Justia Louisiana Supreme Court Opinion Summaries

This matter arose from alleged violations of the Health Care Consumer Billing and Disclosure Protection Act (“Balance Billing Act” or “Act”). The Louisiana Supreme Court granted certiorari review to resolve the question of whether a patient’s claims against a contracted healthcare provider for an alleged violation of La. R.S. 22:1874(A)(1) were delictual in nature. The consolidated lawsuits in this matter were filed by Matthew DePhillips and Earnest Williams, individually and on behalf of putative classes, against Hospital District No. 1 of Tangipahoa Parish d/b/a North Oaks Medical Center/North Oaks Health System (“North Oaks”). In February, 2011, Williams was injured in a motor vehicle accident. He sought emergency medical treatment from North Oaks. At the time of the accident, Williams was insured under an insurance policy administered by Louisiana Health Service & Indemnity Company d/b/a Blue Cross and Blue Shield of Louisiana (“BCBS”). North Oaks is a contracted healthcare provider with BCBS pursuant to a certain Member Provider Agreement (the “MPA”) between North Oaks and BCBS. After Williams’ treatment, North Oaks filed a claim with BCBS, and BCBS paid a discounted rate on the claims as provided by the MPA. Thereafter, North Oaks sought to collect from Williams by filing a medical lien against his liability insurance claim for the full and undiscounted charges. Williams alleged that North Oaks filed this lien despite being a contracted healthcare provider with BCBS and despite its legal and contractual requirements to accept the insurance as payment in full. The trial court denied the exceptions of no right of action for breach of contract and prescription, but granted the North Oaks’ exception of no cause of action for claims arising before the effective date of the Balance Billing Act. The court of appeal granted writs in part, finding DePhillips did not have a right of action to assert a claim for breach of the MPA, as he was neither a party nor a third-party beneficiary to that agreement. The appellate court denied North Oaks’ writ application insofar as it related to the trial court’s denial of its exception of prescription. After review, the Supreme Court determined plaintiff's claims were delictual in nature, subject a one-year prescriptive period. View "DePhillips v. Hospital Service Dist. No. 1 of Tangipahoa Parish d/b/a North Oaks Medical Center et al." on Justia Law

Derrick Harris was serving a life sentence pursuant to Louisiana's Habitual Offender law. The issue presented for the Louisiana Supreme Court's review centered on whether Harris could claim ineffective assistance of counsel at sentencing on post-conviction review. Given the fundamental right involved, after a review of the record, the Court held Harris' ineffective assistance of counsel at sentencing claim was cognizable on collateral review. Thus, the Court granted the relator’s writ, in part, and remanded the matter to the trial court for an evidentiary hearing to consider his claim of ineffective assistance of counsel at sentencing. View "Louisiana v. Harris" on Justia Law

In 2018, the target of a grand jury investigation was charged by Bill of Information with one count of molestation of a juvenile, a violation of La. R.S. 14:81.2, arising from an incident in 2003 in which he allegedly molested his children’s babysitter. The target was subsequently arrested and pled not guilty. In conjunction with the grand jury proceeding, the state issued a subpoena to the target’s wife, to appear before the grand jury. The wife filed an “Affidavit of Spouse” wherein she asserted “her lawful privilege to refuse to give evidence in any criminal proceeding against her husband, pursuant to Louisiana Code of Evidence article 505.” The Louisiana Supreme Court granted review of this matter to determine whether the spousal witness privilege in Article 505 could be invoked in a grand jury proceeding investigating the molestation of a juvenile. Because the grand jury proceeding involved an allegation and investigation of the sexual abuse of a child, the Court found the spousal privilege was abrogated by Ls. R.S. 14:403(B). The Court reversed the district court, which found the spousal privilege applied. View "In re: Grand Jury Subpoena" on Justia Law

The issue presented for the Louisiana Supreme Court's review stemmed from a class action suit relating to plaintiffs' inverse condemnation claims against the State, and whether those claims were prescribed under La. R.S. 13:5111 and/or 28 U.S.C. 2501. In 2006, plaintiffs Steve Crooks and Era Lea Crooks filed a “Class Action Petition to Fix Boundary, For Damages and For Declaration [sic] Judgment.” The Crookses alleged that they represented a class of landowners in the Catahoula Basin whose property is affected by the increased water levels from a congressionally-approved navigation project authorized under the River and Harbor Act of 1960 to promote navigation on the Ouachita and Black Rivers. In conjunction with that project, the State of Louisiana signed an “Act of Assurances,” which obligated the State to provide the federal government with all lands and property interests necessary to the project free of charge, and to indemnify the federal government from any damages resulting from the project. Ultimately, the trial court certified the plaintiffs as one class, but subdivided that class into two groups – the “Lake Plaintiffs” and the “Swamp Plaintiffs” – depending on the location of the properties affected. The lower courts relied on the decision in Cooper v. Louisiana Department of Public Works, 870 So. 2d 315 (2004) to conclude the one-year prescriptive period for damage to immovable property found in La. C.C. art. 3493 governed and the continuing tort doctrine applied to prevent the running of prescription on the plaintiffs’ claims. The Supreme Court determined the lower courts erred in relying on Cooper and held that the three-year prescriptive period for actions for compensation for property taken by the state set forth in La. R. S. 13:5111 governed, and plaintiffs’ inverse condemnation claims were prescribed. View "Crooks v. Louisiana Dept. of Nat. Resources" on Justia Law

