Opinion by
T1 Since 1989, Colorado hospitals have been statutorily immune "from damages in any civil action brought against [them] with respect to ... peer review proceeding[s]." Kauntsz v. HCA-Healthone, LLC,
" 2 The plain language shows that the General Assembly clearly intended the current statute to apply retroactively. We conclude that such application is not unconstitutionally retrospective. Therefore, because the current statute applies, the trial court correctly rejected the hospital's assertion of immunity.
L. Facts
3 In 2011, Kathleen Hickman sustained a knee injury. She sought treatment from a physician who was credentialed to practice as a vascular surgeon at the hospital. Allegedly as a result of the physician's failure to diagnose and treat a cireulatory problem, Ms. Hickman's leg was amputated on November 18, 2011.
14 Ms. Hickman and her husband sued the hospital and the physician on January 23, 2013.
T5 The trial court denied the hospital's motion. It concluded that the General Assembly had intended the current statute to apply retroactively, and such application was not unconstitutionally retrospective under Article II, section 11 of the Colorado Constitution.
IL Standard of Review
T6 "C. R.C.P. 12b)(5) motions to dismiss test the complaint's legal sufficiency to determine whether the plaintiff has asserted a claim for which relief may be granted." State ex rel. Suthers v. Mandatory Poster Ageney, Inc.,
III Discussion
T7 Deciding whether the current statute applies involves a two-stage inquiry. First, we must determine whether the plain language evinces "a clear legislative intent that the law apply retroactively." City of Golden v. Parker,
A. The General Assembly Clearly Intended Retroactive Application
1. Law
18 Generally, "(al statute is presumed to be prospective in its operation." § 24-202, C.R.S.2012; see City of Golden,
19 Inquiry into legislative intent begins with the language of the statute. McKinney v. Kautzky,
2. Analysis
110 Because the allegedly negligent credentialing and amputation occurred before July 1, 2012, the trial court applied the current statute retroactively. See Ficarra v. Dep't of Regulatory Agencies,
{11 Black's Law Dictionary 7404 (Oth ed.2009),
{12 This language necessarily requires retroactive application of the statute because "for an action to be 'filed on [the effective date], it must have accrued prior to that date." Martin by Scoptur v. Richards,
113 Further, had the General Assembly intended to apply the current statute only to
[ 14 Similar reasoning disposes of the hospital's assertion that the current statute does not apply to a credentialing decision made before its effective date. The effective date clause could have addressed "actions filed based on credentialing decisions that occurred on or after." Further, an action for personal injury accrues when both "the injury and its cause" are or should be known. § 13-80-108(1), C.R.S.2012. Thus, if an action based on negligent credentialing could have been filed on July 1, 2012, the statute necessarily would apply to credentialing that occurred earlier. But under the hospital's interpretation, a hospital would be forever immune from damages based on a credentialing decision that occurred before that date.
115 Nevertheless, the hospital argues that the General Assembly did not intend the statute to apply retroactively because the effective date appears in section 12-36.5-203(2)(c), but the provision abrogating immunity is found in section 12-36.5-203(2)(a), C.R.S. 2012. However, the effective date explicitly applies to "[this subsection (2), as amended." § 12-86.5-208(2)(c). A court does not interpret clauses in isolation, but rather in "the broader context of the statute as a whole.... to give consistent, harmonious and sensible effect to all of its parts." Curtis v. Hyland Hills Park & Recreation Dist.,
116 Therefore, we conclude that the language of the current statute clearly shows the General Assembly's intent to apply it retroactively.
