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Columbia Hosp. Corp. of Houston v. Moore
92 S.W.3d 470
Tex.
2002
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*1 reasons, For I in these concur COLUMBIA HOSPITAL CORPORA judgment.

Court’s TION OF HOUSTON Columbia d/b/a Center, Petitioner, Bellaire Medical OWEN, concurring. Justice correctly only decides the Court MOORE, al., Respondents. et Jesse it, join I issue is before opinion. Court’s The Petitioner this No. 01-0293. case, Telthorster, Mark asked the Court to Supreme Court of Texas. only decide whether the need-versus-risk applied Montgom factors in Wadewitz v. Argued Feb. (Tex.1997), ery, 951 S.W.2d 464 an emer Decided June case, gency response applied should be a police suspect. officer arrests a argues Telthorster this Court that “offi immunity protects police

cial if officer (i)

the act was made exercise of a discre (ii) faith;

tionary duty; performed good

(iii) scope in the of his or her official

authority.” urged Telthorster has not this recognize privilege

Court to similar to

that described in section 132 of the Re (Second)

statement of Torts for law en they

forcement officials when use force for effecting recap an arrest or briefing

ture. The in this case does not any type privilege

advocate or similar negligence

rule of law in cases.

Thus, I privilege while think that concurring opinion would Enoch’s

Justice merit, I apply may have would not decide privilege recognize

whether to such a until full briefing argument

we have on that

point.

tory modify the court cap. We therefore appeals’ judgment,4 remanding this case to the trial court.

I undergoing Katherine Moore died after surgery at Columbia Bellaire Medical Cen- (“Columbia”) husband, ter 1996. Her daughters, (collectively and estate “the two Moores”) hospital sued the and Kath- treating physicians erine’s two under wrongful death and survival statutes. The Moores, jury allocating found for the caus- negligence al between Columbia and the physicians finding the Moores’ actual damages to be million. The trial court $3 applied the Act’s K cap to reduce actual Columbia’s Faust, Cooper, R. Brent Diana L. Coo- $1,305,691, liability to another per Scully, Jung, & P. Michael Strasbur- $300,487.79 in Price, Dallas, Cole, ger & Linda Joan capped to the amount. Walker, The two Jackson <& Alan B. Daughtry, Houston, physicians judgment. settled after Al- for Petitioner. trial though judge’s application of the Frankel, Richard Hackerman Peterson damages cap gave disputes rise to other Manela, Houston, Frankel & Respon- appeals, only resolved the court of dents. us trial issue before is whether the court in excluding prejudgment erred Justice opinion ENOCH delivered the damages cap. from the Court, HECHT, in which Justice OWEN, damages cap, The K found JEFFERSON, Justice Justice 11.02(a) 4590i, at article of the Re- and Justice joined, RODRIGUEZ and in Statutes, vised joined provides: which Civil only. Justice O’Neill Part III In an action on a health care prejudg this case we decide whether claim where final is rendered ment interest assessed under against physician pro- or health care of the Liability Medical and Insurance Im vider, limit of civil for dam- (“the Act”) provement subject Act1 is ages physician of the or health care damages cap.2 provider shall be limited to an amount Following our recent decision Hori $500,000.5 not to exceed Auld,3 Corporation Healthcare zon/CMS adjusted we hold that P’s to account for inflation interest damages applied,6 disputes are to the statu when and neither party 4590i, 11.02(a). §§ 16.01-16.02. Stat. art. Tex.Rev.Civ. Tex.Rev.Civ. Stat. §§ 2. See id. 11.01-11.05. Seeid.% (Tex.2000).

