Sibley v. Board of Sup'rs of Louisiana State University

462 So. 2d 149, 53 U.S.L.W. 2384
CourtSupreme Court of Louisiana
DecidedJanuary 14, 1985
Docket84-C-0571
StatusPublished
Cited by41 cases

This text of 462 So. 2d 149 (Sibley v. Board of Sup'rs of Louisiana State University) 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.

Bluebook
Sibley v. Board of Sup'rs of Louisiana State University, 462 So. 2d 149, 53 U.S.L.W. 2384 (La. 1985).

Opinion

462 So.2d 149 (1985)

Henry A. SIBLEY, III, Curator of Jane Elizabeth Sibley, Interdict
v.
The BOARD OF SUPERVISORS OF LOUISIANA STATE UNIVERSITY and Agricultural & Mechanical College.

No. 84-C-0571.

Supreme Court of Louisiana.

January 14, 1985.

*151 David W. Robinson, Dué, Dodson, deGravelles, Robinson & Caskey, Steve Marks, Marks & Lear, Baton Rouge, for applicant.

Vincent P. Fornias, Kantrow, Spaht, Weaver & Blitzer, Baton Rouge, for respondent.

CALOGERO, Justice.

In this medical malpractice case, relatives on behalf of Jane Sibley seek damages from the Board of Supervisors of Louisiana State University and Agricultural and Mechanical College, administrators of the LSU Medical Center in Shreveport, in excess of the $500,000 limitation of liability which is imposed by La.Rev.Stat. 40:1299.39(B). Neither the trial court nor the First Circuit Court of Appeal had any difficulty finding liability. In fact, liability was not an issue on appeal. Rather, plaintiff attacked the application and the constitutionality of La.Rev.Stat. 40:1299.39 et seq. Relying on their own earlier decision in Williams v. Lallie Kemp Charity Hospital, 428 So.2d 1000 (La.App. 1st Cir. 1983), cert. denied 434 So.2d 1093 (La.1983), the First Circuit affirmed the district court and found the Act applicable to the state, and the limitation of liability constitutional.

Miss Sibley suffered severe brain damage as a result of cardio-pulmonary arrest while a patient in the psychiatric ward at LSU Medical Center in Shreveport in September of 1980. Prior to her admission to this teaching hospital, administered by the LSU Board of Supervisors, Miss Sibley had been a patient in a private psychiatric hospital, where she was diagnosed as having, and treated for, severe depression. Although she purportedly improved somewhat with this conservative treatment (counseling and psychotherapy without medication), for financial reasons, she was transferred to the public facility. At LSU Medical Center, she was re-diagnosed by the staff physician of the treatment team as psychotic, and anti-psychotic medications were administered.[1] Side effects apparently triggered by the neuroleptic drugs were treated by other medication, which caused an anticholinergic reaction, culminating (after 39 days in the hospital) in cardio-pulmonary arrest *152 with resultant massive brain damage. Since then, Miss Sibley has been in intensive care at various hospitals—currently Baton Rouge General—and, at time of trial in January, 1983, her medical expenses had already exceeded $423,000. Testimony of attending nurses and physicians at Baton Rouge General indicates that Miss Sibley has made progress. This young woman who was preparing to enter college before her hospitalization, presently has an IQ of 77 and functions between 8 and 10 years in the intelligence area, with an estimated emotional age of 4 years. Although testimony indicates that she is a candidate for further rehabilitation and improvement and can expect to attain a normal life expectancy, Miss Sibley will not likely achieve any significant degree of self-sufficiency and the significant cost of a lifetime of custodial care remains ahead.

APPLICABILITY OF LA.REV.STAT. 40:1299.39

Plaintiff contends that whatever the constitutionality of La.Rev.Stat. 40:1299.39 and its $500,000 limitation, the act is simply not applicable as regards the liability of the State of Louisiana. She contends that that statute applies by its terms only to the health care providers therein designated, for there is no reference in the act to its coverage being extended to the state or the state institutions providing medical services.

The Court of Appeal dismissed plaintiff's argument by gleaning a legislative intent (to cloak the state with a $500,000 limitation) from broad public policy considerations (the medical malpractice crisis of the 1970's which threatened continued medical care in both the public and private sectors) and an expansive interpretation of R.S. 40:1299.39A(1)'s definition of "person". "Person" is defined in the act as "any individual acting in a professional capacity... and shall include but not be limited to" physicians and other kinds of designated health care provider specialists. The Court of Appeal interpreted the language "but not be limited to" as an indication of the Legislature's intent for the statute to provide broad coverage, including the State of Louisiana. While those reasons standing alone are not entirely convincing, we nonetheless agree with the Court of Appeal's conclusion, with these additional reasons.

La.Rev.Stat. 40:1299.39, A through G, constitutes the entirety of Part XXI-A, "Malpractice Liability for State Services", a division within Chapter 5 "Miscellaneous Health Provisions" (of Title 40). That very title of Part XXI-A, which prefaces R.S. 40:1299.39, relates to liability for state services, an indication that the section is not designedly applicable only to the health care providers listed in the definition of "persons" at 1299.39(a), but to all liability arising out of state services, including liability of the State of Louisiana. The title to Part XXI-A forms part of the law, as it was specifically included in the substance of Act 66 of 1976,[2] an act later repeatedly amended and reenacted without deletion or omission of Part XXI's title.

That malpractice claims against the state as well as against health care providers are covered by 1299.39, is clearly evident from subsection D which prescribes the procedure for the handling of all such claims. It provides that "[a]ll malpractice claims against the state shall be submitted to and administered by the Division of Administration." (Emphasis provided)

And, most pointedly, subsection B, which imposes the limitation of liability, is very *153 broad and general. It does not cloak only the health care providers specified in the Sec. 1299.39A(1) definition of "person"; rather it provides in no uncertain terms:

B. Limitation of liability. Notwithstanding any other provisions of the law to the contrary, no judgment shall be rendered, and no settlement or compromise shall be entered into for the injury or death of any patient in any action or claim for an alleged act of malpractice in excess of five hundred thousand dollars plus interests and costs.

For these reasons and those given by the Court of Appeal, we conclude that La.Rev. Stat. 40:1299.39, Malpractice Liability for State Services, is applicable to the state and therefore to those state agencies for which it is financially responsible.

ASSERTED THEORY OF CORPORATE NEGLIGENCE

Plaintiff's contention is that her mistreatment occurred as a result of inherent weaknesses in a team system treatment approach utilized at this teaching hospital.

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Bluebook (online)
462 So. 2d 149, 53 U.S.L.W. 2384, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sibley-v-board-of-suprs-of-louisiana-state-university-la-1985.