SLS 201ES-214 ORIGINAL 2020 First Extraordinary Session SENATE BILL NO. 28 BY SENATOR WARD LIABILITY. Provides relative to certain civil liability, actions, damages, and procedures. (1/1/21) 1 AN ACT 2 To amend and reenact Code of Civil Procedure Arts. 1732 and 1733(A), and the heading of 3 R.S. 22:1269, to enact R.S. 9:2800.25 and R.S. 22:1269(B)(3), and to repeal R.S. 4 32:295.1(E), relative to liability; to provide relative to civil liability and certain civil 5 actions; to provide relative to certain jury trials, trial procedures, damages, collateral 6 sources, and evidence; to repeal provisions prohibiting certain evidence regarding 7 the failure to wear safety belts; to provide for an effective date; and to provide for 8 related matters. 9 Be it enacted by the Legislature of Louisiana: 10 Section 1. Code of Civil Procedure Articles 1732 and 1733(A) are hereby amended 11 and reeancted to read as follows: 12 Art. 1732. Limitation upon jury trials 13 A trial by jury shall not be available in: 14 (1) A suit for damages arising from an offense or quasi-offense where the 15 amount of no individual petitioner's cause of action exceeds fifteen thousand 16 dollars, or where such cause of action exceeds fifteen thousand dollars but no 17 cash deposit for payment of jury trial costs has been made as provided in Page 1 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 28 SLS 201ES-214 ORIGINAL 1 Article 1733(A). 2 (2) A suit other than a suit subject to the provisions of Paragraph (1), 3 where the amount of no individual petitioner's cause of action exceeds fifty 4 twenty-five thousand dollars exclusive of interest and costs, except as follows: 5 (a) If an individual petitioner stipulates or otherwise judicially admits sixty 6 days or more prior to trial that the amount of the individual petitioner's cause of 7 action does not exceed fifty twenty-five thousand dollars exclusive of interest and 8 costs, a defendant shall not be entitled to a trial by jury. 9 (b) If an individual petitioner stipulates or otherwise judicially admits for the 10 first time less than sixty days prior to trial that the amount of the individual 11 petitioner's cause of action does not exceed fifty twenty-five thousand dollars 12 exclusive of interest and costs, any other party may retain the right to a trial by jury 13 if that party is entitled to a trial by jury pursuant to this Article and has otherwise 14 complied with the procedural requirements for obtaining a trial by jury. 15 (c) Notwithstanding Subsubparagraphs (a) and (b) of this Subparagraph, if, 16 as a result of a compromise or dismissal of one or more claims or parties which 17 occurs less than sixty days prior to trial, an individual petitioner stipulates or 18 otherwise judicially admits that the amount of the individual petitioner's cause of 19 action does not exceed fifty twenty-five thousand dollars exclusive of interest and 20 costs, a defendant shall not be entitled to a trial by jury. 21 (2)(3) A suit on an unconditional obligation to pay a specific sum of money, 22 unless the defense thereto is forgery, fraud, error, want, or failure of consideration. 23 (3)(4) A summary, executory, probate, partition, mandamus, habeas corpus, 24 quo warranto, injunction, concursus, workers' compensation, emancipation, 25 tutorship, interdiction, curatorship, filiation, annulment of marriage, or divorce 26 proceeding. 27 (4)(5) A proceeding to determine custody, visitation, alimony, or child 28 support. 29 (5)(6) A proceeding to review an action by an administrative or municipal Page 2 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 28 SLS 201ES-214 ORIGINAL 1 body. 2 (6)(7) All cases where a jury trial is specifically denied by law. 3 Art. 1733. Demand for jury trial; bond for costs 4 A.(1) A party may obtain a trial by jury by filing a pleading demanding a trial 5 by jury and a bond in the amount and within the time set by the court pursuant to 6 Article 1734, except as provided in Subparagraph (2) of this Paragraph. 7 (2) In a suit for damages arising from an offense or quasi-offense where 8 the amount of an individual petitioner's cause of action exceeds fifteen thousand 9 dollars, a party may obtain a trial by jury by filing a pleading requesting a trial 10 by jury and providing a cash deposit for costs as required by Article 1734.1, 11 except that such cash deposit shall be made no later than thirty days after the 12 request for trial by jury. The deposit shall be sufficient to defray the pretrial 13 costs of the jury trial through the first day of trial. Failure to post the cash 14 deposit as required by this Subparagraph shall constitute a waiver of the trial 15 by jury. 16 Section 2. R.S. 9:2800.25 is hereby enacted to read as follows: 17 §2800.25. Collateral source; recovery of certain expenses; evidence; definitions; 18 limitations 19 A. For the purposes of this Section: 20 (1) "Health insurance issuer" means Medicare, Medicaid, an entity 21 issuing policies under the Employee Retirement Income Security Act (ERISA), 22 and any entity that offers health insurance coverage through a policy or 23 certificate of insurance subject to state law that regulates the business of 24 insurance, including a health maintenance organization, federal or nonfederal 25 governmental plan, and the office of group benefits. 26 (2) "Medical provider" means any health care provider, hospital, 27 ambulance service, or their heirs or assignees. 