Justia Health Law Opinion Summaries

The Iowa Right to Life Committee (IRTL) filed a complaint in the U.S. district court, alleging, inter alia, that Iowa's campaign finance laws unconstitutionally imposed political committee status on corporations whose major purpose was something other than nominating or electing candidates. The district court certified two questions to the Supreme Court. At issue before the Court was whether a corporation must form a political committee under Iowa law if it wants to spend more than $750 advocating the election or defeat of Iowa candidates. The Court answered that a corporation like IRTL may engage in express advocacy without forming a political committee because a corporation making independent expenditures aggregating over $750 in a calendar year becomes an "independent expenditure committee" within the meaning of Iowa Code 68A.404 but not a "political committee" within the meaning of Iowa Code 68A.102(18) or a "permanent organization" within the meaning of Iowa Code 68A.402(9).

Patient filed suit against Doctor for malpractice and Hospital for negligent credentialing. During trial, Hospital produced Doctor's credentialing file, which was admitted into evidence. The jury returned a verdict in favor of Patient. The Supreme Court reversed, concluding that evidence admitted at trial concerning Doctor's disciplinary hearing was confidential and should have been excluded. Meanwhile, the court of appeals decided Day v. Finley Hospital, which held that the contents of a credentialing file fell within Iowa Code 147.135's peer review protection. On remand, Hospital filed a motion for summary judgment, arguing that Doctor's previously produced credentialing file was inadmissible and that, without the documents, Patient lacked sufficient evidence to establish a prima facie case. The district court granted the motion. The Supreme Court affirmed, holding (1) the law of the case did not bar Hospital from objecting to the use of Doctor's credentialing file on remand for retrial because the Court's earlier opinion did not expressly or impliedly decide the admissibility of the credentialing file; and (2) section 147.135(2) sets forth not only a privilege but a separate rule of inadmissibility, so principles of waiver did not foreclose the district court from revisiting the admissibility of the credentialing file.

Elizabeth Von Linden took her life three weeks after she was discharged as an inpatient from defendant Mercy Hospital's psychiatric ward and six days after her outpatient office visit with Mercy's psychiatrist. Von Linden's husband brought a wrongful death action against Mercy, alleging negligent care. Mercy raised defenses, including Von Linden's comparative negligence. The jury found both Mercy and Von Linden negligent and allocated ninety percent of the total fault to Von Linden and ten percent to Mercy, resulting in a defense verdict. At issue on appeal was whether the state's comparative fault act, Iowa Code chapter 668, permits a jury to compare the fault of a noncustodial suicide victim with the negligence of the mental health professionals treating her. The Supreme Court held that Von Linden owed a duty of self-care as an outpatient, and the district court committed no reversible error in allowing the jury to compare her fault. The Court therefore affirmed the judgment for Mercy.