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  • LA'QUASHA ROCHELLE SANDERS  vs.  KRISTA KAY GOODMANMOTOR VEHICLE ACCIDENT document preview
  • LA'QUASHA ROCHELLE SANDERS  vs.  KRISTA KAY GOODMANMOTOR VEHICLE ACCIDENT document preview
  • LA'QUASHA ROCHELLE SANDERS  vs.  KRISTA KAY GOODMANMOTOR VEHICLE ACCIDENT document preview
  • LA'QUASHA ROCHELLE SANDERS  vs.  KRISTA KAY GOODMANMOTOR VEHICLE ACCIDENT document preview
  • LA'QUASHA ROCHELLE SANDERS  vs.  KRISTA KAY GOODMANMOTOR VEHICLE ACCIDENT document preview
  • LA'QUASHA ROCHELLE SANDERS  vs.  KRISTA KAY GOODMANMOTOR VEHICLE ACCIDENT document preview
  • LA'QUASHA ROCHELLE SANDERS  vs.  KRISTA KAY GOODMANMOTOR VEHICLE ACCIDENT document preview
  • LA'QUASHA ROCHELLE SANDERS  vs.  KRISTA KAY GOODMANMOTOR VEHICLE ACCIDENT document preview
						
                                

Preview

FILED 10/2/2023 8:17 PM FELICIA PITRE DISTRICT CLERK DALLAS CO., TEXAS Brandon Keys DEPUTY CAUSE NO. DC-20-06968 LA’QUASHA ROCHELLE SANDERS § IN THE DISTRICT COURT § vs. § 44TH JUDICIAL DISTRICT § KRISTA KAY GOODMAN § DALLAS COUNTY, TEXAS PLAINTIFF’S TRIAL BRIEF ON PAID AND INCURRED MEDICAL EXPENSES COMES NOW, Plaintiff La’Quasha Rochelle Sanders and files this Trial Brief on Paid and Incurred Medical Expenses, and shows the Court as follows. I. INTRODUCTION Plaintiff objects to any of Defendant Krista Kay Goodman’s (hereafter “Defendant") efforts to conceal any evidence of Plaintiff’s (also “Plaintiff’) paid and incurred medical expenses from the jury through a motion in limine, motion to exclude, motion to strike, or othenNise, and asks that the Court find that Plaintiff’s evidence of paid and incurred medical expenses reflects those expenses allowed by law as paid and incurred. ll. ARGUMENT At trial, Plaintiff intends to introduce evidence of paid and incurred medical expenses. Plaintiff anticipates that Defendant wi|| request exclusion of all or part of such evidence. Such objections are without merit. Plaintiff respectfully asks the Court to allow her evidence of paid and incurred medical expenses reflects those expenses allowed by law as paid and incurred. As a general principle, compensatory damages, like medical expenses, are intended to make the plaintiff whole for any losses resulting from the defendant's interference with the plaintiff's rights. Transp. Ins. Co. v. Moriel, 879 S.W.2d 10, 16 (Tex. PLAINTIFF’S TRIAL BRIEF ON PAID AND INCURRED MEDICAL EXPENSES Page 1 of 7 1994). TEX. CIV. PRAC. & REM. CODE ANN. § 41.0105 states that, in addition to any other limitation under law, recovery of medical or health care expenses incurred is limited to the amount actually paid or incurred by or on behalf of the claimant. TEX. CIV. PRAC. & REM. CODE ANN. § 41.0105; see e.g., Big Bird Tree Serv. v. Gallegos, 365 S.W.3d 173, 177 (Tex. App.—Dallas 2012, pet. denied) (holding indigent plaintiff who received medical care free of charge entitled to recover damages for full amount billed where no evidence of contract prohibiting hospital from charging full value and evidence demonstrated patient required to pay if obtained recovery in law suit). Payments made or benefits conferred by other sources are known as collateral- source benefits. See Restatement (second) of Torts § 920A cmt. b (1977). The collateral source rule reflects "the position of the law that a benefit that is directed to the injured party should not be shifted so as to become a windfall for the tortfeasor." Restatement (second) of Torts § 920A cmt. b. They do not have the effect of reducing the recovery against the defendant. Id. The injured party's net loss may have been reduced correspondingly, and to the extent that the defendant is required to pay the total amount there may be a double compensation for a part of the plaintiff's injury. Id.; see Haygood v. De Escabedo, 356 S.W.3d 390, 394-395 (Tex. 2011). Long a part of the common law of Texas, the rule precludes any reduction in a tortfeasor's liability because of benefits received bv the plaintiff from someone else — a collateral source. Haygood v. De Escabedo, 356 S.W.3d 390, 394 (emphasis added); Mid-Century Ins. Co. of Tex. v. Kidd, 997 S.W.2d 265, 274 (Tex. 1999); Brown v. Am. Transfer & Storage Co., 601 S.W.2d 931, 934 (Tex. 1980); Tex. & Pac. Ry. Co. v. Levi & Bro., 59 Tex. 674, 676 (1883). Thus, for example, insurance payments to or for a plaintiff are not credited to damages PLAINTIFF’S TRIAL BRIEF ON PAID AND INCURRED MEDICAL EXPENSES Page 2 of 7 awarded against the defendant. Haygood v. De Escabedo, 356 S.W.3d 390, 395; Mid- Century, 997 S.W.2d at 274 ("The collateral source rule bars a wrongdoer