28 (3) "Contracted health care provider" means any in-network medical 29 provider that has entered into a contract or agreement directly with a health Page 3 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 28 SLS 201ES-214 ORIGINAL 1 insurance issuer or with a health insurance issuer through a network of 2 providers for the provision of covered health care services at a pre-negotiated 3 rate. 4 (4) "Case" means a quasi-delictual or delictual action where a person 5 suffers injury, death, or loss. 6 (5) "Cost sharing amount" shall mean any co-pay, deductible, or any 7 other amount paid or owed to a medical provider by or on behalf of the 8 claimant. 9 B. In a case where a claimant's medical expenses have been paid, in 10 whole or in part, by a health insurance issuer to a contracted health care 11 provider, or pursuant to the Louisiana Workers' Compensation Law as 12 provided in R.S. 23:1020.1, et seq., recovery of the medical expenses so paid is 13 limited to two and a quarter times the amount actually paid to the medical 14 provider by the health insurance issuer or compensation payor and any cost 15 sharing amounts that were paid or are owed by or on behalf of the claimant, or 16 the amount actually billed, whichever is less. In a case brought pursuant to the 17 Louisiana medical malpractice law, R.S. 40:1231.1, et seq. only, where a 18 claimant's medical expenses have been paid, in whole or in part, by a health 19 insurance issuer to a contracted health care provider, recovery of the medical 20 expenses so paid is limited to two and a quarter times the amount actually paid 21 to the medical provider by the health insurance issuer and any cost sharing 22 amounts that were paid or are owed by or on behalf of the claimant, plus fifteen 23 percent, or the amount actually billed, whichever is less. 24 C. In all other cases, and for all medical expenses not actually paid by 25 a health insurance issuer to a contracted health care provider, the claimant may 26 recover the medical expenses billed and paid without condition or under 27 protest, or that are owed, in the amount claimed, by or on behalf of the 28 claimant, including but not limited to the amount secured by a contractual or 29 statutory privilege, lien, or guarantee. Page 4 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 28 SLS 201ES-214 ORIGINAL 1 D. The provisions of this Section are not applicable to the right to 2 recover damages for future medical treatment, services, surveillance, or 3 procedures of any kind incurred after the date of entry of judgment by the 4 court or of an arbitration award. 5 E. The provisions of this Section are not applicable to cases brought 6 pursuant to the malpractice liability for state services law, R.S. 40:1237.1, or the 7 Louisiana Governmental Claims Act, R.S. 13:5101, et seq. 8 F. Whether any person has paid or has agreed to pay, in whole or in 9 part, any of a claimant's medical expenses, shall not be disclosed to the jury. 10 The jury shall be informed only of the amount actually billed by medical 11 providers for claimant's medical treatment. If any reduction of the amount of 12 past medical expenses awarded by the jury is required by Subsection B of this 13 Section, this reduction shall be made by the court after trial. 14 Section 3. The heading of R.S. 22:1269 is hereby amended and reenacted and R.S. 15 22:1269(B)(3) is hereby enacted to read as follows: 16 §1269. Liability policy; insolvency or bankruptcy of insured and inability to effect 17 service of citation or other process; direct action against insurer; 18 nondisclosure of insurer name in jury trial 19 B.(1) * * * 20 (3) In a direct action against an insurer pursuant to the provisions of this 21 Section that is tried by a jury, the name of the insurer shall not be disclosed to 22 the jury. 23 * * * 24 Section 4. R.S. 32:295.1(E) is hereby repealed. 25 Section 5. The provisions of this Act shall have prospective application only and 26 shall not apply to a cause of action arising or action pending prior to the effective date of this 27 Act. 28 Section 6. This Act shall become effective on January 1, 2021. Page 5 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 28 SLS 201ES-214 ORIGINAL The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Jerry G. Jones. DIGEST SB 28 Original 2020 First Extraordinary Session Ward Present law (C.C.P. Art. 1732) authorizes a jury trial when the amount in controversy exceeds $50,000. Proposed law reduces the threshold for a jury trial to $25,000, except that a suit for damages arising from an offense or quasi-offense that exceeds $15,000 may be tried by jury if a party requests a jury trial and posts a cash deposit for costs of the trial no later than 30 days after making the request. The deposit shall be sufficient to defray the pretrial costs of the jury trial through the first day of trial. Proposed law (R.S. 9:2800.25) provides for definitions: (1) "Health insurance issuer" means Medicare, Medicaid, an entity issuing policies under the Employee Retirement Income Security Act (ERISA), and any entity that offers health insurance coverage through a policy or certificate of insurance subject to state law that regulates the business of insurance, including a health maintenance organization, federal or nonfederal governmental plan, and the office of group benefits. (2)"Medical provider" means any health care provider, hospital, ambulance service, or