Marlene Banwart and Richard Banwart v. Neurosurgery of North Iowa, P.C., David Beck, M.D., and Thomas Getta, M.D.

CourtSupreme Court of Iowa
DecidedMarch 7, 2025
Docket24-0027
StatusPublished

This text of Marlene Banwart and Richard Banwart v. Neurosurgery of North Iowa, P.C., David Beck, M.D., and Thomas Getta, M.D. (Marlene Banwart and Richard Banwart v. Neurosurgery of North Iowa, P.C., David Beck, M.D., and Thomas Getta, M.D.) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Marlene Banwart and Richard Banwart v. Neurosurgery of North Iowa, P.C., David Beck, M.D., and Thomas Getta, M.D., (iowa 2025).

Opinion

In the Iowa Supreme Court

No. 24–0027

Submitted November 13, 2024—Filed March 7, 2025

Marlene Banwart and Richard Banwart,

Appellants,

vs.

Neurosurgery of North Iowa, P.C., David Beck, and Thomas Getta,

Appellees.

Appeal from the Iowa District Court for Cerro Gordo County, Colleen

Weiland, judge.

The plaintiffs appeal from the district court’s ruling dismissing their

medical malpractice action as time-barred, and the defendants cross-appeal

from the district court’s ruling that the plaintiffs substantially complied with

Iowa’s certificate of merit affidavit statute. Reversed on Cross-Appeal and Case

Remanded with Instructions.

Waterman, J., delivered the opinion of the court, in which Christensen,

C.J., and Mansfield, McDonald, and May, JJ., joined. McDermott, J., filed a

dissenting opinion, in which Oxley, J., joined.

Andrew B. Howie of Shindler, Anderson, Goplerud & Weese, P.C., West

Des Moines, for appellants.

Frederick T. Harris, Ryan P. Tunink, and Theodore T. Appel (until

withdrawal) of Lamson Dugan & Murray LLP, West Des Moines, for appellees

David Beck and Neurosurgery of North Iowa, P.C. 2

Desirée A. Kilburg and Paul J. Esker of Bradley & Riley PC, Iowa City, for

appellee Thomas Getta. 3

Waterman, Justice.

All parties in this case have appealed from the district court’s rulings on

cross-motions for summary judgment. The plaintiffs filed this medical

malpractice action in 2020 over two years after the surgery and postoperative

care at issue. Our court’s emergency supervisory orders had temporarily tolled

the statute of limitations for seventy-six days during the COVID-19 pandemic.

The plaintiffs served certificates of merit that their experts “affirmed” without

signing under oath or “under penalty of perjury.” Two and a half years later, but

still within the dispositive motion deadline, the defendants moved for summary

judgment on two grounds: (1) the action was barred by the two-year statute of

limitations in Iowa Code section 614.1(9)(a) (2020) due to the invalidity of our

supervisory orders, and (2) the unsworn certificates of merit did not substantially

comply with the affidavit requirement of Iowa Code section 147.140. The district

court ruled that the certificates substantially complied with section 147.140, but

the action was time-barred because our supervisory orders could not toll the

statute of limitations. The plaintiffs appealed the resulting summary judgment

against them, and the defendants cross-appealed the denial of their motion. We

retained the case.

On our review, we bypass the statute of limitations issues and decide the

case on the cross-appeal. First, we apply our cases interpreting section 147.140

to hold that the certificates in this case did not substantially comply with the

statute’s affidavit requirement. See Miller v. Cath. Health Initiatives–Iowa Corp.,

7 N.W.3d 367, 373 (Iowa 2024); Shontz v. Mercy Med. Ctr.–Clinton, Inc., No. 23–

0719, 2024 WL 2868931, at *1 (Iowa June 7, 2024) (per curiam). Second, we

reject the plaintiffs’ claim that section 147.140 is void for vagueness. Third, we

reject the plaintiffs’ claim that the defendants waived their rights under

section 147.140 by waiting two and a half years to challenge the certificates. We 4

remand the case for an order granting the defendants’ motions for summary

judgment under section 147.140(6).

I. Background Facts and Proceedings.

Marlene Banwart and her husband Richard Banwart live in West Bend.

Marlene has a long history of back pain. She had spinal surgery in 1985, and

two more surgeries about five years later. In the summer of 2018, she sought

treatment with Dr. David Beck at Neurosurgery of North Iowa, P.C. (NNI) in

Mason City. On July 24, Dr. Beck performed a lumbar laminectomy on Marlene

at Mercy Medical Center–North Iowa. Based on her prior surgeries, Marlene

“knew what to expect” about her pain and limitations after the laminectomy. Her

postoperative pain this time greatly exceeded her expectations. On July 27,

Marlene was transferred from Mercy to a skilled care center in West Bend.

Dr. Thomas Getta evaluated her there on July 31. Dr. Getta did not refer Marlene

for further evaluation or surgery. Her pain and symptoms persisted. On

August 14, Marlene was seen in the local emergency room complaining of double

vision, glossy eyes, and chronic back pain. She returned to Mercy’s Mason City

hospital. The next day, an MRI revealed an epidural hematoma, a complication

from her July 24 laminectomy. Dr. Beck performed emergency surgery that day

to evacuate the epidural hematoma. Marlene remained hospitalized at Mercy

until August 23, when she was transferred to a rehabilitation facility in

Emmetsburg.

More than two years later, on October 19, 2020, the Banwarts filed this

medical malpractice action against NNI, Dr. Beck, and Dr. Getta. Our court’s

supervisory orders that year tolled the statute of limitations by seventy-six days

in response to the COVID-19 global pandemic. The Banwarts alleged Dr. Beck

breached the standard of care in his July 24, 2018 surgery and postoperative

care, and sought recovery from him and NNI as his employer. The Banwarts 5

further alleged that Dr. Getta was negligent in his postoperative evaluation and

that his failure to refer Marlene for a neurological consultation a week later

resulted in her permanent injuries. Dr. Beck and NNI filed a joint answer and

Dr. Getta filed a separate answer. All defendants denied negligence and pleaded

the defense of the statute of limitations.

On November 20, 2020, the Banwarts filed two certificates of merit. Each

certificate used the district court case caption and was titled, “Certificate of Merit

Affidavit.” One certificate was directed against Dr. Beck and signed by

Dr. Christopher Koebbe, a neurosurgeon in Florida; the other was directed

against Dr. Getta, and signed by Dr. Kevin Ferentz, who practices family

medicine in Maryland. Each certificate begins: “In compliance with Iowa Code

Section 147.140, [the expert] does hereby affirm and state, as follows . . . .” A

date and signature line appears at the end of each certificate, which was dated

and signed by the expert. No jurat (notarization) or other signature by a witness

appears on either certificate. Neither certificate includes a statement that it was

signed under oath or under penalty of perjury. The Banwarts never filed any

other certificates of merit. No defendant challenged the certificates as deficient

in 2020, 2021, or 2022, and the parties proceeded with discovery. By agreement

of the parties, the district court’s scheduling orders set the dispositive motion

deadline at sixty days before trial. The trial date was continued several times.

On July 7, 2023, over two and a half years after the Banwarts filed their

certificates of merit, the defendants jointly filed motions for summary judgment.

At that time, the jury trial was scheduled to commence on October 1, 2024, so

the defendants’ motions were filed more than a year before the district court’s

deadline for dispositive motions. One motion sought summary judgment on the

grounds that the action was barred under the two-year statute of limitations in

Iowa Code section 614.1(9)(a). The defendants argued that our court’s COVID-19 6

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