Hodges v. BOSSIER MED. CENTER HEALTHCARE FOUNDATION

764 So. 2d 245, 2000 WL 792425
CourtLouisiana Court of Appeal
DecidedJune 21, 2000
Docket33,461-CW, 33,472-CW
StatusPublished
Cited by3 cases

This text of 764 So. 2d 245 (Hodges v. BOSSIER MED. CENTER HEALTHCARE FOUNDATION) 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
Hodges v. BOSSIER MED. CENTER HEALTHCARE FOUNDATION, 764 So. 2d 245, 2000 WL 792425 (La. Ct. App. 2000).

Opinion

764 So.2d 245 (2000)

Christina HODGES, Plaintiff-Respondent,
v.
BOSSIER MEDICAL CENTER HEALTHCARE FOUNDATION, et al., Defendants-Applicants.

Nos. 33,461-CW, 33,472-CW.

Court of Appeal of Louisiana, Second Circuit.

June 21, 2000.

*246 Cook, Yancey, King & Galloway by S. Price Barker, G. Brian Baker, Shreveport, Counsel for Applicant Bossier Medical Center.

The Juneau Firm by Thomas R. Juneau, Michael A. Juneau, Karen B. Levy, Lafayette, Counsel for Applicant F.A. Richard & Associates, Inc.

Jack M. Bailey, Jr., J. Allen Cooper, Jr., J. Chris Miciotto, Shreveport, Counsel For Respondent.

Before GASKINS, CARAWAY and PEATROSS, JJ.

GASKINS, J.

These consolidated writ applications question whether an employee with a work-related injury may sue her employer and its administrator of workers' compensation claims in tort when their delay in approving surgery allegedly caused a significant worsening of the employee's medical condition. For the reasons assigned below, we reverse the judgments of the trial court and grant the defendants' exceptions of no cause of action. Accordingly, the defendants' writ applications are granted and made peremptory.

FACTS

Christina Hodges, the plaintiff, was a nurse at Bossier Medical Center ("BMC"). According to the facts pled in her petition, in June 1997 she injured her back in a work-related accident. Her treating doctor prescribed a thoracotomy to relieve the compression to her spinal column. On April 14, 1998, she was referred to two other doctors, who concurred in the treating doctor's diagnosis and recommended surgery.

The plaintiff's employer and its administrator of workers' compensation claims requested another medical opinion, sending her to see another doctor on April 30, 1998. This physician likewise concurred with the other three doctors that surgery was necessary. However, the surgery was not approved by the employer or its claims administrator.

On June 10, 1998, the plaintiff underwent surgery, which was approved by her private medical insurer. During the procedure, it was discovered that her spine had collapsed, allegedly during the 56-day period between when her doctor recommended the procedure and the actual surgery.

In June 1999, the plaintiff brought the instant tort suit against her employer, Bossier Medical Center Healthcare Foundation, and the administrator of its workers' compensation claims, F.A. Richard and Associates, Inc., ("FARA"). She contended that her spine collapsed due to their failure to authorize necessary medical treatment when they knew that: (1) timely surgery was critical and (2) her condition was worsening to the point where her spine could collapse. She claimed that the defendants conspired to commit an intentional and willful act, i.e., the denial or delay of necessary medical treatment. She alleged that as a result of their deliberate and premeditated conduct, she sustained a collapsed spine which has caused her to suffer severe numbness, clumsiness, and excruciating pain and which has deprived her of the "use of her back and legs." She contends that she will never be able to return to the work force.

In her petition, the plaintiff further asserted that the Louisiana Workers' Compensation Act, La. R.S. 23:1201 et seq., does not shield the employer for its deliberate *247 actions and that it provides no protection to a third-party company like FARA.

On July 1, 1999, BMC filed an exception of no cause of action, asserting that under Kelly v. CNA Insurance Company, 98-0454 (La.3/12/99), 729 So.2d 1033, it was immune from tort actions and the plaintiff's sole remedy was in workers' compensation.

On August 2, 1999, the trial court denied BMC's exception in a written opinion.[1] In so ruling, the court noted that the Kelly case failed to resolve the question of whether the rationale of Weber v. State, 93-0062 (La.4/11/94), 635 So.2d 188, could be expanded to non-death cases when the employer's intentional refusal to pay for necessary medical services is substantially certain to result in a significant worsening of the claimant's condition. The trial court then distinguished Kelly, supra, on the basis that the denied treatment in that case caused pain and suffering but did not cause the condition to worsen. The trial court also found that the plaintiff stated a cause of action under Stevens v. Wal-Mart Stores, Inc., 29,124 (La.App.2d Cir.1/24/97), 688 So.2d 668, writ denied, 97-0671 (La.5/9/97), 693 So.2d 768, which it found was the more factually compatible and the most recent decision by the Second Circuit. However, the trial court admitted that the allegations did not state a cause of action under Berry v. Insurance Company of North America, 28,580 (La. App.2d Cir.10/30/96), 683 So.2d 310, writ denied, 97-0091 (La.3/7/97), 689 So.2d 1374, which refused to extend Weber to non-death cases.

On August 3, 1999, FARA filed an exception of no cause of action which mirrored that of BMC. On that same day, the trial court signed a judgment denying FARA's exception for the reasons set forth in its prior written opinion addressing BMC's exception.

BMC filed a writ application (No. 33,122-CW) in this court, as did FARA (No. 33,209-CW). However, these applications were denied without prejudice on October 14, 1999, for URCA noncompliance. Subsequently, FARA filed another writ application (No. 33,461-CW), as did BMC (No. 33,472-CW). On January 13, 2000, these writ applications were consolidated, granted and docketed.

EXCEPTION OF NO CAUSE OF ACTION

The function of the peremptory exception of no cause of action is to question whether the law extends a remedy to anyone under the factual allegations of the petition. Louisiana Paddle-wheels v. Louisiana Riverboat Gaming Commission, 94-2015 (La.11/30/94), 646 So.2d 885. The exception is tried on the face of the pleadings and the court accepts the facts alleged in the petition as true, determining whether the law affords relief to the plaintiff if those facts are proved at trial. Barrie v. V.P. Exterminators, Inc., 625 So.2d 1007 (La.1993). In reviewing a trial court's ruling sustaining an exception of no cause of action, the appellate court should subject the case to de novo review because the exception raises a question of law and the lower court's decision is based only on the sufficiency of the petition. Kelly, supra.

In Weber, supra, the supreme court fashioned a remedy in the tragic case of an employee who, it was alleged, died after his employer intentionally denied him medical treatment necessary to save his life. Following the employee's death, his family filed a wrongful death action against the employer. The supreme court allowed the family to proceed with this cause of action because the Louisiana Workers' Compensation Act provided them no recourse. To that end, the court essentially found that there were two separate incidents of injury, the initial one being the work-related injury and the other one being the subsequent refusal of *248 medical treatment. The court concluded that the legislature did not intend that the act's exclusive remedy of penalties and attorney fees for an employer's intentional and arbitrary refusal to provide medical treatment to a compensation victim would encompass the situation where the employer knew to a substantial certainty that the refusal would cause death which would not otherwise occur.

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Bluebook (online)
764 So. 2d 245, 2000 WL 792425, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hodges-v-bossier-med-center-healthcare-foundation-lactapp-2000.