*1
Abbott,
immunity
General of has not waived its
for such ac
Greg
Attorney
W.
Weber,
Texas,
Kelly
light
Andrew
tions.
Ruggero Hughs, William J. “Bill” Cobb
III, General, Attorney Daniel Office of the General, Hodge, Attorney
T. First Asst. Mattax, Director Liti-
David C. of Defense General,
gation, Attorney Office of the
Austin, TX, Romero, for Cesar M.D. Grost, Paso, TX, El John J. for Jacob SAMLOWSKI, Eberhard
Lieberman. M.D., Petitioner, PER CURIAM. Lieberman, Larry psychiatric After WOOTEN, Respondent. Carol
patient at Hospital, Terrell State died of No. 08-0667. sepsis allegedly complete as a result of a care, father, respondent lack of his Jacob Supreme Court Texas. Lieberman, petitioners, sued Doctors 18, Argued Nov. 2009. Romero, Claxton, and Korman. The doc tors moved to against dismiss suit 25, Decided Feb. 2011. 101.106(f) them under section of the Texas Rehearing April Denied 2011. Act, Tort Claims & Civ. Prac. Rem. 101.106(f), brought plea Code jurisdiction on the same ground, claim
ing that the suit was based on conduct general scope
within the employ their
ment with the State Hospital and could brought against
have been the State Hos
pital. The trial court dismissed the action.
On respondent appeal, Lieberman’s
court of appeals reversed. No. 05-08-
01636-CV, Tex.App. LEXIS
*5, at *2 (Tex.App. WL 2009) (mem.op.).
Dallas Nov. pending
While this case has been on
appeal, we have decided Franka v. Velas (Tex.2011),
quez,
holding
that, 101.106(f), for purposes of section
tort action brought “under” the Texas Act, government
Tort even if the Claims
Kay E. Ellington, Kay Law Office of E. P.C., Dallas, Ellington, for Eberhard Sam- lowski, Cramer,
Barney McCoy, L. Michael W. Firm, Houston, Law Cramer for Carol Wooten.
Justice MEDINA announced the judgment of the Court and delivered an opinion which Chief Justice joined. JEFFERSON and Justice HECHT Texas Civil Practice and Remedies Code a trial court requires section 74.351 liability case, granted dismiss a health care claim unless this I say cannot trial court abused its the claimant serves with- discretion in denying the extension. Although I days filing disagree in 120 after suit. Tex. Civ. with 74.351(b). the court of appeals’ analysis of the Prac. & This dis- application and its of the abuse of discre- requirement subject to the trial missal standard, tion I conclude that the interests court’s discretion to one justice require a remand extension for the claimant to cure a court in this case. Accordingly, would Id. served but affirm the appeals’ court of judgment re- The trial court in health this *4 manding this cause as modified this liability care case determined that claim- opinion. ant’s served was deficient granting
and dismissed her suit without
her for an request extension of time to cure the The court of appeals Carol Wooten was admitted to Walls agreed was deficient con- but Cleburne, Regional in Hospital complain- cluded the trial court abused its discretion ing of severe abdominal Dr. pain. Eber- by denying requested extension. 282 hard Samlowski pri- assumed Wooten’s 91. mary care days performed and two later laparascopic gall surgery. bladder granted petition We to consider un- surgery failed to relieve pain. Wooten’s der what circumstances a trial might court Following additional tests and a consult abuse its denying discretion when such an recommending further surgery explore to extension. involving Like most cases abdomen, Dr. performed Samlowski single rule will not fit exploratory laparotomy that revealed a situation, every generally but a trial court complete perfor- bowel obstruction with should an extension when the defi- pelvic region. ations Dr. Samlowski cient can be thirty- cured within the attempted repair the perforations and day period the permits. The court he during adhesions found this surgery. concluded, appeals among other things, that the case should be remanded to the Postoperative complications resulted trial court for proceedings, further and a Hughley Wooten’s transfer Memorial majority of agrees the Court with that Medical Center in Fort Worth. Her ad- judgment. majority reasoning There is no diagnosis mission there included postoper- remand, why for we however. Three cholecystectomy repair ative and of bowel essentially members of the Court agree perforation, sepsis syndrome, respi- acute appeals’ analysis, with the court of three ratory syndrome, distress renal insufficien- disagree analysis members with that and anemia, cy/failure, acute blood loss respira- render, would and reverse and three mem- failure, tory mellitus, type diabetes bers disagree with the court of appeals’ surgical sarcoidosis. Four additional pro- analysis but would nevertheless remand in performed cedures were on Wooten at justice. the interests of I am in this last Hughley where she remained for over six- group. ty days.
Because the record does not establish subsequently Wooten sued Dr. Samlow- would have negligence, serving ski for medical Dr. R. been cured if the extension had been Don Patman’s days la- if report, thirty-day report,
ter.1 In this
Dr. Patman discusses
extension to cure the
the standard of care and several instances
court found deficient.
Dr.
care fell
where
Samlowski’s
short.
