GRIFFITH v STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
Docket No. 122286
Supreme Court of Michigan
Argued October 5, 2004 (Calendar No. 2). Decided June 14, 2005.
472 Mich 521
In an opinion by Justice CORRIGAN, joined by Chief Justice TAYLOR and Justices YOUNG and MARKMAN, the Supreme Court held:
Under
- Sections
3105(1) and3107(1)(a) require that for expenses to be compensable under the no-fault act, the expenses must be for accidental bodily injury arising out of the ownership, operation, maintenance or use of a motor vehicle and must be reasonably necessary for an injured person‘s care, recovery, or rehabilitation. A no-fault insurer is liable to pay benefits only to the extent that the claimed benefits are causally connected to the accidental bodily injury arising out of an automobile accident. An insurer is liable to pay benefits for accidental bodily injury only if those injuries arise out of or are caused by the ownership, operation, maintenance, or use of a motor vehicle. In this case, the plaintiff does not claim that Douglas Griffith‘s diet is different from that of an uninjured person, that his food expenses are part of his treatment plan, or that the costs are related in any way to his injuries. The plaintiffclaims instead that the defendant is liable for ordinary, everyday food expenses. As such, the plaintiff has not established that the food expenses are for accidental bodily injury. - The products, services, and accommodations that are reasonably necessary for an injured person‘s recovery or rehabilitation under
§ 3107(1)(a) are those that are reasonably necessary to restore the injured person to the condition he was in before sustaining injury or to bring the injured person to a condition of health or ability to resume his preinjury life. The products, services, and accommodations reasonably necessary for the injured person‘s care under§ 3107(1)(a) are those whose provision is necessitated by the injury sustained in the motor vehicle accident. The food costs at issue here are not related to the injured person‘s care, recovery, or rehabilitation. The food the injured person consumes is simply an ordinary means of sustenance rather than a treatment for his care, recovery, or rehabilitation. - The decision in Reed v Citizens Ins Co of America, 198 Mich App 443 (1993), which held that a person receiving at-home care is entitled to room and board costs under
§ 3107(1)(a) to the same extent that such costs would constitute an allowable expense if the injured person received the same care in an institutional setting, must be overruled.
Reversed.
Justice WEAVER, dissenting, stated that the reasonable charges incurred for the plaintiff‘s husband‘s food while he is cared for at home are recoverable as allowable expenses under
Justice KELLY, joined by Justice CAVANAGH, dissenting, stated that food is a product reasonably necessary for the care of an invalid, however the word “care” is defined. The appropriate question is whether the injured person reasonably incurred the questioned expense as part of his or her care, recovery, or rehabilitation. The majority arbitrarily limits the meaning of “care” to that care needed for recovery and rehabilitation, ascribing to “care” a restorative meaning. “Care” fits with “recovery” and “rehabilitation” when “care” is interpreted broadly to mean the provision of what is necessary for the welfare and protection of the injured insured. The Legislature intended that an injured insured‘s needs be furnished until recovery has been accomplished
- INSURANCE — NO-FAULT — PERSONAL PROTECTION INSURANCE — COMPENSABLE EXPENSES.
An expense, to be compensable under the personal protection insurance provisions of the no-fault act, must be for accidental bodily injury arising out of the ownership, operation, maintenance, or use of a motor vehicle and be reasonably necessary for the injured person‘s care, recovery, or rehabilitation; the expenses must be causally connected to the accidental bodily injury arising out of an automobile accident and the injury must arise out of or be caused by the ownership, operation, maintenance, or use of a motor vehicle (
MCL 500.3105[1] ). - INSURANCE — NO-FAULT — PERSONAL PROTECTION INSURANCE — ALLOWABLE EXPENSES.
A no-fault insurer is liable under the personal protection insurance provisions of the no-fault act for “allowable expenses” for the cost of products, services, and accommodations reasonably necessary for an injured person‘s care, recovery, or rehabilitation; products, services, and accommodations that are reasonably necessary for the injured person‘s recovery or rehabilitation are those that are reasonably necessary to restore the person to the condition he was in before sustaining injury or to bring the person to a condition of health or ability to resume his preinjury life; products, services and accommodations reasonably necessary for the injured person‘s care are those whose provision is necessitated by the injury sustained in the motor vehicle accident (
MCL 500.3105[1] ,500.3107[1][a] ).
