VARETTA WOODS, Plaintiff and Appellant, v. WILLIAM YOUNG et al., Defendants and Respondents.
No. S005969
Supreme Court of California
Apr. 4, 1991
53 Cal.3d 315
Robert Wasserwald and William J. Cleary, Jr., for Plaintiff and Appellant.
Ian Herzog, Leonard Sacks, Robert Steinberg, Bruce Broillet, Evan Marshall, Richard D. Aldrich, Harvey R. Levine, Douglas DeVries, Robert E. Cartwright, Guy Saperstein, Gary Gwilliam, Sanford Gage and Roland Wrinkle as Amici Curiae on behalf of Plaintiff and Appellant.
Kirtland & Packard, Harold J. Hunter, Jr., Donna P. McCray, Herzfeld & Rubin, Michael A. Zuk, Roy D. Goldstein, Seymour W. Croft, Shield & Smith, Richard B. Castle and Douglas Fee for Defendants and Respondents.
Hassard, Bonnington, Rogers & Huber, David E. Willett, Musick, Peeler & Garrett, James F. Ludlam, Charles E. Forbes, Horvitz, Levy & Amerian,
OPINION
KENNARD, J.—In 1975, the Legislature enacted the Medical Injury Compensation Reform Act (MICRA) in response to a health care crisis caused by a rapid increase in premiums for medical malpractice insurance. Among MICRA‘s many provisions is one that requires a plaintiff, before filing an action based on a health care provider‘s professional negligence, to give the defendant at least 90 days’ notice of intent to sue.
The issue in this case is whether the 90-day notice provision tolls or extends the 1-year statute of limitations for medical malpractice actions,1 and, if so, under what circumstances.
Two different views have developed in the Courts of Appeal that have addressed this issue. All of the decisions have concluded that the statute of limitations is tolled for 90 days regardless of when during the limitations period the plaintiff gives the requisite notice of intent to sue. Some, however, have held that when the notice is given in the last 90 days of the limitations period, the overall time for bringing the action is extended for a period ranging from 90 to 180 days.
We conclude that neither line of authority effectuates the legislative intent underlying MICRA‘s statutory scheme. We hold that the 1-year statute of limitations is tolled for 90 days when the plaintiff gives the notice of intent to sue in the last 90 days of the limitations period, but that the running of the statutory period is not otherwise affected by service of the notice. We further hold that considerations of fairness and public policy require prospective application of our decision.
I
In enacting MICRA in 1975, the Legislature “attempted to reduce the cost and increase the efficiency of medical malpractice litigation by revising a number of legal rules applicable to such litigation.” (American Bank & Trust Co. v. Community Hospital (1984) 36 Cal.3d 359, 363-364
Unless the giving of the 90-day notice tolls or extends the statute of limitations, sections 364(a) and 365 pose a dilemma for the plaintiff‘s attorney who serves the notice within the last 90 days of the 1-year limitations period. In that situation, the attorney must either comply with section 364(a)‘s proscription against commencing the action during that statute‘s 90-day waiting period, thereby forfeiting the client‘s cause of action, or the attorney must file the lawsuit during the statutory 90-day waiting period, thereby “triggering” section 365‘s provision of possible disciplinary action by the State Bar. In the absence of tolling or extension, a plaintiff‘s attorney wishing to protect the client‘s rights without risking disciplinary
The Legislature attempted to resolve this problem through
A literal application of section 364(d), however, leads to incongruous results, as this example shows: A plaintiff serves the 90-day notice of intent to sue required by section 364(a) 50 days before expiration of the 1-year statute of limitations. Because section 364(d) would in that case extend the 1-year limitations period by 90 days, calculated from the date of service of the 90-day notice, the plaintiff has 1 year and 40 days in which to file the action.
If our hypothetical plaintiff were to file suit on the last day of the extension, the plaintiff would violate the 90-day waiting requirement of section 364(a), which requires the plaintiff to give the defendant health care provider at least 90 days’ prior notice of intent to sue. If, however, the plaintiff were to file the action one day after the extended period, that is, one year and forty-one days after discovery of the injury, the action would be barred by the one-year statute of limitations because it was filed one day beyond the limitations period as extended.
Thus, when applied literally, section 364(d) accomplishes nothing. This is the problem that has confronted the Courts of Appeal in their efforts to resolve the dilemma that sections 364(a) and 365 present to a plaintiff‘s attorney who serves the 90-day notice of intent to sue in the last 90 days of the 1-year limitations period.
