Wilkins v. Connecticut Childbirth & Women's Center

Supreme Court of Connecticut·Decided December 9, 2014·No. SC18998 Dissent·Published

Opinion

****************************************************** The ‘‘officially released’’ date that appears near the beginning of each opinion is the date the opinion will be published in the Connecticut Law Journal or the date it was released as a slip opinion. The operative date for the beginning of all time periods for filing postopinion motions and petitions for certification is the ‘‘officially released’’ date appearing in the opinion. In no event will any such motions be accepted before the ‘‘officially released’’ date. All opinions are subject to modification and technical correction prior to official publication in the Connecti- cut Reports and Connecticut Appellate Reports. In the event of discrepancies between the electronic version of an opinion and the print version appearing in the Connecticut Law Journal and subsequently in the Con- necticut Reports or Connecticut Appellate Reports, the latest print version is to be considered authoritative. The syllabus and procedural history accompanying the opinion as it appears on the Commission on Official Legal Publications Electronic Bulletin Board Service and in the Connecticut Law Journal and bound volumes of official reports are copyrighted by the Secretary of the State, State of Connecticut, and may not be repro- duced and distributed without the express written per- mission of the Commission on Official Legal Publications, Judicial Branch, State of Connecticut. ****************************************************** WILKINS v. CONNECTICUT CHILDBIRTH & WOMEN’S CENTER— DISSENT

ROBINSON, J., with whom ROGERS, C. J., and ZARE- LLA, J., join, dissenting. I respectfully disagree with part II of the majority’s opinion, which concludes that the opinion letter supporting the good faith certification supplied by the plaintiff Kristin Wilkins1 satisfied Gen- eral Statutes § 52-190a (a)2 on the ground that, under General Statutes § 52-184c,3 a board certified obstetri- cian-gynecologist (obstetrician) is a ‘‘similar health care provider’’ to the nurse-midwives who were employed by the defendants, the Connecticut Childbirth & Women’s Center, and Women’s Health Associates, P.C. In my view, the majority’s conclusion is contrary to the plain and unambiguous language of § 52-184c (c), and amounts to the sub silentio overruling of this court’s decision in Bennett v. New Milford Hospital, Inc., 300 Conn. 1, 12 A.3d 865 (2011). Instead, I agree with the Appellate Court that, under § 52-184c (c), the plaintiff was required instead to ‘‘submit an opinion letter authored by an individual who is trained, experienced and certified in [nurse-midwifery] or nursing’’ in order ‘‘to meet the requirements of § 52-190a (a).’’ Wilkins v. Connecticut Childbirth & Women’s Center, 135 Conn. App. 679, 690, 42 A.3d 521 (2012). Because I would affirm the judgment of the Appellate Court, I respect- fully dissent.4 I begin by noting my agreement with the facts and procedural history of this case as stated by the majority and the Appellate Court, as well as the majority’s description of the parties’ arguments. See id., 683–85. I also agree with the majority that, given the allegations in the plaintiff’s complaint, in determining whether the opinion letter supplied by the plaintiff was authored by a similar health care provider as defined by § 52-184c, the applicable portion of that statute is subsection (c), which applies to specialists or those who hold them- selves out as specialists. I part company from the major- ity, however, with respect to its determination that an obstetrician and a nurse-midwife are similar health care providers within the meaning of § 52-184c (c).5 ‘‘When construing a statute, [o]ur fundamental objec- tive is to ascertain and give effect to the apparent intent of the legislature. . . . In seeking to determine that meaning, General Statutes § 1-2z directs us first to con- sider the text of the statute itself and its relationship to other statutes. If, after examining such text and con- sidering such relationship, the meaning of such text is plain and unambiguous and does not yield absurd or unworkable results, extratextual evidence of the mean- ing of the statute shall not be considered. . . . The test to determine ambiguity is whether the statute, when read in context, is susceptible to more than one reason- able interpretation. . . . When a statute is not plain and unambiguous, we also look for interpretive guidance to the legislative history and circumstances surrounding its enactment, to the legislative policy it was designed to implement, and to its relationship to existing legislation and common law principles governing the same general subject matter . . . . The question of statutory inter- pretation presented in this case is a question of law subject to plenary review. . . . ‘‘[I]n interpreting [statutory] language . . . we do not write on a clean slate, but are bound by our previous judicial interpretations of this language and the purpose of the statute.’’ (Citations omitted; internal quotation marks omitted.) Commissioner of Public Safety v. Free- dom of Information Commission, 312 Conn. 513, 527, 93 A.3d 1142 (2014). Thus, in determining whether an obstetrician and a nurse-midwife are similar health care providers under § 52-184c (c), my analysis begins with a detailed review of this court’s decision in Bennett v. New Milford Hospital, Inc., supra, 300 Conn. 1, which concluded that a board certified general surgeon, with ‘‘added qualifications in [s]urgical [c]ritical [c]are, and engaged in the practice of trauma surgery’’ who ‘‘regu- larly evaluate[s] and treat[s] injured patients in the [e]mergency [d]epartment including those who are dis- charged from the [emergency department] as well as those who require inpatient care’’; (internal quotation marks omitted) id., 8; was not statutorily permitted to author the opinion letter required by § 52-190a (a) in a medical malpractice action brought against a physician specializing in emergency medicine. Id., 4–5. This court concluded that, because ‘‘the plaintiff brought this action against the defendant in his capacity as a special- ist in emergency medicine . . . § 52-190a (a) required the plaintiff to supply an opinion letter authored by a similar health care provider as defined by § 52-184c (c).’’ Id., 6. This court rejected the plaintiff’s argument that, ‘‘to provide the opinion letter required by § 52- 190a (a), a health care provider need not be a similar health care provider under § 52-184c (b) or (c) but, rather, must only qualify to testify as an expert witness under § 52-184c (d) . . . .’’ Id., 10; see also id., 12. In so concluding, the court observed that § 52-190a (a) ‘‘refers to similar health care providers under § 52- 184c, which utilizes that term as one of art, both to establish the standard of care that the plaintiff alleges was breached in a malpractice action; see General Stat- utes § 52-184c (a); as well as in part to establish a health care provider’s qualifications to testify as an expert witness. See General Statutes § 52-184c (d). With respect to those health care providers who are board certified or trained and experienced as specialists, or . . . hold themselves out as specialists, a similar health care provider is one who: (1) Is trained and experienced in the same specialty; and (2) is certified by the appro- priate American board in the same specialty; provided if the defendant health care provider is providing treat- ment or diagnosis for a condition which is not within his specialty, a specialist trained in the treatment or diagnosis for that condition shall be considered a simi- lar health care provider.’’ (Emphasis omitted; footnote omitted; internal quotation marks omitted.) Bennett v.

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