Sinas, Dramis, Brake, Boughton & McIntyre, PC. (by George T. Sinas, Bryan J. Waldman, and L. Page Graves), for the plaintiff.
Amici Curiae:
Gross, Nemeth & Silverman, P.L.C. (by Steven G. Silverman), for Auto Club Insurance Association.
Cochran, Foley & Associates, P.C. (by Terry L. Cochran and Mary K. Freedman), for The Coalition Protecting Auto No Fault.
CORRIGAN, J. In this case, we consider whether the no-fault act,
I. UNDERLYING FACTS AND PROCEDURAL HISTORY
On April 28, 1994, plaintiff‘s sixty-three-year-old husband, Douglas Griffith,1 suffered a severe brain injury as a result of a motor vehicle accident. He received treatment at in-patient facilities and hospitals until August 1995, at which time he was transferred to a residence where he received twenty-four-hour nursing and attendant care. On August 6, 1997, Griffith returned home with plaintiff. He remains confined to a wheelchair and continues to require assistance with basic daily tasks such as eating and bathing.
The Court of Appeals affirmed.3 The Court relied on Reed v Citizens Ins Co of America, 198 Mich App 443; 499 NW2d 22 (1993), which held that a person receiving at-home care is entitled to room and board costs under
Defendant filed an application for leave to appeal to this Court, which this Court denied.4 Thereafter, this Court granted defendant‘s motion for reconsideration and granted leave to appeal.5
II. STANDARD OF REVIEW
This case requires us to determine whether an injured person‘s food costs constitute an “allowable expense” under
III. PRINCIPLES OF STATUTORY INTERPRETATION
When interpreting a statute, we must ascertain the legislative intent that may reasonably be inferred from the statutory language itself. Sotelo v Grant Twp, 470 Mich 95, 100; 680 NW2d 381 (2004). When the language of a statute is unambiguous, the Legislature‘s intent is clear and judicial construction is neither necessary nor permitted. Koontz v Ameritech Services, Inc, 466 Mich 304, 312; 645 NW2d 34 (2002). Because the role of the judiciary is to interpret rather than write the law, courts lack authority to venture beyond a statute‘s unambiguous text. Id. Further, we accord undefined statutory terms their plain and ordinary meanings and may consult dictionary definitions in such situations. Halloran v Bhan, 470 Mich 572, 578; 683 NW2d 129 (2004).
IV. ANALYSIS
A. STATUTORY LANGUAGE AND LEGAL BACKGROUND
Under personal protection insurance an insurer is liable to pay benefits for accidental bodily injury arising out of the ownership, operation, maintenance or use of a motor vehicle as a motor vehicle, subject to the provisions of this chapter. [Emphasis added.]
According to the plain language of
Except as provided in subsection (2), personal protection insurance benefits are payable for the following:
(a) Allowable expenses consisting of all reasonable charges incurred for reasonably necessary products, services and accommodations for an injured person‘s care, recovery, or rehabilitation. [Emphasis added.]
Thus, in addition to the requirement under
Both this Court and the Court of Appeals have interpreted and applied the above statutes in cases involving claims for food or “room and board” expenses. In Manley v Detroit Automobile Inter-Ins Exchange, 127 Mich App 444, 448; 339 NW2d 205 (1983), rev‘d 425 Mich 140 (1986), the plaintiffs’ minor son suffered severe head trauma in an automobile accident. He resided with the plaintiffs and received care from nurse‘s aides. Id. at 449. The plaintiffs sued the defendant no-fault carrier, seeking, among other things, reimbursement for his room and board costs. Id. at 448-449. The defendant insurance carrier argued that because the plaintiffs already had a legal duty to care for their child, room and board costs were not compensable. Id. at 451. The Court of Appeals rejected this argument, largely on the basis of a worker‘s compensation case that distinguished between “ordinary household tasks” such as cleaning and washing clothes and nonordinary tasks such as “‘[s]erving meals in bed and
The panel concluded that the distinction between ordinary and nonordinary tasks could be reconciled with the language of
The necessity for the performance of ordinary household tasks has nothing to do with the injured person‘s care, recovery, or rehabilitation; such tasks must be performed whether or not anyone is injured.
This reasoning supports a generalization concerning the circumstances in which a product, service, or accommodation can fall within the definition of “allowable expense“. Products, services, or accommodations which are as necessary for an uninjured person as for an injured person are not “allowable expenses”. [Id. at 453-454 (emphasis added).]
