Batiste v. Capitol Home Health

699 So. 2d 395, 1997 WL 226190
CourtLouisiana Court of Appeal
DecidedSeptember 25, 1997
Docket96-799
StatusPublished
Cited by23 cases

This text of 699 So. 2d 395 (Batiste v. Capitol Home Health) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Batiste v. Capitol Home Health, 699 So. 2d 395, 1997 WL 226190 (La. Ct. App. 1997).

Opinion

699 So.2d 395 (1997)

Vera L. BATISTE, Plaintiff-Appellant,
v.
CAPITOL HOME HEALTH, Defendant-Appellant.

No. 96-799.

Court of Appeal of Louisiana, Third Circuit.

May 7, 1997.
Order Granting Rehearing In Part September 25, 1997.

*396 George Arthur Flournoy, Alexandria, for Vera L. Batiste.

Denis Paul Juge, Metairie, Mayra I. Leyva, New Orleans, for Capitol Home Health.

Before THIBODEAUX, SAUNDERS, DECUIR, PETERS and AMY, JJ.

SAUNDERS, Judge.

In this workers' compensation case, defendant appeals its having been ordered to provide disability benefits, medical expenses and rehabilitation services. Additionally, it appeals adverse awards of attorney fees and penalties on what it claims to have been close legal issues. Claimant also appeals, seeking an increase in the amount of her penalty and wage determinations and additional attorney fees.

We amend the award of compensation benefits to factor in claimant's fringe benefits, amend the award of penalties to $2,000.00, award an additional $2,000.00 in attorney fees for claimant's prosecution and defense of these proceedings, and render.

FACTS

Claimant, Vera Batiste, was injured in a job-related accident on November 27, 1993, while employed by defendant, Capitol Home Health, as a nurse's aide. Following the *397 accident, she was paid weekly disability benefits of $114.76, a figure based on an average weekly wage of $172.15. Going into trial, the questions were whether the employer adequately honored its statutory obligations to pay claimant two-thirds (2/3) of her pre-accident wages and provide her with medical benefits and meaningful vocational rehabilitation. Trial was conducted on October 19, 1995. On December 5, 1995, the hearing officer ordered defendant to pay disability benefits of $117.68, all medical bills due and owing, attorney fees of $7,500.00 and statutory penalties of $1,550.00. In addition, the hearing officer ordered defendant to provide claimant rehabilitation through a rehabilitation specialist recommended by claimant.

EMPLOYER'S APPEAL

Medical Benefits

Initially, the employer takes issue with the hearing officer's assessment of penalties and attorney's fees on the basis of its failure to pay medical expenses within sixty (60) days of its having received written notice. Setting forth specific instances in which bills were paid within 60 days, it maintains that this ruling, which formed the basis for its assessment of penalties and attorney fees, was manifestly erroneous. The premise of the employer's argument is La.R.S. 23:1201(E), which states:

E. Medical benefits payable under this Chapter shall be paid within sixty days after the employer or insurer receives written notice thereof.

(Emphasis ours).

The employer contends that claimant's medical benefits were paid within sixty (60) days and therefore she is entitled to no penalties.

Rather than refute the specific factual allegations contained in defendant's argument, claimant observes that the foregoing language did not become effective until June 29, 1995, by virtue of Act 1137, prior to which medical benefits were required to be paid within 14 days of notice, pursuant to La.R.S. 23:1201(E), Acts 1992, No. 1003, § 1, effective January 1, 1993, long before claimant's accident occurred on November 27, 1993. Defendant's reply is that the 1995 amendments extending to sixty days the permissible delays should be applied retroactively to this 1993 accident because, according to defendant, the 1995 amendments are procedural in nature.

As might readily be observed, La.R.S. 23:1201(F), effective in 1995, clearly affords an employer 60 days to pay its employee's medical expenses. Therefore, the dispositive question is whether the 1995 amendment may be applied retroactively.

In determining whether laws may be applied retroactively, LSA-C.C. Art. 6 provides:
"In the absence of contrary legislative expression, substantive laws apply prospectively only. Procedural and interpretive laws apply both prospectively and retroactively, unless there is a legislative expression to the contrary."
Elaborating on LSA-C.C. Art. 6 in Cole v. Celotex Corp., 599 So.2d 1058, 1063 (La. 1992), the Louisiana Supreme Court explained:
"LSA-C.C. Art. 6 requires that we engage in a two-fold inquiry. First, we must ascertain whether in the enactment the legislature expressed its intent regarding retrospective or prospective application. If the legislature did so, our inquiry is at an end. If the legislature did not, we must classify the enactment as substantive, procedural or interpretive."
Furthermore, even where the legislature expressed its intent to give a substantive law retroactive effect, the law may not be applied retroactively if it would impair contractual obligations or disturb vested rights. Burmaster v. Gravity Drainage Dist. No. 2, 366 So.2d 1381 (La.1978).
In Act 431 of 1992, we do not find that the legislature expressed its intent regarding retroactive or prospective application of its amendment to LSA-R.S. 23:1231. Accordingly, our next inquiry is whether the enactment is substantive, procedural, or interpretive.
Substantive laws establish new rules, rights, and duties or change existing ones. *398 St. Paul Fire & Marine Ins. Co. v. Smith, 609 So.2d 809 (La.1992). Procedural laws prescribe a method for enforcing a substantive right and relate to the form of the proceeding or the operation of the laws. Graham v. Sequoya Corp., 478 So.2d 1223 (La.1985). Interpretive laws merely establish the meaning the interpreted statute had from the time of its enactment. St. Paul Fire & Marine, supra at 817.
When we examine Act 431 of 1992, we do not find that it changed the underlying two year period of death or established a new cause of action available to the worker's dependents. Accordingly, we do not find that the act was substantive. Likewise, we do not find the act interpretive since it did not determine the meaning of existing laws. However, we do find that Act 431 is procedural because it provides that the time from which the two year period would begin to run was affectively suspended as long as the injured worker was being treated for his work-related accident. In accord, Doyle v. St. Patrick Hosp., 499 So.2d 704 (La.App. 3rd Cir. 1986), writ. denied, 503 So.2d 478 (La. 1987).
It is well settled that procedural laws are given retroactive effect in the absence of language showing a contrary intention. Lott v. Haley, 370 So.2d 521 (La.1979). This jurisprudential rule is subject to the exception where the procedural law's application would operate unconstitutionally to disturb vested rights. Id.

Estate of Williams v. Louisiana Ofc. of Risk Mgt., 93-795 (La.App. 3 Cir. 3/2/94), 634 So.2d 1260, 1264, writ denied, 94-0793 (La.5/6/94), 637 So.2d 1054.

We conclude that claimant's rights to have her medical bills timely paid within fourteen days rather than sixty constituted a vested constitutional right and therefore hold that the hearing officer properly declined to apply the 1995 amendment to her 1993 accident.

Penalties for Overdue Medical Benefits

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Bluebook (online)
699 So. 2d 395, 1997 WL 226190, Counsel Stack Legal Research, https://law.counselstack.com/opinion/batiste-v-capitol-home-health-lactapp-1997.