Monica Belinda ZEIER, Plaintiff/Appellant, v. ZIMMER, INC. and Theron S. Nichols, M.D., Defendants/Appellees.
No. 102,472.
Supreme Court of Oklahoma.
Dec. 19, 2006.
Rehearing Denied Feb. 20, 2007.
2006 OK 98 | 152 P.3d 861
Jeffrey A. Glendening, James A. Higgins, John D. Bogatko, The Glendening Law Firm, P.L.L.C., Tulsa, OK, for Defendant/Appellee, Theron S. Nichols, M.D.
Harvey D. Ellis, Crowe & Dunlevy, Oklahoma City, OK, for amicus curiae, Oklahoma State Medical Association.
WATT, C.J.
¶ 1 A single dispositive issue is presented on appeal: whether the affidavit of merit1 requirement of
FACTS
¶ 2 On August 9, 2004, the defendant/appellee, Theron S. Nichols (Nichols/physician/doctor), performed knee replacement surgery on the plaintiff/appellant, Monica Belinda Zeier (Zeier/patient), implanting a device manufactured by Zimmer, Inc. (Zimmer/manufacturer). Zeier filed suit against the physician and the manufacturer on May 5, 2005, alleging negligence, manufacturer‘s products liability and breach of warranty. The petition provided that: 1) the wrong knee replacement parts were utilized during surgery, 2) the device was defective in design; and 3) the instrument was in the exclusive control of Nichols and Zimmer at all relevant times.
¶ 3 The patient neither attached an affidavit of medical negligence, as required
¶ 4 The trial court entered a final order of dismissal without prejudice to refiling on August 2, 2005. On August 25, 2005, Zeier filed her petition in error and motion to retain. The motion was granted on September 26, 2005. On October 25, 2005, the parties were ordered to file briefs. The order setting the briefing schedule also notified the Attorney General of the filing of the appeal attacking the constitutionality of a state statute. The order informed the Attorney General9 and any interested amici curiae10 that, if briefs were filed in the cause, they would be held to the same briefing schedule as the parties. The Attorney General declined briefing of the issues. The parties and the amicus curiae, Oklahoma State Medical Association (Association), filed their briefs-in-chief on November 14 and 15, 2005. The briefing cycle was completed on December 5, 2005, with the filing of the physician‘s reply.
DISCUSSION
¶ 5 a. Title
¶ 6 Zeier contends that
¶ 7
“The Legislature shall not except as otherwise provided in this Constitution, pass any local or special law authorizing:
... Regulating the practice or jurisdiction of, or changing the rules of evidence in judicial proceedings or inquiry before the courts ...” [Emphasis provided.]
¶ 8 Title
¶ 9 Both the doctor and the amicus curiae rely on McCarroll v. Doctors General Hosp., 1983 OK 54, 664 P.2d 382, for the proposition that a statute covering all health care providers is a general rather than a special law. McCarroll considered a portion of a statute which provided a two-year statute of limitations14 covering actions for damages arising from medical treatment. The McCarroll Court determined, because the limitations provision treated all health care providers equally, the Legislature had authority to group the providers into a class for special treatment. It held that the classification of health care providers for purposes of legislatively limiting the time within which an action against them could be brought was not such an arbitrary exercise of legislative discretion or lacking in a showing of good cause
¶ 10 We considered the balance of the same statute, not originally addressed in McCarroll, five years later in Reynolds v. Porter, 1988 OK 88, 760 P.2d 816. The issue in Reynolds involved the attempt by the Legislature, in the same statutory provision considered by the McCarroll Court, to carve out of a single common-law class a subclass of actionable medical malpractice claims which could not be discovered with reasonable diligence until after three years. Essentially, by passing
¶ 11 The Reynolds Court attempted to eliminate the confusion between a constitutional attack brought under
“Under § 46 our constitutional review of a statute stops with the first prong: Is the statute a special or general law? If the statute is special, § 46 absolutely and unequivocally prohibits its passage by the legislature.... In other words, in § 46 our constitutional fathers isolated and set aside for protection against legislative tampering subjects to which general law must always be tailored.... In a § 46 attack, the only issue to be resolved is whether a statute upon a subject enumerated in that section targets for different treatment less than an entire class of similarly situated persons or things.” [Citations omitted. Emphasis in original.]