3. 34 S.W.3d 897-901

4. 43 S.W.3d cable, capped damages amount. We adjusted and properly disagree. $1,305,691 awarded applied to reach court here. the trial II centerpiece of the Subchapter K was a strikingly simi- recently addressed *3 We Liability and Insurance original Medical in Healthcare question lar Horizon/CMS in passed Act 1977 order Improvement In Auld we were Corporation v. Auld.12 frequency damages cap excessive and severi- Act’s to “reduce to reconcile the asked in- general prejudgment the former with liability care claims.”7 ty of health “judgments in directing that terest statute 1995, the death, injury, proper- or wrongful personal Act, particular for a providing to the prejudg- include ty damage cases must [ijnterest” [pjrejudgment “[c]omputation 16.02(b), section interest.”13 Like rele- care claims.8 The health like sub- mandatory; was provision this provision, vant of this portion reference the statute did not chapter 16.02(b), “the dictates that in such claims But we held damages cap. Act’s prejudgment inter- judgment must include required that Auld by trier of past damages found est on subject to the by general statute was fact, shall not include damages cap.14 K Act’s by found on future analysis was At the heart of our Subchapter explicitly fact.”9 trier of interest was that recognition “[njot- computation applies that states damages that a form of withstanding” general prejudgment cap.15 in the Act’s We intended to include statute,10 mention of but makes no terest designed “to that the Act was emphasized cap. K’s limit, provider’s a health-care expand, not and includ- damages,”16 for civil argue, and the court The Moores in the ing held,11 Legislature’s addi- appeals that the ex- Legislature’s with the consistent inter- P’s tion of decreasing the cost purposes of pressed an to the Act evidenced provisions est ensuring the avail- and health care claims intent to exclude insur- reasonably affordable ability of by damages cap prescribed sub- from the the statu- further noted ance.17 We 16.02(b)’s K, man- chapter and that section harmonized could be tory provisions effect datory language given must be the extent up to interest, appli- would be recovered adding prejudgment 1997, 24, Leg., 75th May 1.02(b)(1). pealed Act of § 7. Id. R.S., 6(a), Gen. Laws § Tex. 1997 ch. (section heading). § Id. 16.02 (now at Tex. Fin.Code codified 304.102). § 16.02(b). § Id. S.W.3d at 901. 14. See § Id. at 897-99. 15. See id. 11. 43 S.W.3d at 562. omitted). (quote Id.

12. 34 S.W.3d at 897-901. id.; C.S., 3, 1987, see also Tex.Rev.Civ. Stat. 17. Leg., 1st 70th 13. See Act of June 1.02(b)(2), (b)(4). 51, 51, §§ re- Laws ch. 1987 Tex. Gen. amount.18 And compensatory damages, because we held damages cap specific applica- had more are among tion general than the inter- ture intended to include in a defendant’s statute, est including prejudgment inter- damages.”24 “limit of civil Un- est in the cap was consistent with the der Auld capped, contin- statutory construction principle that cap, damages ues to of the kind subchapter more specific statute controls over the P awards. one.19 Auld n Second, emphasis legisla- on the The court appeals distinguished limit, expand, tive intent to a health- relying on dissenting opinion in that provider’s liability care under the Act re- case,20 suggested that the addition of *4 legislative history mains relevant. As its subchapter P to the Act a legisla- indicated clear, subchapter makes P designed was tive intent to prejudgment exclude interest primarily particular, to foreclose a previ- damages from subchapter cap.21 K’s We ously available interest appli- disagree. Although the court of appeals general cation.25 Under statute —and correctly noted that Auld, subject under to the cap plaintiffs interest provision is no general than — received prejudgment interest on costs its damages cap, making portion that of that had not accrued before the date of statutory Auld’s analysis construction in- Auld n applicable,22 judgment.26 subchapter the heart of But under analysis apply, continues to compels plaintiffs longer result can no prejudg- recover we today. reach ment damages interest on future awarded liability health care claims.27 The

First, the addition of subchapter P to Report House Committee for the bill con- the Act did nothing change to the nature P taining subchapter described “[pjrejudg- of awarded. accruing interest on costs after the Prejudgment was, and continues be, judgement background date as a [sic]” “compensation allowed by law as bill, problem justifying the additional which “reforms damages for lost use of the mon- ey due as limits on health care during lapse claims.”28 time between the P subchapter accrual of the claim and Thus was enacted for the judgment.”23 date of These additional same as K and the Act Auld, See, 18. See 34 S.W.3d e.g., Comm, Practices, House on Civil 971, Leg., Tex. H.B. R.S. 74th Analysis, Bill Galveston, (citing City 19. See id. Lufkin (1995); Comm, Development, Sen. on Economic 437, (1885)). 63 Tex. 439 971, Leg., Tex. H.B. 74th R.S. Analysis, Bill (1995). (citing See 43 S.W.3d at 561-62 34 (Hankinson, J., S.W.3d at dissenting)). 908-09 3, 1987, C.S., Leg., Act of June 70th 1st 3, 1, 51, 51, § 21. See id. ch. 1987 Tex. Gen. Laws re- 24, 1997, pealed May Leg., Act of 75th 22. See id. at 562. R.S., 1008, 6(a), § ch. 1997 Tex. Gen. Laws (now 3602 codified Tex Fin.Code Inc., Quality Parking, Cavnar v. Control 304.102). § (Tex.1985); 696 S.W.2d see also Higgins, Energy, Johnson & Inc. v. Kenneco 4590i, 16.02(b). § 27. TexRev.Civ. Stat. art. Inc., (Tex. 1998). 962 S.W.2d 897-901; 24. See 34 S.W.3d at 28. House Comm, Analy- Practices, Tex.Rev. on Civil Bill 11.02(a). (1995). Civ. Stat. Leg., sis, Tex. H.B. 74th R.S. limit, chapter uncap not P expand, previously capped itself—to a health-care this provisions But the provider’s statutory both interest. —and inference, in a that provision should read manner will ad- itself allows no such overarching goal. legislative history vance this Auld we reveals that the limit, capping prejudgment predominating held that was to not concern expand, application under statute ad- awarded Act;29 Although Auld ar- purposes capping vanced the of the terest.33 dissent gued interest awarded under sub- not chapter P advances purposes of sub-