The panel then opined that food “is as necessary for an uninjured person as for an injured person” and thus would not ordinarily constitute an “allowable expense” under
When Manley was appealed to this Court, we effectively vacated the Court of Appeals room and board analysis. Manley v Detroit Automobile Inter-Ins Exchange, 425 Mich 140; 388 NW2d 216 (1986). We stated that the “question whether food, shelter, utilities, clothing, and other such maintenance expenses are an allowable expense when the injured person is cared for at home” had neither been raised before the trial court nor
Justice BOYLE issued a concurring and dissenting opinion, asserting that the room and board issue was properly before this Court because the Court of Appeals had raised it sua sponte and discussed the issue in its opinion. Id. at 168 (BOYLE, J., concurring in part and dissenting in part). She could find “no principled basis” for distinguishing between food provided in an institutional setting and food provided at home, and concluded that the Court of Appeals “injured person vs. uninjured person” test was not only “unwieldy and unworkable” but that it effectively punished those who choose to care for injured family members at home. Id. at 168-169. Justice BOYLE opined that
Thereafter, in Reed, the Court of Appeals adopted Justice BOYLE‘S Manley analysis. The insured in Reed had been severely injured in an auto accident. Reed, supra at 445. The plaintiff, the insured‘s mother, filed various claims against the defendant insurer and moved to amend her complaint to include a claim for room and board expenses. Id. at 445-446. The trial court denied the motion on the basis that such expenses were not recoverable under the no-fault act. Id. at 446.
The Court of Appeals reversed, reasoning as follows:
We see no compelling reason not to afford the same compensation under the act to family members who provide room and board. Subsection 1(a) does not distinguish between accommodations provided by family members and
accommodations provided by institutions, and we decline to read such a distinction into the act. Moreover, holding that accommodations provided by family members is [sic] an “allowable expense” is in accord with the policy of this state. Denying compensation for family-provided accommodations while allowing compensation in an institutional setting would discourage home care that is generally, we believe, less costly than institutional care. Irrespective of cost considerations, it can be stated without hesitation that home care is more personal than that given in a clinical setting.... We hold that, where an injured person is unable to care for himself and would be institutionalized were a family member not willing to provide home care, a no-fault insurer is liable to pay the cost of maintenance in the home. [Id. at 452-453 (citations omitted; emphasis added).]
In addition to the above reasoning, the Court of Appeals relied on the notion that because the no-fault act is remedial in nature, it “must be liberally construed in favor of persons intended to benefit thereby.” Id. at 451.
B. INTERPRETATION OF STATUTORY LANGUAGE AND APPLICATION
As previously stated,
Defendant contends that
First, an insurer is liable only if benefits are “for accidental bodily injury....” “[F]or” implies a causal connection.6 “[A]ccidental bodily injury” therefore triggers an insurer‘s liability and defines the scope of that liability. Accordingly, a no-fault insurer is liable to pay benefits only to the extent that the claimed benefits are causally connected to the accidental bodily injury arising out of an automobile accident.
Second, an insurer is liable to pay benefits for accidental bodily injury only if those injuries “aris[e] out of” or are caused by “the ownership, operation, maintenance or use of a motor vehicle ....” It is not any bodily injury that triggers an insurer‘s liability under the no-fault act. Rather, it is only those injuries that are caused by the insured‘s use of a motor vehicle.
In this case, it is uncontested that the insured‘s injuries arose out of his use of an automobile. Therefore, to the extent that the insured‘s injuries stem from an automobile accident, application of the second causal element noted above does not bar plaintiff‘s claim.
The first causal element, however, poses a problem for plaintiff. Plaintiff does not claim that her husband‘s diet is different from that of an uninjured person, that his food expenses are part of his treatment plan, or that these costs are related in any way to his injuries. She claims instead that Griffith‘s insurer is liable for ordi-
Notes
[P]ersonal protection insurance benefits are payable for...
(a) Allowable expenses consisting of all reasonable charges incurred for reasonably necessary products, services, and accommodations for an injured person‘s care, recovery, or rehabilitation....
(b) Work loss....
(c) Expenses... reasonably incurred in obtaining ordinary and necessary services in lieu of those that, if he or she had not been injured, an injured person would have performed....
