Defendant Alfred Sebile appeals jury verdicts in favor of plaintiffs Jarrett and Susan Kaminsky. We find no error.
Pursuant to 10 U.S.C.A. § 1072 (1998), Jarrett’s injuries were covered by the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), because Jarrett was a dependent of members of the armed services. Accordingly, CHAMPUS paid most of the medical expenses resulting from Jarrett’s injury.
Susan originally filed an action against defendant both individually and as the guardian ad litem of Jarrett, but later dismissed the case without prejudice. Thereafter, on 5 September 1996, the United States brought an action against defendant under the Federal Medical Care Recovery Act (FMCRA), 42 U.S.C.A. §§ 2651-2653 (1994 & Supp. 2000), to recover the “reasonable value of [] care and treatment” furnished to Jarrett. On 18 April 1997, the United States dismissed its claims against defendant with prejudice. The case at bar was filed on 5 June 1997 by Jarrett, who had then reached the age of majority, and Susan. Plaintiffs sought to recover for personal injuries and medical expenses.
When the case was called for trial on 8 February 1999, defendant filed and argued a motion in limine to preclude any evidence of medical bills incurred for the treatment and care of Jarrett. Defendant cited 10 U.S.C.A. §§ 1095 (1998, amended 1999), 2651 (1994, amended 1996) for the proposition that only the United States Government “incurred” medical expenses. Defendant also argued that the United States’ dismissal with prejudice of its claim against defendant was res judicata as to any claim brought by Susan. The trial court denied defendant’s motion.
The jury found in favor of plaintiffs and awarded Jarrett $35,000 in damages for personal injuries and Susan $29,000 in damages for medical expenses. The trial court entered judgment on 9 March 1999. On 15 March 1999, defendant filed a Motion for Judgment Notwithstanding the Verdict and Alternative Motion for New Trial, which was denied by the trial court on 21 April 1999. Defendant appeals.
I.
Defendant assigns error to the trial court’s denial of his motion
in limine
to exclude the medical bills for Jarrett’s treatment. However, our appellate courts repeatedly have held that motions
in limine
are not appealable.
See, e.g., State v. Hayes,
II.
Defendant’s remaining assignments of error relate to the trial court’s denial of his motion for judgment notwithstanding the verdict (JNOV). See N.C. Gen. Stat. § 1A-1, Rule 50 (1999). He argues, first, that the federal government had the exclusive right to recover from defendant, and second, that the United States’ previous action and dismissal with prejudice is res judicata as to Susan’s present claim. We will address these contentions seriatim.
In ruling on a motion for JNOV, “the [non-movants’] evidence must be taken as true and all the evidence must be viewed in the light most favorable to [them], giving [them] the benefit of every reasonable inference which may be legitimately drawn therefrom, with conflicts, contradictions, and inconsistencies being resolved in the [non-movants’]
The FMCRA controls the nature of the United States’ right to recover from a tortfeasor the reasonable value of the care and treatment furnished to an injured person. Section 2651 reads in pertinent part:
(a) Conditions; exceptions; persons liable; amount of recovery; subrogation; assignment
In any case in which the United States is authorized or required by law to furnish hospital, medical, surgical, or dental care and treatment ... to a person who is injured . . . after the effective date of this Act, under circumstances creating a tort liability upon some third person ... to pay damages therefor, the United States shall have a right to recover from said third person the reasonable value of the care and treatment so furnished or to be furnished and shall, as to this right be subrogated to any right or claim that the injured or diseased person, his guardian, personal representative, estate, dependents, or survivors has against such third person to the extent of the reasonable value of the care and treatment so furnished or to be furnished. . . .
(b) Enforcement procedure; intervention; joinder of parties; State or Federal court proceedings
The United States may, to enforce such right, (1) intervene or join in any action or proceeding brought by the injured or diseased person, his guardian, personal representative, estate, dependents, or survivors, against the third person who is liable for the injury or disease; or (2) if such action or proceeding is not commenced within six months after the first day in which care and treatment is furnished by the United States in connection with the injury or disease involved, institute and prosecute legal proceedings against the third person who is liable for the injury or disease, in a State or Federal court, either alone ... or in conjunction with the injured or diseased person, his guardian, personal representative, estate, dependents, or survivors.
42 U.S.C.A. § 2651(a), (b) (1994). Additionally, the Act provides:
(b) Settlement, release and waiver of claims
. . . [T]he head of the department or agency of the United States concerned may (1) compromise, or settle and execute a release of, any claim which the United States has by virtue of the right established by section 2651 of this title; or (2) waive any such claim, in whole or in part, for the convenience of the Government, or if he determines that collection would result in undue hardship upon the person who suffered the injury . . . resulting in care or treatment....
(c) Damages recoverable for personal injury unaffected
No action taken by the United States in connection with the rights afforded under this legislation shall operate to deny to the injured person the recovery for that portion of his damage not covered hereunder.
Id. § 2652(b), (c) (1994). The issue before us, calling for an interpretation of the Act, is one of first impression for the appellate courts of this state.
The cardinal principle of statutory construction is to ensure accomplishment of the legislative intent.
See L. C. Williams Oil Co. v. NAFCO Capital Corp.,
In the case at bar, we are asked to interpret the FMCRA to determine whether an individual plaintiff may bring an action to recover medical expenses paid through CHAMPUS, or whether that right belongs exclusively to the United States. Because the act requiring interpretation is a federal act and thus is applicable throughout the nation, we begin with a review of other jurisdictions. The majority of jurisdictions that have considered the issue permit a similarly-situated individual plaintiff to
assert
a claim for medical expenses against a tortfeasor.
