Kathleen Welch and Carroll Dewayne Welch v. United Medical Healthwest-New Orleans L.L.C. and United Medical Healthcare Inc.

Supreme Court of Louisiana·Decided March 21, 2025·No. 2024-CC-00899·Published

Opinion

FOR IMMEDIATE NEWS RELEASE NEWS RELEASE #014

FROM: CLERK OF SUPREME COURT OF LOUISIANA

The Opinions handed down on the 21st day of March, 2025 are as follows: BY Crain, J.:

2024-CC-00899 KATHLEEN WELCH AND CARROLL DEWAYNE WELCH VS.

UNITED MEDICAL HEALTHWEST-NEW ORLEANS L.L.C.

AND UNITED MEDICAL HEALTHCARE INC. (Parish of Jefferson)

AFFIRMED. SEE OPINION.

Justice Jeanette Theriot Knoll, retired, heard this case as Justice Pro Tempore, sitting in the vacant seat for District 3 of the Louisiana Supreme Court. She is now appearing as Justice ad hoc for Justice Cade R. Cole.

Hughes, J., dissents for reasons assigned by Griffin, J. and Knoll, J. and assigns additional reasons.

McCallum, J., concurs in the result.

Griffin, J., dissents and assigns reasons.

Knoll, J., dissents and assigns reasons.

SUPREME COURT OF LOUISIANA No. 2024-CC-00899

KATHLEEN WELCH AND CARROLL DEWAYNE WELCH VS.

UNITED MEDICAL HEALTHWEST-NEW ORLEANS L.L.C. AND UNITED MEDICAL HEALTHCARE INC.

On Supervisory Writ to the 24th Judicial District Court, Parish of Jefferson

CRAIN, J.*

In this medical malpractice action, we address the constitutionality of La. R.S.

29:771(B)(2)(c)(i) which provides a gross negligence standard for civil liability of health care providers during a declared public health emergency. Finding the statute rationally related to a legitimate government interest, it is constitutional.

FACTS AND PROCEDURAL HISTORY In November 2019, Kathleen Welch was admitted to Tulane Medical Center for acute pancreatitis and diabetic ketoacidosis. After an extended stay, she was discharged and admitted to BridgePoint Healthcare LA, LLC d/b/a BridgePoint Continuing Care Hospital for rehabilitation. While at BridgePoint, Welch developed pressure ulcers. Following her discharge from BridgePoint, Welch was admitted to United Medical Physical Rehabilitation Hospital where she continued to suffer pressure ulcers. She was ultimately discharged home on May 6, 2020.

Welch filed a claim for injuries related to her pressure ulcers. She requested a medical review panel pursuant to La. R.S. 40:1231.1, et seq, naming BridgePoint and United Medical as defendants. Because United Medical was not a qualified

*

Justice Jeannette Theriot Knoll, retired, heard this case as Justice Pro Tempore, sitting in the vacant seat for District 3 of the Louisiana Supreme Court. She is now appearing as Justice ad hoc for Justice Cade R. Cole.

healthcare provider under La. R.S. 40:1231.8, Welch filed a lawsuit against United Medical. She alleged that United Medical’s negligence caused pressure wounds on her back and sacrum.

United Medical filed an exception of no cause of action, arguing the application of La. R.S. 29:771(B)(2)(c)(i), which is part of the Louisiana Health Emergency Powers Act (LHEPA), La. R.S. 29:760, et seq. That provision states:

During a state of public health emergency, no health care provider shall be civilly liable for causing the death of, or injury to, any person or damage to any property except in the event of gross negligence or willful misconduct.

On March 11, 2020, Governor John Bel Edwards declared a public health emergency in connection with the COVID-19 pandemic. Because Welch’s treatment was during the declared public health emergency, United Medical argued its alleged liability is subject to a gross negligence or willful misconduct standard. Welch’s petition alleged only ordinary negligence, thus, United Medical moved for dismissal. Welch filed an opposition to the peremptory exception of no cause of action in which she made several arguments, including that the statute is unconstitutional.

