Stotts v. Secretary of the Department of Health & Human Services

23 Cl. Ct. 352, 1991 U.S. Claims LEXIS 232, 1991 WL 107392
CourtUnited States Court of Claims
DecidedJune 4, 1991
DocketNo. 89-108V
StatusPublished
Cited by32 cases

This text of 23 Cl. Ct. 352 (Stotts v. Secretary of the Department of Health & Human Services) is published on Counsel Stack Legal Research, covering United States Court of Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stotts v. Secretary of the Department of Health & Human Services, 23 Cl. Ct. 352, 1991 U.S. Claims LEXIS 232, 1991 WL 107392 (cc 1991).

Opinion

OPINION

REGINALD W. GIBSON, Judge:

Juanita and Joseph Stotts seek compensation under the National Vaccine Injury Compensation Program, codified as amended at 42 U.S.C.A. §§ 300aa-10 et seq. (West Supp.1991) (the Program), for injuries sustained by their son Benjamin following the administration of the DPT vaccine on December 29, 1988.1 On Octo[355]*355ber 11, 1990, Special Master Elizabeth R. Wright ordered the respondent to pay a substantial lump sum award out of the Program trust fund to compensate the petitioners for those vaccine-related injuries. From these “proceeds,” she ordered the respondent to pay a lump sum award totaling $733,532.52 directly to the petitioners without restriction, as detailed infra. She also ordered the respondent to purchase an annuity contract for approximately2 $2,369,674.00 to cover certain projected vaccine-related expenses with a stream of monthly payments for the remainder of Benjamin’s life.

The respondent concedes that Benjamin sustained vaccine-related injuries, and that the petitioners are entitled to compensation under the Program. However, it objects to the amount awarded for certain elements of compensation and the manner of payment. In this context, it asserts that Special Master Wright acted arbitrarily, capriciously, with an abuse of discretion, or contrary to law when she (1) ordered that the compensation awarded for lost earnings under § 300aa-15(a)(3)(B)3 be included in the immediate lump sum payment under the authority of § 300aa-15(f)(4)(A) rather than ordering that this part of the award be funded through the purchase of an annuity that would commence payment when Benjamin begins to suffer actual loss of earnings at age 18; (2) awarded $150,000 for future pain and suffering under § 300aa-15(a)(4), and included that amount in the lump sum payment under the authority of § 300aa-15(f)(4)(A) rather than ordering that this part of the award be funded through the purchase of an annuity; (3) ordered that the compensation awarded for architectural modifications under § 300aa-15(a)(1)(A) be included in the lump sum payment under the authority of § 300aa-15(f)(4)(A) rather than ordering that this part of the award be funded through the purchase of an annuity; and (4) failed to offset the cost of special educational services that the public school system would be obligated to furnish under the Education for All Handicapped Children Act (EAH-CA), 20 U.S.C. §§ 1400 et seq., against the amount of compensation awarded for future rehabilitation expenses, as she was allegedly required to do under § 300aa-15(g).

On April 8, 1991, we remanded the petition to the special master for further findings of fact and conclusions of law on the issue of—whether the $150,000 lump sum award for future pain and suffering under § 300aa-15(a)(4) should be adjusted to reflect its net present value under § 300aa-15(f)(4)(A). The special master filed a supplemental decision on June 3,1991, concluding that such awards for future pain and suffering should not be reduced in this manner, notwithstanding the foregoing statutory provision. Thus, the petition is now ripe for complete review. For the reasons discussed hereinafter, we find no merit in any of the four objections raised by the respondent. On the other hand, we do find that the special master committed a clear error of law by failing to reduce the $150,000 lump sum award for future pain and suffering to reflect its net present value. Thus, the special master is AFFIRMED IN PART and REVERSED IN PART.

BACKGROUND

Benjamin Stotts was born on August 31, 1988, and received his second DPT vaccination on December 29, 1988, at approximately four months of age. Within 14 hours Benjamin began to display symptoms of injury. His parents described him as unresponsive, diaphoretic, and observed that he had trouble breathing. They immediately [356]*356took him to the hospital emergency room, where examinations indicated that Benjamin was the victim of some sort of neurological damage. The special master ultimately found that Benjamin experienced an encephalopathy,4 and that this condition resulted in numerous disabilities.

For example, Benjamin has regressed dramatically since the December 29, 1988 inoculation. Prior to that time, he appeared to develop according to medical expectations, and no disabilities were observed or diagnosed over the course of his first four months of life. However, following the DPT vaccination, Benjamin experienced convulsive seizures, and these seizures were documented as recently as November 1989. In fact, the special master observed that Benjamin may still be experiencing mild convulsive episodes. Benjamin suffers from a sleep disorder, has trouble eating and drinking, and is constantly constipated. He is cortically blind,5 and is only able to track large objects. He has orthopedic problems and also suffers from scoliosis, all of which will require surgical interventions in the near future. Moreover, Benjamin is severely retarded, and he is not expected to function much above the level of a six-month-old infant. Any gains that do occur will be modest at best. He cannot walk, cannot feed himself, and will never be employable or able to assume responsibility for his own affairs. Based on this evidence, the petitioners alleged that they are entitled to compensation under the Program, and both the respondent and the special master agreed.

A hearing was held on May 17, 1990, to determine the amount of restitution necessary to compensate Benjamin for his vaccine-related injuries. The petitioners filed two life care plans, which were based on a review of all the relevant medical records,6 interviews with the parents, and interviews with an independent physical therapist and an independent neuropsychologist. The respondent also submitted a life care plan, which was based on all of the relevant medical records, a review of the two life care plans supplied by the Stotts, and an interview with yet another neurologist. The special master considered these three plans, the testimony of the parents, and the expert testimony of two pediatric neurologists in her compensation analysis.

After engaging in an exhaustive review of the foregoing and other record evidence, the special master determined that the petitioners were entitled to substantial damages. She looked to the general rule of compensation enunciated in § 300aa-15(a), and concluded as a matter of law that it provided for compensation, as appropriate under the facts, in four general categories. Thus, she awarded compensation for (1) future unreimbursable medical and rehabilitation expenses, § 300aa-15(a)(l)(A), for medical care providers, treatment and hospitalizations, diagnostic testing, therapies and educational services, equipment and supplies, transportation and related equipment, home modifications, and residential and custodial care expenses; (2) past un-reimbursable medical and rehabilitation expenses, § 300aa-15(a)(l)(B), for past medical expenses, telephone costs, transportation expenses, miscellaneous equipment expenses, partial compensation for a modified van, automobile insurance, and the cost of wages for an au pair attendant; (3) lost earnings, § 300aa-15(a)(3)(B), calculated from the time Benjamin will turn 18 years of age through what would have been his working years; and (4) actual and projected pain and suffering, § 300aa-15(a)(4).

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Cite This Page — Counsel Stack

Bluebook (online)
23 Cl. Ct. 352, 1991 U.S. Claims LEXIS 232, 1991 WL 107392, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stotts-v-secretary-of-the-department-of-health-human-services-cc-1991.