The trial court heard the motions and a
opinion,
patient’s
Dr. Patman’s
lab re-
days
signed
dismissing
few
later
an order
sults, complaints,
history
did not indi- Wooten’s case. No record was made at
gall
surgery.
cate the need for
bladder
hearing.
expressly
The court’s order
Instead, Dr. Patman states that Dr. Sam- granted both of Dr. Samlowski’s motions
performed
lowski should have
additional
request
but did not mention Wooten’s
for a
to discover the actual cause of the
tests
cure. The court’s
patient’s
pain
acute abdominal
com- order, however,
—a
disposed of Wooten’s
plete pelvic bowel obstruction with several
pending
by reciting
motion
that all relief
perforation.
areas of necrosis and
Re-
expressly granted
was denied. Woo-
causation,
garding
Dr. Patman concludes
appealed.
ten
diagnosis
that Dr. Samlowski’s inaccurate
appeals
A divided court of
reversed and
incomplete preoperative
evaluation
remanded with directions that Wooten be
*5
proximately
patient’s
caused the
subse- granted
a
extension.
complications
quent
prolonged hospi-
and
Although
agreed’
91.
the court
talization, and that
in all likelihood the
expert report
that
was
it
patient
require
would
future treatment
nevertheless
concluded
the trial court
surgery.
and additional
giving
had abused its discretion2
Dr.
promptly
Samlowski
filed a motion Wooten additional time to cure that defi
challenging
“wholly
as
ciency.
Id. at 90-91. The report was
providing any expert opinions
regarding
deficient, according to
appeals,
specifically how the care
rendered ...
[he]
represent
good-faith
because
did “not
a
harm,
proximately
injury,
caused the
or
effort to
relationship
summarize the causal
damages claimed.” Dr. Samlowski subse-
between Dr. Samlowski’s
to
failures meet
quently filed a motion to
after the
dismiss
applicable
standards of care and Woo
statutory deadline for serving expert
harm,
re-
ten’s
injury,
damages.”
claimed
and
ports
passed.
had
responded
Wooten
Id. at
(citing
Tex. Civ. Prac. & Rem.Code
motions,
74.851(r)(6)).
arguing
§
both
that her
re-
But the court concluded
sufficient,
port
asking
but also
for a
that the trial court
given
should have
Woo
general
1. Dr. Patman
a
exactly
is board-certified
and
ments
deadlines are not
the same.
surgeon
vascular
and Clinical Assistant Pro-
required,
The former statute
and current stat
Surgery
University
fessor of
at the
of Texas
requires,
ute
dismissal
the suit in the
event
Attending
Southwestern Medical School and
timely expert report
is not served. See Tex
Surgeon Baylor University
Medical Center
74.351(b);
former Tex.
Civ. Prac. & Rem.Code
in Dallas.
13.01(e).
Civ. Stat. art. 4590i
The former
court,
statute authorized the trial
under cer
Gutierrez,
2. Walker v.
we held
circumstances,
tain
extra time to
court's denial of an extension to cure an ex
statutory requirements.
meet the
See former
pert report
13.01(g)
under former Section
13.01(g).
Stat. art. 4590i
So
Tex.Rev.Civ.
Liability
Improve
the Medical
and Insurance
does the current statute. See Tex. Civ. Prac. &
Act,
ment
Texas Revised Civil Statute art.
74.351(c).
Given the structural
4590i, was to be reviewed for abuse of discretion.
and substantive similarities between section
(Tex.2003).
1
13.01,
74.351
former section
the abuse of
procedures in former section 13.01 and sec
applies
serving
discretion standard likewise
to a trial
expert reports
tion 74.351 for
granting
deny
of time to
court's decision to
an extension of time
extensions
correct defi
similar,
74.351(c).
although
require
ciencies are
under section
deficiency
additional time to cure that
ten
motion to cure.
this instance is while Wooten’s II appellate indicates that review is not for abuse of but de novo. Both argument Dr. Samlowski’s here is simi- arguments are based on a faulty similar lar to the dissent in the court of appeals. premise: that trial court discretion under complains He the court’s concession that 74.351(c) section should be measured or Wooten’s was not a “good controlled some notion of good faith. faith effort” with conflicts its abuse-of- faith, however, Good is not mentioned in holding discretion and submits that section negates former the latter. He further (c) submits that the appeals’ court of charac- merely Subsection states that “the *6 report terization of the “good as a faith may court grant 30-day one extension” if attempt” is a meaningless distinction elements of the expert report are deficient. through merely 74.351(c).4 which the court has sub- Tex. § Civ. Prac. & Rem.Code judgment “good stituted its for that of the trial The term faith” is used in the stat ute, court. Dr. Samlowski but it good appears thus views a in a later provision discussing faith effort in producing expert report challenge an motions that “the ade quacy the predicate expert report.” as for the trial court’s dis- Id. 74.351(l). 74.351(c). (l) cretion under section Subsection states that court grant “[a] shall a motion challenging Wooten, hand, on the other argues that the adequacy expert report of an [when] court discretion under section the report represent objective does not an 74.351(c) should be judged by the relative good effort to comply with the defini faith good faith in a exhibited deficient tion of an report[.]” Tex. Civ. Prac. report. The court of appeals’ opinion simi- 74.351(0 added). (emphasis & Rem.Code view, larly adopts this suggesting that the deficiency in Dr. Patman’s report was too explained We have “good that a permit small to the denial of Wooten’s faith effort” in simply this context a means argued 3. Wooten appeals may also in the court of 30-day the court one and in her brief to this Court that Dr. Pat- extension to the claimant order to cure sufficient, argu- man's was but at oral deficiency. If the claimant does not ment she conceded that the defi- ruling granting receive notice of the court’s cient. 