Justia Health Law Opinion Summaries

After giving birth to a newborn who suffered severe developmental issues resulting from a lack of glucose, Joe and Kathryn Norris (Norris) filed a medical malpractice action against, among others, Dr. Blayne Fritz, a physician who cared for the newborn. The morning before trial, Fritz moved to limit the scope of the testimony of Dr. Tom Strizich, the treating pediatrician, arguing that Norris failed to provide sufficient notice as to Strizich's opinions regarding a newborn's blood glucose level. The district court granted Fritz's motion, and the jury returned a verdict in favor of Fritz. The Supreme Court reversed and remanded with instructions to the district court to vacate its judgment and order a new trial, holding that the district court abused its discretion when it excluded Strizich's testimony regarding the appropriate standard of care where (1) Strizich was a hybrid witness for purposes of standard of care testimony; and (2) Fritz could not reasonably claim surprise or prejudice from Strizich's proposed testimony.

Blue Cross and Blue Shield of Montana (BCBS) and New West Health Services (collectively TPAs) administered a self-funded employee healthcare benefit plan for the State's employees. Jeannette Diaz and Leah Hoffmann-Bernhardt (Plaintiffs), who were both injured in accidents, filed suit against the state, BCBS, and New West for allegedly violating their made-whole rights by failing to conduct a made-whole analysis before exercising subrogation rights. Plaintiffs moved for class certification seeking to include in the lawsuit individuals who had their benefits reduced under the State plan, as well as individuals who had their benefits reduced under policies independently issued and administered by the TPAs. The district court denied class certification and determined that Montana's made-whole laws did not apply to TPAs. The Supreme Court (1) affirmed the district court's finding that BCBS and New West, in their capacities as TPAs in the present case, were not subject to the made-whole laws under either the subrogation statutes or under a third-party beneficiary theory; and (2) reversed the district court denial of class certification, as Diaz and Hoffmann-Bernhardt demonstrated that the requirements of Mont. R. Civ. P. 23 were met.

After the State petitioned for L.L.A.'s involuntary commitment to the Montana State Hospital (MSH), the district court held a hearing, at the conclusion of which it pronounced L.L.A. would be committed to MSH for a period not to exceed ninety days. L.L.A. appealed, claiming the district court erred in making insufficient findings of fact supporting her commitment. The Supreme Court reversed the order involuntarily committing L.L.A., holding that the district court erred in failing to provide a detailed statement of facts supporting its commitment order as required by Mont. Code Ann. 53-21-127(8)(a). Because the district court's findings contained no indication of the facts upon which it found that, because of her mental disorder, L.L.A. was substantially unable to protect her life and safety or that imminent threat of injury to herself or others would result if she was left untreated, the district court failed to follow the statutory requirements for involuntary commitment proceedings.

Dane Shattuck died from injuries after being hit by an automobile. Dane received medical care at Hospital for his injuries. Dane was enrolled in a children's health insurance program (CHIP), administered by the department of public health and human services (DPHHS). Hospital submitted the bill for Dane's care to Blue Cross and Blue Shield (BCBS), which served as third-party administrator of the CHIP program for DPHHS. Hospital then asserted a lien for the full bill amount against recoveries Gail Shattuck, as personal representative of Dane's estate, may obtain against third parties. Shattuck sued Hospital, BCBS, DPHHS, and the State, asserting that Defendants unlawfully acted to avoid application of "made whole" rules and that Hospital could not foreclose the lien because Shattuck had not been made whole. The district court granted partial summary judgment to Shattuck. The Supreme Court reversed in part and affirmed in part, holding (1) the district court erred by determining that CHIP constitutes insurance and was governed by the made whole doctrine, and (2) the district court did not err by determining that BCBS was not an insurer in its role here and, therefore, was not subject to the made whole statute. Remanded.

Heather Weber filed suit under the Federal Employers' Liability Act (FELA) to recover for personal injuries allegedly received during the course and scope of her employment with BNSF Railway Company, alleging BNSF breached its duty under FELA, violated the Locomotive Inspection Act (LIA), and violated the Safety Appliance Act (SAA), federal regulations, and other standards. The district court found BNSF not negligent. On appeal, the Supreme Court reversed in part and affirmed in part, holding (1) the district court erred in granting BNSF's motion for judgment as a matter of law on Weber's LIA claim because Weber presented sufficient evidence that presented a factual issue whether the LIA had been violated and whether that violation played a part in causing Weber's injuries; and (2) the district court did not err in granting BNSF's motion to exclude testimony from Weber's treating physician about the results of a positron emission tomography (PET) scan performed on Weber. Remanded.

Appellees Dana Headapohl and Lawrence Martin placed two buildings in the floodplain without a permit and installed an un-permitted incinerating toilet. The health department issued a notice of violation (NOV) to Appellees, informing them that the two structures constituted "increased use" of the septic system in violation of the health code and requiring Appellees to remove the buildings and incinerating toilet. The health board affirmed the Department's NOV following a hearing. The district court concluded that Appellees had not violated the health code by adding the two buildings, that the contested provisions of the health code suffered unconstitutional vagueness as applied to Appellees, and that the incinerating toilet did not qualify as a wastewater treatment and disposal system under the health code. The Supreme Court reversed, holding (1) the district court relied on an incomplete interpretation of "increased use" to determine whether the addition of the two buildings constituted increased use of the septic system that violated the health code, and (2) Appellees' incinerating toilet required a permit under the health code as a wastewater treatment and disposal system. Remanded to determine whether Appellees' changes of use could result in increased effluent flow to the septic system.

After Madeleine Willson died of metastatic breast cancer and acute aspiration pneumonia, Robert Willson filed a complaint against Benefis Hospitals, Peace Hospice, and Dr. T. Brice Addison for medical malpractice. Robert alleged that the administration of medication expedited Madeleine's death and that Madeleine did not give informed consent to administration of the medications. Benefis filed two motions for summary judgment, the first of which argued that Robert had failed to establish causation through qualified expert testimony. Robert filed a motion for summary judgment seeking default judgment as a sanction for Benefis' alleged spoliation of evidence. The district court granted summary judgment on the issue of causation in favor of Benefis and Dr. Addison. The court denied Robert's motion, finding Robert failed to prove spoliation. On appeal, the Supreme Court affirmed, holding (1) the district court did not err in granting summary judgment to Benefis and Dr. Addison, and (2) although the district court denied Robert's motion for summary judgment for the wrong reason, the district court did not abuse its discretion in denying the motion where sanctions were not appropriate.