The § 46 subject dealt with here is regulation of the practice or jurisdiction and changing the rules of evidence before the courts. Identical to the situation in Reynolds, the common law class implicated by
¶ 12 Here, we begin our review of
¶ 13 The terms of
¶ 14 The affidavit of merit requirement immediately divides tort victims alleging negligence into two classes—those who pursue a cause of action in negligence generally and those who name medical professionals as defendants. In 1984, Oklahoma became a notice pleading state with the adoption of the Oklahoma Pleading Code.27 The pleading code does not require negligence claimants generally to have an affidavit supporting the facts alleged and the anticipated basis for the right of recovery to be filed along with the petition.28 Plaintiffs alleging anything other than medical negligence need only file a petition giving fair notice of the plaintiff‘s claim and the grounds upon which it rests.29 These claimants have no affidavit requirement and may commence a cause of action with the filing of a petition,30 while those alleging medical malpractice must obtain a professional opinion that their cause is meritorious as a prerequisite to pursuing suit or be subject to dismissal.
¶ 15 Not only does
¶ 16 The nature of a res ipsa loquitur claim often negates the necessity of expert testimo-
¶ 17 A statute is a “special law” where a part of an entire class of similarly affected persons is separated for different treatment.35 Just as the discovery rule considered in Reynolds suffered from underinclusiveness,36 so does
¶ 18 By mandating uniformity of procedure, the terms of
¶ 19 b. Title
¶ 20 The physician and the Association assert that the affidavit requirement of
¶ 21 The Oklahoma Legislature implemented the Affordable Access to Health Care Act (Health Care Act),
¶ 22 Another unanticipated result of statutes similar to Oklahoma‘s scheme has been the creation of a windfall for insurance companies who benefit from the decreased number of causes they must defend but which are not required to implement post-tort reform rates decreasing the cost of medical malprac-
¶ 23 Courts are divided on which claims against a doctor, a hospital, or a similar health care provider will be subject to the statutes.52 Where jurisdictions have determined that affidavit of merit statutes are constitutional,53 courts have had to deter-
perience;61 whether the statute presents a procedural versus a substantive element of the claim;62 whether the amendment of a complaint will extend the required time period for filing a certificate of merit;63 whether an individual submitting an insufficient affidavit of merit must be given the opportunity to amend;64 whether the failure to file an affidavit complying with statutory requirements excuses a defendant from filing a response;65 whether affidavits of merit may be required in causes based on the doctrine of res ipsa loquitur;66 whether the affidavit constitutes a good faith effort to comply with statutory requirements;67 whether multiple affidavits will be considered together to meet the certificate of merit requirement;68
¶ 24 This Court has not been immune to such related litigation. In Gaines v. Comanche County Medical Hosp., 2006 OK 39, 143 P.3d 203, we were required to determine whether a registered nurse was qualified to give expert testimony as to practices of nurses and the standard of care applicable to the prevention, cause, and treatment of bedsores. We aligned ourselves in Gaines with the determinations of all other jurisdictions considering the issue holding that the registered nurse‘s expertise made her qualified to give such expert testimony and to express her opinion.
¶ 25 The
“The courts of justice of the State shall be open to every person, and speedy and certain remedy afforded for every wrong and for every injury to person, property, or reputation; and right and justice shall be administered without sale, denial, delay, or prejudice.” [Emphasis provided.]