120-day the extension until after the dead- passed, 30-day line has then the extension 74.351(c) provides 4. Section in full: plaintiff shall run from the date the first (c) expert report If an has not been served received the notice. period specified by within the Subsection 74.351(c). Tex. Civ. Prac. & Rem.Code (a) because elements of the are found Appeals, Fourth 700 S.W.2d that does not contain a material Court (Tex.1985). Therefore, deficiency. elements, all the required includes its A trial court therefore abuses 91, 94 Jernigan Langley, v. 195 S.W.3d arbitrary it renders an discretion when (Tex.2006), their connec explains and that lacking support and unreasonable decision tion the defendant’s conduct in a non- of the case. in the facts or circumstances fashion, conclusory Bowie Memorial Hos 441, 446 Shoukfeh, v. 943 S.W.2d Goode (Tex. pital Wright, v. (Tex.1997). Similarly, a trial court abuses contrast, 2002), good is a faith effort. arbitrary its discretion when it acts in an report that omits an element or states the reference or unreasonable manner without conclusory form not expert’s opinions Mercedes- guiding principles. rules or good faith effort. Am. Transitional Rhyne, Corp. Benz Credit S.W.2d Tex., Palacios, 46 Care Ctrs. Inc. v. (citing Downer v. (Tex.2001). 873, 879 these Under Inc., Aquamarine Operators, cases, “good produce faith effort” will (Tex.1985)). 74.351(c)’s 238, 241 Section adequate expert report for which no exten text, however, guid no provides particular 74.351(c) sion under section is needed. A ance on how the court should exercise its predi deficient then is the merely that stating “the court cate for the exercise of the trial court’s may grant 30-day to the one 74.351(c), not, discretion under section claimant in order to cure but [a suggests, proof as Dr. Samlowski that the report].” See & Civ. Prac. correctly. trial court decided the matter Guidance must purposes come instead from the broader complaint Dr. Samlowski’s Liability the Texas Act of which Medical appeals merely court of has substituted its 74.351(c) part. section ais court, judgment for that of the trial howev er, troubling. ap is more Ill
peals Dr. Patman’s as described *7 well-detailed, “thorough, except legislation for A core of this purpose and — easily deficiency— identify one small and curable was to and eliminate frivolous patently sufficiently specific.” liability expeditiously, 282 health care claims underlying preserving S.W.3d at 90. But the merit of while merit. potential those 2, 2003, R.S., claim Leg., Wooten’s and the relative ease of Act of June 78th ch. 204, 10.11(b)(1),(3), § curing report Dr. Patman’s are matters in 2003 Tex. Gen. Laws dispute. enough It is not that the court of (seeking to reduce frivolous claims “in appeals dispute unduly would have decided the but a manner that will not differently rights any because the abuse of discretion restrict a claimant’s more than crisis”); generally necessary standard the trial “insulates to deal with the see Brandal, judge’s appellate reasonable choice from also Leland v. (Tex.2008) Hall,
second guessing.” (noting W. Wendell Stan in “section Texas, 74.351, Legislature dards Review in 38 St. struck a careful bal Mary’s (2006). said, L.J. have “to ance between claims eradicating As we frivolous ones”). preserving find an abuse of discretion factual meritorious To [when goal, matters are in sets a dead dispute], reviewing further this statute court must conclude that the facts and line for the claimant to substantiate the extinguish any underlying liability circumstances of the case health care claim with expert reports. discretion in the matter.” v. Johnson required claimant is to serve each The Wooten has conceded this physician or other health care Court that her report defendant was deficient but maintains that provider with an within 120 she was entitled to an ex tension because her days filing suit. Tex. could Prac. & Rem. Civ. 74.351(a). easily have been cured. The ap court of pro This must Code peals agreed, but this only is the court’s summary expert’s vide a fair opin judgment best in the matter. The record “regarding applicable ions standards does not that the establish deficient care, the manner which the care ren would have been cured if the extension physician dered or health care pro granted, had been and a claimant’s mere standards, vider failed to meet the and the assertion or belief that it could have been relationship causal between that failure cured with an extension of time does not harm, injury, damages and the or demonstrate an abuse of discretion under 74.351(r)(6). claimed.” Id. If the report section When the trial court deficient, may challenged, be and a cure, denies a motion to the claimant must report may deficient likewise lead to dis amake record that demonstrates the defi (l). 74.351(a), (b) missal. Id. & But a ciency would have been cured. invariably does not require underlying dismissal of the health care The claimant must therefore be liability claim. The incorporates statute a prepared to cure a deficient expert report significant exception “explicitly tri giv[ing] whether or not the trial grants court al thirty day courts discretion to When, case, claimant’s motion. as in this extension so that parties may, possi where simultaneously court finds the ble, reports.” Ogletree cure deficient denies a motion to Matthews, cure, and underlying dismisses the health (citing claim, Civ. Prac. & Rem.Code liability care the claimant must 74.351(c)). move the court to reconsider promptly