from offsetting his liability by insurance benefits independently procured by the injured party."). The theory behind the collateral source rule is that a wrongdoer should not have the benefit of insurance independently procured by the injured party, and to which the wrongdoer was not privy. Haygood v. De Escabedo, 356 S.W.3d 390, 395; Brown, 601 S.W.2d at 934. In Haygood v. De Escabedo, 283 S.W.3d 3 (Tex. App. - Tyler 2009), aff'd, 356 S.W.3d 390 (Tex. 2011), the Supreme Court addressed the confusion that Tex. Civ. Prac. & Rem. Code Ann. § 41.0105 created. When leaving the grocery store parking lot, Margarita Garza De Escabedo negligently pulled in front of Aaron Haygood. See Haygood, 356 S.W.3d at 392. As a result of the collision, Haygood sustained many injuries. Id. Haygood underwent multiple successful surgeries, though some impairment remained. Id. Twelve health care providers treated Haygood. In total, Haygood was billed $110,069.12. Id. These amounts were adjusted down because Haygood was covered by Medicare Part B, and as the court stated, that Medicare Part B pays no more for medical and other health services than the reasonable charge for such service. Id. (quoting federal law regarding Medicare payments, 42 C.F.R. § 405.501(a) (2013)). Additionally, federal law forbids providers to charge Medicare patients more than what Medicare has determined to be reasonable. Id. (citing 42 U.S.C. § 1395cc(a)(1)-(2) (2006)). As a result, the adjusted bill equaled $27,739.43. 34 At the time of trial, Medicare had paid $13,292.41 and Haygood was still liable for $14,482.02. Id. PLAINTIFF’S TRIAL BRIEF ON PAID AND INCURRED MEDICAL EXPENSES Page 3 of 7 At trial, De Escabedo attempted to exclude any evidence of amounts owed above $27,739.43, pursuant to section 41.0105 of the TEXAS CIVIL PRACTICE AND REMEDIES CODE. Haygood, 356 S.W.3d at 392. Haygood, however, asserted the collateral source rule and moved to exclude any evidence of adjustments and payments to lower the amount owed. Id. The trial court granted Haygood's motion and proceeded to trial barring any evidence of adjusted or paid medical bills. The jury awarded Haygood the entire $ 110,069.12 for past medical expenses. Id. Over De Escabedo's post-verdict objection, the court rendered judgment on the verdict. Id. The court of appeals, however, disagreed with the trial court. See id. As the Texas Supreme Court noted, "The court of appeals [held] that section 41.0105 precluded evidence or recovery of expenses that neitherthe claimant nor anyone acting on his behalf will ultimately be liable for paying.” Id. at 392 (quoting De Escabedo v. Haygood, 283 S.W.3d 3, 7 (Tex. 2009)). The majority of the Texas Supreme Court case rejected Haygood's construction, stating that the word "actually" modified both "paid" and "incurred." Id. The language "actually paid and incurred" should be read actually paid and actually incurred. Id. Moreover, the Court defined the term "actually" since "actually" modifies "incurred": [It refers] to expenses that are to be paid, not merely included in an invoice and then adjusted by required credits. Thus "actually paid and incurred" means expenses that have been or will be paid, and excludes the difference between such amount and charges the service provider bills but has no right to be paid. Id. (emphasis added). The court focuses the attention on the amount the provider ha_s a right to collect. Id. (emphasis added). Since Medicare Part B regulations required the reduction of the collectable amount, the providers would only have a right to be paid this PLAINTIFF’S TRIAL BRIEF ON PAID AND INCURRED MEDICAL EXPENSES Page 4 of 7 reduced amount. Haygood, 356 S.W.3d at 396-97. According to the court, this holding was not groundbreaking: "All the courts of appeals that have addressed the issues have reached the same conclusion ." Id. at 398. In Big Bird Tree Service v. Gallegos, 365 S.W.3d 173, 175 (Tex. App. - Dallas 2012, pet. denied), a worker was injured on the job due to an employer's negligence. The worker accrued significant medical expenses amounting to over $ 80,000. Id. Due to the worker's financial situation, the worker qualified for a charity program and was required only to pay small co-pays. Id. However, if the providers discovered the worker no longer qualified for the charity program, the providers retained the right to bill the injured worker. Id. at 176. Unlike in Haygood, there was no evidence of a contract between the providers and the worker (or a third party representing the worker) that would limit the amount the providers could collect from the worker. Id. at 177 (emphasis