Even if ordinary food expenses were compensable under
There is no dispute that Griffith is an “injured person.” Thus, the question is whether food is reasonably necessary for his “care, recovery, or rehabilitation” as an injured person. It is not contended here that the food expenses at issue are a part of the insured‘s “recovery” or “rehabilitation.” Indeed, plaintiff does not allege that the food has special curative properties that might advance Griffith‘s recovery or rehabilita-
Because “care” can have several meanings depending on the context in which it is used, the doctrine of noscitur a sociis is helpful in discerning the meaning of that term in this statute. This doctrine is premised on the notion that “the meaning of statutory language, plain or not, depends on context.” King v St Vincent‘s Hosp, 502 US 215, 221; 112 S Ct 570; 116 L Ed 2d 578 (1991).9 Thus, under the doctrine of noscitur a sociis, “‘“a word or phrase is given meaning by its context or a setting.“‘” Koontz, supra at 318 (citations omitted). As a general matter, “words and clauses will not be divorced from those which precede and those which follow.” Sanchick v State Bd of Optometry, 342 Mich 555, 559; 70 NW2d 757 (1955). When construing a series of terms such as “care, recovery, or rehabilitation,” we are guided by the principle “that words grouped in a list should be given related meaning.” Third Nat‘l Bank in Nashville v Impac Ltd, Inc, 432 US 312, 322; 97 S Ct 2307; 53 L Ed 2d 368 (1977).
Generally, “care” means “protection; charge,” and “to make provision.” Random House Webster‘s College Dictionary (2001). Thus, taken in isolation, the word “care” can be broadly construed to encompass anything that is reasonably necessary to the provision of a person‘s protection or charge. But we have consistently held that “[c]ourts must give effect to every word, phrase, and clause in a statute and avoid an interpretation that would render any part of the statute sur-
As an initial matter, it is important to note that the statute does not require compensation for any item that is reasonably necessary to a person‘s care in general. Instead, the statute specifically limits compensation to charges for products or services that are reasonably necessary “for an injured person‘s care, recovery, or rehabilitation.” (Emphasis added.) This context suggests that “care” must be related to the insured‘s injuries.
This conclusion is supported by the fact that the statute lists “care” together with “recovery” and “rehabilitation.” “Recovery” is defined as “restoration or return to any former and better condition, esp. to health from sickness, injury, addiction, etc.” Random House Webster‘s College Dictionary (2001). “Rehabilitate” is defined as “to restore or bring to a condition of good health, ability to work, or productive activity.” Id. Both terms refer to restoring an injured person to the
“Care” must have a meaning that is broader than “recovery” and “rehabilitation” but is not so broad as to render those terms nugatory. As noted above, both “recovery” and “rehabilitation” refer to an underlying injury; likewise, the statute as a whole applies only to an “injured person.” It follows that the Legislature intended to limit the scope of the term “care” to expenses for those products, services, or accommodations whose provision is necessitated by the injury sustained in the motor vehicle accident.12 “Care” is broader than “recovery” and “rehabilitation” because it may encompass expenses for products, services, and accommodations that are necessary because of the accident but that may not restore a person to his preinjury state.
Griffith‘s food costs here are not related to his “care, recovery, or rehabilitation.” There has been no evidence
Food costs in an institutional setting are “benefits for accidental bodily injury” and are “reasonably necessary products, services and accommodations for an injured person‘s care, recovery, or rehabilitation.” That is, it is “reasonably necessary” for an insured to consume hospital food during in-patient treatment given the limited dining options available. Although an injured person would need to consume food regardless of his injuries, he would not need to eat that particular food or bear the cost associated with it. Thus, hospital food is analogous to a type of special diet or select diet necessary for an injured person‘s recovery. Because an insured in an institutional setting is required to eat “hospital food,” such food costs are necessary for an insured‘s “care, recovery, or rehabilitation” while in such a setting.
This reasoning can be taken a step further when considering the costs of items such as an injured person‘s clothing, toiletries, and even housing costs. Under plaintiff‘s reasoning, because a hospital provided Grif-
Under plaintiff‘s reasoning, nothing would prevent no-fault insurers from being obligated to pay for any expenses that an injured person would otherwise be provided in an institutional setting as long as they are remotely related to the person‘s general care. Plaintiff‘s interpretation of
Under
V. CONCLUSION
We conclude that defendant is not required to reimburse plaintiff for Griffith‘s food costs under
TAYLOR, C.J., and YOUNG and MARKMAN, JJ., concurred with CORRIGAN, J.
