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Jackson v. FLORIDA BIRTH-RELATED NEURO.

Citations: 932 So. 2d 1125; 2006 WL 1649027Docket: 5D05-571

Court: District Court of Appeal of Florida; June 16, 2006; Florida; State Appellate Court

Narrative Opinion Summary

In this case, the appellants, Tracie and Ulysses Jackson, contested a final order from an administrative law judge (ALJ) regarding the compensability and notice provisions under Florida's Birth-Related Neurological Injury Compensation Act (NICA). They argued that their daughter, Jacqueline, sustained brain damage due to a birth-related neurological injury and sought benefits under the Act. The primary legal issue was whether the attending physicians from Physician Associates of Florida, Inc. (PAF) provided adequate pre-delivery notice of their participation in NICA, which is a prerequisite for the physicians to claim NICA's exclusive remedy defense. The ALJ determined that while Mrs. Jackson had received both verbal and written notice, the written notice form was incomplete, lacking specific physician names, thus failing to create a statutory rebuttable presumption under Florida Statute Section 766.316. Despite this, the court found the notice sufficient, supported by Nurse Posey's credible testimony regarding her routine practice of informing patients. The Jacksons' arguments regarding the inadequacy of the notice and the admissibility of testimony were rejected. The court affirmed the ALJ's decision, holding Jacqueline's claim compensable under NICA, as the notice requirement was substantially met without statutory insistence on listing individual physician names.

Legal Issues Addressed

Admissibility of Testimony in Administrative Proceedings

Application: The court found no error in the admission of Nurse Posey's testimony regarding pre-natal visit routines, noting the lack of a preserved objection for appellate review.

Reasoning: This objection was not preserved for appellate review due to the absence of contemporaneous objection during testimony. Even if preserved, the evidence was deemed admissible under Florida law governing administrative proceedings.

Compensability under Florida's Birth-Related Neurological Injury Compensation Act (NICA)

Application: The ALJ's decision was affirmed, holding that Jacqueline's injury was compensable under NICA, contingent upon the adequacy of pre-delivery notice about physician participation in the NICA plan.

Reasoning: Jacqueline's claim was deemed compensable under the NICA, with the sole issue being whether adequate pre-delivery notice was provided to Mrs. Jackson by PAF regarding NICA participation.

Pre-delivery Notice Requirement under NICA

Application: The court emphasized the importance of pre-delivery notice, which allows patients to make informed decisions about their obstetric care and determines the applicability of NICA's exclusive remedy.

Reasoning: A critical aspect of NICA is the requirement for physicians to provide pre-delivery notice to obstetrical patients about their participation in the NICA plan.

Rebuttable Presumption of Proper Notice under Florida Statute Section 766.316

Application: The ALJ concluded that the notice form signed by Mrs. Jackson was insufficient due to a blank space for physician names, failing to establish a rebuttable presumption of proper notice.

Reasoning: The ALJ also determined that the blank space on the notice form rendered it insufficient to establish the statutory rebuttable presumption of proper notice under section 766.316 of the Florida Statutes.

Statutory Requirements for Written Notice under NICA

Application: The court determined that the statute did not mandate the inclusion of specific physician names in written notice, affirming the sufficiency of the notice provided to Mrs. Jackson.

Reasoning: However, it was determined that Mrs. Jackson received adequate written and verbal notice about the NICA plan and the participation of PAF physicians, with no statutory requirement for the names to be included in written notice, as supported by precedent.