Adam Ellithorpe v. Janet WeismarkAdam Ellithorpe v. Janet Weismark
OPINION
delivered the opinion of the Court,
We granted review in this health care liability action to decide whether the trial court erred by failing to apply this Court’s analysis in
Estate of French v. Stratford House,
I. Factual and Procedural Background
On July 11, 2013, Adam and Ashley Elli-thorpe (“Parents”)
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filed this action against Janet ' Weismark (“Ms. Weis-mark”), a licensed clinical social worker, alleging that she had provided counseling services to their minor child, M.L., without obtaining Parents’ valid consent. Parents’ complaint includes claims for negligence, negligence per se, and intentional infliction of emotional distress (“IIED”). Because this case comes to us in the posture of Ms. Weismark’s motion to dismiss the complaint for failure to, state a claim, we accept the allegations of the complaint as true.
See Brown v. Tenn. Title Loans, Inc.,
Parents are the legal and biological parents of M.L. However, on February 1, 2012, the Juvenile Court of Sumner County, Tennessee, allegedly issued an order (“Juvenile Court’s order”) giving Ronda and Eugene MeltOri (collectively “the Mel-tons”) temporary' custody of M.L. The Meltons are the paternal great aunt and uncle of M.L. Notably, the Juvenile Court’s order is neither áttached to Parents’ complaint nor included in the record
Parents’ complaint alleges that on June 11, 2011, Ms. Weismark completed an intake form, signaling the beginning of Ms. Weismark’s counseling with M.L. According to Parents, they were completely unaware that Ms. Weismark had begun counseling M.L. because they were never allowed to participate in the counseling. Ms. Weismark allegedly continued to hold counseling sessions with M.L. without informing Parents until at least April 9, 2013, but Parents believe that M.L. was still in counseling at the time they filed their • complaint against Ms. Weismark. Consequently, Parents allege that Ms. Weismark' “[was] negligent in providing health services: without following the parameters of the court order by notifying [parents] and allowing them to participate in said counsel [sic],”
Parents’ complaint further asserts that they first became aware of M.L.’s counseling sessions with Ms. Weismark on April 10, 2013, when the assigned Guardian Ad Litem “let the information slip out.” Thereafter; Parents assert that the Guardian Ad Litem “was asked to' disclose the name and phone number of the counselor. He reluctantly gave the name of [Ms. Weismark] and her phone number.”
Parents further assert that, after they .became aware that counseling was occurring, they asked Ms. Weismark to provide them-with a copy of.-M.L.’s treatment records:
[A] phone call was made to Ms. Weis-mark’s office and she was asked to provide a complete copy of [M.L.’s] records to [Parents] and was told that [Parents] would come by to pick up the records. She was reluctant and stated that she would need $25 to pay for the records; She was told that would be fine.
According to Parents, Ms. Weismark called back “within [twenty] minutes” and left a message that she had been “advised not to give out the records” but would not respond to further inquiries about who had advised that the records be withheld.
Parents assert that they received Ms. Weismark’s treatment records only after this action was initiated and a subpoena was issued by the trial court. Parents contend that Ms. Weismark did not have a copy of the Juvenile Court’s order as a part of her records for M.L. and that she neither confirmed Ms. Melton’s identity nor verified any court-ordered restrictions on Ms. Melton’s authority. However, Parents allege that Ms. Weismark knew that Ms. Melton was not M.L.’s biological parent because she was listed as a “great aunt” on the intake form. According to Parents, Ms. Weismark’s actions “demon-stráis ] her reckless disregard” for their rights.
Parents also state that Ms. Weismark wrote a letter on January 16, 2013, recommending that they be denied contact with M.L. 3 According to Parents’ complaint, this recommendation directly contravened a “current court order for visitation.”
Finally, because of this allegedly “secret” counseling, Parents state that. M.L. has been “harmed emotionally in not being allowed to counsel”- with them and that they too have suffered emotional distress. Parents contend that the counseling is the direct and-proximate cause of these injuries. Further, Parents allege
that the proof will show that [M.L.] has suffered severe emotional harm from being forcefully kept separated from her [P]arents. In fact, in the notes of Ms. Weismark, it shows thát [M.L.] calls [Ms. Melton] “mommy” and Ms. Weis-mark has done nothing to correct this. [Ms. Melton] is NOT the “mommy” of ■ [M.L.] and should not be substituted in [M.L.’s] mind as her parent. This is evidence of the deép psychological damage that has occurred to [M.L.] while in counseling with Ms. Weismark.
(Capitalization in original.)