fix any problems with the This overriding principle guiding should further be done within the statuto discretion under section ry, thirty-day period, thereby demonstrat 74.351(c) then is the elimination of frivo ing would have been cured lous preservation claims and the of merito granted. had the extension been If this is adequate expert rious ones. An report is accomplished and the court refuses to re how the distinguishes consider, between the compliant the now report will *8 two. A trial court should therefore grant typically trial establish the court’s abuse of an extension when a re discretion. Wooten didn’t make such a port readily court, can be deny cured and record in the trial and thus we are extension when it In making speculate cannot. that left to about whether she could determination, have may a trial court sometimes cured her with an ex err tension. and dismiss a claim when the report
could have been cured. A reasonable er IV however, judgment, ror in is not an abuse Packer, of discretion. See Walker v. I, however, agree with Justice Guzman’s (Tex.1992) 839-40 (noting that view that “trial courts should err on the reviewing may not substitute its granting side of claimants’ extensions to judgment as to factual matters committed show the merits of their claims.” 332 discretion). court’s right many S.W.3d at 416. The answer in will be for the trial court to But when a motion to cure under section
cases 74.351(c) denied, timely is the claimant must act upon one re- any problems it. to correct with the quest and be done with Justice Guz- in manner to demonstrate that this agrees man extension, an abuse of discretion. good enough but to warrant an disagree. I do not again statute, however, express The does not today. I have however, procedure outlined Be- statute, grants The the trial principles the statute is silent on the matter, cause in court discretion and Justice procedure that should control the trial analysis no appeal’s Guzman’s to be differ in court’s discretion this area and the ar- ent from that of the court of appeals, guments parties unfocused as a merely which I view as substitution of result, that conclude interests appellate court’s discretion for that of justice by will best be served a remand to analysis, the trial court. Under her See, e.g., Henry, the trial court. Low v. we are distinguish remains unclear how (remanding reports between deficient that demon parties “to allow the to present evidence reports strate merit and deficient that do responsive guidelines”); to our [new] not, other than Justice Potter Stewart’s Gravel, Gomez, Sand & Humble Inc. famous maxim: “I know it when I see it.” (Tex.2004) (“Because Ohio, 184, 197, Jacobellis v. 378 U.S. parties have not on the focused issue (1964) 1676, 12 (Stewart, L.Ed.2d 793 S.Ct. crucial, we think is we conclude that the concurring) (stating J. his test for deter justice interests of would be best served mining pornography hard-core outside the trial.”). by a new protection). bounds of constitutional Be cause the was deficient as
served, agree unequivocally I cannot appeals’ judgment court of is modi- the trial court abused its discretion when fied reflect a remand to the trial court denying the motion to cure. proceedings, See Tex. Civ. for further and the court’s 74.351(b) modified, judgment, Prac. & as is affirmed. (stating served, if an expert report has not been Justice opinion GUZMAN filed an shall, subject the court to the court’s dis concurring in the in judgment which cretionary power to grant 30-day one ex joined Justice LEHRMANN and in Parts claim). tension, dismiss I & II.B of which Justice WAINWRIGHT joined. V Although the record this case Justice opinion WAINWRIGHT filed an clearly
does not
indicate that
dissenting
part
concurring
in the
court abused its
Dr. Patman’s
judgment.
largely
as described
the court
dissenting
Justice JOHNSON filed a
of appeals “thorough and well-detailed.”
—
opinion in which Justice GREEN and
report
submitted.
2003,
2,
Leg.,
78th
R.
Act of June
(quoting
S.,
204,
10.11(b)(1),
2003 Tex. Gen.
ch.
II. Abuse of Discretion
884).
847,
re
The
Laws
Reviewing
A. Discretion in
accomplish
purpose
this
quirement helps
Expert Reports
the trial court to
by providing a basis for
report
If a
court finds an
trial
Id. at 206-
a claim has merit.
determine
one
“may” grant
the dissent both
07. Justice Medina and
report.
extension to cure the
Tex. Civ.
report
that factors other than the
conclude
74.351(c).
This statu
Prac. & Rem.Code
to determine whether
should be considered
authority
permissive
couched in
tory
is
the trial court abused its discretion
terms,
See In re
but it is not unfettered.
purpose
But if one
denying an extension.
Tire, L.L.C.,
670, 676
Pirelli
247 S.W.3d
to inform the trial court
report
of the
(orig. proceeding). While
claim,
purpose
then the
the merits of a
discretion,
“may” gives a trial court
discre
claimant the
an extension is to
provide
arbitrary
not be
or
tionary decisions must
report
point
to a
opportunity to amend a
must be made with ref
unreasonable and
trial court to make
that would allow the
(citing
Id.
guiding principles.
erence to
previously
that determination. We have
441,
Shoukfeh,
Goode v.
943 S.W.2d
look no fur
held that a trial court should
(Tex.1997));
Berry, 156 Tex.
Womack v.
ther than the four corners of
(1956)
(orig. pro
291 S.W.2d
considering
when
a motion chal
ceeding) (noting
permissive
of the
use
adequacy
of the
because
lenging
“may” does not vest a court with
word
inquiry
relevant to that
all the information
a trial
requires
unlimited
but
See Bowie
is contained within
that discretion within
to exercise
48, 52
Hosp. Wright,
Mem’l
79 S.W.3d
by the
of the
“limits created
circumstances
74.351(l)
(Tex.2002). Section
does not ex
case”).
principles
that are
particular
may not look
plicitly state that a trial court
discretionary
trial court’s
deci
guide a
adequacy,
beyond
to determine
of the
purposes
sion are determined
is so because the
but we have held this
In re Van Waters &
rule at issue. See
specifically
focuses on what
(Tex.