added). Thouqh the providers reserved the riqht to bill the worker, no evidence of a forma_l contract was given during trial. See id. at 176-177 (emphasis added). As a result, the court was hesitant to say the hospital did not have a right to collect the full $80,000 pursuant to Haygood's authority. Id. at 177. Since the court determined the providers retained a right to collect the full amount, the expenses were actually incurred u_nder the langflge of section 41.0105. Id. (emphasis added). Consequently, the judgment for the $ 80,000 in past medical expenses was affirmed. Id. at 175, 179. Note that an individual who lacked health insurance was able to recover the full amount of medical expenses. In this case, there is similarly no evidence of a contract between the health care providers and Plaintiff (or a third-party representing Plaintiff) that would limit the amount PLAINTIFF’S TRIAL BRIEF ON PAID AND INCURRED MEDICAL EXPENSES Page 5 of 7 the health care providers could collect from Plaintiff. Therefore, the Defendant cannot show that Plaintiff’s health care providers do not have a right to collect the full amount billed pursuant to Haygood's and Big Bird’s authority. Id. at 177. In this case, the providers retain the right to collect the full amount if Plaintiff is awarded past medical expenses whether by lien or by a signed assignment of benefits by the Plaintiff, the expenses are actually incurred under the language of section 41.0105. Id. (emphasis added). Defendant has no proof othenNise. Therefore, Plaintiff asks the Court to allow the jury to consider this element of damages and award such compensation as the Plaintiff shows to be justly entitled. WHEREFORE PREMISES CONSIDERED, Plaintiff La'Quasha Rochelle Sanders prays that any of Defendant’s objections to the admission of Plaintiff’s evidence of all her paid and incurred medical expenses allowed by law. Plaintiff seeks any other and further relief to which she may be justly entitled. Respectfully submitted, KASTL LAw, P.C. ls/ Moraley KRISTINA N. KASTL State Bar No. 24025467 eservice@kastllaw.com kkastl kastllaw.com SUSAN ANNE ALLEN State Bar No. 01059350 sallen@kastllaw.com RACHEL VARUGHESE MORALES State Bar No. 24028186 rvaruqhese@kastllaw.com 4144 North Central Expressway, Suite 1000 Dallas, Texas 75204 (214) 821-0230 (214) 821-0231 Fax PLAINTIFF’S TRIAL BRIEF 0N PAID AND INCURRED MEDICAL EXPENSES Page 6 of 7 ATTORNEYS FOR PLAINTIFF *Please note and document Kastl Law, P.C.’s new e-serve address. All future e-serve notifications must be served at: eservice@kastllaw.com Service is only effectuated if it is served through our eservice@kastllaw.com email. Any other Kastl Law, P.C. email is considered ineffective service. CERTIFICATE OF SERVICE | hereby certify that a true and correct copy of the foregoing document has been served on all counsel of record on this 2nd day of October, 2023, in accordance with Rule 21a of the TEXAS RULES 0F CIVIL PROCEDURE. VIA ESERVE Samuel J. Polak PAYNE & BLANCHARD, LLP 717 N. Harwood Street, Suite 3350 Dallas, Texas 75201 /s/ Rachel/Varugl'wse Morale: RACHEL VARUGHESE MORALES PLAINTIFF’S TRIAL BRIEF 0N PAID AND INCURRED MEDICAL EXPENSES Page 7 of 7 Automated Certificate of eService This automated certificate of service was created by the efiling system. The filer served this document via email generated by the efiling system on the date and to the persons listed below. The rules governing certificates of service have not changed. Filers must still provide a certificate of service that complies with all applicable rules. Kerri Fidler on behalf of Kristina Kastl Bar No. 24025467 kfidler@kastllaw.com Envelope ID: 80172502 Filing Code Description: Brief Filed Filing Description: PLAINTIFF‘S TRIAL BRIEF ON PAID AND INCURRED MEIDCAL EXPENSES Status as of 10/3/2023 3:47 PM CST Associated Case Party: LA'QUASHAROCHELLESANDERS Name BarNumber Email TimestampSubmitted Status Kristina Kastl 24025467 kkastl@kastllaw.com 10/2/2023 8:17:44 PM SENT Kristina N.Kastl eservice@kastllaw.com 10/2/2023 8:17:44 PM SENT Tami Kirkham tkirkham@kastllaw.com 10/2/2023 8:17:44 PM SENT Susan AnneAIIen sallen@kastllaw.com 10/2/2023 8:17:44 PM SENT Kerri Fidler kfidler@kastllaw.com 10/2/2023 8:17:44 PM SENT Rachel Varughese rvarughese@kastllaw.com 10/2/2023 8:17:44 PM SENT Associated Case Party: KRISTAKAYGOODMAN Name BarNumber Email TimestampSubmitted Status Samuel JPolak spolak@pandblaw.com 10/2/2023 8:17:44 PM SENT Saul Castro scastro@pandblaw.com 10/2/2023 8:17:44 PM SENT Veronica MVaIdez vvaldez@pandblaw.com 10/2/2023 8:17:44 PM SENT Donna M.Ramirez dramirez@pandblaw.com 10/2/2023 8:17:44 PM SENT