediately follows ER evaluation/treatment | The phrase modifies only "surgical suite"; § 74.153 applies to emergency care in an obstetrical unit regardless of prior ER evaluation/treatment | The Court held the modifier applies only to "surgical suite." § 74.153 requires willful-and-wanton proof for emergency care in an obstetrical unit even if there was no immediately prior ER evaluation/treatment; trial court summary judgment reinstated |
Key Cases Cited
- DeQueen v. First State Bank of DeQueen, 325 S.W.3d 628 (Tex. 2010) (statutory-construction and ambiguity standard)
- Sullivan v. Abraham, 488 S.W.3d 294 (Tex. 2016) (use of punctuation and extrinsic aids in statutory interpretation)
- Rodriguez v. Fort Worth Transp. Auth., 547 S.W.3d 830 (Tex. 2018) (ordinary meaning and context govern construction)
- Ludwig v. State, 931 S.W.2d 239 (Tex. Crim. App. 1996) (comma absence can create ambiguity in modifier scope)
- United States v. Pritchett, 470 F.2d 455 (D.C. Cir. 1972) (postpositive modifier applies only to subset of listed items)
- Ron Pair Enterprises, Inc. v. United States, 489 U.S. 235 (1989) (list separation and modifier scope)