Inc.,
Rogers,
report discusses. Am. Transitional Care
2004)
Womack, 291
(orig. proceeding);
Tex.,
Palacios,
Inc. v.
Ctrs.
Medina acknowl
S.W.2d
683. Justice
(Tex.2001).
is true in a
The same
edges
pur
this and looks to the “broader
consideration of a motion for
court’s
Liability Act
poses” of the Texas Medical
provision
extension:
the extension
focuses
(TMLA)
principles
to determine the
See Tex. Civ.
only
on the
itself.
determination
guide
should
trial court’s
74.351(c)
(providing
Prac. & Rem.Code
grant
of whether
an extension.
an extension if
may grant
that a trial court
purpose
at 410. But the
are found defi
“elements
permitting
actual rule
a trial court to
n
cient”). Further,
re
See
an extension must also be considered.
for a trial on
quirement
is not
substitute
Tex. Civ. Prac. &
*11
¡just as a trial court should not
for a trial
court to determine the curability
merits—
of the report.1
pleadings
consider
the defendant’s
ruling
other
when
on a motion to
evidence
As further evidence that a trial court
adequacy grounds,
on
dismiss
need not consider more than the report
similarly
court should
refrain from consid
itself, nothing in section 74.351 requires a
ering these extraneous matters when con
trial
hearing
court to hold a
deny
before
sidering a motion for an extension to cure.
ing an extension to cure a
report
Palacios,
See
ute), specific deficiencies of a should not determine whether case, this Wooten’s Rather, court should an extension. Patman, R. Don M.D. was over nine sin- determine, a trial court should be able to gle-spaced pages. contained based on the report, initial if a claim war- history, Wooten’s medical applicable is, rants an extension —that whether a care, standard of and a numbered list of potentially claim could if have merit alleged Dr. Samlowski’s standard-of-care report were cured. A report quali- from a breaches, including failing to perform a fied health professional stating care a be- comprehensive diagnostic work-up and lief plaintiff that a has a claim against a thereby failing to determine the extent of defendant, though even elements of the Wooten’s illness. Dr. Patman concluded report are should be sufficient that Dr. Samlowski’s actions constituted 5, 1995, R.S., 140, approach 1. Justice Medina May Leg., contends this mir- 2. Act of 74th ch. 1, 985, appeals, 13.01(g), rors that of the court of and that it is sec. 1995 Tex. Gen. Laws 986, unclear the manner in which a amending Liability court will the Medical and In- distinguish Texas, reports Improvement Leg., between deficient that are surance Act of 65th R.S., curable and those that are not. But this ch. 1977 Tex. Gen. Laws 2, 2003, my position repealed by Leg., mischaracterizes court will be Act of June 78th —a R.S., 10.09, able to determine from the four comers of the ch. 2003 Tex. Gen. Laws qualified whether it is from a health 884. Former article 4590i section 13.01 professional stating care replaced by a belief that Texas Civil Practice and 74.351, plaintiff against has a claim a defendant. Remedies Code section as amended. *12 416
negligence
proximate
eradicating
and were the
causes
careful balance between
frivo-
developing multiple
life-
preserving
Wooten’s
lous claims and
meritorious
”
report
Leland,
The
in-
threatening complications.
257
at 208. In
ones....
S.W.3d
Dr.
performed
ferred that
Samlowski
preserve
highest
order to
the
number of
unnecessary surgery, delaying treating
claims,
meritorious
trial courts should err
however,
report,
Wooten’s condition. The
granting
on the side of
claimants’ exten-
explanation
not contain an
of how Dr.
did
sions to show the merits of their claims.
inju-
actions caused
Samlowski’s
Wooten’s
price
preserving
The
a meritorious
was,
and
as Wooten now acknowl-
ries
thirty days, compared
claim will be
to a
edges, deficient.
nity
attempt
dissenting
to cure her
Justice
part
concurring
judgment.
in the
IV. Additional Considerations
requirement
expert
The
to serve an
re-
Justice Medina and the dissent conclude port from a qualified
health care
on
that the trial court did not abuse its discre-
providers
defendant health care
within 120
in denying
tion
extension
days
filing
suit is
to cull
intended
out at
prove
because Wooten failed to
that
early
stage
litigation
medical
report would have been cured. But the
malpractice claims that have not been
provision allowing for an
is
extension
not
shown to have merit. The Texas Medical
punitive
says nothing about withhold-
—it
Liability Act instructs courts to dismiss
ing an
when a
claimant has
such claims. Tex. Civ. Prac. & Rem.Code
Rather,
something.
provision
failed do
stage,
74.351. At that
the claims that
curative, intending
give
claimants an
likely
may
have been shown
merit
to have
opportunity to save their claims from dis-
Brandal,
proceed. See Leland v.
missal. While the Legislature, by enacting
(noting
TMLA, sought
to “reduce excessive
section
74.351 strikes
balance between
frequency
severity
of health care lia-
frivolous
“eradicating
preserv-
claims and
claims,”
bility
2, 2003,
Act of June
78th
ones”).
ing meritorious
The hurdle divid-
R.S.,
204, 10.11(b)(1),
Leg.,
ch.
ing
expert report.
