Oquendo-Lorenzo v. Hospital San Antonio, Inc.

CourtCourt of Appeals for the First Circuit
DecidedAugust 25, 2022
Docket17-1810P
StatusPublished

This text of Oquendo-Lorenzo v. Hospital San Antonio, Inc. (Oquendo-Lorenzo v. Hospital San Antonio, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Oquendo-Lorenzo v. Hospital San Antonio, Inc., (1st Cir. 2022).

Opinion

United States Court of Appeals For the First Circuit

No. 17-1810, 18-1936

HOSPITAL SAN ANTONIO, INC., or alternatively, John Doe Corporation, d/b/a Hospital San Antonio,

Defendant, Appellant,

DR. OSVALDO QUILES-GIOVANNETTI; NATIONAL FIRE & MARINE INSURANCE COMPANY; SINDICATO DE ASEGURADORES PARA LA SUSCRIPCION CONJUNTA DE SEGUROS DE RESPONSABILIDAD PROFESIONAL MEDICO-HOSPITALARIA (SIMED); MARKETFORM MANAGING AGENCY LIMITED ON BEHALF OF SYNDICATE 2468; JANE DOE; CONJUGAL PARTNERSHIP DOE-QUILES; JOHN DOES 1, 2, AND 3; CORPORATIONS A, B, AND C; UNKNOWN INSURANCE COMPANIES A THROUGH H,

Defendants,

v.

JESSICA OQUENDO-LORENZO, personally and on behalf of her conjugal partnership with Rolando Lopez-Montanez; ROLANDO LOPEZ- MONTANEZ, personally and on behalf of his conjugal partnership with Jessica Oquendo-Lorenzo; CONJUGAL PARTNERSHIP LOPEZ- OQUENDO,

Plaintiffs, Appellees.

APPEALS FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF PUERTO RICO

[Hon. Bruce J. McGiverin, U.S. Magistrate Judge]

Before

Kayatta and Howard, Circuit Judges.*

* Judge Torruella heard argument in these appeals, but did Carlos G. Martínez-Vivas, with whom Martinez-Texidor & Martínez-Vivas was on brief, for appellant.

David Efron, with whom Alberto J. Pérez Hernández, Etienne Totti Del Toro, and Law Offices David Efron, PC were on brief, for appellees.

August 25, 2022

not participate in the decision. HOWARD, Circuit Judge. Before us are consolidated

appeals of a final judgment entered by the district court and the

court's subsequent denial of a Rule 60(b) motion. This case

involves two Puerto Rico statutes -- Article 41.050 of the Puerto

Rico Insurance Code, P.R. Laws Ann. tit. 26, § 4105, which

immunizes a set of healthcare workers from suit, and Section 3077,

which waives Puerto Rico's sovereign immunity and establishes

liability caps in certain circumstances. P.R. Laws Ann. tit. 32,

§ 3077. The question before us is whether appellant, Hospital San

Antonio, Inc., benefits from the liability limits in Section 3077.

We affirm the district court's final judgment below. We also

affirm the district court's denial of appellant's Rule 60(b)

motion.

I.

A. Factual Background

In July 2013, Jessica Oquendo-Lorenzo -- then pregnant

-- visited Dr. Osvaldo Quiles-Giovannetti for a prenatal exam.

After examining Oquendo-Lorenzo, Dr. Quiles ordered her admission

to San Antonio Hospital. San Antonio Hospital is a public hospital

owned by the Municipality of Mayagüez. San Antonio Hospital is

operated by Hospital San Antonio, Inc. ("HSA"), a private

corporation organized under the laws of the Commonwealth of Puerto

Rico.

- 3 - The next day, Dr. Quiles ordered a cesarean section on

Oquendo-Lorenzo, resulting in the birth of Oquendo-Lorenzo's

daughter, J.L.O. J.L.O. was admitted to the neonatal intensive

care unit at San Antonio Hospital and ultimately transferred to

the University Pediatric Hospital at Centro Medico in San Juan,

Puerto Rico, until she was discharged in January 2014. That

August, J.L.O. died.

Oquendo-Lorenzo and Rolando López-Montañez, J.L.O.'s

father, (collectively, "Oquendo") brought a medical malpractice

suit against HSA, Dr. Quiles, and their insurance carriers,

alleging that J.L.O.'s birth injuries and death resulted from

negligence on the part of Dr. Quiles and hospital staff.

B. Procedural History

HSA moved below for partial summary judgment on the basis

that it benefited from liability limits and immunity conferred by

two Puerto Rico statutes: Section 3077, P.R. Laws Ann. tit. 32,

§ 3077, a statute that authorizes suits against Puerto Rico in

certain circumstances but places caps on liability, and Article

41.050 of the Puerto Rico Insurance Code, which immunizes certain

healthcare workers from suit. P.R. Laws Ann. tit. 26, § 4105.

The district court denied HSA's motion and held that HSA was not

a covered entity under either statute. HSA filed a motion for

reconsideration, which was also denied. Following that ruling --

and while a second motion for reconsideration by HSA was pending

- 4 - -- in June 2017, the district court approved and adopted a joint

settlement agreement proposed by the parties.

Under the settlement, Oquendo agreed to release the

claims against Dr. Quiles and Quiles' insurance carrier in exchange

for $75,000. Oquendo also released the claims against HSA's

insurance companies in exchange for $270,000, with $50,000

allocated to Oquendo's attorney.

The settlement noted HSA's position throughout the

litigation that it was covered under liability limits established

by Article 41.050 and Section 3077. The parties stipulated that,

if HSA did not benefit from limited liability, Oquendo's damages

would include an additional $105,000 in excess of the $75,000 and

$270,000 payments specified in the settlement. Noting the district

court's ruling that HSA did not benefit from limited liability,

the agreement provided that -- should the court deny HSA's second

motion for reconsideration -- "the [d]istrict [c]ourt would enter

judgment against [HSA] in the amount of $105,000."

HSA "reserve[d], preserve[d], and maintain[ed] its

defense, as to the extent of the applicability of the immunity

and/or the statutory liability limit and/or cap" and preserved its

right to appeal. HSA also "preserve[d] and maintain[ed] the right

to request to the United States First Circuit the certification of

the issues and matters to the Supreme Court of Puerto Rico."

Finally, HSA committed to "appeal to the United States First

- 5 - Circuit the judgment adverse to it, as to the denial of the cap on

liability and/or immunity."

The district court denied HSA's second motion for

reconsideration and, on June 27, 2017, entered a partial judgment

against HSA in favor of appellees for $105,000. On June 28, 2017,

the district court entered a final judgment dismissing all claims

against Dr. Quiles and the insurance companies. HSA timely

appealed after entry of the final judgment. HSA alternatively

requests that we certify the statutory interpretation issues

before us to the Puerto Rico Supreme Court.

On November 14, 2017, and while this appeal was pending,

HSA filed a Rule 60(b) motion for relief from judgment on the basis

that Law No. 99-2017 ("Law 99"), enacted on August 13, 2017,

substantially amended Article 41.050 to expressly cover HSA. The

district court interpreted the settlement agreement as precluding

HSA from seeking further relief from the district court and denied

the motion in September 2018. HSA timely appealed that ruling.

II. Jurisdiction

In consolidated appeals, we must have independent

jurisdiction to hear both appeals. See Galvin v. U.S. Bank, N.A.,

852 F.3d 146, 154 (1st Cir. 2017). We conclude that we have

jurisdiction over both appeals in this case.

There is no question that we have jurisdiction to hear

HSA's appeal of the final judgment below. See 28 U.S.C. § 1291.

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