On August 15, 2013, Ms. Weismark answered Parents’ complaint by denying that Parents were entitled to' any relief. She also asserted several affirmative defenses in her answer, including that Parents failed to comply with the pre-suit notice andcertificate of good faith requirements of the THCLA.
See
On November 15, 2013, Ms. Weismark filed a motion to dismiss, also based on Parents’ failure to comply with the THCLA’s procedural requirements. Parents filed their response to the motion to dismiss on November 27, 2013, arguing that their claims were not subject to the THCLA’s procedural requirements because their claims sounded in ordinary negligence.'
On February 7, 2014, Parents filed a notice of appeal raising only one issue, which was restated
5
by the Court of Appeals for clarity as follows: ‘Whether the trial court erred in dismissing [Parents’] negligence, negligence per se, and IIED claims for failure to comply with the written notice and certificate of good faith requirements of the THCLA.”
Ellithorpe v. Weismark,
No. M2014-00279-COA-R3-CV,
The Court of Appeals, relying primarily on
Estate of French v. Stratford''House,
held that the trial court had failed to utilize the correct analysis whén determining if Parents’ claims sounded in ordinary negligence or health care liability.
Weismark,
We granted Ms. Weismark’s Tennessee Rule of Appellate Procedure 11 application for permission to appeal.
II. Standard of Review
A motion to dismiss for failure to state a claim is the proper method for challenging whether a plaintiff has complied with the THCLA’s pre-suit notice and certificate of good faith requirements.
Myers v. AMISUB (SFH), Inc.,
382
A defendant filing a motion to dismiss “admits the truth of all the relevant and material allegations contained in the complaint, but ... asserts -that the allegations fail to establish a cause of action.”
Id.
(quoting
Webb,
In adjudicating such motions, courts “must construe the complaint liberally, presuming all factual allegations to be true and giying the plaintiff the benefit of all reasonable inferences.”
Id.
(citing
Webb,
III. Analysis
Ms. Weismark asserts that the Legislature’s 2011 amendments to the THCLA precludes application of the “nuanced” approach found in Estate of French and that the Court of Appeals erred by reversing the trial court’s dismissal of Parents’ conA plaint and by remanding the case for analysis consistent with Estate of French. Conversely, Parents assert that Estate of French is still good law, and that under the Estate of French' analysis, their claims sound in ordinary negligence instead of health care, -liability. Alternatively,. Parents assert that, even if the THCLA is applicable to their claims, dismissal with prejudice is not compulsory. Finally, Parents assert for the first time before this Court a constitutional challenge to - the THCLA.
A, The Tennessee Health Care Liability Act
A brief history of the THCLA and its judicial interpretations is beneficial to our analysis. In 2008, Tennessee’s Medical Malpractice Act
6
was amended, introducing new requirements into medical malpractice litigation.
See
Act of April 24, 2008, ch. 919, 2008 Tenn. Pub. Acts 434;
see generally
Rebecca C. Blair,
Med-Mal Obstacles,
44 Tenn. B.J. 14 (2008). The 2008 amendment required a party initiating a medical malpractice claim to give sixty days’ pre-suit notice to the implicated health care providers.
See
One year later, in 2009, the Act was again amended to clarify these new requirements.
See
Act of June 4, 2009, ch. 425, 2009 Tenn. Pub. Acts 472;
see generally
John A. Day,
Med Mai Makeover: 2009 Act Improves on ’08,
45 Tenn. B.J. 14 (2009). Tennessee Code Annotated
While the 2008 and 2009 amendments to the Tennessee Medical Malpractice Act .established new procedural requirements for plaintiffs seeking to file medical malpractice actions, these amendments failed to sufficiently define a medical malpractice claim and left Tennessee courts to distinguish between claims sounding in ordinary negligence and those involving medical malpractice. In January 2011, this Court decided Estate of French, which provided a comprehensive and detailed analysis of the interaction between ordinary negligence principles and the Tennessee Medical Malpractice Act, as then enacted.
In
Estate of French,
the administratrix of the estate of a deceased nursing home resident brought a wrongful death .suit against the pursing home alleging.claims of ordinary, negligence, negligence per se, and violations of the Tennessee Adult Protection Act,
We explained that, “[bjecause medical malpractice is a category of negligence, the distinction between medical malpractice and negligence claims is subtle; there is no rigid analytical line separating the two causes of action.” Id. at 555 (citations omitted). Thus, the Court resolved that “whether claims should be characterized as ordinary negligence or medical malpractice claims obviously depends heavily on the facts of each individual case.” Id. at 556. However, the Court provided the following guidance in distinguishing between ordinary negligence and medical malpractice:
[W]hen a claim alleges negligent conduct which constitutes or bears a substantial relationship ■ to the rendition of medical treatment by a medical professional, the medical malpractice statute is applicable. Conversely, when the conduct alleged is not substantially related to the rendition of medical treatment by a medical professional, the medical malpractice statute does not apply.