II
All of the Courts of Appeal that have attempted to resolve the difficulties presented by the MICRA provisions discussed above have resorted to the non-MICRA tolling provision of
In Gomez v. Valley View Sanitorium (1978) 87 Cal.App.3d 507 [151 Cal.Rptr. 97], the court, relying on
The Gomez court noted that section 364(d), which applies only when the requisite notice of intent to sue is given in the last 90 days of the limitations period, extends the limitations period for 90 days from the date of service of the notice. The court observed that section 364(a) “incongruously” prohibited the commencement of the action during the limitations period as extended by section 364(d). In the court‘s view, the statutory scheme would “self-destruct” were it not for the tolling provided by
Therefore, under Gomez v. Valley View Sanitorium, supra, 87 Cal.App.3d 507, the 90-day tolling resulting from the application of
But in Braham v. Sorenson (1981) 119 Cal.App.3d 367 [174 Cal.Rptr. 39], another Court of Appeal adopted a different view. In Braham, the court focused on the express language in section 364(d) providing that its 90-day extension must be measured from the date of service of section 364(a)‘s 90-day notice of intent to sue. The court concluded that this
The Braham court reasoned that section 364(d)‘s extension of 90 days was concurrent with, and consequently subsumed by, the 90-day tolling that results from applying
As we shall explain, the Courts of Appeal‘s application of
III
In construing statutes, we must determine and effectuate legislative intent. (People v. Woodhead (1987) 43 Cal.3d 1002, 1007 [239 Cal.Rptr. 656, 741 P.2d 154]; People ex rel. Younger v. Superior Court (1976) 16 Cal.3d 30, 40 [127 Cal.Rptr. 122, 544 P.2d 1322].) To ascertain intent, we look first to the words of the statutes. (Dyna-Med, Inc. v. Fair Employment & Housing Com. (1987) 43 Cal.3d 1379, 1386-1387 [241 Cal.Rptr. 67, 743 P.2d 1323]; People v. Woodhead, supra, at p. 1007.) “Words must be construed in context, and statutes must be harmonized, both internally and with each other, to the extent possible.” (California Mfrs. Assn. v. Public Utilities Com. (1979) 24 Cal.3d 836, 844 [157 Cal.Rptr. 676, 598 P.2d 836].) Interpretations that lead to absurd results or render words surplusage are to be avoided. (Ibid.)
To apply
The Gomez court‘s construction, under which the section 364(d) extension commences only after the
The Braham court‘s construction, on the other hand, is faithful to the language of section 364(d), but at the cost of rendering it substantively meaningless. Under the reasoning of Braham, the section 364(d) extension and the
The anomalies created by applying the tolling provision of
Our conclusion that
The conclusion that the tolling provision of
As we noted at the outset, in enacting MICRA the Legislature sought to “reduce the cost and increase the efficiency of medical malpractice litigation” by, among other things, changing the legal rules governing such litigation. (American Bank & Trust Co. v. Community Hospital, supra, 36 Cal.3d at pp. 363-364.) One such change was to impose, through section 364(a), a 90-day “waiting” period on the plaintiff in an effort to encourage negotiated resolution of the medical malpractice dispute outside the formal litigation process. (Grimm v. Thayer, supra, 188 Cal.App.3d at p. 871.)
That legislative purpose is best effectuated by construing section 364(d) as tolling the one-year statute of limitations when section 364(a)‘s ninety-day notice of intent to sue is served during, but not before, the last ninety days of the one-year limitations period. Because the statute of limitations is tolled for 90 days and not merely extended by 90 days from the date of service of the notice, this construction results in a period of 1 year and 90 days in which to file the lawsuit. In providing for a waiting period of at least 90 days before suit can be brought, this construction achieves the legislative objective of encouraging negotiated resolutions of disputes.
