Spradlin v. ACADIA ST. LANDRY MED. FOUND.

711 So. 2d 699, 1998 WL 17739
CourtLouisiana Court of Appeal
DecidedJune 24, 1998
Docket97-845
StatusPublished
Cited by4 cases

This text of 711 So. 2d 699 (Spradlin v. ACADIA ST. LANDRY MED. FOUND.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Spradlin v. ACADIA ST. LANDRY MED. FOUND., 711 So. 2d 699, 1998 WL 17739 (La. Ct. App. 1998).

Opinion

711 So.2d 699 (1998)

Rickey G. SPRADLIN, et al., Plaintiffs—Appellees,
v.
ACADIA-ST. LANDRY MEDICAL FOUNDATION, Defendant-Appellant.

No. 97-845.

Court of Appeal of Louisiana, Third Circuit.

January 21, 1998.
Order Clarifying Decision on Limited Grant of Rehearing June 24, 1998.

T. Robert Shelton, Lafayette, for Rickey G. Spradlin, et al.

Chris J. LeBlanc, Baton Rouge, for Acadia-St. Landry Medical Foundation.

Before DOUCET, C.J., and SAUNDERS and WOODARD, JJ.

SAUNDERS, Judge.

Might a cause of action alleging the failure of a hospital's emergency room to treat and stabilize a patient on account of that person's lack of means bypass the procedural and substantive limitations imposed by the Louisiana Medical Malpractice Act?

The trial court answered this question in favor of plaintiffs, whose petition claims damages pursuant to the federal Emergency Medical Treatment and Active Labor Act (EMTALA), 42 U.S.C. § 1395dd, and its Louisiana statutory equivalent, La.R.S. 40:2113.4.

For the following reasons, we agree with the conclusion reached by the trial court. While Louisiana's Medical Malpractice Act governs suits involving malpractice as defined by the Act, they do not control suits for damages not contemplated by the Medical Malpractice Act, including the indigent dumping alleged by plaintiffs in this case.

*700 FACTS AND PROCEDURAL HISTORY

Essentially, plaintiffs maintain that decedent, Mary Spradlin, complaining of vomiting, pain in the upper right quadrant of her back and other flu-like symptoms, presented to the emergency department of Acadia-St. Landry Hospital on August 24, 1995, where she was examined by an emergency room physician, Dr. T. Girard.

Ms. Spradlin's transfer to University Medical Center, after Dr. Girard diagnosed her condition as right upper lobe pneumonia, is what gives rise to the present action. According to plaintiffs, Ms. Spradlin was transferred prematurely, owing to her inablity to pay her medical expenses or to provide proof of insurance, and her death on August 25, 1995, at University Medical Center was caused by the hospital's and physician's premature diversion of Ms. Spradlin to the charity hospital in Lafayette.

In response to her survivors' suit, defendant-appellant Acadia-St. Landry Medical Foundation filed alternatively a dilatory exception of prematurity and a peremptory exception of no right of action. The survivors of decedent Mary D. Spradlin replied that a suit claiming damages pursuant to 42 U.S.C. § 1395 (EMTALA) need not be initiated before a medical review panel.

The trial court agreed with plaintiffs, prompting the hospital to "appeal"[1] the decision to us.

LAW

Scarce indeed is the situation in which a bonafide medical malpractice action falls beyond the reach of the Medical Malpractice Act. La.R.S. 40:1299.47, part of the Medical Malpractice Act, La.R.S. 40:2113 et seq., makes this clear.

§ 1299.47. Medical review panel
A. (1) All malpractice claims against health care providers covered by this Part, other than claims validly agreed for submission to a lawfully binding arbitration procedure, shall be reviewed by a medical review panel established as hereinafter provided for in this Section.
....
B. (1)(a)(I) No action against a health care provider covered by this Part, or his insurer, may be commenced in any court before the claimant's proposed complaint has been presented to a medical review panel established pursuant to this Section.
....

(Emphasis ours.)

In this case, however, plaintiffs allege dumping on the part of the hospital. They maintain that defendant:

"b. Failed to have adequate policies and procedures regarding medical screening, medical treatment and proper transfer policies as to protect the safety of the decedent as to not transfer a critically ill patient; all violative of 42 U.S.C. 1395(dd) [and] LSA R.S. 40:2113 et seq."[2]

The question raised by this appeal is whether the two just-cited provisions derogate from the seemingly universal language contained in La. R.S. 40:1299.47. First, we examine the Federal provision.

Subsections (a) and (b) of EMTALA require hospitals with emergency departments upon request to provide presenting patients an appropriate medical examination, ancillary routine emergency services and necessary stabilizing treatment. In addition to civil penalties, subsection (d)(2) provides for civil enforcement by injured patients, authorizing an award of "those damages available for personal injury under the law of the State in which the hospital is located" and equitable relief. 42 U.S.C. sec. 1395(dd) subsection (d)(2)(C) limits recovery to actions brought no more than two years after the date of *701 the violation. Subsection (f) provides that this law does not preempt any State or local law requirement except to the extent that the requirement directly conflicts with a requirement of that section.

Boudreaux v. State, 97-0076 at pp. 1-2 (La. App. 4 Cir. 1/15/97)(Emphasis ours); 687 So.2d 596, 597, writ denied, 97-0396 (La.4/18/97); 692 So.2d 447.

Thus we ask whether our state's laws run afoul of EMTALA. At this juncture, it is imperative that we consider not only La.R.S. 40:1299.47, but the definition of the sorts of malpractice claims encompassed by our medical malpractice act for, as the Louisiana Supreme Court has observed:

The Medical Malpractice Act's limitations on the liability of a health care provider are special legislation in derogation of the rights of tort victims. As such, the coverage of the Act should be strictly construed. These limitations apply only in cases of liability for malpractice as defined in the Act. Any other liability of the health care provider to the patient is not subject to these limitations.

Sewell v. Doctors Hosp., 600 So.2d 577, 578 (La.1992)(holding Act inapplicable for the collapse of a hospital bed which was wholly unrelated to staff negligence).

In Sewell, the issue was whether litigation against health care providers arising from defects in hospital furniture fell within the scope of the Medical Malpractice Act. Partly due to applicable statutory language and partly on policy grounds, that is, because the alleged damages were not "`treatment-related' or caused by a dereliction of professional skill," Sewell, 600 So.2d at 579, n. 3, the supreme court concluded that Louisiana law did not "require initial submission of the claim to a medical review panel [or] limit recovery to $500,000.00 in future medical expenses." Id., 600 So.2d at 577. We likewise conclude that the Medical Malpractice Act is inapplicable to suits for damages arising not from treatment-related malpractice but from the alleged abandonment on economic grounds of indigent patients in need of emergency assistance. As the court in Sewell observed, the definition of "malpractice" contained in La.R.S. 40:1299.41 of the Medical Malpractice Act is premised upon some connection to a malpractice claim:

§ 1299.41.

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Related

Coleman v. Deno
813 So. 2d 303 (Supreme Court of Louisiana, 2002)
Coleman v. Deno
787 So. 2d 446 (Louisiana Court of Appeal, 2001)
Spradlin v. Acadia-St. Landry Med. Found.
758 So. 2d 116 (Supreme Court of Louisiana, 2000)
Bolden v. Dunaway
727 So. 2d 597 (Louisiana Court of Appeal, 1998)

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Bluebook (online)
711 So. 2d 699, 1998 WL 17739, Counsel Stack Legal Research, https://law.counselstack.com/opinion/spradlin-v-acadia-st-landry-med-found-lactapp-1998.