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Medical malpractice cases typically involve a medical diagnosis, treatment or other scientific matters. The distinction between ordinary negligence and malpractice turns on whether the acts or omissions complained of involve a matter of medical science or art requiring specialized skills not ordinarily possessed by lay persons or whéther the conduct complained of can instead be assessed on the basis of common everyday experience of the trier of fact.
Id.
at 555-56 (alteration in original) (citations omitted);
see also Draper v. Westerfield,
However, roughly four months after this Court’s decision in
Estate of French,
at its next session, the Legislature passed the Tennessee Civil Justice Act of 2011, further .amending the Tennessee Medical Malpractice Apt.
See
Tennessee Civil Justice Act of 2011, ch. 510, 2011 Tenn. Pub Acts 1505 (codified at Tenn. Code Ann. 29-26-101 et.seq, (Supp. 2011)). Notably, the Tennessee Civil Justice Act of 2011 amended the existing Tennessee Medical Malpractice Act by removing all references to “medical malpractice” from-the Tennessee Code and replacing them with “health care liability” or “health care liability action” as applicable.
See id.
Furthermore,
With the foregoing history in mind we turn to the issues raised in this appeal.
B. Effect of THCLA on Estate of French Analysis
It is undisputed that Parents failed to comply with the pre-suit notice and certificate of good faith provisions of Tennessee Code Annotated
When determining the meaning of statutes, our primary goal “is to carry out legislative intent without broadening or restricting the statute beyond its intended scope.”
Johnson v. Hopkins,
Tennessee Code Annotated
Giving every word in this section its full effect and plain meaning, we hold that
Applying the clear language of the THCLA to Parents’ complaint, we conclude that the allegations contained therein meet the definition of a health care liability action as defined in
Additionally, Parents’ complaint is rife with allegations relating to Ms. Weis-mark’s provision of health care services to M.L. Paragraph 9 of the complaint alleges .that Ms. Weismark “did an intake for counseling for [M.L.] ”. Paragraphs 17 and 18 allege that Ms. Weismark did not have consent to counsel M.L. Paragraph 25 alleges that M.L. “has been harmed emotionally, in not being allowed to counsel with her [p]arents” and that Parents “will seek an independent mental health examination of the child to assess the harm caused by failing to counsel with them towards reunification.” Paragraph 26 of the .complaint alleges that “the secreted counseling -with [M.L.] is the direct and proximate harm and injury to [parents] and [M.L.].” Paragraph 29 alleges that Ms. Weismark “should be. keenly aware that providing this. secret counseling for the child is a gross deviation from the standard of care.” Finally, Paragraph 31 alleges that “[Parents]' would show' that [Ms.] Weismark
is negligent in providing health services
without following the parameters of'the court order by notifying [parents] and allowing them to participate in said counsel.” (Bold in original) (second emphasis added). 'Thus, because Parents’ complaint alleges negligence in the provision of health care services by a covered health care provider, it is subject to the THCLA “regardless of any other claims, causes' of action, or other theories of liability alleged in the complaint.”
C. Remedg
. We next consider Parents’ assertion -that, even if, the THCLA is applicable to their complaint, dismissal with prejudice is not mandatory. Parents rely, upon the language of
However,
[Section] 29-26-121 does not provide for a penalty or consequence for failing to provide pre-suit notice.... Whereas [section] 29-26*122 expressly require[s] a dismissal with prejudice for a plaintiffs failure to file a certificate of good faith. These code sections, [ ] 29-6-121 and -122, were enacted together as part of the Tennessee Health Care' Liability Act; therefore, we interpret these sections-together and must presume that the Legislature intended for them to carry different sanctions for noncompliance. The Legislature could have, but did not, provide for dismissal with prejudice for noncompliance with [section]29-26-121(a)(l). Therefore, we hold that dismissal without prejudice is the proper sanction for noncomplianee with [Tennessee Code Annotated section] 29-26121(a)(1).
Foster v. Chiles,
1. Dismissal without Prejudice
Parents argue that because the acts alleged in their complaint do not require expert testimony by a medical professional, dismissal with prejudice under section 29-26-122(c) is not required. At most, Parents say, the dismissal should be without prejudice under
2. Dismissal with Prejudice
As stated earlier and reiterated below, Parents have alleged health care liability claims based on allegations that Ms. Weismark deviated from the standard of care. In health care liability actions, such as this one, expert proof is required to establish the recognized standard of acceptable professional practice in the profession, unless the claim falls within the “common knowledge” exception that is not applicable here.