Moreover, this interpretation resolves the dilemma, discussed earlier, that sections 364(a) and 365 pose for a plaintiff‘s attorney who serves the 90-day notice of intent to sue required by section 364(a) in the last 90 days of the 1-
Furthermore, this construction of section 364 harmonizes the statutory provisions at issue. It maintains the legislative mandate, as expressed in section 364(a), that a medical malpractice plaintiff give the defendant at least 90 days’ notice of intent to sue before commencing an action. As explained earlier, by imposing this 90-day waiting period, the Legislature sought to encourage settlement outside the formal litigation process. Our construction also achieves section 364(d)‘s purpose of preserving the 90-day negotiation period by allowing additional time to bring the lawsuit when the plaintiff serves the 90-day notice in the last 90 days of the limitations period. It further gives effect to the provision in
We recognize that to grant additional time to a plaintiff who serves the notice of intent to sue required by section 364(a) in the last 90 days of the limitations period, but not to a plaintiff who more promptly gives such notice, appears to reward the dilatory plaintiff. But the Legislature drew this distinction when it enacted MICRA. Through section 364(d), the Legislature extended the statute of limitations “[i]f the notice is served within 90 days of the expiration of the applicable statute of limitations . . . .” Presumably the Legislature‘s reason for imposing this restriction was that plaintiffs who serve the notice before the final 90 days of the limitations period will still have time to file their actions after the 90-day waiting period is concluded, and so they do not need an extension. (See Mutual Life Ins. Co. v. City of Los Angeles (1990) 50 Cal.3d 402, 412 [267 Cal.Rptr. 589, 787 P.2d 996].) In matters of statutory construction, we may not ignore restrictions the Legislature has inserted. (
The distinction between a plaintiff who promptly gives notice and one who gives notice in the last 90 days of the limitations period does serve the legislative objective of allowing time for negotiations without the formal initiation of legal proceedings. Tolling the limitations period when the plaintiff serves the notice during the last 90 days of that limitations period allows MICRA plaintiffs to continue negotiating with the defendants for the full 90-day waiting period contemplated by MICRA before their actions must be filed to avoid the bar of limitations. At the same time, this construction of section 364(d), which restricts relief to plaintiffs who serve the notice of intent to sue during the last 90 days of the limitations period, avoids judicially converting the legislatively established 1-year statute of limitations (
Invoking the constitutional guarantee of equal protection, plaintiff argues that the statutory scheme improperly favors those plaintiffs who serve the section 364(a) notice of intent during the last 90 days of the 1-year limitations period. These plaintiffs are favored, according to this argument, because they alone are granted extensions of the one-year limitations period. This distinction, plaintiff maintains, violates equal protection because it lacks a rational relationship to the legislative objective. We disagree.
The timing of the notice determines in which group the plaintiff falls. Because the plaintiff controls the timing of the notice, it is the plaintiff who selects the group or classification. Under the one-year statute of limitations, a cause of action accrues on discovery. (
Also without merit is plaintiff‘s assertion that the legislative classifications are not rationally related to the legislative objective. The “rational basis” standard, rather than the “compelling state interest” test, applies to legislative classifications among personal injury plaintiffs. (Young v. Haines, supra, 41 Cal.3d at p. 899; American Bank & Trust Co. v. Community Hospital, supra, 36 Cal.3d at p. 373, fn. 12.) As noted earlier, the Legislature sought to decrease the number of medical malpractice actions filed by providing for a period of negotiation before commencement of the
For the reasons given above, we hold that when a plaintiff gives the 90-day notice of intent to sue required by section 364(a) in the last 90 days of the 1-year statute of limitations that statute is tolled for 90 days.4
IV
In this case, plaintiff Varetta Woods was admitted to defendant Brotman Medical Center (Brotman) on May 10, 1983. Defendants Hiawatha Harris, M.D., and Alvin T. Trotter, M.D., agents and employees of Brotman, diagnosed plaintiff as suffering from schizophrenia, and provided treatment.
On June 29, 1983, plaintiff was transferred from Brotman to County-USC Medical Center (County-USC), where she was told she was suffering from encephalitis rather than schizophrenia. On July 21, 1983, plaintiff authorized Brotman to release her medical records to an attorney. After her discharge from County-USC on July 25, 1983, plaintiff changed attorneys.
In response to interrogatories, plaintiff stated that she learned of the alleged misdiagnosis upon admission to County-USC on June 6, 1983. Thus, that would have been the date on which plaintiff discovered her injury and the statute of limitations would have commenced running. (
In compliance with the 90-day notice requirement of section 364(a), plaintiff‘s new attorneys notified defendants on February 17, 1984, of her intent to file a malpractice action against them. The complaint was filed on August 16, 1984, one-year and three weeks after plaintiff‘s discovery of the injury.5 It alleged medical malpractice based on negligent examination, diagnosis, and treatment. Each defendant answered, and alleged as an affirmative defense that the complaint was barred by the one-year statute of limitations.
