Opinion
INTRODUCTION
Petitioner Rion Alicia Newton Rodriguez (Rodriguez) seeks writ relief from an order of the Superior Court of Los Angeles County granting the petition to arbitrate brought by real parties in interest Sandy Witzling, M.D., individually, and Sandy Witzling, M.D., Inc. (collectively Witzling), and staying the action as to them. We grant the petition.
FACTUAL AND PROCEDURAL BACKGROUND
Rodriguez is a minor bom in August 1998 to her mother, Lee M. Newton (Newton). On October 17, 2006, four days prior to Newton’s routine gallbladder surgery, she executed a physician-patient arbitration agreement (Arbitration Agreement) offered to her by real party in interest Sandy Witzling, M.D., in accordance with his custom and practice for all new patients.
*1465 The Arbitration Agreement included text as described in Code of Civil Procedure section 1295, 1 subdivisions (a), (b) and (c), applicable to agreements to arbitrate medical malpractice claims. The following provision appeared just abovе the signature line, in bold red type: “NOTICE: BY SIGNING THIS CONTRACT YOU ARE AGREEING TO HAVE ANY ISSUE OF MEDICAL MALPRACTICE DECIDED BY NEUTRAL ARBITRATION AND YOU ARE GIVING UP YOUR RIGHT TO A JURY OR COURT TRIAL. SEE ARTICLE 1 OF THIS CONTRACT.” Article 1 stated that “any dispute as to medical malpractice . . . will be determined by submission to arbitration as provided by California law .... Both parties to this contract, by entering into it, are giving up their constitutional right to have any such dispute decided in a court of law before a jury . . . .” Article 2 of the Arbitration Agreement specified that it was the parties’ intention that the agreement was binding on “all parties,” including the patient’s children, whose claims may arise out of or relate to the medical services to be provided. In article 5, the Arbitration Agreement provided that it could be “revoked by written notice delivered to the physician within 30 days of signature and if not revoked [the agreement would] govern all medical services received by the patient.” 2
On October 21, 2006, Newton died during the recovery period, allеgedly from a nick in her liver that Dr. Witzling made during the surgery. Rodriguez is the sole heir to Newton’s estate. Guardians ad litem were appointed for her in January 2007. By and through her guardians ad litem, in January 2008, she filed a complaint alleging, inter alia, “Medical Malpractice—Wrongful Death” against Witzling and others. 3 In July, Witzling filed a petition requesting an order that the controversy be decided by arbitration. Rodriguez opposed the petition based, in pаrt, on her assertion that to permit a physician whose malpractice was the alleged cause of the patient’s death to enforce an arbitration agreement for which the statutory “cooling off” period had not expired as of the time of the death would be inconsistent with the policy underlying section 1295 and against public policy requiring that waivers of the constitutional right to a jury trial be voluntary, knowing and intelligent. In *1466 reply, Witzling claimed that Rodriguez’s guardian had legal standing to revoke the Arbitration Agreement and, by failing to do so, the guardian waived the issue.
At the hearing on the motion on October 23, 2008, the trial court granted Witzling’s petition and ordered a stay in proceedings as to Witzling only until arbitration was completed. 4 The court issued its written order on October 28, pursuant to which the court also retained jurisdiction to enforce the Arbitration Agrеement and confirm the arbitration award.
PETITION
Rodriguez asserts that, unless her petition is granted, she will be deprived of her constitutional right to a jury trial for the wrongful death of her mother. Rodriguez contends that the trial court’s finding that she was bound by the Arbitration Agreement was erroneous because:
(1) The Arbitration Agreement was insufficient to deny her a jury trial, in that it failed to include a procedure for rescission if the patient died within the rescission period;
(2) Rodriguez has a constitutional right to a jury trial that was not knowingly, intelligently or voluntarily waived;
(3) Public policy cannot permit Witzling to benefit by limiting public access to his professional record as arbitration would permit, but a jury trial would allow such access;
(4) It was impossible for Rodriguez to act during the 30-day rescission period in order to preserve her right to a jury trial, in that she was a minor who was the subject of a custody disputе and no guardian had been appointed by the court within the 30-day rescission period.
Rodriguez requests that we either (a) issue a peremptory writ of mandate directing respondent superior court to vacate its orders of October 23, 2008, and to issue orders finding Rodriguez is entitled to a jury trial, or (b) issue an alternative writ directing the respondent superior court to show cause why it should not vacate its orders of October 23, 2008, and issue orders finding that Rodriguez is entitled to a jury trial.
*1467 DISCUSSION
Rodriguez’s contentions turn on the interpretation of the Arbitration Agreement and section 1295, and the relevant facts are undisputed. Therefore, we review the Arbitration Agreement de novo to determine whether it is legally enforceable against Rodriguez.
(County of Contra Costa
v.
Kaiser Foundation Health Plan, Inc.
(1996)
An individual is granted a right to a jury trial by the California Constitution, article I, section 16 as follows: “Trial by jury is an inviolate right and shall be secured tо all.... In a civil cause a jury may be waived by the consent of the parties expressed as prescribed by statute.” A waiver of the right to a jury trial must be knowing and voluntary. (Cal. Const., art. I, § 16; cf.
