DJP Update 2-2-2007 Medical Liability cap in Louisiana and Louisiana 
Supreme Court ruling of today

See the summary note below from the general counsel of the Louisiana State Medical Society.


The LA Supreme Court decision is a step in the right direction.   Supreme Court ruled that the unconstitutional ruling of the 3rd 
Circuit on the "adequate remedy" provision of the Louisiana constitution is set aside.  But the case is sent back to the 3rd 
Circuit for more evaluation.

Donald J. Palmisano, MD, JD
Intrepid Resources / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, LA 70006
504-455-4895 office
312-560-0180 cell
DJP@intrepidresources.com
www.intrepidresources.com


I bring good news this afternoon. Today, February 2, 2007, the Louisiana Supreme Court announced that they granted the writs in the Arrington and Taylor Cases and vacated and set aside the judgment of the Court of Appeals (3rd Circuit) declaring the cap on medical malpractice damages to be unconstitutional because it failed to provide an ”adequate remedy” as guaranteed under the provisions of La. Const. Art. 1, Sec. 22.. The Supreme Court has remanded (sent the case back down) the case to the 3rd Circuit to consider the remaining issues on appeal. Although this is a good ruling for our side, it is not the end of the cases.

  In the Arrington case, the Supreme Court based its decision on the fact that the plaintiffs did not plead or raise the constitutional 
challenge based upon the guarantee of adequate remedy in the trial court. It is well established law that litigants must raise 
constitutional challenges in the trial court rather than the appellate courts and that the constitutional challenge must be specially plead and the grounds for the claim particularized before the trial court. In other words, the Supreme Court said that the question of constitutionality of the cap based on the guarantee of adequate remedy was never procedurally before the 3rd Circuit, so the 
ruling of the 3rd Circuit is vacated.

  In the Taylor case, the Supreme Court said that although the plaintiffs did plead adequate remedy as a ground for unconstitutionality in the trial court, they did not rely on that ground in their motion for summary judgment. They said the issue was never briefed or argued before the trial court. Because the Supreme Court determined that the trial court never considered this issue, they held that the 3rd Circuit Court of Appeals erred in declaring the cap to be unconstitutional in violation of Article 1., Section 22 of the Louisiana Constitution.

  As a side note, the plaintiffs in both cases asked the Supreme Court to exercise its discretionary jurisdiction to consider whether the statute violates any other constitutional provision. In a footnote, the Supreme Court noted that they declined to do so.

  The case will now go back to the 3rd Circuit Court of Appeal for them to consider those constitutional issues they decided not to 
consider in the last appeal, such as, separation of powers, due process, and the prohibition against special laws. So as you can see this is just round one in what may be a very long battle. If you want to read the opinions of the Supreme Court go to: http://www.lasc.org/opinions/2007/06C2518pc.pdf and http://www.lasc.org/opinions/2007/06C2968pc.pdf .

  Please feel free to contact me if you have any questions.

  Thank you,

  Amy W. Phillips, JD

General Counsel

Louisiana State Medical Society

6767 Perkins Road

Suite 100

Baton Rouge, LA 70808

800-375-9508