Maradiaga v. United States

679 F.3d 1286, 82 Fed. R. Serv. 3d 503, 2012 WL 1581334, 2012 U.S. App. LEXIS 9334
CourtCourt of Appeals for the Eleventh Circuit
DecidedMay 8, 2012
Docket11-12474
StatusPublished
Cited by61 cases

This text of 679 F.3d 1286 (Maradiaga v. United States) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Maradiaga v. United States, 679 F.3d 1286, 82 Fed. R. Serv. 3d 503, 2012 WL 1581334, 2012 U.S. App. LEXIS 9334 (11th Cir. 2012).

Opinion

PRYOR, Circuit Judge:

The primary issue in this appeal is whether the United States is amenable to suit under the Federal Tort Claims Act, 28 U.S.C. §§ 1346(b), 2401(b), 2671-80, for the negligence of medical professionals employed by a federally supported health center when like private professionals would be immune from suit under the Florida Birth-Related Neurological Injury Compensation Act, Fla. Stat. §§ 766.301-16. Riccy Maradiaga and Carlos SordiaMartinez, on behalf of themselves and their child, J.C.S.M., appeal the dismissal of their complaint against the United States and the denial of their motions for relief from judgment and to reopen the case. Maradiaga and Sordia-Martinez argue that the United States is amenable to suit for the negligence of the professionals employed by the health center because the Compensation Act expressly withholds immunity from federal employees. Maradiaga and Sordia-Martinez also contend alternatively that the district court erred when it refused to abate this action pending a determination by an administrative law judge that J.C.S.M.’s injuries are compensable under the Compensation Act. The United States responds that the Compensation Act cannot expand the liability of the United States under the Federal Tort Claims Act beyond that to which an analogous private party would be amenable and that Maradiaga and Sordia-Martinez have waived any right to have the district court abate their action pending the determination by the administrative law judge. Because we agree with the United States, we affirm the dismissal of Maradiaga and Sordia-Martinez’s complaint and the denial of their motions for relief from judgment and to reopen the case.

I. BACKGROUND

Before we address the merits of this appeal, we discuss two matters. First, we provide a brief overview of the Florida Birth-Related Neurological Injury Compensation Act. Second, we recount the underlying facts and procedural history of this appeal.

A. The Florida Birth-Related Neurological Injury Compensation Act

The Florida Birth-Related Neurological Injury Compensation Act “established the Florida Birth-Related Neurological Injury Compensation Plan,” which is a system to “provid[e] compensation, irrespective of fault, for birth-related neurological injury claims.” Fla. Stat. § 766.303(1). This no-fault compensation plan provides the exclusive remedy for injuries that are compensable under the plan, except “where there is clear and convincing evidence of bad faith or malicious purpose or willful and wanton disregard of human rights, safety, or property,” and “suit is filed prior to and in lieu of payment of an award” under the plan. Id. § 766.303(2). To recover under the no-fault plan, the representatives of an injured infant must file a claim with the Florida Birth-Related Neurological Injury Compensation Association, which administers the plan. Id. §§ 766.303, 766.305, 766.315. An administrative law judge has the exclusive juris *1289 diction to determine whether a claim is compensable under the plan. Id. § 766.304. A claim is compensable under the plan only if the administrative law judge determines that the infant’s injury is a “birth-related neurological injury” sustained during obstetric treatment by a “participating physician” or a certified nurse midwife under the supervision of a “participating physician.” Id. § 766.309, 766.31.

The Compensation Act defines both the covered injuries and the professionals. A “birth-related neurological injury” is an “injury to the brain or spinal cord of a live infant ... caused by oxygen deprivation or mechanical injury occurring in the course of labor, delivery, or resuscitation in the immediate postdelivery period in a hospital, which renders the infant permanently and substantially mentally and physically impaired.” Id. § 766.302(2). A “participating physician” is “a physician licensed in Florida to practice medicine who practices obstetrics or performs obstetrical services ... who had paid or was exempted from payment at the time of the injury the assessment required for participation in the [no-fault plan] for the year in which the injury occurred.” Id. § 766.302(7). The Compensation Act provides that the term “participating physician” does “not apply to any physician who practices medicine as an officer, employee, or agent of the Federal Government.” Id.

If the administrative law judge determines that a claim is compensable under the no-fault plan, then' “no civil action” for the covered injury “may be brought or continued in violation of the exclusiveness of remedy provisions” in the Compensation Act. Id. § 766.304. For a compensable claim, the injured infant’s representatives are entitled to recover only actual medical expenses, an award of up to $100,000 to the infant’s parents or legal guardians, a $10,000 death benefit if the infant passed away, and reasonable attorney’s fees and related expenses. Id. § 766.31. If the administrative law judge determines that a claim is not compensable under the no-fault plan, then representatives of the injured infant may “pursu[e] any and all civil remedies available under common law and statutory law.” Id. § 766.304.

Awards paid through the no-fault compensation plan are funded by assessments on physicians and hospitals that provide obstetric services. Id. § 766.314(1), (4). All hospitals licensed in Florida are required to pay assessments based on the number of infants delivered in the hospital. Id. § 766.314(4)(a). Physicians who elect to participate in the plan must pay an assessment of $5,000 annually. Id. § 766.314(4)(c), (5)(a). Certified nurse midwives who work with participating physicians and elect to participate in the plan must pay an assessment of $2,500 annually. Id. Subject to some exceptions, physicians who do not participate in the plan, either because they do not perform obstetric services or because they elect not to participate, must pay an assessment of $250 annually. Id.

The Compensation Act also requires “[e]aeh hospital with a participating physician on its staff and each participating physician,” subject to some exceptions, to provide obstetrical patients with notice of the no-fault compensation plan that “shall include a clear and concise explanation of a patient’s rights and limitations under the plan.” Id. § 766.716. The Act provides that “[t]he hospital or the participating physician may elect to have the patient sign a form acknowledging receipt of the notice form,” in which case the “[signature of the patient acknowledging receipt of the notice form raises a rebuttable presumption that the notice requirements of [the Act] have been met.” Id. The notice requirements need not be satisfied “when *1290 the patient has an emergency medical condition ... or when notice is not practicable.” Id.

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679 F.3d 1286, 82 Fed. R. Serv. 3d 503, 2012 WL 1581334, 2012 U.S. App. LEXIS 9334, Counsel Stack Legal Research, https://law.counselstack.com/opinion/maradiaga-v-united-states-ca11-2012.