Mariah Charles was born prematurely in October 2014 at Lafayette General Medical Center (LGMC) and hospitalized there until transferred to Women’s and Children’s Hospital of Lafayette (W&C). She was released in April 2015 release. Dr. Geeta Dalal, a pediatric cardiologist with clinical privileges at both hospitals, contributed to Mariah’s care during and after Mariah’s hospitalization. While Mariah remained at LGMC, Dr. Dalal ordered and interpreted eight echocardiograms that, according to the petition, revealed abnormal findings that could cause pulmonary artery hypertension. The petition alleged Dr. Dalal took no action other than ordering additional echocardiograms. After Mariah’s transfer to W&C, Dr. Dalal interpreted three more echocardiograms, again noted abnormalities, and allegedly failed to properly diagnose or treat Mariah. On May 8, Mariah was admitted to the pediatric intensive care unit at W&C and examined by another pediatric cardiologist who diagnosed pulmonary artery hypertension. Mariah was transferred by helicopter to Children’s Hospital of New Orleans where medical staff confirmed the diagnosis and performed a heart catheterization procedure. Mariah’s mother, Megan Thomas (Thomas), initiated Medical Review Panel proceedings with the Patient’s Compensation Fund against Dr. Dalal and the hospital defendants, alleging medical malpractice and seeking damages for their alleged failure to properly diagnose and treat Mariah. In addition to the Medical Review Panel proceedings, Thomas filed suit against the hospitals: The Regional Health System of Acadiana, LLC, Women’s & Children’s Hospital, Inc., HCA Holdings, Inc. W&C, and LGMC. The issue presented for the Louisiana Supreme Court's review centered on allegations of negligent credentialing against Dr. Dalal, and whether those allegations fell within the scope of the Louisiana Medical Malpractice Act, or alternatively, sounded in general negligence. The Supreme Court reversed the appellate court, and reinstated the trial court's judgment sustaining the hospital defendants' exceptions of prematurity. View "Thomas v. Regional Health System of Acadiana, LLC." on Justia Law

The Court of Appeal granted summary judgment to plaintiff St. Charles Gaming Company d/b/a Isle of Capri Casino Lake Charles ("Grand Palais"), holding the casino was a :vessel" for the purposes of general maritime law. The decision contradicted Benoit v. St. Charles Gaming Company, LLC, 233 So. 3d 615, cert. denied, 139 S. Ct. 104 (2018), which held the Grand Palais was not a vessel. Plaintiff Don Caldwell worked for Grand Palais Riverboat, LLC, and was injured when the gangway attached to the riverboat malfunctioned and collapsed. Plaintiff petitioned for damages, alleging the Grand Palais was a vessel under general maritime law, and that he was a seaman under the Jones Act at the time of the accident. After a de novo review of the record, the Louisiana Supreme Court concluded the Grand Palais was a not vessel under general maritime law. Therefore, it reversed the judgment of the court of appeal and granted defendant’s motion for summary judgment, dismissing plaintiff’s suit. View "Caldwell v. St. Charles Gaming Company" on Justia Law

The Louisiana Supreme Court granted review in this case to determine whether the Louisiana Commissioner of Insurance was bound by an arbitration clause in an agreement between a health insurance cooperative and a third-party contractor. The Louisiana Health Cooperative, Inc. (“LAHC”), a health insurance cooperative created in 2011 pursuant to the Patient Protection and Affordable Care Act, entered an agreement with Milliman, Inc. for actuarial and other services. By July 2015, the LAHC was out of business and allegedly insolvent. The Insurance Commissioner sought a permanent order of rehabilitation relative to LAHC. The district court entered an order confirming the Commissioner as rehabilitator and vesting him with authority to enforce contract performance by any party who had contracted with the LAHC. The Commissioner then sued multiple defendants in district court, asserting claims against Milliman for professional negligence, breach of contract, and negligent misrepresentation. According to that suit, the acts or omissions of Milliman caused or contributed to the LAHC’s insolvency. Milliman responded by filing a declinatory exception of lack of subject matter jurisdiction, arguing the Commissioner must arbitrate his claims pursuant to an arbitration clause in the agreement between the LAHC and Milliman. The Supreme Court concluded, however, the Commissioner was not bound by the arbitration agreement and accordingly could not be compelled to arbitrate its claims against Millman. The Court reversed the appellate court's judgment holding to the contrary, and remanded the case for further proceedings. View "Donelon v. Shilling" on Justia Law

