Lead Opinion
This case requires us to assess the constitutionality of OCGA § 51-13-1, which limits awards of noneconomic damages in medical malpractice cases to a predetermined amount. The trial court held that the statute violates the Georgia Constitution by encroaching on the right to a jury trial, the governmental separation of powers, and the right to equal protection. Based on our review of the record and the applicable law, we find that the noneconomic damages caps in OCGA § 51-13-1 violate the constitutional right to trial by jury, and we therefore affirm.
In January 2006, Harvey E Cole, M.D., of Atlanta Oculoplastic Surgery, d/b/a Oculus, performed C02 laser resurfacing and a full facelift on appellee Betty Nestlehutt. In the weeks after the surgery, complications arose, resulting in Nestlehutt’s permanent disfigurement. Nestlehutt, along with her husband, sued Oculus for medical malpractice. The case proceeded to trial, ending in a mistrial. On retrial, the jury returned a verdict of $1,265,000, comprised of $115,000 for past and future medical expenses; $900,000 in noneco-nomic damages for Ms. Nestlehutt’s pain and suffering; and $250,000 for Mr. Nestlehutt’s loss of consortium. Appellees then moved to have OCGA § 51-13-1, which would have reduced the jury’s noneconomic damages award by $800,000 to the statutory limit of $350,000, declared unconstitutional. The trial court granted the motion and thereupon entered judgment for appellees in the full amount awarded by the jury. Oculus moved for a new trial, which was denied, and this appeal ensued.
1. In relevant part, OCGA § 51-13-1 provides:
In any verdict returned or judgment entered in a medical malpractice action, including an action for wrongful death, against one or more health care providers, the total amount recoverable by a claimant for noneconomic damages in such action shall be limited to an amount not to exceed $350,000.00, regardless of the number of defendant health care providers against whom the claim is asserted or the number of separate causes of action on which the claim is based.
damages for physical and emotional pain, discomfort, anxiety, hardship, distress, suffering, inconvenience, physical impairment, mental anguish, disfigurement, loss of enjoyment of life, loss of society and companionship, loss of consortium, injury to reputation, and all other nonpecuni-ary losses of any kind or nature.
Id. at (a) (4). In addition to capping noneconomic damages against health care providers,
Enacted as part of a broad legislative package known as the Tort Reform Act of 2005, the damages caps were intended to help address what the General Assembly determined to be a “crisis affecting the provision and quality of health care services in this state.” Ga. L. 2005, p. 1, § 1. Specifically, the Legislature found that health care providers and facilities were being negatively affected by diminishing access to and increasing costs of procuring liability insurance, and that these problems in the liability insurance market bore the potential to reduce Georgia citizens’ access to health care services, thus degrading their health and well-being. Id. The provisions of the Tort Reform Act were therefore intended by the Legislature to “promote predictability and improvement in the provision of quality health care services and the resolution of health care liability claims and . . . thereby assist in promoting the provision of health care liability insurance by insurance providers.” Id. at p. 2.
2. We examine first the trial court’s holding that the noneco-nomic damages cap violates our state Constitution’s guarantee of the right to trial by jury.
Duly enacted statutes enjoy a presumption of constitutionality. A trial court must uphold a statute unless the party seeking to nullify it shows that it “manifestly infringes upon a constitutional provision or violates the rights of the people.” The constitutionality of a statute presents a ques*733 tion of law. Accordingly, we review a trial court’s holding regarding the constitutionality of a statute de novo.
(Footnotes omitted.) Rhodes v. State,
The Georgia Constitution states plainly that “[t]he right to trial by jury shall remain inviolate.” Ga. Const, of 1983, Art. I, Sec. I, Par. XI (a). It is well established that Art. I, Sec. I, Par. XI (a) “guarantees the right to a jury trial only with respect to cases as to which there existed a right to jury trial at common law or by statute at the time of the adoption of the Georgia Constitution in 1798. [Cit.]” Benton v. Georgia Marble Co.,
(a) The antecedents of the modern medical malpractice action trace back to the 14th century.