WEAVER, J. (dissenting). I dissent from the majority‘s holding that food expenses for plaintiff‘s incapacitated husband are not “allowable expenses” for which plaintiff should be paid underUnder the statute, “allowable expenses” consist of
all reasonable charges incurred for reasonably necessary products, services and accommodations for an injured person‘s care, recovery, or rehabilitation. [
MCL 500.3107(1)(a) .]
With this language, the Legislature provided a fairly broad definition of “allowable expenses” to encompass all the things that might reasonably be needed for an injured person‘s care, recovery, or rehabilitation. As Justice KELLY notes in her dissent, “[i]t is difficult to deny that food is a product reasonably necessary for the care of an invalid, however narrowly ‘care’ is defined. Without nourishment, an injured person could not be restored to health and could not properly be cared for.” Post at 548. And, as stated by Justice BOYLE, there is no principled basis for deciding that food provided to [the plaintiff‘s husband] at home is not as much an “allowable expense” as the food provided in a licensed medical care facility. Where a person who normally would require insti
Therefore, it is reasonable to conclude that the cost of plaintiff‘s husband‘s food is recoverable as “allowable expenses” under the no-fault act, and I would affirm the Court of Appeals decision.
KELLY, J. (dissenting). Today the Court reaches the extraordinary conclusion that food is not always necessary for an injured person‘s care. The Court concludes that food is “completely unrelated to [an injured person‘s] ‘care, recovery, or rehabilitation‘” if provided in a home, although it is both necessary and reimbursable if provided in an institution. Ante at 536.
I disagree. The Court of Appeals decision that reached the opposite conclusion twelve years ago, Reed v. Citizens Ins. Co. of America,1 was correct and should not be overturned. It is obvious to me that food should continue to be an allowable expense under the no-fault act wherever provided as long as reasonably necessary to an injured person‘s care.
THE NO-FAULT ACT
We review issues of statutory construction de novo. Stewart v. Michigan, 471 Mich. 692, 696; 692 NW2d 376 (2004). In construing statutes, our purpose is to determine and implement the intent of the Legislature. Sanders v. Delton Kellogg Schools, 453 Mich. 483, 487; 556 NW2d 467 (1996).
MCL 500.3105(1)
In this case, Mr. Griffith was injured in an automobile accident that rendered him unable to care for himself. He remains injured. Therefore, without contest, he satisfies the requirement of
Under personal protection insurance an insurer is liable to pay benefits for accidental bodily injury arising out of the ownership, operation, maintenance or use of a motor vehicle as a motor vehicle, subject to the provisions of this chapter.
On its face, this section requires an insurer to pay benefits to its insured injured in a motor vehicle accident. The Legislature took pains to define at a different section of the statute what benefits must be paid.
Yet, the majority reads
The majority finds that
Reading
Additionally, the majority‘s reading of the act is irrational. The majority believes that food provided in the hospital qualifies as a benefit under the act. However, under its reading of
If the Legislature had intended, for example, that ground beef be compensable only if no other entrée were offered, it should have written something to make that clear. The majority will search in vain for some indication in the act that food, or any item, can qualify for “benefits for an accidental bodily injury” if fur
The difficulty the majority has in providing a convincing answer to this question illustrates the weakness of its conclusion. Its reading of
MCL 500.3107(1)(a)
The majority finds that Douglas Griffith fails to qualify not only under
As is frequently the case, here a dictionary alone does not clarify the Legislature‘s intent. “Care” has several definitions. The majority chooses “protection” or “charge” as the appropriate one. But the word can also be defined as “the provision of what is necessary for the welfare and protection of someone or something.” Compact Oxford English Dictionary.
It is clear that, when consulting a dictionary in performance of the interpretative task, one is normally required to make a choice among several definitions. It
The language of
My reading of the statute gives independent meaning to the word “care.” Under the doctrine of noscitur a sociis, the meaning of questionable words may be ascertained by reference to the meaning of other words associated with it. Applying this doctrine, “care” fits with “recovery” and “rehabilitation” when “care” is interpreted broadly to mean “the provision of what is necessary for the welfare and protection of someone.” The Legislature intended that an injured person‘s needs be furnished (“care“) until “recovery” has been accomplished through “rehabilitation.”