chapter P and the Act a whole. also as concluded that P’s struc- ture did not “suggests Third, explained as we uncap capped pre- intend to previously cap is irreconcilable with nothing interest.”34 Because statutory prejudgment require- indicates Here, ment.30 describes uncap damages ture intended to that this how interest must be com- Court held under capped has puted judg- in health claim care K, control, must and subchapter Auld P’s ment; subchapter K dictates when that *5 damages prejudgment remain judgment, computa- with atténdant capped. tions, capped.32 must be We should not to find the K surprised subchapter IV damages in cap some tension with the larger statutory and compen- common-law sum, In prejudgment structure, satory designed for it is to P subchapter awarded under remains damages applicable override otherwise damages compensatory capped form of the computation But this K, standards. does by subchapter capping prejudg and cap damages make the irreconcilable with goals. ment interest advances subchapter K requirements; allocation Further, subchapter P does not exclude merely an qualification adds implicit cap designed from a prejudgment interest applicable they standards: otherwise damages applicable to override otherwise subject cap. now to the apply P nothing and in computations, legislative uncap pre

indicates a intent Ill damages. For rea viously capped these Auld n sons, hold that Finally, prece- we consider we P of Medi this Court has al awarded under dential effect. Because Improvement ready Legislature Liability meant cal Insurance decided subject Act is to the Act’s to include interest awarded cap. in Subchapter under statute from past damages on excluded question today K’s us turns before il.02(b) by fully avail- Legislature intended sub- on whether the See, e.g., on Civil 34 S.W.3d at 898-900. 29. See Comm, Practices, House Leg., Analysis, Tex. 74th R.S. H.B. Bill See id. (1995). 4590i, §§ 31. See Tex.Rev.Civ. Stat. art. 16.01- J., (Hankinson, at 908 34. See S.W.3d dissenting). §§ 11.01-11.05. See id. able, Act, including interest on ance Improvement cap may to the only up be awarded first a prejudgment time interest mandate to subchapter amount. We there- specifically for health-care claims. modify fore the court of appeals’ judgment Subchapter provides and remand this case to the trial court for claim any health care “must proceedings further consistent with our past include interest on dam- opinion. ages found the trier of fact” if such claim is not settled within six months of Chief Justice PHILLIPS filed a notice. See Tex.Rev.Civ. Ann. art. Stat. dissenting opinion, which Justice 16.02(b) 4590i, § (Supp.2002). BAKER and Justice HANKINSON From I history, this brief draw two con- joined. First, clusions. Legislature when the en- Chief Justice PHILLIPS filed a K) acted cap (subchapter opinion in dissenting which Justice specifically it did not intend limit BAKER and Justice HANKINSON interest because it was not joined. Second, available. when the P in intended enacted the Liability Medical interest be Improve- Insurance included Act, capping judgments covered malpractice Today, medical the Act. however, damages. the Court reads P out Stat. AnN. Tex.Rev.Civ. 11.02(a) (subch. K) of the Act for those (Supp.2002). past claimants whose time, At cap. common law did not exceed the Because the Act pro- plainly requires vide for prejudgment on the award of such *6 Eight years later, past claims. interest on nothing the common law In changed. history Cavnar the Act’s text or Quality suggests v. that the Control Inc., (Tex. Parking, 549, cap award, 696 S.W.2d intended to bar its I re- 1985), spectfully this Court dissent. eighty-eight overruled years precedent, of recognizing for the today’s Court bases result on Hori first that prejudgment time interest should Corp. Healthcare zon/CMS be paid personal death, injury, wrongful (Tex.2000). In S.W.3d 887 we held and survival years actions. Two after interest, that prejudgment payable under Cavnar, Legislature the codified its own Cavnar, the interest statute enacted after interest rule for tort actions could damages subject be recovered “on to 5069-1.05, 6(a) in article section of the cap only the up cap.” to the amount of the Statutes, Revised Civil providing that words, Id. at 901. In other “[¿Judgments death, in wrongful personal interest on capped damages cannot be add- injury, property damage cases must judgment ed to cause the to exceed the include prejudgment interest.” Act of statutory cap. Although the 3, 1987, C.S., June 70th Leg., 1st ch. did not have prejudgment specifi- 1,§ 1987 Tex. Gen. repealed Laws cally in mind when it created the the 24, 1997, R.S., Act May of 75th Leg., cap Court reasoned that did intend to all 6(a), § Ch. 1997 Tex. Gen. Laws damages except common law those it ex- (current 3091, 3602 version at Tex. FiN. Thus, pressly Id. excluded. 304.102). § Code Cavnar extended to cases, subchap- personal injury and death such ter P Liability to the Medical and Insur- terest came under the cap pre- because