The first recorded case in England on the civil [liability] of a physician was an action brought before the Kings Bench in 1374 against a surgeon by the name of J. Mort involving the treatment of a wounded hand. The physician was held not liable because of a legal technicality, but the court clearly enunciated the rule that if negligence is proved in such a case the law will provide a remedy.
(Footnote omitted.) C. Joseph Stetler, The History of Reported Medical Professional Liability Cases, 30 Temp. L. Q. 366, 367 (1957). See also Allan H. McCoid, The Care Required of Medical Practitioners, 12 Vand. L. Rev. 549, 550 (1959). By the mid-18th century, the concept of “mala praxis” was sufficiently established in legal theory as to constitute one of five classes of “private wrongs” described by Sir William Blackstone in his Commentaries. 3 W Blackstone, Commentaries on the Laws of England, Ch. 8, p. 122 (1772) (“For it
As with all torts, the determination of damages rests “‘peculiarly within the province of the jury.’ ” (Citation omitted.) Dimick v. Schiedt,
Noneconomic damages have long been recognized as an element of total damages in tort cases, including those involving medical negligence. See 3 Blackstone, Commentaries, supra, Ch. 8, p. 122 (victim of mala praxis entitled to recover for “all personal wrongs and injuries”); Scott v. Sheperd, 95 E. R. 1124, 1126 (K.B. 1773) (damages awarded in part for “excruciating pain and torment”). See also Grannis v. Branden,
[T]he constitutional provision [ ] [guaranteeing the right to trial by jury] preserved not merely the form or mode of trial, but the right of trial by jury in all its essential elements as it existed at common law and as it obtained in this State at the date of the adoption of our earliest constitution. [Cit.]
(Emphasis supplied.) Pollard v. State,
(b) We next examine whether the noneconomic damages caps in OCGA § 51-13-1 unconstitutionally infringe on this right. By requiring the court to reduce a noneconomic damages award determined by a jury that exceeds the statutory limit, OCGA § 51-13-1 clearly nullifies the jury’s findings of fact regarding damages and thereby undermines the jury’s basic function. See Lakin v. Senco Prods., Inc.,
The fact that OCGA § 51-13-1 permits full recovery of noneco-nomic damages up to the significant amount of $350,000 cannot save the statute from constitutional attack. “[I]f the legislature may constitutionally cap recovery at [$350,000], there is no discernible reason why it could not cap the recovery at some other figure, perhaps $50,000, or $1,000, or even $1.” Smith, supra, 507 S2d at 1089. The very existence of the caps, in any amount, is violative of the right to trial by jury.
Contrary to appellant’s assertion, State of Ga. v. Moseley,
Though we agree with the general principle stated in Moseley and Teasley that the Legislature has authority to modify or abrogate the common law, we do not agree with the notion that this general authority empowers the Legislature to abrogate constitutional rights that may inhere in common law causes of action. See Dimick, supra,
Nor does, as appellant asserts, the existence of statutes authorizing double or treble damages attest to the validity of the caps on noneconomic damages. While it is questionable whether any cause of action involving an award thereof would constitute an analogue to a 1798 common law cause of action so as to trigger the right to jury trial in the first place,
We must also reject the argument that the noneconomic damages caps pose no greater threat to the right to jury trial than the courts’ exercise of their remittitur power. Judicial remittitur, the power to reduce a damages award deemed clearly excessive, is a corollary of the courts’ constitutionally derived authority to grant new trials under Art. VI, Sec. I, Par. IV of the Georgia Constitution. OCGA § 51-12-12 (b) (upon finding damages award to be clearly inadequate or excessive, trial court may condition grant of new trial upon any party’s refusal to accept amount determined by trial court). See also Spence v. Maurice H. Hilliard, Jr., PC.,
In sum, based on the foregoing, we conclude that the noneco-nomic damages caps in OCGA § 51-13-1 violate the right to a jury trial as guaranteed under the Georgia Constitution.