In some cases, such as where a motorist is catastrophically injured, recovery and rehabilitation may not be an achievable goal. In these cases, the Legislature requires that the injured individual receive all products and services reasonably necessary for his or her continuing care. The act‘s comprehensive language demonstrates the Legislature‘s intent to ensure
THE LEGISLATURE‘S INTENTION WITH RESPECT TO FOOD
It is difficult to deny that food is a product reasonably necessary for the care of an invalid, however narrowly “care” is defined. Without nourishment, an injured person could not be restored to health and could not properly be cared for. In fact, without it, a person‘s physical well-being would be immediately threatened. A finding that food is necessary for “care” accords with the purpose of the no-fault act: to provide benefits needed by someone injured in an automobile accident.
There is a limitation on those benefits in the act: all benefits reasonably necessary. Given the wide variety of circumstances under which injured parties seek no-fault benefits, the act provides for wide latitude in determining what benefits are reasonably necessary in a given situation. Unfortunately, the majority limits the wide latitude provided by the Legislature by restrictively reading the word “care.”
It is noteworthy that the Legislature did not expressly limit the expenses recoverable in no-fault cases to those that the injured person did not require before the injury. It could have included, but did not, a clause such as “benefits are payable except for those that were reasonably necessary for the care of the person before the injury.” It is the majority, not the Legislature, that writes this limitation into the act.
The majority concludes that food is not necessary for the care of Mr. Griffith because he requires food, injured or not. It adds that food has nothing to do with an injured party‘s “care, recovery, or rehabilitation.” It
This is not a reasonable construction of the statutory language. Nothing in the language of the no-fault act indicates that whether a home-based expense is allowable depends on whether an uninjured person has the same expense. The act‘s language mandates that the appropriate question is whether the injured person reasonably incurred the questioned expense as part of his or her care, recovery, or rehabilitation.
The logic in the majority‘s reasoning is, charitably speaking, illusory. If an automobile accident victim is hospitalized, the reasonable cost of his or her food is a covered expense under
I agree with Justice BOYLE‘s partial concurrence in Manley v. Detroit Automobile Inter-Ins. Exchange,5 and the Court of Appeals decision in Reed: no principled distinction justifies a holding that, where a patient is institutionalized, food is a reasonably necessary expense, but if he or she is home receiving the same care, it is not. Moreover, the plain language of the no-fault act makes no such distinction.
The majority claims that its ruling is necessary to keep down the cost of no-fault insurance. However, the
The facts of Mr. Griffith‘s case illustrate the complexity of the issue before us and why the Legislature could not have intended the interpretation made by the majority. Mr. Griffith is receiving one hundred percent institutional care, albeit in a home setting. He resides in his own home and is being cared for solely by medical professionals, his wife having been placed in a nursing home.
Thus, family members play no role in cooking for Douglas Griffith or in providing his food. There is no evidence that his meals differ in any respect from those he earlier received in the hospital. Because food in both settings is necessary for his care, both should be compensable under the act.
The only distinction between Mr. Griffith‘s hospital care and his in-home care is the location at which he receives it. The language of the no-fault act does not
The majority attempts to buttress its interpretation by asserting that it has discerned the policy choice made by the Legislature. It insists that my reading is my own policy choice that cannot be accurate unless the Legislature amends the no-fault act. This is a logical fallacy that assumes the majority‘s conclusion as its premise.
Also faulty is the majority‘s assertion that my reading of the statute “essentially invent[s] a new entitlement system.” Ante at 537 n 13. To the contrary, my reading of the statute conforms with the law as interpreted for at least the past twelve years.
The Court of Appeals made the same application. While the majority‘s accusations and appeal to cost concerns create a rhetorical flourish, it is the majority, and not I, that advocates a drastic change in established law.
Let there be no mistake in this: motorists, required to purchase no-fault insurance in order to drive in Michigan, now have one less resource available to them because of the majority‘s restrictive reading of the no-fault act. The majority holds that food, as a matter of law, is never reasonably necessary for one‘s care, recovery, or rehabilitation outside a hospital, at least absent a special diet.
A proper reading of the text belies the majority‘s conclusions. There is no need to require the Legislature to amend its decision that all expenses should be covered as long as reasonably necessary to an injured person‘s care, recovery, and rehabilitation.
