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.


View Dockets  
Summary: The infant was not substantially mentally or physically impaired, and the claim is time-barred. Respondent`s motion for summary final order of dismissal is granted.

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.

Select the PDF icon to view the document.
PDF
Date
Proceedings
PDF:
Date: 12/14/2005
Proceedings: Letter to Judge Kendrick from K. White enclosing the attachment previously omitted filed.
PDF:
Date: 11/30/2005
Proceedings: Order Closing File. CASE CLOSED.
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: Notice of Change of Address filed.
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: 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: DOAH Final Order
PDF:
Date: 08/31/2005
Proceedings: Certified Mail Receipt stamped this date by the U.S. Postal Service.
PDF:
Date: 08/31/2005
Proceedings: Petitioner`s Response to Motion for Summary Final Order filed.
PDF:
Date: 08/31/2005
Proceedings: Summary Final Order of Dismissal. CASE CLOSED.
PDF:
Date: 08/18/2005
Proceedings: Motion for Summary Final Order (filed by Respondent).
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: 08/10/2005
Proceedings: Response to Order of August 1, 2005 (filed by Petitioner).
PDF:
Date: 08/05/2005
Proceedings: Notice of Appearance (filed by D. Black).
PDF:
Date: 08/05/2005
Proceedings: Response to Order of August 1, 2005 filed.
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: 07/25/2005
Proceedings: Affidavit, Katherine Alexander, R.N. filed.
PDF:
Date: 07/25/2005
Proceedings: Response to Petition for Benefits filed.
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.
PDF:
Date: 05/24/2005
Proceedings: Notice sent out that this case is now before the Division of Administrative Hearings.
PDF:
Date: 05/23/2005
Proceedings: NICA Filing Fee rec`d. (not available for viewing)
PDF:
Date: 05/23/2005
Proceedings: Petition for Benefits Pursuant to Florida Statute Section 766.301 et seq. filed.

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

Related Florida Statute(s) (12):