Officers placed defendant Tre King in handcuffs during a traffic stop after they smelled marijuana in the vehicle and determined that he had outstanding warrants for his arrest. They advised him of his rights pursuant to Miranda v. Arizona, 384 U.S. 436. Defendant indicated that he understood his rights. A search of the vehicle revealed marijuana in the passenger side door and a gun beneath a jacket. Defendant claimed that the marijuana, jacket, and gun all belonged to him. Defendant was arrested and charged with possession of a firearm by a person convicted of certain felonies, and illegal carrying of a weapon while in possession of a controlled dangerous substance. After initially denying defendant’s motion to suppress his statements, the district court ultimately granted defendant’s motion to exclude his statements from trial. The State sought supervisory review from the court of appeal, which denied writs because it found, consistent with prior rulings in that circuit, that the Miranda warning was deficient because it fit not advise defendant of the temporal aspects of his right to an attorney (i.e., that he had a right to an attorney both before and during any questioning). The Louisiana Supreme Court granted review in this case to determine whether the warning that “you have the right to an attorney, and if you can’t afford one, one will be appointed to you,” without further qualification, was a sufficient advisement of the right to counsel under Miranda. The Court determined that a general advisement like that given in this case was sufficient, and that a statement need not be suppressed because of the failure to qualify the warning with an additional advisement that the right to counsel exists both before and during questioning. Accordingly, the Court reversed the rulings of the lower courts, denied defendant's motion to exclude his statements, and remanded for eh district court for further proceedings. View "Louisiana v. King" on Justia Law

On March 25, 2013, the 18-year-old defendant Clifford Williams shot and killed 15-year-old Ralphmon Green in the 2100 block of Allen Street in New Orleans. The victim was struck by bullets four times and defendant continued to fire at him after he fell to the ground. Eight shell casings found at the crime scene matched a semiautomatic handgun that was later found at defendant’s residence. Several eyewitnesses to the shooting testified that the victim was unarmed. Before trial, the defense was prohibited from introducing evidence of the victim’s juvenile arrest for illegal carrying of a weapon. At trial, the defense unsuccessfully attempted to introduce other evidence of the victim’s character. Specifically, the defense sought to introduce a photograph that depicted the victim holding a gun, evidence that the victim had threatened defendant on social media, and testimony of a witness that the victim had previously threatened defendant. In rejecting defendant’s claim on appeal that the district court erred in excluding this evidence, the court of appeal found that defendant failed to introduce appreciable evidence of a hostile demonstration or overt act on the part of the victim at the time of the offense charged, as required by La.C.E. art. 404(A)(2)(a). Defendant contended the court of appeal erred because testimony of an eyewitness constituted appreciable evidence of an overt act by the victim, and the district court overstepped its bounds in evaluating the credibility of that witness to find the evidence was not appreciable because the witness was not credible. To this point, the Louisiana Supreme Court agreed. However, the Court found the evidence was otherwise inadmissible, and therefore affirmed the conviction and sentence. View "Louisiana v. Williams" on Justia Law

Elaine Kirt died in 2010, due to complications that developed shortly after undergoing eye surgery. On September 23, 2011, her son, Neville Kirt, appearing in person and on behalf of his deceased mother and his two brothers, filed a request with the Division of Administration asking for a medical review panel to review the care provided to his mother by three defendants: Dr. Rebecca Metzinger, the attending surgeon; Dr. Theodore Strickland III, the anesthesiologist for the procedure; and Tulane Medical Center. In a reply letter to Neville, the Patient’s Compensation Fund Oversight Board (PCF) acknowledged receipt of the request; confirmed Dr. Metzinger, Dr. Strickland, and Tulane University Hospital & Clinic were qualified under the Louisiana Medical Malpractice Act (Act); informed Kirt a filing fee of $100 per qualified defendant was due; and requested payment of $300. The notice stated the failure to pay would render the request invalid, without effect, and would not suspend the time to file suit. Days later, then appearing through counsel, the Kirts sent a second letter asking to amend its previous request, adding two additional nurses. The Kirts included a $500 check to cover filing fees. A medical review panel convened, reviewed the care provided by all named healthcare providers, and found no breach of the standard of care. The Kirts thereafter filed against the doctors and nurses. Claims against the doctors were dismissed by summary judgments because there was no proof they breached the standard of care while treating Elaine Kirt. Those judgments expressly barred allocating fault to the dismissed parties and prohibited introducing evidence at trial to establish their fault. The nurses then filed peremptory exceptions of prescription, claiming the request for a medical review panel was invalid because the Kirts failed to pay the final $100 filing fee, and prescription was not suspended for any claims. The trial court concurred with the nurses and granted an exception of prescription. The Supreme Court determined that because the Kirts paid filing fees for five of six named defendants, dismissal of one of the nurses was proper for lack of a filing fee. The Court determined the lower courts did not consider or decide the merits of the Kirts' argument that they could not have reasonable known about the claims against two of the nurse defendants until one was deposed. Because the lower courts did not consider or decide the merits of the Kirts' basis for the exception of prescription, which could have turned on factual findings, the Supreme Court pretermitted consideration of these arguments and remanded the matter to the trial court for further disposition of the exception. View "Kirt v. Metzinger" on Justia Law