the two is the
Gen. Laws
it intended to “do so
Legislature
in a manner that will
The
established an
unduly
restrict a
10.11(b)(3);
rights,”
claimant’s
id.
hurdle that should be cost and time
Le-
land,
Cntr.,
enacting
required by the statute. See Tex. Civ. dissent. 74.351(c); Walker, § Prac. & Rem.Code S.W.3d at 65. I in therefore concur the Background I. judgment, for the Court’s reasons ex- plained join herein. I I also Parts After Carol Wooten Dr. sued Samlow II.B of Justice Guzman’s concurrence. ski, alleging that he negligently treated her, timely she filed and served a report JOHNSON, joined Justice by Justice Patman, by R. Don M.D. See Tex. Civ. WILLETT, GREEN and Justice 74.351(a) § & (requiring Prac. Rem.Code dissenting. liability healthcare claimant to file an ex Texas Practice Civil and Remedies Code suit). pert report days filing within 120 section provides 74.351 that a trial court timely objected Dr. Samlowski to the re liability must dismiss a health care suit port, asserting report was conclu- unless the claimant serves an expert re- sory as to the relationship causal between port days within 120 filing after suit. It his care and damages Wooten claimed. provides report also if a is served motion, response See id. her to the deficient, timely but the trial court essentially repeated part Wooten “may” grant one thirty-day extension for contents, report’s report claimed the met the claimant report. to cure the 74.351, requirements of section and re agree with quested thirty-day Justice Medina that any extension to cure trial court did not inadequacies abuse discretion court found 74.351(c). afforded it in denying § Wooten’s See id. Dr. Samlow motion for an I do agree extension. not ski then filed a motion to dismiss Wooten’s with him to the extent he that if report indicates suit because the was deficient. See 74.531(b). report Wooten had served a cured id. “shall” the claim. Id. where no evidence was trial court dismiss hearing
After a 74.351(b). introduced, statutory directive to the trial court determined applies to both absent and defi a dismiss represent Dr. Patman’s did not 74.351(c); reports. See id. Lewis comply with the cient good faith effort to (Tex. Funderburk, 204, 207 requirements of section 74.351 and 2008). However, if has Dr. Samlowski’s motion to dis- granted not been served because elements miss. See Am. Transitional Care Ctrs. of Tex., Palacios, are found the court Inc. v. 879 of “may” grant one (noting that a that does deficiency. cure the allow the claimant to required by out elements the stat- set eonclusory Tex. Civ. Prac. & ute or states those elements good fashion does not constitute a faith B. of Review Standard statute). comply with the With-
effort any further action in the trial taking out discusses, As Justice Medina the stan court, appealed. Wooten dard which the trial court’s order is
reviewed is abuse of discretion. See 332 II. Discussion n. 2. when a trial court And reviewed for abuse order is Expert Report A. necessarily is reviewed based on order liability in a health care the record as it was at the time the trial The claimant *16 ruling. suit serve each defendant with an court made its See Univ. Tex. v. must Morris, 60, 426, Tex. 429 expert report days filing within suit. 344 S.W.2d 74.351(a).1 (1961); v. Stephens County Tex. Civ. Prac. & Rem.Code If J. N. McCam Inc., served, mon, 148, 53, not 122 Tex. expert report an the 52 S.W.2d (1) part, physician the affected or 1. In relevant Texas Civil Practice and awards to Remedies Code section 74.351 reads as fol- provider health care reasonable attor- lows: ney’s by court incurred fees and costs of claim, (a) liability In a care a claim- health provider; physician the or health care shall, day ant not later than the 120th after filed, original petition the date the was (2) respect the claim with to dismisses party party's attorney serve on each or the physician provider, the or health care reports, expert one or more with a curricu- prejudice refiling with to the of the claim. report in lum vitae of each listed the (c)If expert report an has not been served physician provider for each or health care (a) by period specified the within subsection against liability whom a claim is asserted. because elements of the are found serving may The date for the be may grant 30-day the court one agreement extended written of the affect- in extension to the claimant order to cure parties. physician Each ed defendant or deficiency. If the the claimant does not provider health care whose conduct is im- ruling granting receive notice of the court's plicated any in a must file and serve 120-day the extension until after the dead- objection sufficiency to the not passed, 30-day line has then the day later than the 21st after the date it was plaintiff the the shall run from date first served, failing objections which all are the received notice. waived. If, (b) physician as to a defendant or health (/) grant challeng- A a motion court shall provider, an care has not report only ing adequacy of an if period specified by within been served court, hearing, appears after that (a), court, it to on the motion of subsection represent objective does not physician pro- the affected or health care shall, vider, (c), good comply subject faith effort to with the defini- to enter subsection (r)(6). tion of an in subsection order that: (1932) (“When an appellate court is called upon Court was called to construe a stat court, to ute upon ruling providing revise a trial that if a trial court “finds justice the interest of upon must do so the record before that a claim or action to which made.”); this section ruling applies court when such would be more properly heard in a forum Lawyer Beard v. outside Discipline, Comm’n for state, this the court 895, may 2009, decline exer 279 S.W.3d 902 (Tex.App.-Dallas jurisdiction.” cise See denied); pet. Methodist Hosps. Dallas Civ. Prac. & 71.051(a) added), Tall, (emphasis 898 (Tex.App. repealed by 2, 2003, Act of June 78th Leg., (“It -Corpus pet.) Christi no is axio R.S., ch. 3.09 Tex. Gen. Laws matic that an appellate court ac reviews 855. We had previously held that section tions of a trial court based on the materials 71.031 of the Civil Practice and Remedies before the trial court at the time it act Code afforded non-residents an absolute ed”).
