A number of civil litigation trial issues were reviewed in
the case of
Farese v. Robinson, No.
April Term 2015 1084 (C.P. Phila. Co. Sept. 6, 2018 Kennedy, J.), including the
issue of how to handle a claim for future medical expenses in a motor vehicle
accident matter.
The case arose out a rear-end motor vehicle accident.
The case proceeded to trial and a jury
entered a verdict in excess of $2.5 million dollars in favor of the
Plaintiff.
The Defendants filed
post-trial motions which brought about this Rule 1925 Opinion by the trial
court judge.
With respect to the Plaintiff’s claims for future medical
expenses, defense asserted that a new trial on damages was necessary given that
the Plaintiffs introduced evidence concerning future medical costs without
reducing those costs in accordance with the cost containment provisions of the Pennsylvania
Motor Vehicle Financial Responsibility Law (“MVFRL”), or Act 6.
The trial court rejected the Defendant’s position as well as
the defense’s reliance upon the case of
Pittsburgh
Neurosurgery Assoc’s v. Danner, 733 A.2d 1279 (Pa. Super. 1999), as the
court found that that case was limited by the Superior Court to an application
to past medical bills that had already been incurred by an injured party for
treatment that had already been provided.
Instead, the trial court relied upon the case of
Moorehead v. Crozer Chester Medical Center,
765 A.2d 786 (Pa. 2001). Also, the trial court also noted that the medical bills
in this case that were presented to the jury had apparently already been
subjected to the cost containment provisions of the MVFRL.
The trial court in this case of
Farese noted that its Opinion was that future medical costs are not
considered “payable” within the meaning of §1722 or §1797 of the MVFRL.
The court believed that to claim that bills
for medical services not yet performed should be considered “capable of being
paid” in this context, “creates an unpersuasive logical fallacy.”
The court noted that, to rule otherwise,
would create confusion as any medical service not yet performed would be
considered “payable.”
This particular court believed that future medical costs can only
exists as being “not payable” under §1797.
Practically speaking, the trial court found that the
Plaintiff’s expert life care planner had properly opined as to the future cost
of medical care under the “usual and customary charge(s)” mandated by 75 Pa.
C.S.A. §1797(a).
The expert offered his
opinion at trial that life care planners base protections on future medical
care upon the usual and customary costs going into future because it is too
speculative to know what reimbursements will be from month-to-month.
In entering its ruling, the
Farese court pointed to the Federal Middle District Court decision
of
Kansky v. Showman, No.
3:09-cv-1863, 2011 WL 1362245 (M.D. Pa. April 11, 2011 Munley), in which that Federal
District Court held that future medical bills are not “payable” as future
medical payments are not currently outstanding and able to be paid and given
that Defendants cannot guarantee that any future medical expenses will in fact
be paid.
That court ruled that the
payment of future medical expenses is merely speculative as a carrier could
become bankrupt or could deny future medical bills for a variety of
reasons.
[However, neither the Farese court nor the Kansky court pointed out that whether a
Plaintiff will actually undergo future medical treatment once they settle their
case or secure a verdict is speculative as well].
The
Kansky
court held that, because the insurance benefits are not necessarily due and
owing at the time of a trial and given that nothing could compel a carrier to pay a lump sum for
future medical expenses, a Plaintiff’s future medical bills cannot be
considered to be “payable” under Act 6.
The
Farese court
followed this reasoning in its own decision and denied the defense’s request
for a new trial based upon the handling of the future medical expenses claim at
trial.
Here is a LINK to the "Future Medical Expenses" Label, which can always be freely access down the right hand column of the Tort Talk Blog at www.TortTalk.com to access blog posts on this particular troublesome and unsettled topic.
The
Farese
decision is also notable in that the trial court held that the expert testimony
offered by the Plaintiff from a neuro-radiologist was not considered to be
cumulative when compared to the other expert medical evidence offered by the
Plaintiff.
The court felt that the
expert’s expertise in the area of neuro-radiology allowed that doctor to
provide a nuanced opinion of the injuries sustained by the Plaintiff that
better explained the injuries to the jury in a manner different then that from
the Plaintiff’s other medical experts.
The
Farese court
also addressed the issue of Defendant’s Motion for Remittitur against the
Plaintiff’s substantial verdict.
In
this regard, the court provided a detailed analysis of the current state of
Pennsylvania law in addressing claims that a jury’s verdict is allegedly
excessive.
In the end, this court found that the jury’s award for
damages was not excessive and did not shock the judicial conscience.
Anyone wishing to review a copy of this decision may click
this
LINK.
Source: “Digest of Recent Opinions” Pennsylvania Law Weekly (Oct. 16,
2018).