judgment interest is a of common law inconsistent with intent.” Id. part legislative Because Id. 900-01. the health-care damages. P, predated subchapter claim the Court however, recognized, The Court reserved expressly the issue before us to- subsequent its Legislature’s codification of day cap also limits an award —whether own interest statute created of interest under potential cap a conflict with the on medical self-contained, prejudgment malpractice prejudg- because the provision. Id. at 900 n. 13. statute award mandated the Relying on the Court now holds cap pre- of interest while cap pre- also limits recovery eases. Com- vented some judgment Using interest. But Auld’s 5069-1.05, Stat. Ann. art. pare Tex.Rev.Civ. statutory yields rule construction differ- (“A 6(a) death, § judgment wrongful in a compared result when is cap ent injury, or personal property damages case self-contained, prejudgment Act’s interest.”) must include with provision. No are we longer comparing 11.02(a) 4590i, § (directing id. art. that a malpractice pre- medical with a civil defendant’s for judgment generally appli- interest statute statutorily-determined limited Here, subchapter cable to tort damages. amount). The con- Court reconciled the specific provision is the more because it cap, relying flict favor of the on a maxim recovery expressly pre- mandates construction, statutory and the interest in successful health-care perceived capping ture’s cases, explicit an intent evidencing liability damages. Applying health-care to exclude interest from the statutory principle construction general application cap. of the more specific over the the more statute controls 4590i, § Stat. Ann. 16.02 Tex.Rev.Civ. general, the Court wrote: Yet (Supp.2002). statutory another rule regard With in article provides construction that when two stat- prejudg- 11.02 and conflict, provision utes the later-enacted ment-interest statute in article 5069- controls. See Tex. Gov’t Code 1.05, specific the former the more supports recovery This rule likewise *7 only in that it applies statute to health- this case because claims, liability care while the latter is only specific is not the more applies it more because also provision, but the later enacted one. claims, including categories broader of Auld, years ago Two the Court de- personal injury, property all types Thus, the Act as struc- scribed a “self-contained and damage, wrongful death. provid- ture for a health-care determining prevails article 4590i over Auld, liability damages.” er’s general prejudgment-interest statute. Today, at 901. the Court inter- S.W.3d at Regarding 34 S.W.3d Act not rules prets the well-settled by purpose, explained legislation’s the Court construction, statutory deference to Legislature intended the Act to Act’s “overarching goal” limiting determining a “self-contained structure for care liability. health S.W.3d dam- provider’s liability a health-care however, limit, Legislature, was not moti- ages” whose was “to The health solely by a to limit care expand” liability permitting such and that vated desire liability for its own statutory prejudgment to exceed sake. affordability of liability cap “a result a crisis in the produce perceived would insurance, professional medical which DEPARTMENT TEXAS OF inevitably impact

would availability TRANSPORTATION, medical care. See at S.W.3d Petitioner, To the “availability increase of medical Texans,” care for Legislature sought make health care

predictable professional so medical JONES DIRT & BROTHERS PAVING surance would be available affordable CONTRACTORS, INC., rates. Id. Respondent.

Mandating the award of No. 00-1067. interest on past damages, as the Supreme Court of Texas. ture has done under subchapter does goal. not undermine that Prejudgment Argued on Jan. calculation, to precise and thus the maximum amount of addition- Decided June exposure may al readily be anticipated

insurance carriers. See 34 S.W.3d (Hankinson,

at 909 J. concurring and dis-

senting).

Had the intended to limit award of interest under it would have referred

to that subchapter it subchap- Furthermore,

ter P in 1995. Leg- had the

islature intended for

to be awarded in some health-care others,

cases but not it would not have

chosen the mandatory language did for

subchapter P. Given the self-contained Act,

structure of the it seems extremely

unlikely to me that the Legislature would ignored

have both and used

mandatory language P had

it not intended exempt prejudgment past

interest on from the

cap. Because the Court concludes other-

wise, I dissent.

Case Details

Case Name: Columbia Hosp. Corp. of Houston v. Moore
Court Name: Texas Supreme Court
Date Published: Jun 27, 2002
Citation: 92 S.W.3d 470
Docket Number: 01-0293
Court Abbreviation: Tex.
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