05-001901N
Nicholas Romero, A Minor, By And Through His Parents And Natural Guardians, Andrea Romero And Lauro Romero; And Andrea Romero And Lauro Romero, Individually vs.
Florida Birth-Related Neurological Injury Compensation Association
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Wednesday, November 30, 2005.
Settled and/or Dismissed prior to entry of RO/FO on Wednesday, November 30, 2005.
1STATE OF FLORIDA
4DIVISION OF ADMINISTRATIVE HEARINGS
8NICHOLAS ROMERO, a minor, by )
14and through his parents and )
20natural guardians, ANDREA )
24ROMERO AND LAURO ROMERO; AND )
30ANDREA ROMERO AND LAURO ROMERO, )
36individually, )
38)
39Petitioner s , )
42)
43vs. ) Case No. 05 - 1901N
50)
51FLORIDA BIRTH - REL ATED )
57NEUROLOGICAL INJURY )
60COMPENSATION ASSOCIATION, )
63)
64Respondent. )
66)
67SUMMARY FINAL ORDER OF DISMISSAL
72This cause came on to be heard on Respondent's Motion for
83Summary Final Order, served August 15, 2005.
90STATEMENT OF THE CASE
941. On May 23, 2005, Andrea Romero and Lauro Romero,
104individually, and as parents and natural guardians of
112Nicholas Romero (Nicholas), a minor, filed a petition (claim)
121with the Division of Administrative Hearings (DOAH) for
129compensation under the Florida Birth - Related Neurological Injury
138Compensation Plan (Plan). Notably, the petition averred that
146Nicholas was born June 2, 1999.
1522. DOAH served the Florida Birth - Related Neurological
161Inj ury Compensation Association (NICA) with a copy of the claim
172on May 24, 2005, 1 and on July 21, 2005, following an extension of
186time within which to do so, NICA served its response to the
198petition for benefits, and gave notice that it was of the view
210that N icholas did not suffer a "birth - related neurological
221injury," as defined by Section 766.302(2), Florida Statutes, and
230that, given the provisions of Section 766.313, Florida Statutes,
239the claim was time - barred. Nevertheless, since Plan immunity
249may be a vi able defense to a civil suit, and the administrative
262law judge has exclusive jurisdiction to resolve whether a claim
272is compensable, NICA requested that a hearing be scheduled to
282resolve whether the claim was compensable. See
289§§ 766.301(1)(d), 766.303(2), and 766.304, Fla. Stat., and
297O'Leary v. Florida Birth - Related Neurological Injury
305Compensation Association , 757 So. 2d 624 (Fla. 5th DCA 2000).
3153. On August 11, 2005, a hearing was scheduled for
325November 4, 2005, to resolve whether the claim was compensa ble
336and whether the claim was time - barred. Thereafter, on
346August 15, 2005, NICA served a Motion for Summary Final Order.
357The predicate for the motion was, inter alia , NICA's assertion
367that the claim was not compensable since, indisputably, Nicholas
376was n either substantially mentally impaired nor substantially
384physically impaired, and that the claim , filed more than 5 years
395after Nicholas' birth, was time - barred. Attached to NICA's
405motion was an affidavit of Michael Duchowny, M.D., a pediatric
415neurologist associated with Miami Children's Hospital, who,
422based on his review of Nicholas' medical records and his
432evaluation of Nicholas on June 29, 2005, concluded, within a
442reasonable degree of medical probability, that Nicholas' "mental
450and motor status are clo se to age level," and that Nicholas "is
463not permanently and substantially mentally impaired nor is he
472permanently and substantially physically impaired ."
4784. On August 31, 2005, Petitioners filed their response to
488the Motion for Summary Final Order. The ir response was as
499follows:
500The Petitioners hereby declare that they
506have no opposition to the entry of a Summary
515Final Order in accordance with the Motion
522for Summary Final Order filed by the FLORIDA
530BIRTH - RELATED NEUROLOGICAL INJURY
535COMPENSATION ASSOCIAT ION, dated August 15,
5412005.