The clear language of
¶ 26 Access to courts must be available to all through simple and direct means and the right must be administered in favor of justice rather than being bound by technicalities.80 Claimants may not have the fundamental right of court access withheld
¶ 27 Our determination relating to court access is supported by our recent decision in Barzellone v. Presley, 2005 OK 86, ¶ 39, 126 P.3d 588 holding that the Legislature‘s imposition of a $349.00 jury fee did not violate the
¶ 28 Here, the Legislature has not imposed a set fee for a professional‘s opinion to support the affidavit of merit. Nevertheless, the statute necessarily conditions the medical malpractice plaintiff‘s right to judicial review on the ability to acquire an expert‘s opinion at a cost of between $500.00 and $5,000.0090—well above the borderline fee of $349.00 examined in Barzellone.
CONCLUSION
¶ 29 A general law encompasses all of a class. A special law is one that rests on a false or deficient classification. It creates preference and establishes inequity.91
¶ 30 Only plaintiffs alleging medical malpractice are subject to the statutory requirement of providing an affidavit of merit upon the filing of a cause. When a remedy is afforded by general law, it may not be granted to some and capriciously or arbitrarily denied to others.94 The impact of the affidavit requirement on those, like the patient here, is invidious. Zeier‘s cause was dismissed and her access to the trial court‘s portals denied for failure to obtain a medical expert‘s opinion which will be inadmissible as evidence at trial, useless as an evidentiary tool and which she may not need to prove her cause pled under the auspices of res ipsa loquitur. Title
¶ 31 This Court does not correct the Legislature, nor do we take upon ourselves the responsibility of legislating by judicial fiat. However, we are compelled to apply Oklahoma‘s Constitution.97 It has long been the policy of the Oklahoma Constitution, the statutes and this Court to open the doors of justice to every person without distinction or discrimination for redress of wrongs and reparation for injuries.98 Although
¶ 32 Treating medical malpractice plaintiffs with rules inapplicable to all other negligence claimants interjects a degree of arbitrariness which sabotages equal access to the courts.100 Section 1-1708.1E creates the potential for a medical expert to usurp the functions of the judiciary and the trier of fact. The requirement that a medical malpractice claimant obtain a professional‘s opinion that the cause is meritorious at a cost of between $500.00 and $5,000.00101 creates an unconstitutional monetary barrier to the access to courts guaranteed by
WATT, C.J., WINCHESTER, V.C.J., HARGRAVE, EDMONDSON, COLBERT, JJ. concur.
OPALA, J. concurs in judgment.
KAUGER, J. concurs in result.
TAYLOR, J., concurring in result:
¶ 1 I agree that
¶ 2 However, I do not join further in the majority opinion. Accordingly, I concur in result.
LAVENDER, J. dissents.
Notes
“A. 1. In any medical liability action, except as provided in subsection B of this section, the plaintiff shall attach to the petition an affidavit attesting that:
a. the plaintiff has consulted and reviewed the facts of the claim with a qualified expert,
b. the plaintiff has obtained a written opinion from a qualified expert that clearly identifies the plaintiff and includes the expert‘s determination that, based upon a review of the available medical records, facts or other relevant material, a reasonable interpretation of the facts supports a finding that the acts or omissions of the health care provider against whom the action is brought constituted professional negligence, and
c. on the basis of the qualified expert‘s review and consideration, the plaintiff has concluded that the claim is meritorious and based on good cause.
2. If a medical liability action is filed:
a. without an affidavit being attached to the petition, as required in paragraph 1 of the subsection, and
b. no extension of time is subsequently granted by the court, pursuant to subsection B of this section, the court shall, upon motion of the defendant, dismiss the action without prejudice to its refiling.
3. The written opinion from the qualified expert shall state the acts or omissions of the defendant(s) that the expert then believes constituted professional negligence and shall include reasons explaining why the acts or omissions constituted professional negligence. The written opinion from the qualified expert shall not be admissible at trial for any purpose nor shall any inquiry be permitted with regard to the written opinion for any purpose either in discovery or at trial.