Defendants moved for summary judgment on the ground that the filing of the complaint was untimely because it occurred after expiration of the statute of limitations. (
Plaintiff appealed, and obtained a reversal. The Court of Appeal held that the statute of limitations was tolled by the giving of the notice of intent to sue, regardless of when during the limitations period the notice was given. Although the court noted that the application of
V
If the construction of the relevant statutes that we have adopted were applied retroactively to the facts of this case, plaintiff‘s action would be barred by the statute of limitations. Because she served the notice of intent to sue before the last 90 days of the limitations period, plaintiff would not be entitled to the benefit of the tolling provided by section 364(d). Her complaint, filed one year and three weeks after discovery of her cause of action, would be untimely.
Reliance by litigants on the former rule and the unforeseeability of change support prospective application of the rule adopted here. As we have observed, the issue presented in this case has been addressed in seven published Court of Appeal decisions. Although the Courts of Appeal were divided on the interpretation and application of section 364(d), all seven opinions concluded that the one-year limitations period was tolled during section 364(a)‘s ninety-day waiting period regardless of when during the limitations period the notice of intent to sue was served. This unanimous conclusion established a settled rule upon which plaintiff could reasonably rely in determining when to file her action.
Limiting the retroactivity of our decision is also indicated by the nature of the change effected by the new rule. The change is procedural, affecting only the calculation of the limitations period. Prospective application will not remove any substantive defense to which defendants would otherwise be entitled. Retroactive application of the change, on the other hand, would bar plaintiffs’ actions regardless of their merits. Retroactive application of an unforeseeable procedural change is disfavored when such application would deprive a litigant of “any remedy whatsoever.” (Chevron Oil Co. v. Huson (1971) 404 U.S. 97, 108 [30 L.Ed.2d 296, 306, 92 S.Ct. 349]; Newman v. Emerson Radio Corp., supra, 48 Cal.3d at pp. 990-991.)
Concern for the administration of justice further supports prospective application. Medical malpractice is one of the more common tort
The purposes of the new rule announced in this decision are to harmonize statutory provisions and to resolve a division of authority in the Courts of Appeal. These important objectives are not compromised by prospective application of the new rule.
Consideration of the relevant factors leads us to conclude that our primary holding in this case should be given only prospective application. Accordingly, this opinion‘s holding—that serving the notice of intent to sue tolls the one-year limitations period only when the notice is served during the last ninety days of the one-year period—shall apply only to complaints filed more than ninety days after this decision becomes final (see Cal. Rules of Court, rule 24(a)).7 All complaints filed no later than 90 days after the decision becomes final shall have the benefit of a 90-day tolling if a notice of intent to sue was served at any time during the 1-year limitations period.
The judgment of the Court of Appeal is affirmed. Defendants are awarded their costs on appeal.
Lucas, C. J., Panelli, J., Arabian, J., Baxter, J., and Kremer (Daniel J.), J.,* concurred.
MOSK, J.—I write a separate concurrence to emphasize some of the anomalies in the statutory scheme governing the time limitations applicable to actions for malpractice.
I concur reluctantly in the majority‘s holding that the 90-day tolling of the statute of limitations applies only to those who file the notice required by subdivision (a) of
Nevertheless, I can see no way to avoid the majority‘s holding in view of the statutory language. Sections 364(a) and 365, construed together, appear to prevent application of the tolling provision of
In view of the provisions of
Another aspect of the majority opinion that troubles me is their departure from the language of
Nevertheless, there seems to be no other way out of the dilemma posed by the language of
BAXTER, J.—I concur in the judgment. I think it necessary, however, to point out that defendant Trotter failed to petition for review of the Court of Appeal decision or to join in the petition for review filed by defendant Harris. Rule 28(b) of the California Rules of Court clearly provides that, “A party seeking review must serve and file a petition . . . .” (Italics added.) Defendant Trotter‘s failure to do so raises the question of whether he is properly before this court. As a practical matter, we need not decide that question in light of our affirmance of the Court of Appeal decision against defendant Trotter. I believe a word of caution, however, is advisable. In future cases, each party who seeks our review should comply with rule 28(b) either by filing a petition for review or by filing an express written joinder in another party‘s petition.
KENNARD, J.
SUPREME COURT JUSTICE