5425. Given the record, it is undisputed that Nicholas is not
553substantially mentally or physically impaired, and that the
561claim for compensation was filed more than 5 years after
571Nicholas' birth. Consequently, for reasons appear ing more fully
580in the Conclusions of Law, NICA's Motion for Summary Final Order
591is well - founded. § 120.57(1)(h), Fla. Stat.
599CONCLUSIONS OF LAW
602Jurisdiction
6036. The Division of Administrative Hearings has
610jurisdiction over the parties to, and the subjec t matter of,
621these proceedings. § 766.301, et seq ., Fla. Stat.
630Compensability
6317 . In resolving wither a claim is compensable, the
641administrative law judge must make the following determination
649based upon the available evidence:
654(a) Whether the injury c laimed is a
662birth - related neurological injury. If the
669claimant has demonstrated, to the
674satisfaction of the administrative law
679judge, that the infant has sustained a brain
687or spinal cord injury caused by oxygen
694deprivation or mechanical injury and that
700th e infant was thereby rendered permanently
707and substantially mentally and physically
712impaired, a rebuttable presumption shall
717arise that the injury is a birth - related
726neurological injury as defined in s.
732766.303(2).
733(b) Whether obstetrical services were
738delivered by a participating physician in
744the course of labor, delivery, or
750resuscitation in the immediate post - delivery
757period in a hospital; or by a certified
765nurse midwife in a teaching hospital
771supervised by a participating physician in
777the course of labor, delivery, or
783resuscitation in the immediate post - delivery
790period in a hospital.
794§ 766.309(1), Fla. Stat. An award may be sustained only if the
806administrative law judge concludes that the "infant has
814sustained a birth - related neurological injury and that
823obstetrical services were delivered by a participating physician
831at birth." § 766.31(1), Fla. Stat.
8378 . Pertinent to this case, "birth - related neurological
847injury" is defined by Section 766.302(2), Florida Statutes
855(1999), 2 to mean:
859injury to the brain or spinal cord of a live
869infant weighing at least 2,500 grams at
877birth caused by oxygen deprivation or
883mechanical injury occurring in the course of
890labor, delivery, or resuscitation in the
896immediate postdelivery period in a hospital,
902which renders t he infant permanently and
909substantially mentally and physically
913impaired. This definition shall apply to
919live births only and shall not include
926disability or death caused by genetic or
933congenital abnormality.
9359 . Here, indisputably, Nicholas is not perma nently and
945substantially mentally and physically impaired. Consequently,
951given the provisions of Section 766.302(2), Florida Statutes,
959Nicholas does not qualify for coverage under the Plan. See also
970Humana of Florida, Inc. v. McKaughan , 652 So. 2d 852, 8 59 (Fla.
9832d DCA 1995)("[B]ecause the Plan . . . is a statutory substitute
996for common law rights and liabilities, it should be strictly
1006construed to include only those subjects clearly embraced within
1015its terms."), approved , Florida Birth - Related Neurologic al
1025Injury Compensation Association v. McKaughan , 668 So. 2d 974,
1034979 (Fla. 1996).
1037The time limitation for filing claims
104310. Pertinent to NICA's contention that the claim is time -
1054barred, Section 766.313, Florida Statutes, provides:
1060Limitation on claim. -- A ny claim for
1068compensation under ss. 766.301 - 766.316 that
1075is filed more than 5 years after the birth
1084of an infant alleged to have a birth - related
1094neurological injury shall be barred.
1099Indisputably, the claim for compensation was filed more than 5
1109years afte r Nicholas' birth. Consequently, the claim is time -
1120barred and, if compensable, Petitioners would not be entitled to
1130an award.