3. “The general rule is that an unconstitutional statute is wholly void and of no force and effect from the date it was enacted.” (Citations omitted.) City of Atlanta v. Barnes,
In this case, we do not find that the above factors militate in favor of deviation from the general rule of retroactivity. As to the first factor, while our invalidation of the noneconomic damages caps
Regarding the second factor, clearly, retroactive application would advance the operation of our holding herein, in that an unconstitutional statute will not be given effect even for the brief period between enactment and invalidation. See City of Atlanta, supra,
4. We find no abuse of the trial court’s discretion in granting appellees’ motion to exclude certain evidence, because that ruling was necessitated by the trial court’s earlier grant of appellant’s motion in limine. See generally Dyals v. Dyals,
For the foregoing reasons, we affirm the judgment of the trial court.
Judgment affirmed.
Notes
We express no opinion as to subsection (f) of OCGA § 51-13-1, which provides for periodic payment of future damages awards of $350,000 or more in medical malpractice actions.
A “health care provider” is defined as any person licensed as a practitioner of medicine or other specified healing arts, as well as any partnership, professional corporation, or other entity comprised thereof, id. at (a) (2), as distinguished from hospitals and other institutional “medical facilities.” Id. at (a) (3).
Because there is only a sparse record of reported Georgia cases prior to the publication of the first volume of the Georgia Reports in 1846, Georgia precedent is of limited utility in ascertaining the extent of the jury trial right as of 1798.
Though such actions were not at the time denominated as “negligence” or “medical malpractice” actions, see, e.g., Smith, supra,
Though it is argued that the damages determination does not fall within the scope of the right to jury trial, we note that the primary case relied on for this proposition, Tull v. United States,
See, e.g., OCGA §§ 10-1-399 (c) (treble damages for intentional violations of Fair Business Practices Act); 20-3-514 (c) (treble damages for breach of educational loan or scholarship contract); 38-3-147 (treble damages for misappropriation for gain of Georgia Emergency Management Agency symbols or nomenclature); 44-5-48 (c) (treble damages for failure to disclose that property being sold was previously site of commercial landfill).
The same may be said of awards of pre- or post-judgment interest, which is necessarily a function of, and merely added to, the jury’s damages award.
While we recognize that this conclusion finds authority to the contrary from some other jurisdictions, those decisions are either governed by less comprehensive constitutional jury trial provisions, see, e.g., Judd v. Drezga,
Because of our holding that the caps violate the right to trial by jury, we need not address the alternative arguments that the caps violate the separation of powers under Art. I, Sec. II, Par. Ill of the Georgia Constitution or that they violate the equal protection clause in Art. I, Sec. I, Par. II thereof.
Notably, unofficial sources reflect lawmakers’ apparent concerns over the potential constitutional infirmities of the caps and other provisions therein. See Hannah Yi Crockett, Rebecca McArthur & Matthew Walker, Peach Sheets, Torts and Civil Practice, 22 Ga. St. U. L. Rev. 221, 233, 236 (2005) (referencing remarks by various lawmakers during floor debates regarding constitutional concerns).
Contrary to appellant’s contention, the retroactive application of the court’s ruling herein does not entitle it to a new trial with the benefit of the knowledge of that ruling. The cases cited to support this proposition are clearly distinguishable in that, in those cases, a new trial was warranted because the trial court had erred by applying the law that was subsequently invalidated. See Banks, supra,
Given our finding of retroactivity, we also reject appellant’s challenge to the trial court’s award of prejudgment interest under OCGA § 51-12-14.
Concurrence Opinion
concurring specially.
I join all of the majority opinion except for Division 3, regarding retroactive application, in which I concur only in the result.
1. As the Court correctly and unanimously concludes in Division 2 of the majority opinion, OCGA § 51-13-1’s flat caps on noneco-nomic compensatory damages, as found by juries in common-law medical malpractice cases, violate this State’s constitutional guarantee that “[t]he right to trial by jury shall remain inviolate.” Ga. Const, of 1983, Art. I, Sec. I, Par. XI (a). The General Assembly has broad authority to address the many vexing issues related to health care costs and the availability of health care providers, but the Legislature’s discretion is bounded by the fundamental rights enshrined in our Constitution.
2. I join only in the result of Division 3 of the majority opinion. I agree that our holding that OCGA § 51-13-1 is unconstitutional
Harper followed Griffith v. Kentucky,
First, we reasoned that “the nature of judicial review” strips us of the quintessential^ “legislative]” prerogative to make rules of law retroactive or prospective as we see fit. . . . Second, we concluded that “selective application of new rules violates the principle of treating similarly situated [parties] the same.”
