YOLANDA VEGA, Appellant, v. JORDAN VALLEY MEDICAL CENTER, LP, Appellees.
No. 20170866
SUPREME COURT OF THE STATE OF UTAH
July 19, 2019
2019 UT
JUSTICE HIMONAS authored the opinion of the Court in which CHIEF JUSTICE DURRANT, ASSOCIATE CHIEF JUSTICE LEE, JUSTICE PEARCE, and JUSTICE PETERSEN joined.
On Direct Appeal. Third District, Salt Lake. The Honorable Katie Bernards-Goodman. No. 170900581.
This opinion is subject to revision before final publication in the Pacific Reporter
Attorneys:
Troy L. Booher, Beth E. Kennedy, Michael J. Teter, G. Eric Nielson, Mark W. Dahl, Lena Daggs, Salt Lake City, for appellant
Rodney R. Parker, Derek J. Williams, Nathanael J. Mitchell, Brian P. Miller, Frederick Mark Gedicks, Shawn McGarry, Kirk G. Gibbs, David C. Epperson, Salt Lake City, for appellees
JUSTICE HIMONAS, opinion of the Court:
INTRODUCTION
¶1 For reasons still unknown, Gustavo Vega, an otherwise healthy forty-four-year-old male, went in for a routine gallbladder operation and came out in a coma. He died a week later. His wife, Yolanda Vega, brought a medical malpractice action against Jordan Valley Medical Center and all related medical providers who were involved in Mr. Vega‘s care. The district court dismissed Ms. Vega‘s action pursuant to section
BACKGROUND
¶2 In 2014, Gustavo Vega underwent a routine procedure to have his gallbladder removed.3 But after the
¶3 By way of background, the Malpractice Act requires plaintiffs to obtain a certificate of compliance from DOPL before filing their case in district court.
¶4 Pursuant to the Malpractice Act, Ms. Vega filed her notice of intent to commence this action. Id.
¶5 If the panel decides that a plaintiff‘s claim lacks merit, the Malpractice Act permits the plaintiff to nonetheless compel DOPL to issue a certificate of compliance by obtaining an affidavit of merit from a health care provider. Id.
(i) in the health care provider‘s opinion, there are reasonable grounds to believe that the applicable standard of care was breached;
(ii) in the health care provider‘s opinion, the breach was a proximate cause of the injury claimed in the notice of intent to commence action; and
(iii) the reasons for the health care provider‘s opinion.
See id.
¶6 Ms. Vega attempted to obtain a certificate of compliance through DOPL‘s prelitigation panel. But the panel determined that Ms. Vega‘s claim lacked merit.
¶7 Having received a finding of no merit from the prelitigation panel, Ms. Vega‘s only other option to obtain a certificate of compliance was through an affidavit of merit. See id. Ms. Vega retained Dr. Myer Rosenthal, a doctor at the Stanford University School of Medicine, to provide the necessary affidavit. Dr. Rosenthal was able to certify that he believed there were reasonable grounds to believe there was a breach in the standard of care that proximately caused the death of Mr. Vega, but he could not provide the details and reasoning for his opinion based on the medical record. Dr. Rosenthal stated that he “cannot specifically comment on the actions of the Respondents that constitute breaches in the standard of care due to the inadequacy of the medical records provided to [Ms. Vega]” and that “[t]he circumstances surrounding Mr. Vega‘s injury are highly suspect.” DOPL determined that Ms. Vega‘s affidavit was inadequate and asked Ms. Vega to file an amended affidavit. Because Ms. Vega did not provide an amended affidavit, and so did not comply with DOPL‘s requirements, Ms. Vega did not obtain a certificate of compliance.
¶8 Ms. Vega filed suit against appellees four months later without the certificate of compliance. Appellees filed a motion to dismiss with prejudice citing Utah Code section
¶9 Ms. Vega appealed to this court, preserving her claims that the Malpractice Act violates the separation of powers provisions, the wrongful death provision, the due process clause, the open courts provision, and the uniform operation of laws provision of the Utah Constitution.
¶10 We exercise jurisdiction under Utah Code section
STANDARD OF REVIEW
¶11 We review constitutional and statutory interpretation issues for correctness, granting no deference to the district court. Schroeder v. Utah Attorney Gen.‘s Office, 2015 UT 77, ¶ 16, 358 P.3d 1075.
ANALYSIS
¶12 Ms. Vega‘s facial challenge to the Malpractice Act raises several important issues of constitutional law. We presume that legislative enactments are constitutional and where possible will construe them as complying with our state and federal constitutions. See State v. Drej, 2010 UT 35, ¶ 9, 233 P.3d 476. The presumption of constitutionality also means that we will seek to resolve doubts about a statute‘s validity in favor of constitutionality, and will not declare a legislative enactment invalid unless it clearly violates a constitutional provision. See, e.g., State v. Angilau, 2011 UT 3, ¶ 7, 245 P.3d 745; Merrill v. Utah Labor Comm‘n, 2009 UT 26, ¶ 5, 223 P.3d 1089; In re Estate of S.T.T., 2006 UT 46, ¶ 26, 144 P.3d 1083; Jones v. Utah Bd. of Pardons & Parole, 2004 UT 53, ¶ 10, 94 P.3d 283. Moreover, in a facial challenge to a statute, like Ms. Vega‘s, we will only overturn the will of the legislature when “the statute is so constitutionally flawed that no set of circumstances exists under which the [statute] would be valid.” Gillmor v. Summit Cty., 2010 UT 69, ¶ 27, 246 P.3d 102 (alteration in original) (citation omitted) (internal quotation marks omitted).