People
v.
Smith
(2003)
California has a strong public policy, however, favoring arbitration over a jury trial or other litigation, in that arbitration is a speedy and relatively inexpensive means of resolving disputes and eases court congestion.
(Pietrelli
v.
Peacock
(1993)
Section 1295 provides a procedure for a patient and a health care provider to enter into an agreement to waive their rights to a jury trial and resolve medical malpractice claims by arbitration.
5
Subdivision (e) of section 1295 states that such an agreement is not a contract of adhesion if the agreement complies with subdivisions (a), (b) and (c).
6
(See
Horwich v. Superior Court
*1468
(1999)
There is, however, no conclusive presumption that a person who signs a document containing text complying with the section 1295 requirements has in fact consented to arbitration as required to form an enforceable agreement.
(Ramirez v. Superior Court
(1980)
In this appeal, the parties focus primarily on the question of whether the document signed by Newton is binding on her minor daughter, Rodriguez. In our view, however, the threshold issue is raised by Rodriguez’s contention that no valid waiver of the right to a jury trial was made. Without a valid *1469 waiver, no enforceable arbitration agreement would exist. (Ramirez v. Superior Court, supra, 103 Cal.App.3d at pp. 756-757 & fn. 3.)
“ ‘[W]hen a petition to compel arbitration is filed and acсompanied by prima facie evidence of a written agreement to arbitrate the controversy, the court itself must determine whether the agreement exists and, if any defense to its enforcement is raised, whether it is enforceable.’ ”
(Hotels Nevada
v.
LA. Pacific Center, Inc.
(2006)
Even if, arguably, Newton had the authority, as a parent, to waive her child’s constitutional rights to a jury trial, such waiver would be ineffective if not knowingly and voluntarily made. The earmarks that Newton may not have knowingly and voluntarily waived even her own rights, not to mention her daughter’s rights, are present. She was presented with the Arbitration Agreеment only four days before her scheduled surgery under circumstances in which she could have believed she must sign the agreement in order to have Witzling perform the surgery. There is no evidence that she would or would not have reread and reconsidered the Arbitration Agreement after her surgery or that she would or would not have exercised her right to “revoke” the agreement within the statutory 30-day revocation period. (Cf.
Ramirez v. Superior Court, supra,
103 Cal.App.3d at pp. 756-757.) Newton signed the Arbitration Agreement herself, not through someone authorized to do so on her behalf, and, hence, the determinative factor is Newton’s intent, not the intent of some representative appointed after her death.
(Gross v. Recabaren
(1988)
*1470
conclude that Witzling would be unable to carry his burden of proving that an agreement exists.
(Flores v. Evergreen at San Diego, LLC, supra,
When weighing the competing interests of an individual’s constitutional right to a jury trial аgainst the Legislative preference for arbitration of medical malpractice claims codified in section 1295, in the absence of proof of the individual’s knowing and voluntary waiver of such rights, the individual’s constitutional rights must prevail. It has been recognized that “ ‘ “[t]here is no public policy favoring arbitration of disputes which the parties have not agreed to arbitrate.” ’ ”
(Metiers v. Ralphs Grocery Co.
(2008)
Witzling urges an interpretation of section 1295 as creating an enforceable waiver simply by the passage of 30 days, regardless of whether the party was alive and able throughout the 30-day period to exercise the party’s right of rescission. Such interрretation, however, goes against the principle that the statute’s requirements for waiver be interpreted as strict and exclusive.
(Grafton Partners v. Superior Court, supra,
Witzling advances arguments to the effect that the 30-day period was tolled either until the court’s appointment of Rodriguez’s legal guardian or the date of Witzling’s service on the guardian of written notice of intent to enforce the Arbitration Agreement. Another possibility was raised in oral argument that, *1471 arguably, the 30-day period was tolled until Rodriguez gave notice under section 364 of the intent to sue Witzling for professional negligence.
Section 1295 makes no provision for tolling the period on any basis in the event the patient who signed the agreement dies before the 30-day period has run. Only one provision in section 1295 addresses such an eventuality in any manner, and it deals solely with who has authority to rescind on behalf of the patient. Subdivision (c) grants authority to rescind to the patient’s legal guardian or conservator should the patient become incapacitated or if the patient is a minor. (§ 1295, subd. (c).) There is no provision authorizing the legal guardian of a minоr who is not the patient to rescind.
Where a statute sets a limitation period for action, courts have invoked the equitable tolling doctrine to suspend or extend the statutory period “to ensure fundamental practicality and fairness.”
(Lantzy
v.
Centex Homes
(2003)
Equitable tolling should not be applied, however, where to do so is inconsistent with the statute at issue.