B. 1. The court may, upon application of the plaintiff for good cause shown, grant the plaintiff an extension of time, not exceeding ninety (90) days after the date the petition is filed, except for good cause shown, to file in the action an affidavit attesting that the plaintiff has obtained a written opinion from a qualified expert as described in paragraph 1 of subsection A of this section.
2. If on the expiration of an extension period described in paragraph 1 of this subsection, the plaintiff has failed to file in the action an affidavit as described above, the court shall, upon motion of the defendant, unless good cause is shown for such failure, dismiss the action without prejudice to its refiling.
C. 1. Upon written request of any defendant in a medical liability action, the plaintiff shall, within ten (10) business days after receipt of such request, provide the defendant with:
a. a copy of the written opinion of a qualified expert mentioned in an affidavit filed pursuant to subsection A or B of this section, and
b. an authorization from the plaintiff in a form that complies with applicable state and federal laws, including the Health Insurance Portability and Accountability Act of 1996, for the release of any and all medical records related to the plaintiff for a period commencing five (5) years prior to the incident that is at issue in the medical liability action.
2. If the plaintiff fails to comply with paragraph 1 of this subsection, the court shall, upon motion of the defendant, unless good cause is shown for such failure, dismiss the action without prejudice to its refiling.”
“The Legislature shall not, except as otherwise provided in this Constitution, pass any local or special law authorizing:
... Regulating the practice or jurisdiction of, or changing the rules of evidence in judicial proceedings or inquiry before the courts ...”
“The courts of justice of the State shall be open to every person, and speedy and certain remedy afforded for every wrong and for every injury to person, property, or reputation; and right and justice shall be administered without sale, denial, delay, or prejudice.”
“In any action arising from negligence in the rendering of medical care, a presumption of negligence shall arise if the following foundation facts are first established:
1. The plaintiff sustained any injury;
2. Said injury was proximately caused by an instrumentality solely within the control of the defendant or defendants;
3. Such injury does not ordinarily occur under the circumstances absent negligence on the part of the defendant.
If any such fact, in the discretion of the court, requires a degree of knowledge or skill not possessed by the average person, then in that event such fact must be established by expert testimony.”
Res ipsa loquitur is a Latin phrase meaning “the thing speaks for itself” and has been recognized as applicable in the medical negligence setting. Harder v. F.C. Clinton, Inc., 1997 OK 137, ¶ 8, 948 P.2d 298, as corrected (1998) [Res ipsa loquitur applicable in suit by administrator of estate of nursing home resident against nursing home.]; Jackson v. Oklahoma Memorial Hosp., 1995 OK 112, ¶ 9, 909 P.2d 765, rehearing denied (1996) [Res ipsa loquitur applicable against attending and supervising faculty physicians.]; Qualls v. United States Elevator Corp., 1993 OK 135, ¶ 7, 863 P.2d 457 [Maintenance company and hospital owning elevator could be sued under res ipsa loquitur.]; Middlebrook v. Imler, Tenny & Kugler, M.D.‘s, Inc., 1985 OK 66, ¶ 7, 713 P.2d 572.
“Laws of a general nature shall have a uniform operation throughout the State, and where a general law can be made applicable, no special law shall be enacted.”
“... nor shall any state ... deny to any person within its jurisdiction the equal protection of the laws....”
The
“No person shall be deprived of life, liberty, or property, without due process of law.”
Both provisions contain an anti-discrimination component that affords protection against unreasonable or unreasoned classifications serving no important governmental objective. Davis v. Passman, 442 U.S. 228, 99 S.Ct. 2264, 2271, 2276, 60 L.Ed.2d 846 (1979). The capriciousness of the barrier created by
“An action for damages for injury or death against any physician, health care provider or hospital licensed under the laws of this state, whether based in tort, breach of contract or otherwise, arising out of patient care, shall be brought within two (2) years of the date the plaintiff knew or should have known, through the exercise of reasonable diligence, of the existence of the death, injury or condition complained of; provided any action brought more than three (3) years from the date of the injury shall be limited to actual medical and surgical expenses incurred or to be incurred as a direct result of said injury, provided, however, the minority or incompetency when the cause of action arises will extend said period of limitation.”