their heirs or assignees. (3) "Contracted health care provider" means any in-network medical provider that has entered into a contract or agreement directly with a health insurance issuer or with a health insurance issuer through a network of providers for the provision of covered health care services at a pre-negotiated rate. (4) "Case" means a quasi-delictual or delictual action where a person suffers injury, death, or loss. (5) "Cost sharing amount" shall mean any co-pay, deductible, or any other amount paid or owed to a medical provider by or on behalf of the claimant. Proposed law provides that in a case where a claimant's medical expenses have been paid, in whole or in part, by a health insurance issuer to a contracted health care provider, or pursuant to the Louisiana Workers' Compensation Law as provided in R.S. 23:1020.1, et seq., recovery of the medical expenses so paid is limited to two and a quarter times the amount actually paid to the medical provider by the health insurance issuer or compensation payor and any cost sharing amounts that were paid or are owed by or on behalf of the claimant, or the amount actually billed, whichever is less. In a case brought pursuant to the Louisiana medical malpractice law, R.S. 40:1231, et seq. only, where a claimant's medical expenses have been paid, in whole or in part, by a health insurance issuer to a contracted health care provider, recovery of the medical expenses so paid is limited to two and a quarter times the amount actually paid to the medical provider by the health insurance issuer and any cost sharing amounts that were paid or are owed by or on behalf of the claimant, plus 15%, or the amount actually billed, whichever is less. Proposed law provides that in all other cases, and for all medical expenses not actually paid by a health insurance issuer to a contracted health care provider, the claimant may recover the medical expenses billed and paid without condition or under protest, or that are owed, in the amount claimed, by or on behalf of the claimant, including but not limited to the amount secured by a contractual or statutory privilege, lien, or guarantee. Page 6 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 28 SLS 201ES-214 ORIGINAL Proposed law provides that it is not applicable to the right to recover damages for future medical treatment, services, surveillance, or procedures of any kind incurred after the date of entry of judgment by the court or of an arbitration award. Also provides that it is not applicable to cases brought pursuant to the malpractice liability for state services law, R.S. 40:1237.1, or the Louisiana Governmental Claims Act, R.S. 13:5101, et seq. Proposed law further provides that whether any person has paid or has agreed to pay, in whole or in part, any of a claimant's medical expenses, shall not be disclosed to the jury. The jury shall be informed only of the amount actually billed by medical providers for claimant's medical treatment. If any reduction of the amount of past medical expenses awarded by the jury is required by proposed law, this reduction shall be made by the court after trial. Present law (R.S. 22:1269 (B)) provides relative to liability policies and direct action against an insurer. Present law provides that an injured third party has the right to take direct legal action against the insurer if that right is provided for within the terms and limits of the policy. Provides for action against the insurer alone if at least one of the following applies: (1)The insured has been adjudged bankrupt by a court of competent jurisdiction or proceedings to adjudge an insured bankrupt have been commenced before a court of competent jurisdiction. (2)The insured is insolvent. (3)Service of citation or other process cannot be made on the insured. (4)The cause of action is for damages resulting from an offense or quasi-offense between children and parents or between married persons. (5)The insurer is an uninsured motorist carrier. (6)The insured is deceased. Present law further provides that, if the accident or injury occurred within the state of Louisiana, the right of direct action shall exist whether or not the policy of insurance was written or delivered in the state of Louisiana and whether or not such policy contains a provision forbidding such direct action. Proposed law retains present law and adds that in a direct action against an insurer pursuant to the provisions of present law that is tried by a jury, the name of the insurer shall not be disclosed to the jury. Present law (R.S. 32:295.1(E)) provides that the failure to wear a safety belt in violation of present law shall not be admitted to mitigate damages in any action to recover damages arising out of the ownership, common maintenance, or operation of motor vehicle, and the failure to wear a safety belt in violation of present law shall not be considered evidence of comparative negligence. Proposed law repeals this provision. Proposed law provides that its provisions shall have prospective application only and shall not apply to a cause of action arising or action pending prior to the effective date of proposed law. Page 7 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 28 SLS 201ES-214 ORIGINAL Effective January 1, 2021. (Amends C.C.P. Arts. 1732 and 1733(A); adds R.S. 9:2800.25 and R.S. 22:1269(B)(3); repeals R.S. 32:295.1(E)) Page 8 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.