Personal Injury Claims
Statute of Limitations
Personal Injury Action for Negligence: Two Years
Suits Against Health Care Providers for Professional Negligence: One Year
Does MICRA Applies Where the Plaintiff Is Injured During the Provision of Professional Services, as a Result of Those Services, But Was Not the Recipient of the Services?
(Action Against an Attorney for a Wrongful Act or Omission, Other Than for Actual Fraud: One Year)
Claims Time-Barred
Procedure:
Notice of Appeal
Appeal premature
Order to Show Cause
Dismissal
Judgment Filed
Notice of Submission of Judgment
Order to Show Cause Discharged
California Law
(Santa Clara County
Super. Ct. No. 20CV361400)
Francisco Gutierrez appeals from a judgment entered after the trial court granted summary judgment in favor of respondents Uriel Tostado and ProTransport-1, LLC, on the basis that Gutierrez’s personal injury claims were time-barred under the Medical Injury Compensation Reform Act (MICRA). Gutierrez contends that the trial court erred when it found MICRA’s one-year statute of limitations for professional negligence applicable. We conclude that because Tostado was a medical provider rendering professional services at the time the alleged negligence occurred, MICRA’s statute of limitations bars Gutierrez’s claims. We thus affirm the judgment.
Gutierrez was driving on Interstate 280 when he was forced to stop. Shortly after Gutierrez stopped, Tostado, who was driving an ambulance, rear-ended him. At the time of the accident, Tostado was an emergency medical technician (EMT) employed by ProTransport-1, LLC and was transporting a patient from one medical facility to another. While Tostado drove, his partner attended to the patient in the rear of the ambulance.
Gutierrez was injured in the collision and visited a chiropractor for treatment within ten days of the incident. Almost two years later, Gutierrez filed a complaint against Tostado and ProTransport-1, alleging various personal injury claims. The respondents filed a motion for summary judgment on the sole ground that Gutierrez’s claims were time barred under MICRA’s one-year statute of limitations. The trial court agreed that MICRA applied and granted the motion. The trial court concluded that because Tostado was transporting a patient at the time of the accident, he was rendering professional services. The trial court held that Gutierrez’s claims against the defendants were time-barred under the statute. Gutierrez timely appealed from the judgment.
(Gutierrez filed his notice of appeal on April 19, 2022, after the trial court had granted summary judgment in favor of the defendants but prior to judgment being entered. We issued an order to show cause as to why Gutierrez’s appeal should not be dismissed as premature. After the trial court filed the judgment and Gutierrez submitted a notice of submission of judgment, we discharged the order to show cause and deemed Gutierrez’s notice of appeal filed on July 11, 2022, the date judgment was entered. Fn. 1).
In this case, the trial court granted summary judgment based on its statutory construction of MICRA. We review issues of statutory construction de novo. (Aldana v. Stillwagon (2016) 2 Cal.App.5th 1, 6 (Aldana).)
The trial court granted summary judgment on the sole ground that Gutierrez’s action was barred by the statute of limitations set forth in MICRA. Gutierrez contends that the trial court erred in dismissing his claims because MICRA does not apply to his personal injury claims. A personal injury action for negligence must generally be filed within two years of the date on which the injury occurred. (Code Civ. Proc., § 335.1.)
However, suits against health care providers for professional negligence must be filed within one year. (§ 340.5.) Gutierrez argues that the one-year statute of limitations does not apply to his action because his claims are for general negligence not professional negligence, and the duty that Tostado violated by crashing into his car was a duty of care generally owed to the public, not a professional duty owed by a medical provider to a patient.
MICRA defines professional negligence as “a negligent act or omission to act by a health care provider in the rendering of professional services.” (§ 340.5, subd. (2).) The parties do not dispute that an EMT transporting a patient in an ambulance is providing medical care to the patient for purposes of the statute. (Lopez, supra, 89 Cal.App.5th at p. 347; Canister v. Emergency Ambulance Service, Inc. (2008) 160 Cal.App.4th 388, 407 (Canister).) However, only actions “alleging injury suffered as a result of. . .the provision of medical care to patients” are covered. (Flores v. Presbyterian Intercommunity Hospital (2016) 63 Cal.4th 75, 88, (Flores).) In this appeal we must decide whether a driver in a separate vehicle, injured in a collision with an ambulance transporting a patient, was injured as a result of the provision of medical care, such that MICRA’s one year statute applies. Gutierrez urges us to find that any injury here was caused by ordinary negligence. He argues that where a medical provider owes no professional duty to the plaintiff and allegedly breaches only a duty owed to the general public, a claim for personal injuries should be governed by the two-year statute of limitations applicable to ordinary negligence. Conversely, respondent suggests that the critical question is not whether defendant owed plaintiff a professional duty, but simply whether plaintiff was injured as a result of the provision of medical services by defendant; in other words, was plaintiff’s injury a foreseeable consequence of defendant’s act of providing medical care?