“A. CLAIMS FOR RELIEF. A pleading which sets forth a claim for relief, whether an original claim, counterclaim, cross-claim or third-party claim, shall contain:
1. A short and plain statement of the claim showing that the pleader is entitled to relief
...”
Estate of Hicks, 2004 OK 36, ¶ 15, 92 P.3d 88; Finnell v. Seismic, 2003 OK 35, ¶ 12, 67 P.3d 339.
“A civil action is commenced by filing a petition with the court.”
Finnell v. Seismic, see note 29, supra; Ross v. Kelsey Hayes, Inc., 1991 OK 83, ¶ 6, 825 P.2d 1273.
“... B. PURPOSE. It is the purpose of the Affordable Access to Health Care Act to implement reasonable, comprehensive, and effective medical liability reforms designed to:
1. Improve the availability of health care services;
2. Lower the cost of medical liability insurance;
3. Ensure that persons with meritorious health care injury claims receive fair and adequate compensation; and
4. Improve the fairness and cost-effectiveness of this state‘s current medical liability system to resolve disputes over, and provide compensation for, medical liability.”
The Association makes much of the fact that the Missouri Court in Mahoney v. Doerhoff Surgical Servs., Inc., this note, supra, upheld an affidavit of merit statute against a constitutional attack and that Mahoney was cited by this Court in Rollings v. Thermodyne Indus., Inc., 1996 OK 6, ¶ 20, 910 P.2d 1030. We note that Rollings did not involve a merit of affidavit challenge. Rollings holds that a private agreement to submit future disputes to statutory arbitration does not violate the right of court access. Furthermore, since our decision in Rollings, it is noteworthy that Mahoney has been distinguished and criticized by the Missouri Courts. See, Budding v. SSM Healthcare Sys., 19 S.W.3d 678, 680 (Mo.2000); Mello v. Giliberto, 73 S.W.3d 669, 678 (Mo.App.2002), rehearing/transfer denied (2002). Other courts have recognized the unconstitutionality of affidavit of merit statutes. Aldana v. Holub, 381 So.2d 231, 237 (Fla.1980); Carson v. Maurer, 120 N.H. 925, 424 A.2d 825, 837, 12 A.L.R.4th 1 (1980); McCoy v. Western Baptist Hosp., 628 S.W.2d 634-35 (Ky.App.1981); Arneson v. Olson, 270 N.W.2d 125, 136-37 (N.D.1978); Graley v. Satayatham, 74 O.O.2d 316, 343 N.E.2d 832, 836 (1976); Anderson v. Assimos, 146 N.C.App. 339, 553 S.E.2d 63, 68 (2001), judgment vacated in part (as relating to res ipsa loquitur)/appeal dismissed, 356 N.C. 415, 572 S.E.2d 101 (2002). See also, Hoem v. State, 756 P.2d 780 (Wyo.1988); Farley v. Engelken, 241 Kan. 663, 740 P.2d 1058, 1067, 74 A.L.R.4th 1 (1987); Austin v. Litvak, 682 P.2d 41, 54, 50 A.L.R.4th 225 (Colo.1984); Boucher v. Sayeed, 459 A.2d 87, 94 (R.I.1983); Jiron v. Mahlab, 99 N.M. 425, 659 P.2d 311, 313 (1983); Wright v. Central Du Page Hosp. Ass‘n, 63 Ill.2d 313, 347 N.E.2d 736, 743, 80 A.L.R.3d 566 (1976); People ex rel. Christiansen v. Connell, 2 Ill.2d 332, 118 N.E.2d 262, 267 (1954); Mattos v. Thompson, 491 Pa. 385, 421 A.2d 190, 196 (1980); D. Kopstein, “An Unwise ‘Reform’ Measure,” see note 1, supra.