right
try
cases such as the one filed
against Pirelli
in Texas courts. Dow
C. Abuse of Discretion
Alfaro,
674, 676,
Chem. Co. v.
and Section 74.351
(Tex.1990). Thus,
the issue before us
The Legislature
provided
has
in In re Pirelli was whether the trial court
statutes “unless the context in which the
abused its discretion by failing
phrase
or
appears necessarily
word
re
forum non conveniens motion to dismiss
quires a different construction or unless a
pursuant to
permission granted
in sec
different
expressly provid
construction is
71.051,
tion
despite section 71.031’s effec
...
‘[mjay1
ed
creates discre
tive mandate that the trial court exercise
tionary authority
grants permission
or
or a jurisdiction over the case. We held that
“
power”
imposes
duty.”
‘[s]hall’
the trial court abused its discretion. We
311.016.
parties
do explained
Tex. Gov’t
Code
purposes
of the forum
contend,
not
and the context
does
indi
non conveniens doctrine informed the
cate, that in section 74.351 either “shall” or guiding principles against which we meas
*17
“may” should be given
meanings
different
ured the trial court’s exercise of discretion.
than
prescribed by
those
section 311.016.
Pirelli,
In re
Similarly,
Ethyl Corp.,
in In re
975 See
Civ.
Tex.
(Tex.1998),
(stating
challenging
that a motion
the ade
the Court con
granted only
of Texas
of a
shall be
if
permissive language
quacy
sidered the
174(b),
court,
pro
appears
hearing,
Rule of
Procedure
which
“it
to the
after
Civil
objective
“in furtherance of
an
represent
vides that a trial court
does not
may or
prejudice
good
comply”
convenience or to avoid
faith effort to
with the statu
separate
tory
report requirements).
trial” of claims or issues.
In con
der
174(b).
trast,
The
refer
is not so focused.
It
See Tex.R. Evid.
Court
section 74.351
Berry,
may
no limitation on what the court
approval
places
enced with
Womack
(1956)
exercising
Just determined that the as Court 74.351(c). So, although Id. the deficient trial court’s discretion was not unlimited in content report’s is one factor Womack, a In re Pirelli and trial court’s determining court must consider in if it pursu- discretion should not be unlimited cure, grant will an extension to the court permissive “may” ant to the in section considering only should not be limited to 74.351(c) requires Section id.; the content of the See Wom court to exercise sound discretion under all ack, 683. case, the facts and circumstances of the provides guidance as to
including language purposes may what factors a trial court consider 74. Chapter Ethyl Corp., See determining when whether at 610. purpose extension to cure. Part of the requiring health care D. Factors for a Trial liability suits is to remove unwarranted Court to Consider delays litigation expense and the attendant argues that if a as Wooten such disposing involved in of non-meritorious Dr. Patman’s is the trial court Ctr., Inc., claims. See In re McAllen Med. should not be limited to the *18 (Tex.2008). 458, 467 Hard- deciding whether to an extension. serving and-fast deadlines for both and agree. objecting reports purpose to advance that challenges by accelerating disposition When a defendant the ade the of such quacy expert report, of an the trial court cases. See N. v. Hosp. Camp Intracare bell, 790, to 222 report (Tex.App.-Hous determine whether the is ade S.W.3d 797 2007, quate only upon based the contents of the ton pet.); no Mokkala v. [1st Dist.] Palacios, Mead, 66, report. See 46 at 178 (Tex.App.-Hous S.W.3d 878. S.W.3d 76 denied). Palacios, 2005, As we noted in the prior pet. ton From [14th Dist.] report Legislature’s establishing focused on the contents of the with the of a deadline regard serving report directing to the trial court’s determination of for a report objective whether the was an be the good suit shall dismissed unless deadline grants faith effort. Id. at 878. The current stat is met or the trial court an exten report’s deficiency,” ute also focuses on the contents. sion “in order to cure the
423 trial, appellate of an new court granting criteria for the could decline least three fully the See to review trial court’s on of time can be distilled. action extension 74.351(c)(em the example, motion. For if a trial court &Rem.Code Tex. Civ. Prac. added). denied an extension to a First, claimant whose report the deficient phasis timely-served report deficient, then report, as a albeit a qualify must timely the claimant filed a new motion for Second, report the deficient must one. trial or motion reconsider and served a statutorily- served within the have been the report, cured trial the ruling court’s on Third, time limit. the deficient specified motion be appeal. would reviewable on if be cured the extension during will R.R., (Tex. See In re S.W.3d granted. one is 2006) (“We review trial court’s denial most, many, if not the de instances a motion for new trial for abuse of discre of whether a will be termination tion.”); Simon v. York & Rigging Crane be a granted if extension is will cured Co., Inc., S.W.2d question. generally fact And a trial court that (concluding decision whether to by deny will not have abused its discretion for grant a motion new trial is addressed for an extension if there is ing motion discretion, to the court’s trial evidence on the matter. See conflicting will ruling ap court’s not be disturbed on Packer, 833, 839 Walker peal showing absent a of an abuse dis (Tex.1992) (“With respect to resolution cretion). And review would necessar to the factual or matters committed issues ily light Legislature’s be in purpose example, the trial court’s for to have non-meritorious promptly cases its reviewing may not substitute while disposed allowing meritorious court.”); for that of the judgment proceed. cases to (Tex. Huey, 571 Davis v. 1978) (noting that an abuse of discretion Application E. does not exist where the trial court bases re- Wooten served Dr. Patman’s evidence). So, on conflicting its decision was no port, but there evidence before discretionary court’s refusal trial court it ruled on the when motions ordinarily grant an will not be an extension prove Dr. Samlowski Wooten to abuse of discretion unless the record con if have been report would cured clusively shows that the would have had been granted. extension timely cured if an had been been Dr. motion to dismiss was Samlowski’s granted. 