The Supreme Court in Flores examined what it means for a health care provider to render professional services under MICRA. There, a hospital patient sued the hospital for negligence after the latch on her bedrail broke, causing her to fall and injure herself. (Flores, supra, 63 Cal.4th at p. 89.) The court considered the difference between regular negligence arising out of the duty owed to the general public, the negligence in the maintenance of equipment and premises that are merely convenient for, or incidental to, the provision of medical care to a patient, and the negligence that arises from the duty owed to patients in the rendering of professional services. (Id. at pp. 88-89.) The court found that “Even those parts of a hospital dedicated primarily to patient care typically contain numerous items of furniture and equipment—tables, televisions, toilets, and so on—that are provided primarily for the comfort and convenience of patients and visitors, but generally play no part in the patient’s medical diagnosis or treatment. Although a defect in such equipment may injure patients as well as visitors or staff, a hospital’s general duty to keep such items in good repair generally overlaps with the ‘obligations that all persons subject to California’s laws have.’ [Citation.]” (Ibid.)
(Lee v. Hanley (2015) 61 Cal.4th 1225, 1237 (Lee): In Lee, the Court considered “section 340.5’s neighboring provision imposing a one-year statute of limitations for ‘an action against an attorney for a wrongful act or omission, other than for actual fraud, arising in the performance of professional services.’ [Citation.]” (Flores, supra, 63 Cal.4th at p. 87.) The court decided «that section 340.6(a) is properly read to apply to claims that ‘depend on proof that an attorney violated a professional obligation in the course of providing professional services.’ [Citation.]” (Ibid.) Explaining that the statute excludes services unrelated to the law or matters that entail violations of professional obligations that may overlap with obligations that all persons have, the court emphasized that the statute applies when an attorney violates a professional obligation as opposed to some generally applicable nonprofessional obligation. (Id. at pp. 87-88.)
(…) The court concluded that the hospital’s alleged negligence in the maintenance of plaintiff’s bedrail did not overlap with its general duty owed to the public because it was “integrally related to plaintiff’s medical diagnosis and treatment,” and was therefore professional negligence encompassed by MICRA. (Id. at p. 89.)
Flores and Lee both considered whether the injury to the patient or client was caused by negligence in the provision of professional services or whether the injury was the result of the breach of some broader overlapping duty owed to the public. Gutierrez asks us to conclude that the contrast drawn in those cases, between a professional duty and the general duty owed to the public, means that MICRA only applies where the defendant owes a professional duty to the plaintiff. However, neither Flores nor Lee considered whether MICRA applies where the plaintiff is injured during the provision of professional services, as a result of those services, but was not the recipient of the services. In both of those cases, the plaintiff was either the client or the patient. Multiple courts have considered injuries to third parties who were not patients and have concluded that MICRA applied to their claims.
(…) The Flores court concluded that by providing the bedrail the hospital was providing medical care, not just a convenience incidental to care. The question before the Flores court was what duty was owed to its patient, not to whom their professional duty of care extended.
(…) Because Gutierrez was not the recipient of the medical care, the question here is different from the one raised in Flores. It is not whether the injuries alleged were the result of general or professional negligence. Instead, the question here is whether an injury to a third party, who is not a patient, is subject to MICRA’s statute of limitations because the injury occurred during, and as a result of, the provision of medical care by a medical provider.
(…) Because neither Flores nor Lee considered MICRA’s applicability to nonpatients, we must agree with Canister and Lopez and conclude that MICRA is not limited to suits by patients or to recipients of medical services as long as the plaintiff is injured due to negligence in the rendering of professional services and his injuries were foreseeable.
The provision of ambulance services involves driving on the road, sometimes at a very high speed. Getting a patient to the hospital quickly is often as integral to the provision of this medical service as performing CPR or administering medication intravenously. It is, therefore, entirely foreseeable that collisions may occur where third parties are injured. The fact that Tostado was not driving quickly here or that Gutierrez was in a separate vehicle rather than in the ambulance does not change the analysis or our conclusion that third parties injured in a collision with an ambulance when it is rendering medical care are subject to MICRA.
(…) Fundamental intent of MICRA to “reduce the cost of medical malpractice insurance ‘by limiting the amount and timing of recovery in cases of professional negligence.’ [Citations.]” (Flores, supra, 63 Cal.4th at p.81.)
Even though Tostado may owe a duty to the public to drive the ambulance safely when not in use for medical care, the injury to Gutierrez occurred while Tostado, a medical provider, was performing the integral function of transporting a patient by ambulance. The trial court correctly concluded that MICRA’s one-year statute of limitations applied to Gutierrez’s negligence claims.
(California Court of Appeal, Dec. 1st, 2023, Gutierrez v. Tostado, Docket No. H049983, Certified for Publication)
