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

CourtSupreme Court of Louisiana
DecidedMarch 21, 2025
Docket2024-CC-00899
StatusPublished

This text of 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.) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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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).

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.

2 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.

3 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

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Kathleen Welch and Carroll Dewayne Welch v. United Medical Healthwest-New Orleans L.L.C. and United Medical Healthcare Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/kathleen-welch-and-carroll-dewayne-welch-v-united-medical-healthwest-new-la-2025.