¶13 Ultimately, we conclude that Utah Code section
I. OUR SEPARATION OF POWERS AND CORE JUDICIAL FUNCTIONS JURISPRUDENCE
¶14 Ms. Vega‘s challenge to the statutory regime implicates two related, but distinct, constitutional provisions: the separation of powers ensconced in Article V and the judicial power vested in Article VIII. Article V, section 1 of the Utah Constitution states:
The powers of the government of the State of Utah shall be divided into three distinct departments, the Legislative, the Executive, and the Judicial; and no person charged with the exercise of powers properly belonging to one of these departments, shall exercise any functions appertaining to either of the others, except in the cases herein expressly directed or permitted.
¶15 While Article V regulates and guides the apportionment of authority and function between the branches of government, the core judicial power vested in the courts by Article VIII is always retained by the judiciary—regardless of whether the party attempting to exercise a core judicial function belongs to another branch of the government.6 In interpreting Article VIII we have said
that the “explicit vesting of jurisdiction in the various courts of the state is an implicit prohibition against any attempt to vest such jurisdiction elsewhere.” Salt Lake City v. Ohms, 881 P.2d 844, 849 (Utah 1994). Additionally, the “[c]ore functions or powers of the various branches of government are clearly nondelegable under the Utah Constitution.” Id. at 848. Notably, the core judicial function of courts includes “the power to hear and determine controversies between adverse parties and questions in litigation.” Timpanogos Planning & Water Mgmt. Agency v. Cent. Utah Water Conservancy Dist., 690 P.2d 562, 569 (Utah 1984) (internal quotation marks omitted). However, “[c]ore judicial functions do not include functions that are generally designed to assist courts, such as conducting fact finding hearings, holding pretrial conferences, and making recommendations to judges.” State v. Thomas, 961 P.2d 299, 302 (Utah 1998) (internal quotation marks omitted). The notable distinction—between assistance and authority—implicates the ultimate power to dispose of a claim or cause of action. We have clearly stated that it is unconstitutional for anyone but “duly appointed judges” subject to “constitutional checks and balances” to adjudicate cases and enter final judgments. See Ohms, 881 P.2d at 851, 855. Because we find that the Malpractice Act violates Article VIII‘s grant of the judicial power, we need not examine Ms. Vega‘s Article V arguments.
II. DOPL EXERCISES CORE JUDICIAL FUNCTIONS UNDER THE UTAH MEDICAL MALPRACTICE ACT IN VIOLATION OF ARTICLE VIII SECTION 1 OF THE UTAH CONSTITUTION
¶16 There is a clear line between permissible statutory prescriptions for pretrial conferencing or litigation assistance, and full-on encroachments of the judicial power. The legislature can establish pretrial panels, commissioners, and all kinds of assistance for a judicial determination without running afoul of Article VIII. However, the 2010 enactments and amendments to the Malpractice Act, which require dismissal of an action absent a certificate of compliance from DOPL, exceed any offer of mere assistance to the courts and instead ultimately represent an exercise of core judicial functions.
¶17 Again, when reviewing the construction of statutes, “[t]he general rule is that statutes, where possible, are to be construed so as to sustain their constitutionality.” Gallivan v. Walker, 2002 UT 89, ¶ 87, 54 P.3d 1069 (citation omitted) (internal quotation
¶18 As discussed above, section 418 of the Malpractice Act mandates that plaintiffs participate in a prelitigation panel after filing their notice of intent. After a would-be plaintiff has compiled their case and brought it before the panel, the panel “render[s] its opinion in writing ... and determine[s] on the basis of the evidence whether each claim against each health care provider has merit or has no merit.”
illustrated this constitutional problem with the offending sections of the Malpractice Act.
¶19 As discussed, section
understood to be the power to hear and determine controversies between adverse parties and questions in litigation.” Id. at 849 (internal quotation marks omitted). It is the power to make that final determination that the Malpractice Act vests unassailably in DOPL. The panel heard Ms. Vega‘s case and made a determination. And it did so—by design—in complete isolation from the courts, the proper wellspring of the judicial power.9 Without judicial review of the panel opinion—or the ability to file in court regardless of the panel‘s determination—the panel has exercised the judicial power in violation of Article VIII, section 1.
¶21 As previously stated, section 423 explains the requirements for a claimant seeking to file an affidavit of merit with DOPL. But what if, as it did here, DOPL finds such an affidavit insufficient? Under Utah Code section
inadequate reveals a monumental discretionary grant to DOPL; the rejection of Dr. Rosenthal‘s affidavit was an exercise of a core judicial function by DOPL.
¶22 To be clear, we do not intend to nitpick whether this decision was right or wrong. That is not the problem. Rather we simply highlight the obvious truth: it was a decision to find Dr. Rosenthal‘s statement regarding the reasons for his opinion to be inadequate. Dr. Rosenthal stated that he could not “specifically comment on the actions of the Respondents that constitute breaches in the standard of care due to the inadequacy of the medical records.” It is unclear why DOPL determined that this is not an adequate reason, or merely a reason, for his opinion and therefore not a satisfactory answer to subsection
¶24 Because the Malpractice Act remains operable without section
As we noted above, in severing the offending portions of a statutory enactment we ask “whether the remaining portions of the act can stand alone and serve a legitimate legislative purpose.” Berry ex rel. Berry v. Beech Aircraft Corp., 717 P.2d 670, 686 (Utah 1985). Once section
CONCLUSION
¶25 Article VIII, section 1 of the Utah Constitution vests the judicial power of the state in the Supreme Court “and in such other courts as the Legislature by statute may establish.” The 2010 amendments to the Malpractice Act empower DOPL to hear and dispose of medical malpractice claims on a final non-appealable basis in violation of Article VIII. We therefore hold that Utah Code section