(Lantzy v. Centex Homes, supra,
Had the circumstances been slightly different, we believe that equitablе tolling could have been applied. As we read section 1295, it does not provide the arbitration provision is necessarily unenforceable in this factual situation (indeed, it does not appear to contemplate this scenario). California case law establishes the right of a parent to bind a minor child to an arbitration agreement, under some circumstances, when it is the parent, not the child, who is the patient, even though the effect of such an agreement is ultimately to require arbitration of the child’s wrongful death action. (See
Ruiz v. Podolsky
(2009)
Section 1295, subdivision (e), insulates an arbitration agreement against a challenge that it is unconscionable or otherwise improper if it has an effective 30-day rescission provision. It does not, however, automatically invalidate an agreement that does not permit rescission. Thе only circumstances for which the statute expressly grants rescission authority to someone other than the patient are when the patient is incapacitated or the patient is a minor. (§ 1295, subd. (c).) Nothing in the statute, however, limits the situations in which others may be granted rescission authority to those two circumstances.
Our reading of section 1295 leaves the door open for enforceability of a physician-patient arbitration agreement which expressly provides a procedure for rescission on behalf of a nonpatient minor child covered by the agreement, in the event the patient dies within the rescission period. For example, if the agreement expressly states a guardian appointed for a minor child following the death of the child’s parent may exercise the right to rescind set forth in section 1295, subdivision (c), аnd otherwise satisfies the section’s requirements, then we believe the arbitration agreement would be enforceable in the event the guardian did not timely exercise the right to rescind. In determining whether an attempted rescission was timely—an issue not before us in the case at bar where there was no notice to the guardian of any right to rescind—a court could apply the equitable tolling doctrine to extend the time for the guardian to act to exclude any period before the guardian was appointed, as well as any additional time between appointment and the time the guardian knew (or reasonably should have known) of the arbitration agreement. (Cf. McDonald v. Antelope Valley Community College Dist., supra, 45 Cal.4th at pp. 99-100 [equitable tolling “is a judicially created, nonstatutory doctrine” designed “ ‘to ensure fundamental practicality and fairness’ it is “a creature of the judiciаry’s inherent power ‘ “to formulate rules of procedure where justice demands it” ’ ”].) As suggested at oral argument in this case, that excluded period of time in most cases should end no later than the date the section 364 notice of intent to sue is served.
Under the facts in the case before us, however, we conclude that the document purporting to be Newton’s agreement to arbitrate is not enforceable. Whеn no enforceable agreement exists, no order compelling arbitration can be issued.
(County of Contra Costa
v.
Kaiser Foundation Health Plan, Inc., supra,
*1473 DISPOSITION
The petition for writ of mandate is granted. The trial court is directed to vacate its order of October 23, 2008, compelling arbitration, and to issue an order that the matter be tried before a jury. Rodriguez shall recover her costs of this proceeding.
Perluss, P. J., and Zelon, J., concurred.
Notes
All further section references are to the Code of Civil Procedure.
Although the term “revoke” is used in the Arbitration Agreement, we read it as “rescind.” In section 1295, subdivision (c), the right recognized is the right to rescind. Also, as pointed out in
Engalla
v.
Permanente Medical Group, Inc.
(1997)
Rodriguez’s complaint was against Witzling, Long Beach Memorial Medical Center, Memorial Health Services and National Healthcare Services. The complaint alleged “Medical Malpractice—Wrongful Death” against all defendants (first cause of action); “Negligence— Elam Claim” against the Long Beach Memorial Medical Center, Memorial Health Services and National Healthcare Services (seсond cause of action); “Res Ipsa Loquitur—Wrongful Death” against all defendants (third cause of action).
At the hearing, after announcing the order, the court added: “I would caution—I hesitate to use the word ‘invite’ anybody to seek review of the order. If you feel aggrieved, you certainly are—have your rights to do so . . . .”
Further references to any arbitration agreement are to an agreement to arbitrate mediсal malpractice claims subject to section 1295.
Section 1295 provides in pertinent part: “(a) Any contract for medical services which contains a provision for arbitration of any dispute as to professional negligence of a health care provider shall have such provision as the first article of the contract and shall be expressed in the following language: ‘It is understood that any dispute as to medical malpractice, that is as to whether any medical services rendered under this contract were unnecessary or unauthorized *1468 or were improperly, negligently or incompetently rendered, will be determined by submission to arbitration as provided by California law, and not by a lawsuit or resort to court process except as California law provides for judicial review of arbitration procеedings. Both parties to this contract, by entering into it, are giving up their constitutional right to have any such dispute decided in a court of law before a jury, and instead are accepting the use of arbitration.’ HQ (b) Immediately before the signature line provided for the individual contracting for the medical services must appear the following in at least 10-point bold red type: [|] ‘NOTICE: BY SIGNING THIS CONTRACT YOU ARE AGREEING TO HAVE ANY ISSUE OF MEDICAL MALPRACTICE DECIDED BY NEUTRAL ARBITRATION AND YOU ARE GIVING UP YOUR RIGHT TO A JURY OR COURT TRIAL. SEE ARTICLE 1 OF THIS CONTRACT.’ fin (c) Once signed, such a contract governs all subsequent open-book account transactions for medical services for which the contract was signed until or unless rescinded by written notice within 30 days of signature. Written notice of such rescission may be given by a guardian or conservator of the patient if the patient is incapacitated or a minor. [][]... HQ (e) Such a contract is not a contract of adhesion, nor unconscionable nor otherwise improper, where it complies with subdivisions (a), (b), and (c) of this section.”