See, e.g., Dempsey by and through Dempsey v. U.S.,
We agree with the majority rule that the individual plaintiffs right exists regardless of the United States’ right to pursue an action to recover from the tortfeasor. The statute states in section 2651(a) that the United States has “a right to recover” as opposed to “the right to recover,” indicating that the right of the United States is not exclusive. In addition, because the plain language of the FMCRA (a) allows for waiver by the United States of its claim for recovery and (b) specifically protects the rights of injured plaintiffs to recover “that portion of his damage not covered hereunder,” it follows that the injured plaintiff has a cause of action for medical expenses against the tortfeasor. Accordingly, we hold that defendant’s contention that the United States had the exclusive right to pursue recovery for medical expenses is without merit.
This holding does not necessarily mean, however, that recovery by both the United States and the injured plaintiff is permitted. Continuing our review of other jurisdictions, we observe that while courts have allowed an individual plaintiff to bring an action, the amount he or she may recover has been guided largely by the state’s collateral source doctrine. In the case at bar, defendant contends that application of North Carolina’s collateral source rule precludes Susan’s recovery of the medical expenses paid through CHAMPUS. Although the specific language of the collateral source rule varies from state to state, the gist of these rules is to “exclude[] evidence of payments made to the plaintiff by sources other than the defendant when this evidence is offered for the purpose of diminishing the defendant tortfeasor’s liability to the injured plaintiff.”
Badgett v. Davis,
Our survey of other jurisdictions indicates a generally consistent pattern that when a plaintiff brings an action under the Federal Tort Claims Act (FTCA),
see
10 U.S.C.A. §§ 2731-1736 (1998), against the United
We believe that the majority rule, which allows a plaintiff to recover only when the government fails to assert or abandons its right of recovery under the FMCRA, is the better rule. The FMCRA was enacted to protect the government’s interests by permitting the United States to recover payments made as a result of a tortfeasor’s acts. Accordingly, rights under the FMCRA exist for the United States to assert; they may not be asserted defensively to allow a windfall for a tortfeasor. As the Guyote court stated:
[T]he focus of the Act is the government’s right of recovery; it does not address or purport to affect the injured party’s right other than to allow the government to require assignment of that right. Whatever rights of recovery an injured party may have under state law remain intact under the Act.
Furthermore, the majority rule comports with North Carolina’s collateral source rule. The Supreme Court decision in
Cates v.
Wilson,
In Young v. R.R.,266 N.C. 458 , 466,146 S.E.2d 441 , 446 (1966), this Court explained the collateral source rule. According to this rule a plaintiff’s recovery may not be reduced because a source collateral to the defendant, such as “a beneficial society,” the plaintiff’s family or employer, or an insurance company, paid the plaintiff’s expenses. Rather, an injured plaintiff is entitled to recovery “ . . [sic] for reasonable medical, hospital, or nursing services rendered him, whether these are rendered him gratuitously or paid for by his employer.’ ”
The instant case presents the issue of whether the collateral source rule embraces gratuitous government benefits. . . .
With regard to Medicaid payments already received we find our Young decision persuasive. In Young we held that receipt of insurance proceeds should not reduce a plaintiff’s recovery. Medicaid is a form of insurance paid for by taxes collected from society in general. “The Medicaid program is social legislation; it is the equivalent of health insurance for the needy; and, just as any other insurance form, it is an acceptable collateral source.”
Id.
at 5-6,
[T]he State, or the county providing medical assistance benefits, shall be subrogated to all rights of recovery, contractual or otherwise, of the beneficiary of such assistance, or of his personal representative, his heirs, or the administrator or executor of his estate ....
The Cates Court went on to say:
Our decisions establish the principle that evidence of a collateral benefit is improper when the plaintiff will not receive a double recovery. See Spivey v. Wilcox Co.,264 N.C. 387 , 390,141 S.E.2d 808 , 811-12 (1965). Because Medicaid provides for a right of sub-rogation in the state to recover sums paid to plaintiffs, we find that the principle enunciated in Spivey applies in the instant case as well.
Applying the Cates analysis to the case sub judice, the FMCRA, like section 108A-57(a), provides for a right of subrogation by the United States. Although the government here abandoned its right to recovery under the FMCRA, the existence of the right permits a sufficient analogy between Medicaid benefits and CHAMPUS coverage. Under Cates, if a plaintiff recovers for the past Medicaid payments he or she received and the state fails to seek reimbursement, the plaintiff would not then be required to return the money to the defendant-tortfeasor. Similarly, defendant here should not receive a windfall because the government abandoned its right under the FMCRA. Accordingly, plaintiff Susan properly sought to recover for the medical expenses of Jarrett and, because the United States abandoned its right to recover under the FMCRA, the collateral source rule applies to permit full recovery. This assignment of error is overruled.
Finally, defendant contends his motion for JNOV should have been granted on the grounds of res judicata. He argues that the United States’ prior case and dismissal with prejudice now precludes Susan from asserting a claim for medical expenses.
“Under the doctrine of
res judicata,
or claim preclusion, ‘a final judgment on the merits in a prior action will prevent a second suit based on the same cause of action between the same parties or those in privity with them.’ ”
State ex rel. Tucker v. Frinzi,
No error.