Id. (quoting Griffith,
The Harper Court explained that these basic principles of judicial adjudication applied to civil cases as well:
In both civil and criminal cases, we can scarcely permit “the substantive law [to] shift and spring” according to “the particular equities of [individual parties’] claims” of actual reliance on an old rule and of harm from a retroactive application of the new rule. Our approach to retroactivity heeds the admonition that “[t]he Court has no more constitutional authority in civil cases than in criminal cases to disregard current law or to treat similarly situated litigants differently.”
Id. at 97 (citations omitted). Thus, the current doctrine as to federal law is that, when the U. S. Supreme Court “applies a rule of federal law to the parties before it, that rule is the controlling interpretation of federal law and must be given full retroactive effect in all cases still open on direct review and as to all events, regardless of whether such events predate or postdate our announcement of the rule.” Id.
I recognize that, with respect to the retroactivity of this Court’s decisions on state law issues, the federal doctrine is not controlling.
In deciding this issue, we have been strongly influenced by considerations of fairness and the even-handed administration of justice. In order to ensure that similarly situated defendants are treated similarly and to maintain the integrity of the judicial process while still providing finality, we deem it appropriate to adopt the “pipeline” approach, that is, that a new rule of criminal procedure (here, the disapproval of the sequential jury charge on murder and manslaughter) will be applied to all cases then on direct review or not yet final. Accord Griffith v. Kentucky,479 U. S. 314 (107 SC 708, 93 LE2d 649) (1987).
Foreshadowing the result in Harper, which was decided just eight months later, Taylor’s footnote 2 added that the rule the Court was endorsing for criminal law decisions “is consistent with the long-standing rule applied in civil cases,” which is that
“a reviewing court should apply the law as it exists at the time of its judgment rather than the law prevailing at the rendition of the judgment under review, and may therefore reverse a judgment that was correct at the time it was rendered . . . where the law has been changed in the meantime and where such application of the new law will impair no vested right under the prior law.”
Id. at 586, n. 2 (quoting City of Valdosta v. Singleton,
In 2006, however, without mention of Griffith or Taylor, this
If selective retroactivity is in fact the “juristic philosophy of this State,” I do not share it, and I do not understand how that philosophy can justify the contrary doctrines for new criminal law decisions under Taylor and for new civil law decisions under Findley. I instead share the juristic philosophy of the common law, under which “there was no authority for the proposition that judicial decisions made law only for the future” — as the U. S. Supreme Court candidly acknowledged in Linkletter, before departing from that tradition and starting courts down the road to today’s morass.
My philosophy is, I believe, also that of Chief Justice John Marshall, who explained that “[i]t is emphatically the province and duty of the judicial department to say what the law is,” Marbury v. Madison,
It may be argued that the majority is simply adhering to stare decisis in applying the Chevron Oil test that this Court adopted in Flewellen and re-approved in Findley. That argument was advanced by the dissenters in Harper as well. See
Prospective decisionmaking is the handmaid of judicial activism, and the born enemy of stare decisis. It was formulated in the heyday of legal realism and promoted as a “techniqu[e] of judicial lawmaking” in general, and more specifically as a means of making it easier to overrule prior precedent. B. Levy, Realist Jurisprudence and Prospective Overruling, 109 U. Pa. L. Rev. 1 (1960). Thus, the dissent is saying, in effect, that stare decisis demands the preservation of methods of destroying stare decisis recently invented in violation of stare decisis.
Harper,
If the “juristic philosophy of this State” continues to support selective and flexible retroactive application of our decisions, then I hope that I am in the vanguard of change. I do not agree that the substantive law can “shift and spring” according to the particular equities of individual parties’ claims, or that we may disregard current law and treat similarly situated litigants differently. Harper,
I am authorized to state that Presiding Justice Carley and
It should be noted that the rule is different where a party is seeking to use a new decision to undermine a final judgment, which occurs most commonly in a petition for a writ of habeas corpus — where again this Court’s approach follows the doctrine set forth by the United States Supreme Court. See Harris v. State,
