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UPDATE – Recent Bills Affecting Subrogation!

H.R  2205

The United States House of Representatives introduced a bill on June 16, 2011 aimed at tort reform.  The stated intent of the bill is to improve the medical justice system and the short title is “Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011.”  This bill has the potential to bar subrogation rights for workers compensation, health and casualty carriers.  

House of Representative Bill 2205 (H.R. 2205) attempts to encourage states to create alternative medical liability laws and mandates specifics to be included in any such law enacted by a state.  Incentive payments would be available to states that had successfully enacted and implemented such an alternative medical liability law.  To ensure the incentive payments produce the desired results, the Secretary of Health and Human Services would require states to submit reports.  The Secretary would then compile the data and annually measure whether there was (1) a reduction in the number of health care lawsuits initiated in a state; (2) a reduction in the amount of time required to resolve lawsuits in the state; and (3) a reduction in the cost of malpractice insurance in the state.  If the alternative medical liability law produced the intended results, then the state would be eligible for an incentive payment.  However, if the secretary determined that the state law had not produced the intended results, any subsequent health care lawsuits would be subject to further scrutiny and the bill lists a number of provisions for which a state must comply.  For example, one such provision is a cap of $250,000 for noneconomic damages.  A further provision provides a complete bar to pursue any subrogation rights or enforce any lien or credit against a claimant’s recovery.  Although, Medicare is excepted from this bar to pursue subrogation rights or a lien, it would apply to any case that is settled or decided by a trier of fact.  

This federal bill takes a unique approach to addressing medical malpractice reform.  Although, the importance of subrogation recoveries is recognized as to the federal government and specifically preserved in the bill, the same consideration is not provided for other entities or businesses.  If the bill is passed, only those states that struggle to produce the intended results would trigger the bar to subrogation.

Pennsylvania Senate Bill 1131

On June 28, 2011 Governor Tom Corbett signed into law the Fair Share Act, allowing for a change generally to “several” liability in comparative negligence actions.  The new law applies to causes of action that accrue on or after its enactment.  Pennsylvania joins a growing number of states that have sought and passed reforms to their joint and several liability laws. Now, when a Pennsylvania defendant’s negligence is determined to be less than 60% responsible, they will pay damages in accordance with the degree of fault assessed against them.  However, there are a few exceptions, where a defendant’s liability remains joint and several, which are:

 
(i) intentional misrepresentation;
(ii) intentional tort;
(iii) a release or threatened release of a hazardous substance under the Hazardous Sites Cleanup Act; and
(iv)  a civil action in which a defendant has violated section 497 of the Liquor Code.

Alabama Senate Bill 269

The Governor of Alabama recently signed Senate Bill 269, which excludes someone who handles only subrogation claims from the licensing and regulation requirements of an independent adjuster.

AS REPORTED BY THE NATIONAL ASSOCIATION OF SUBROGATION PROFESSIONALS

NASP – Litigation Skills Conference

Mike Dougherty and A.J. Ober are in San Diego, CA this week attending the National Association of Subrogation Professionals - Litigation Skills Conference. 

We have met many great attorneys and insurance professionals, while attending courses to improve our litigaton techniques and better represent our clients.

Amicus Briefs filed in PA Subro cases

The National Association of  Subrogation Professionals (NASP) has filed Amicus Briefs on the issues of Pro-Rata Reimbursement of Insured’s Deductibles and PIP Subrogation.  WWR has long been a member of NASP.  The following information has been provided by NASP.

The NASP Amicus Committee has been extremely busy and filed two briefs in January 2011.  Both briefs addressed the importance of subrogation and the public policy advantages emanating from subrogation.  The Amicus briefs were filed in the Commonwealth of Pennsylvania.  

I.  Jones v. Nationwide

The first brief was in the case of Jones v. Nationwide on appeal to the Supreme Court of Pennsylvania, Docket No. 61 EAP 2010.  The brief addressed pro rating deductibles in accordance with Pennsylvania Insurance Regulation, 31 Pa.Code, Section 146.8(c).  Appellant (Jones) argues she was not reimbursed her full deductible, or rather “made whole,” by Nationwide.  Jones carried a five-hundred dollar ($500.00) collision deductible on her automobile insurance policy.  Nationwide reimbursed Jones four-hundred and fifty dollars ($450.00) from the subrogation recovery.  In addition to the above “made whole” argument, Jones advocates (1) the Insurance Commissioner does not have authority to promulgate an insurance regulation allowing pro ration of deductibles and (2) the Insurance Regulation is void because it violates the common law “made whole” doctrine.  

II.  State Farm a/s/o Lenoir v. Soxman

The second brief was filed in the case, State Farm a/s/o Lenoir v. Soxman, on appeal to the Superior Court of Pennsylvania.  Mr. Lenoir was insured for PIP benefits with State Farm Mutual Automobile Insurance Company through a policy written and executed in the state of Delaware.  Mr. Lenoir was involved in an auto accident in Pennsylvania with a Pennsylvania licensed driver.  State Farm subrogated for Delaware PIP payments in a Pennsylvania court.  Soxman argued the subrogation claim was barred in accordance with Pennsylvania law, 75 P.C.S., Section 1720.

The appeal addresses three issues:  (1) a Pennsylvania “made whole” issue, (2) an interpretation of a Pennsylvania subrogation restriction and (3) a conflict of laws.  

The results of these appeals are pending.

NASP: Eastern Pennsylvania Chapter Meeting

Yesterday I had the pleasure of attending the National Association of Subrogation Professionals, Eastern PA Chapter Meeting on behalf of WWR. The Conference was attended by both Legal and Insurance professionals and topics included Waiver of Subrogation Rights, Filing a Claim in Arbitration Forums and Fire Loss Investigation.

States Can Subrogate but Health Insurers Cannot: Kansas House Bill 2750 & Arizona Senate Bill 1043

Kansas and Arizona both presently prohibit health insurance companies from seeking subrogation recoveries within their states.  Interestingly, both states introduced legislation to allow their state funds or programs to seek recovery of their payments through subrogation and/or reimbursement. 

Kansas seeks to allow its state employee fund to pursue subrogation rights and reimbursement from its employees.   The Kansas bill would provide the underlying plaintiff attorney a fee of either 33-1/3 or 40% from any recovery by the state health plan.  It also establishes coordination of benefits as a matter of law. 

Arizona Senate Bill 1043 was enacted on May 6, 2010.  The bill creates for the State of Arizona the “Children’s Health Insurance Program” (CHIP).  The law grants the State subrogation rights “against any other person or firm to enforce the assignment of medical benefits.”  Section 36-2986, subsection A, paragraph 8.  With the new CHIP program the legislature has created subrogation rights for the State of Arizona to ensure they remain the payor of last resort.  This law is an example of a state using subrogation to further advance public policy and provide benefits to the citizens of its state as well as assistance in controlling costs.   

As reported by the Amicus Committee for the National Association of Subrogation Professionals, Weltman, Weinberg and Reis, Co., LPA member.