B. Retroactive Application is not Unconstitutionally Retrospective
117 Initially, we address the hospital's argument that the current statute is retrospective because applying it retroactively is "unfair." The supreme court has used this general principle to illuminate retro-spectivity. See, eg., Van Sickle v. Boyes,
118 By its nature, retroactive application of a statute involves a degree of unfairness, as the legal consequences of an act have been altered after the fact. Were this sufficient to render a statute unconstitutional, then retroactive application would be unconstitutional in most cases. But "the retroactive application of a civil statute is not necessarily unconstitutional." Ficarra,
1. "Impairs a Vested Right"
"[In the usual case, no person has a vested right in any rule of law entitling that person to insist it shall remain unchanged for his or her future benefit." Nye
1 20 Here, the hospital does not identify a contract or property right that prevents plaintiffs from asserting their negligent cere-dentialing claim. Rather, the hospital seeks to avoid tort damages by relying on statutory immunity from damages. However, "(tort and contract law are distinct," Mid Valley Real Estate Solutions V, LLC v. Hepworth Pawlak Geotechnical, Inc.,
$21 The hospital cites no case, nor have we found one in Colorado, holding that a statutory immunity from tort damages becomes a vested right before the action has been filed and the immunity defense raised, at the earliest. Cf. Smith v. Bd. of Educ.,
122 Further, abrogating a statutory right "takes away all its benefits as regards incomplete actions existing at the time of the repeal." Id.; see Kirk v. Denver Publ'g Co.,
1 23 The hospital cites Denver, South Park & Pacific Railway Co. v. Woodward,
124 The opinion cited by the hospital, which was on petition for rehearing, is the second of two, identically-named opinions by the supreme court. In the first opinion, Denver, South Park & Pacific Railway Co. v. Woodward,
25 In Woodward II, which the hospital cites, the supreme court denied the petition for rehearing. The court held that retroactive application of the repealing statute would have been retrospective because the defendant's rights "have been carried into judgment." Id. at 169. Thus, as noted by the supreme court in Vail,
126 Hence, to the extent Woodward II held that statutory claims vest at final judgment, the holding is inapplicable here, as no judgment has been entered. And to the extent that the opinion briefly mentions "existing right(s] of defense," Woodward II,
T 27 The hospital's citation to Day v. Madden,
1 28 On review, the supreme court ordered dismissal of the writ of error. Madden v. Day,
$29 For the same reason, the hospital's reliance on the retrospectivity discussion in Pollock v. Highlands Ranch Community Ass'n, Inc.,
130 Hence, potentially broad language in these cases does not alter our conclusion, especially in light of recent supreme court precedent. Cf. People v. Esparza,
2. "Creates a New Obligation, Imposes a New Duty, or Attaches a New Disability"
131 "[If a vested right is not implicated, we must consider the 'new obligation, new duty, or new disability' prong of retro-spectivity." DeWitt,
T32 Abrogating the hospital's immunity from damages did not create a new duty or obligation because, under the former statute, the hospital had a duty of care in eredential-ing medical professionals. See Settle v. Bosinger,
133 Additionally, although "imposition of a new disability" may make a statute retrospective, a court will so conclude only if the statute "impose[s] a 'disability' of constitutional magnitude." DeWitt,
1 34 In DeWitt, the supreme court conelud-ed that an amended statute, which stripped a beneficiary of insurance policy proceeds,
35 Similarly here, the health care industry has long been regulated under state law. See Doran v. State Bd. of Med. Exam'rs,
1 36 Moreover, our supreme court has concluded that retroactive application of a statute is not unconstitutional "where the statute effects a change that is only procedural or remedial in nature." Shell W. E&P,
137 First, the former statute did not provide immunity from suit, but only immunity from damages.
$38 Second, "[a] statute is remedial if it does not create, eliminate, or modify vested rights or liabilities" McBride,
139 In its reply brief, the hospital cites Continental Title Co. v. District Court,
$40 The hospital emphasizes the difference between complete loss of immunity from damages and a damage limitation, arguing that the former must be treated as substantive, while conceding that the latter is remedial. The supreme court repeatedly has held that statutes relating to remedies are not retrospective, as "[the abolition of an old remedy, or the substitution of a new one, neither constitutes the impairment of a vested right nor the imposition of a new duty, for there is no such thing as a vested right in remedies." D.K.B.,
Amending the former statute left hospitals potentially liable for damages from which they had previously been immune. However, even sizeable increases in recoverable damages are not necessarily unconstitutional. See Vitefta,
$42 Also, requiring courts to consider the extent to which a statute altered remedies in determining retrospectivity, rather than allowing them to rely on a qualitative distinction, would be unworkable. For example, the General Assembly could alter statutory damages in numerous ways that would raise subtle questions of degree, such as increasing a statutory damage cap from a nominal amount by a factor of ten or one hundred. But drawing fine, quantitative distinetions would erode predictability in reviewing the constitutionality of retroactive statutes. See In re Reapportionment of Colo. Gen. Assembly,
IV. Conclusion
T 43 We affirm the trial court's order denying the motion to dismiss, and we remand for further proceedings consistent with this opinion.
Notes
. Only the hospital sought interlocutory review.
. See Ficarra v. Dep't of Regulatory Agencies,
. See People v. Holwuttle,
. We "presume[] that the legislature has knowledge of the legal import of the words it uses and that it intends each part of a statute to be given effect." Allely v. City of Evans,
. See, eg., Hall v. A.N.R. Freight Sys., Inc.,
. Neither the hospital nor plaintiffs cite legislative history to support their interpretations of the statute, And in any event, "clear and unambiguous language eliminates the need to resort to other principles of statutory construction such as legislative history." People v. J.J.H.,
. In its reply brief, defendant argues for the first time that section 2-4-303, C.R.S 2012, precludes retroactive application of the current statute. However, we do not address arguments raised for the first time in a reply brief. See In re Marriage of Drexler,
. Similarly, the hospital relies on dicta in City of Colorado Springs v. Neville,
. See DeWitt,
. Kauntz,