The trial court granted the exception, requiring application of the gross negligence standard, but made no ruling on the provision’s constitutionality. Welch appealed.

The appellate court found United Medical alleged ordinary negligence during a declared public health emergency, not gross negligence, thus, the trial court correctly applied La. R.S. 29:771(B)(2)(c)(i). Because the attorney general was not notified, the appellate court found the constitutionality of La. R.S. 29:771(B)(2)(c)(i) was not properly before it. The matter was remanded to allow a challenge and ruling on constitutionality. Welch v. United Med. Healthwest-New Orleans, LLC, 21-684 (La. App. 5 Cir. 8/24/22), 348 So.3d 216.

On remand, Welch amended her petition to allege that La. R.S.

29:771(B)(2)(c)(i) is unconstitutional, and the attorney general was served. United Medical filed exceptions of res judicata and no cause of action, arguing the appellate court’s ruling defeated Welch’s demand on the merits, thus defeating her standing to challenge the statute’s constitutionality. Welch opposed the exceptions pointing out that the constitutional claim was specifically reserved and remanded for further proceedings on that issue.

In addition to amending her petition, Welch filed a motion to declare La. R.S.

29:771(B)(2)(c)(i) unconstitutional. In her memorandum in support, Welch argued the gross negligence provision is unconstitutional because it violates the due process and adequate remedy provisions of the Louisiana Constitution. She also argued the provision is overbroad and leads to absurd consequences, and that it is a prohibited special law. The attorney general filed a memorandum supporting the provision’s validity.

The trial court found La. R.S. 29:771(B)(2)(c)(i) constitutional, thus, pretermitting the remaining exceptions. Welch filed a writ application seeking supervisory review of the denial of her motion to declare the statute unconstitutional. The appellate court upheld the constitutionality of La. R.S. 29:771(B)(2)(c)(i), because it rationally relates to a legitimate state purpose of providing healthcare during a public health emergency. Considering the profound impact of COVID-19, it found application of the statute did not lead to absurd consequences. Finally, it determined La. R.S. 29:771(B)(2)(c)(i) is not a prohibited special law because it applies to all healthcare providers equally. For these reasons, the writ application was denied.

We granted Welch’s writ application. Welch v. United Medical Healthwest-

New Orleans LLC, 24-0899 (La. 11/14/24), 395 So.3d 1164.

DISCUSSION

United Medical challenges Welch’s standing to seek constitutional review of La. R.S. 29:771(B)(2)(c)(i). United Medical argued initially that Welch’s petition failed to state a cause of action because La. R.S. 29:771(B)(2)(c)(i) requires gross negligence or willful misconduct and the petition alleged only ordinary negligence. Although Welch asserted that the statute is unconstitutional, the trial court granted the exception of no cause of action and made no ruling on the constitutional issue. The Fifth Circuit affirmed the ruling on the exception, then remanded for determination of the constitutional issue. The right to challenge the validity of the statute was expressly reserved.

We find the constitutional question properly before us. By challenging the constitutionality of La. R.S. 29:771(B)(2)(c)(i), plaintiff essentially asserts her claim is governed by the ordinary negligence standards set forth in Louisiana Revised Statute 9:2794, not LHEPA. We must determine if the gross negligence standard of LHEPA applies before plaintiff’s pleadings can be scrutinized for a cause of action. Welch has standing to assert the constitutional challenge.

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Kathleen Welch and Carroll Dewayne Welch v. United Medical Healthwest-New Orleans L.L.C. and United Medical Healthcare Inc., (La. 2025).

Kathleen Welch and Carroll Dewayne Welch v. United Medical Healthwest-New Orleans L.L.C. and United Medical Healthcare Inc. (Kathleen Welch and Carroll Dewayne Welch v. United Medical Healthwest-New Orleans L.L.C. and United Medical Healthcare Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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