1132CONCLUSION
1133Based on the Statement of the Case and Conclusions of Law,
1144it is
1146ORDERED that NICA's Motion for Summary Final Order is
1155granted, and the claim for compensation filed by Andrea Romero
1165and Lauro Romero, individually, and as parents and natural
1174guardians of Nicholas Romero, a minor, is dismissed with
1183prejudice.
1184DONE AND ORDERED this 31st day of August, 2005, in
1194Tallahassee , Leon County, Florida.
1198S
1199WILLIAM J. KENDRICK
1202Administrative Law Judge
1205Division of Administrative Hearings
1209The DeSoto Building
12121230 Apalachee Parkway
1215Tallahassee, Florida 32399 - 3060
1220(850) 488 - 9675 SUNCOM 278 - 9675
1228Fax F iling (850) 921 - 6847
1235www.doah.state.fl.us
1236Filed with the Clerk of the
1242Division of Administrative Hearings
1246this 31st day of August, 2005.
1252ENDNOTES
12531/ Consistent with Section 766.305(2), Florida Statutes, DOAH
1261also served the physician (Gil Aronson, M.D .) named in the
1272petition as having provided obstetrical services at Nicholas'
1280birth, as well as the hospital (South Broward Hospital District,
1290d/b/a Memorial Hospital West) named in the petition as the
1300facility at which Nicholas' birth occurred. To date, neither
1309the physician nor the hospital has requested leave to intervene
1319or otherwise sought leave to participate in these proceedings.
13282/ Nicholas was born June 2, 1999. Consequently, the
1337amendments to Section 766.302(2), Florida Statutes, "[e]ffective
1344July 1, 2001, and applicable to births occurring on or after
1355that date," are not applicable to this case. Ch. 2001 - 277,
1367§ 149, Laws of Fla.
1372COPIES FURNISHED:
1374(By certified mail)
1377Kenney Shipley, Executive Director
1381Florida Birth - Related Neurological
1386I njury Compensation Association
13901435 Piedmont Drive, East, Suite 101
1396Tallahassee, Florida 32308 - 4567
1401(Certified Mail No. 7003 1010 0001 2044 4265)
1409Scott Newmark, Esquire
1412Sheldon J. Schlesinger, P.A.
14161212 Southeast Third Avenue
1420Fort Lauderdale, Florida 33 316
1425(Certified Mail No. 7003 1010 0001 2044 4272)
1433David W. Black, Esquire
1437Frank, Weinberg & Black, P.L.
14427805 Southwest Sixth Court
1446Plantation, Florida 33324
1449(Certified Mail No. 7003 1010 0001 2044 4289)
1457Gil Aronson, M.D.
14601150 North 35th Avenue, No. 385
1466Hollywood, Florida 33021
1469(Certified Mail No. 7003 1010 0001 2044 4296)
1477Gil Aronson, M.D.
14802229 North Commerce, No. 200
1485Fort Lauderdale, Florida 33326
1489(Certified Mail No. 7003 1010 0001 2044 4302)
1497South Broward Hospital District
1501d/b/a Memorial Hospital W est
1506703 North Flamingo
1509Pembroke Pines, Florida 33028
1513(Certified Mail No. 7003 1010 0001 2044 4319)
1521Charlene Willoughby, Director
1524Consumer Services Unit - Enforcement
1529Department of Health
15324052 Bald Cypress Way, Bin C - 75
1540Tallahassee, Florida 32399 - 3275
1545(C ertified Mail No. 7003 1010 0001 2044 4203)
1554NOTICE OF RIGHT TO JUDICIAL REVIEW
1560A party who is adversely affected by this Summary F inal O rder of
1574Dismissal is entitled to judicial review pursuant to Sections
1583120.68 and 766.311, Florida Statutes. Review proceedings are
1591governed by the Florida Rules of Appellate Procedure. Such
1600proceedings are commenced by filing the original of a notice of
1611appeal with the Agency Clerk of the Division of Administrative
1621Hearings and a copy, accompanied by filing fees presc ribed by
1632law, with the appropriate District Court of Appeal. See Section
1642766.311, Florida Statutes, and Florida Birth - Related Neurological
1651Injury Compensation Association v. Carreras , 598 So. 2d 299 (Fla.