See
D. Constitutional Challenge
Parents have also raised a constitutional challenge to the THCLA for the first time in this Court.' Parents assert that if this Court interprets the THCLA as abrogating
Estate of French,
“[t]he Forfeiture provisions of Title 29, Section 26 are unconstitutional in that they restrict the [Parents’] property right in their cause of
“It is axiomatic that parties will not be permitted to raise issues on appeal that they did not first raise in the trial court.”
Powell v. Cmty. Health Sys., Inc.,
IV. Conclusion
For the reasons stated herein, we hold that Estate of French has been abrogated by statute. ■ We further hold that Parents’ complaint is subject to the THCLA, which required them to file pre-suit notice and a certificate of good faith. Accordingly, due to Parents’ undisputed failure to meet either requirement, the judgment of the Court of, Appeals is reversed, and the judgment of the trial court dismissing Parents’ complaint with prejudice is reinstated. Costs of this appeal are taxed to Adam and Ashley Ellithorpe, for which execution, if necessary, may issue.
Notes
. Parents’ minor child, who we will refer to as M.L. in this opinion to protect her anonymity, was also named as a plaintiff in this action. For purposes of this appeal we will refer to the plaintiffs collectively as "Parents.”
. At oral argument, Parents’, counsel expressed concern about disclosing a juvenile court record as such records are placed under seal by statute.
See
. Ms. Weismark admitted in her.answer to Parents’ complaint that "in a January 16, 2013 correspondence ... she recommended that [M.L.] have no further visits with her [Pjarents at this time because of her [P]arents’ erratic and abusive behaviors and [M.L.’s] fearful and confused feelings. In addition, [ ] [Ms. Weismark] recommended that an investigation should be done to assess the [Parents’ parenting skills and home environment.” Neither Parents’ complaint nor Ms. Weis-mark’s answer identifies the recipient of this correspondence.
. We note that Parents filed a notice of no transcript citing Tennessee Rule of Appellate Procedure 24(b) and stating that "there is no transcript from the December 13, 2013 hearing.” However, Tennessee Supreme Court Rule 26 governs the preparation of the record in this appeal. Local Rule 8(a). of the Twentieth Judicial District of Tennessee states, "The Sixth Circuit Court has been authorized by the Supreme Court to use audio-visual recordings as the official record of court proceedings pursuant to Supreme Court Rule 26.” Tenn. 20th J. Dist. R. § 8(a); see also Tenn. Sup, Ct. R. 26 § 1.01. Section 2.01 of Tennessee Supreme- Court Rule 26 defines "the term ‘transcript’ used in Rule 24, Tennessee Rules of Appellate Procedure,” as in-eluding "an official electronic recording of court proceedings recorded: and maintained in accordance with. [Tennessee Supreme Court Rule 26].” Tenn. Sup. Ct. R. 26 § 2.01. Thus, because the official audio-visual recording of the1 December 13, 2013 hearing constitutes the transcript, Parents’ notice that no transcript would be filed was in error.
. In '2011, pursuant to the Tennessee Civil Justice Act of 2011, Tennessee Code Annotated sections 29-26-115 through 122 and 202 of the Medical Malpractice Act were amended to replace the term "medical malpractice” with the term "health care1 liability..”. Tennessee Civil Justice Act of 2011, ch. 510 § 9, 2011 Tenn. Pub Acts 1505. It is important to ■note that because the title, "Tennessee Medical Malpractice Act” and the term "medical mal- . practice” were used in the discussed statutes prior to 2011, the terms will continue to be appropriately used-throughout this opinion.
. We note that when Parents’ counsel was asked at oral argument before this Court why Parents did not file a motion for contempt with the Juvenile Court, she responded that the “Juvenile Court cannot cure those- damages.” By this statement, counsel acknowledged that this case involves more than violation of a court order.
. On April 24, 2015, the Attorney General filed a motion to strike Parents’ constitutional challenge, or, in the alternative, a motion for permission to intervene. This Court entered • an order on April 27, 2015, granting the Attorney General permission to file a brief as an intervening party and taking the Attorney General’s motion to strike under advisement. Ellithorpe v. Weismark, No. M2014-00279-SC-R11-CV (Tenn. Apr. 27, 2015) (order granting Attorney General permission to intervene and taking motion to strike under advisement). Because Parents have waived their constitutional challenge, the Attorney General’s motion to strike is dismissed as moot.