28, 2007, August heard on over three opinion import of Justice Medina’s he filed Dr. objection months after his thirty is that a cured served within As Patman’s relevant to this mat- can days after denial of an extension ter, before the trial the record court at determining be considered whether hearing consisted of Dr. Patman’s denying abused trial court its discretion in April April dated 2007 and served on *19 ac- the extension. Because a trial court’s 26, 2007, objection, Samlowski’s Dr. be- tions are reviewed based on what was objection. to the response Wooten’s Woo- ruled, I fore at the time it dis- the court asserted the suf- response ten’s was Tex., Univ. 344 S.W.2d at agree. requested See an extension time ficient and of 429; at County, 52 S.W.2d 55. if it Stephens to cure the was not. Yet there say that if such in Which is not a claimant was no the record about evidence record be proper as Wooten were make a whether the could or would for were Cer- granted. on a motion to reconsider or motion cured if an extension 424 court). Neither of those conclusively prove by ted
tainly, did not Wooten exist here because the trial court by offering situations that the would be cured The not commit error. substance supplemental report as a did evidence such today Dr. Pat- action is to endorse actually curing deficiency in Court’s Thus, judgment that appeals has not shown erroneous court of man’s she judgment. trial court abused its discretion reversed an errorless trial court effect, then, request grants her for an extension. in a new denying The Court though procedure trial even the rules of III. Remand such discretion adopted this Court vest 320, courts, in trial Tex.R. Civ. P. see majority a of the Court is though Even Tex.R.App. 44.1, P. appellate courts. See opinion that the trial court not of 61.1. abused its discretion or otherwise commit- case, the by dismissing ted error Wooten’s Second, faced with a litigant when a is re- nevertheless determines Court to dismiss because of some defect motion appropri- proceedings mand for further filings, nothing or there is pleadings in her for two disagree ate. with decision filing her a cor- procedurally new about reasons. case, or, in a corrected pleading rected this First, provide judgment our rules that a seeking relief from the trial report, before on the may appeal not be reversed on Brandal, v. court. Leland Cf. that a trial court committed an ground (Tex.2008) 204, (discussing supple- 205 (1) probably error of law unless that error response mental served in judg improper caused the rendition of an objections). any- defendants’ Nor is there (2) ment, probably prevented ap or thing litigant new about a whose case has pealing party properly presenting from seeking a new trial or mov- been dismissed appellate to the courts. See case trial court ing the to reconsider its dis- R.App. 44.1, 61.1; P. In re Columbia Med. affi- ruling filing post-dismissal missal L.P., Colinas, Subsidiary, 290 Ctr. Las presenting support davits or evidence (Tex.2009) (“[Ajppellate S.W.3d 211 See, e.g., his or her motion. Tex.R. Civ. P. urged courts are limited to issues 320, 329b. presented by parties and ... record today” by ... “procedure outlined specifically reversing judg are limited to new, Justice Medina is not see 332 S.W.3d only probably ments for errors that result 412; encompasses proce- well-known entry judgment or improper ed ambushed; Wooten was not dural devices. precluded party properly present from exactly knew Dr. she what Samlowski’s Co., ing appeal.”); its case on Pat Baker objection adequate opportuni- and had (Tex. Wilson, Inc. v. S.W.2d 1998) (“It ty alleged to show the trial court that the an appellate is axiomatic that in Dr. Patman’s was cura- defect judg a trial court cannot reverse court’s either file a error.”); ble—if it was. She failed to properly assigned ment absent Sears, supplemental report attempting to address Marquez, Roebuck & Co. (Tex.1982) objection present that it Dr. Samlowski’s or other (noting S.W.2d hearing. such evidence at the Nor did she power appellate is not within the of an error); by filing post-dismissal motion judgment court to reverse a absent seek relief trial, Lopez, Barnum v. 568 for reconsideration or motion for new *20 offering or (noting appellate serving supplemental report that an other evidence to demonstrate that Dr. may only reverse a case for error commit curable, request- Patman’s
ing ruling. a trial court sum, Wooten did not avail herself of procedural
standard avenues. She does present supports record revers-
ing the trial court’s judgment.
IV. Conclusion appeals’ judgment
The court of is erro-
neous because reverses an error-free judgment.
trial court I would reverse the
judgment of the court of appeals and af-
firm that court.
Sherry Lynn SMITH, Appellant, STATE Texas.
No. PD-0298-09. Appeals
Court of Criminal of Texas.
Feb. 2011.