16611st DCA 1992). The notice of appeal must be filed within 30 days
1674of rendition of the order to be reviewed.
- Date
- Proceedings
- PDF:
- Date: 12/14/2005
- Proceedings: Letter to Judge Kendrick from K. White enclosing the attachment previously omitted filed.
- PDF:
- Date: 11/28/2005
- Proceedings: Intervenor, Gil Aronson, M.D.`s Memorandum in Opposition to Petitioner`s Motion for Fees under 57.105(5) filed.
- PDF:
- Date: 11/28/2005
- Proceedings: Letter to parties of record from Judge Kendrick regarding receipt of response to Petitioner`s Motion for Fees.
- PDF:
- Date: 11/23/2005
- Proceedings: Petitioners` Notice of Withdrawal of Petitioners` Motion for Attorney`s Fees under Florida Statue 57.105 against Intervener, Humana Medical Plan, Inc. filed.
- PDF:
- Date: 11/23/2005
- Proceedings: Intervener, Humana Medical Plan, Inc.`s Memorandum in Opposition to Petitioner`s Motion for Fees Pursuant to Section 57.105 of the Florida Statues filed.
- PDF:
- Date: 11/17/2005
- Proceedings: Petitioners` Notice of Correction of Certificate of Service attached to Petitioner`s Motion for Attorney`s Fees filed.
- PDF:
- Date: 11/17/2005
- Proceedings: Petitioners` Notice of Compliance with the Division of Administrative Hearings` Court Order dated November 9, 2005, and Notice of Filing; copy of letter dated October 7, 2005 filed.
- PDF:
- Date: 11/09/2005
- Proceedings: Order (within 10 days from the date of this Order Petitioners will file a copy of the letter referred to in paragraph 6 of their motion, Respondent and Intervenors are accorded until November 23, 2005, to respond to Petitioners` Motion for Attorney`s Fees).
- PDF:
- Date: 10/24/2005
- Proceedings: Petitioners` Motion for Attorney`s Fees under F. S. 57.105(5) filed. CASE REOPENED, per Judge Kendrick.
- PDF:
- Date: 10/11/2005
- Proceedings: South Broward Hospital District`s Joinder in Humana Medical Plan, Inc.`s Reply in Support of its Motion for Reconsideration to Alter or Amend Summary Final Judgment filed.
- PDF:
- Date: 10/06/2005
- Proceedings: Gil Aronson, M.D., Joinder in Humana Medical Plan, Inc.`s Reply in Support of its Motion for Reconsideration to Alter or Amend Summary Final Judgment filed.
- PDF:
- Date: 10/05/2005
- Proceedings: Order (Petition for Leave to Intervene granted Humana Medical Plan, Inc. and Gil Aronson, M.D.).
- PDF:
- Date: 09/30/2005
- Proceedings: Humana Medical Plan, Inc.`s Reply in Support of Its Motion for Reconsideration to Alter or Amend Summary Final Order filed.
- PDF:
- Date: 09/29/2005
- Proceedings: Respondent`s Response to the Petition for Leave to Intervene and Motion to Alter and/or Amend the Summary Final Order of Dismissal filed by Gil Aronson, M.D., and the Petition for Leave to Intervene and Motion for Reconsideration to Alter or Amend Summary Final Order filed by Humana Medical Plan, Inc..
- PDF:
- Date: 09/23/2005
- Proceedings: Petitioners` Response to Humana`s Motion to Alter or Amend the Summary Final Order filed.
- PDF:
- Date: 09/23/2005
- Proceedings: Petitioners` Response to Aronson`s Petition for Leave to Intervene filed.
- PDF:
- Date: 09/23/2005
- Proceedings: Petitioners` Response to Aronson`s Motion to Alter and/or Amend the Summary Final Order filed.