FURTHER IMPLICATIONS OF THE MAJORITY‘S DECISION
The majority forces a harsh dilemma on insured individuals injured in automobile accidents: remain in
Reed has been the rule of law in Michigan for twelve years. There are unacknowledged alarming implications in overruling it. If we apply the majority‘s reasoning about in-home food, is shelter at home an allowable expense? An uninjured person requires shelter. The majority incentivizes no-fault insurers to refuse to reimburse these and other expenses in the future, even though they are without dispute reasonably necessary for an injured person‘s care.
The majority opines that reimbursement for in-home food is a form of wage-loss benefits. However, it is unable to substantiate that statement with a showing that any legislation equates wage-loss benefits with payment for care of the injured. Wage-loss benefits exist to replace lost income, not as reimbursement for expenses incurred.
Furthermore, the no-fault act limits wage-loss benefits to three years. But the insurer‘s obligation to provide for the care of an injured person can extend over the person‘s lifetime. Therefore, equating the provision of food with wage loss is inaccurate. The Legislature struck a very definite compromise on the duration of wage-loss benefits that stands in contrast to the lifetime care to which an injured person is entitled.
The majority informs us that Mr. Griffith‘s food, when provided in the hospital, did satisfy
Finally, the majority makes no provision for those who in the past have incurred ongoing expenses and assumed ongoing burdens in reliance on the availability
CONCLUSION
The majority‘s conclusion is that food is unnecessary to one‘s “care, recovery, or rehabilitation” outside an institution, although necessary inside an institution. It makes a distinction without a difference. Not only is it illogical, no statutory basis exists to distinguish the reimbursability of the cost of institutional food from the reimbursability of the cost of in-home food.
I would affirm the trial court and the Court of Appeals decisions and leave Reed intact. Regardless of the choice of meanings ascribed to the word “care,” the Legislature‘s intent had to be that food is an allowable expense for injured automobile accident victims convalescing at home.
CAVANAGH, J., concurred with KELLY, J.
Ante at 530.According to the majority, an injured person‘s food is not “for” an accidental bodily injury because the need for food was not caused by the automobile accident. By the majority‘s logic, even one who is hospitalized is not entitled to food expenses because those expenses are as necessary to an uninjured person as to an injured person. This logic is equally applicable regardless of the injured person‘s physical location.
Contrary to the majority‘s assertion, I do not express policy concerns about allowing recovery for food expenses in a hospital, but not for the same costs at home. Rather, my concern is the lack of a logical basis for the distinction the majority seeks to create. Instead of the majority‘s artificial distinction, I would apply the clear language of
Our dissenting colleagues would instead read the word “care” in a vacuum, thereby allowing them to impose their preferred meaning without attempting to discern the context in which the Legislature used the term. Our dissenting colleagues’ failure to read the word “care” in context renders the word devoid of any definitional limit. Let there be no mistake—the implication of their interpretation is that any expense that is necessary for a person‘s general “care” is recoverable, regardless of whether that expense bears any causal relationship to an “accidental bodily injury arising out of the ownership, operation, maintenance or use of a motor vehicle as a motor vehicle . . . .”
It thus appears that Justice KELLY would essentially invent a new entitlement system by converting our no-fault law into a general welfare scheme. Her new scheme would pay all expenses of everyday life, such as mortgage payments and grocery bills, for anyone who has been injured in a motor vehicle accident, even where those expenses do not arise from injuries sustained in the accident. Justice KELLY does not explain how she would pay for her newly minted entitlement plan, but the effect of her position would be to force Michigan citizens to make these general welfare payments through increased mandatory insurance premiums. Perhaps Justice KELLY sincerely believes that our state‘s citizens should bear this new financial burden, but such a policy choice belongs to the legislative branch of our government. In deciding the case before us, we must honor the intent of the Legislature as reflected in the current language of the no-fault act by applying the causation requirement embodied in the provisions at issue.
Justice KELLY also asks whether the majority is implying that hospital food expenses would be reimbursable under
Finally, Justice KELLY expresses concerns about allowing recovery for food expenses in a hospital but not at home. It is the prerogative of the Legislature, however, to determine whether the no-fault act should be amended to allow recovery of food costs that are unrelated to an accidental bodily injury, taking into account policy concerns such as those expressed by Justice KELLY and competing considerations such as the increased costs of premiums for this mandatory form of insurance coverage. This Court lacks both the institutional capacity to weigh the competing policy considerations and the constitutional authority to amend the no-fault act.
Work loss consisting of loss of income from work an injured person would have performed during the first 3 years after the date of the accident if he or she had not been injured.