- PDF:
- Date: 09/23/2005
- Proceedings: Petitioners` Response to Humana`s Petition for Leave to Intervene filed.
- PDF:
- Date: 09/16/2005
- Proceedings: Motion to Alter and/or Amend the Summary Final Order of Dismissal filed.
- PDF:
- Date: 09/15/2005
- Proceedings: Humana Medical Plan, Inc.`s Motion for Reconsideration to Alter or Amend Summary Final Order filed.
- PDF:
- Date: 09/15/2005
- Proceedings: Humana Medical Plan, Inc.`s Petition for Leave to Intervene filed.
- PDF:
- Date: 09/12/2005
- Proceedings: Certified Return Receipt received this date from the U.S. Postal Service.
- PDF:
- Date: 09/08/2005
- Proceedings: Certified Return Receipt received this date from the U.S. Postal Service.
- PDF:
- Date: 09/08/2005
- Proceedings: Certified Return Receipt received this date from the U.S. Postal Service.
- PDF:
- Date: 09/06/2005
- Proceedings: Certified Return Receipt received this date from the U.S. Postal Service.
- PDF:
- Date: 09/06/2005
- Proceedings: Certified Return Receipt received this date from the U.S. Postal Service.
- PDF:
- Date: 09/06/2005
- Proceedings: Certified Return Receipt received this date from the U.S. Postal Service.
- PDF:
- Date: 08/31/2005
- Proceedings: Certified Mail Receipt stamped this date by the U.S. Postal Service.
- PDF:
- Date: 08/11/2005
- Proceedings: Notice of Hearing by Video Teleconference (video hearing set for November 4, 2005; 9:00 a.m.; Lauderdale Lakes and Tallahassee, FL).
- PDF:
- Date: 08/01/2005
- Proceedings: Order (regarding availability, estimated hearing time, and venue for compensability hearing).
- Date: 07/25/2005
- Proceedings: Notice of Filing, Reports from D. Willis, M.D. and M. Duchowny, M.D. filed (not available for viewing).
- PDF:
- Date: 07/07/2005
- Proceedings: Order (motion granted, Respondent shall have up to and including July 22, 2005, to file its response to the Petition).
- PDF:
- Date: 07/07/2005
- Proceedings: Motion for Extension of Time in which to Respond to Petition filed.
- PDF:
- Date: 06/28/2005
- Proceedings: Order (Motion to accept K. Shipley as qualified representative granted).
- PDF:
- Date: 06/13/2005
- Proceedings: Motion to Act as a Qualified Representative before the Division of Administrative Hearings filed.
- PDF:
- Date: 06/10/2005
- Proceedings: Certified Return Receipt received this date from the U.S. Postal Service.
- PDF:
- Date: 06/03/2005
- Proceedings: Certified Return Receipt received this date from the U.S. Postal Service.
- PDF:
- Date: 05/28/2005
- Proceedings: Certified Return Receipt received this date from the U.S. Postal Service.
- PDF:
- Date: 05/26/2005
- Proceedings: Certified Mail Receipt stamped this date by the U.S. Postal Service.
- PDF:
- Date: 05/24/2005
- Proceedings: Letter to Kenney Shipley from Ann Cole enclosing NICA claim for compensation.
Case Information
- Judge:
- WILLIAM J. KENDRICK
- Date Filed:
- 05/23/2005
- Date Assignment:
- 05/24/2005
- Last Docket Entry:
- 12/14/2005
- Location:
- Lauderdale Lakes, Florida
- District:
- Southern
- Agency:
- Florida Birth-Related Neurological Injury Compensation Associati
- Suffix:
- N
Counsels
-
David W. Black, Esquire
Address of Record -
William F. Fink, Esquire
Address of Record -
Scott Newmark, Esquire
Address of Record -
Kenney Shipley, Executive Director
Address of Record -
Kenneth E White, Esquire
Address of Record -
David W Black, Esquire
Address of Record