Louisiana Hospital Association and Louisiana State Medical Society VS State of Louisiana, The State of Louisiana through the Department of Insurance and James J. Donelon in his Capacity as Commissioner of Louisiana Department of Insurance

Annotate this Case

Download PDF

1 ' STATE OF LOUISIANA COURT OF APPEAL FIRST CIRCUIT NO. 2013 CA0579 LOUISIANA HOSPITAL ASSOCIATION & LOUISIANA STATE MEDICAL SOCIETY VERSUS STATE OF LOUISIA~A, THE STATE OF LOUISIANA THROUGH THE DEPARTMENT OF INSURANCE & JAMES J. DONELON IN HIS CAPACITY AS COMMISSIONER OF THE LOUISIANA DEPARTMENT OF INSURANCE DEC 3 0 2014 Judgment rendered ****** Appealed from the 19th Judicial District Court in and for the Parish of East Baton Rouge, Louisiana Trial Court No, 615,492 Honorable Janice Clark, Judge ****** CARROLL DEVILLIER, JR. GREGORY D. FROST JEANNE C. COMEAUX BATON ROUGE, LA ~ (}'. ttl ATTORNEYS FOR PLAINTIFFS-APPELLANTS LOUISIANA HOSPITAL ASSOCIATION & LOUISIANA STATE MEDICAL J.E. CULLENS, JR. EDWARD J. WALTERS, JR. DARREL J. PAPILLION DAVID ABBOUD THOMAS BATON ROUGE, LA AND rA_ .1> PATRICK N. BROYLES .W BATON ROUGE LA - ATTORNEYS FOR DEFENDANTS-APPELLEES STATE OF LOUISIANA, THE STATE OF LOUISIANA THROUGH THE DEPARTMENT OF INSURANCE AND JAMES J. DONELON IN HIS CAPACITY AS COMMISSIONER OF THE LOUISIANA DEPARTMENT OF soaETY - ~~ ~~~"''" Ri'<t5P51~~ --._ • .tJ....._f/ Ti~~ ;r. OPM:H~"J rP * ~"/i7~~ ~H ~· ****** f(utltl \T (lofJC~u <=t- l)..:s~iCAJ:::s -~R~~·· JSn {J· . 1_;-JI_~ CJ. etN_atAS ~~~/LL~ a_s K_~~ BEFORE: l,pARRO, KUHN, PETTIGREW, McDONALD, McCL DON, WELCH, HIGGINBOTHAM, CRAIN, THERIOT, AND DRAKE, ll. (j)t00;J·)~rfn:t& ~~~H-~· ~/)--/~~~~ ~ ~~r 1WUt.v<>~, :r. C""'~ b.-. -tL<- n..u..,""" ~ b'1 c:r.ily --------------------------- PETTIGREW, J. In this appeal, plaintiffs challenge the trial court's judgment, granting summary judgment in favor of defendants and dismissing, with prejudice, plaintiffs' petition for preliminary and permanent injunction and declaratory relief. For the reasons that follow, we reverse in part, vacate in part, and remand for further proceedings. FACTS AND PROCEDURAL HISTORY The facts of this case are not in dispute. On August 29, 2012, Governor Bobby Jindal issued Executive Order No. BJ 2012-16 ("Executive Order"), to provide for the "LIMITED TRANSFER OF AUTHORITY TO COMMISSIONER OF INSURANCE FOR EMERGENCY RULES FOR HURRICANE ISAAC." The Executive Order provided, in pertinent part, as follows: WHEREAS, in accordance with R.S. 29:724Pl the Governor may suspend the provisions of ar:1y regulatory statute prescribing the procedures for conduct of state business, or the orders, rules, or 1 As part of the Louisiana Homeland Security and Emergency Assistance and Disaster Act ("HSEDA"), La. R.S. 29:724 provides, in pertinent part, as follows, with respect to the powers of the governor during a state of emergency: A. The governor is responsible for meeting the dangers to the state 'and people presented by emergencies or disasters, and in order to effectuate the provisions of this Chapter, the governor may issue executive orders, proclamations, and regulations and amend or rescind them. Executive orders, proclamations, and regulations so issued shall have the force and effect of law. D. In addition to any other powers conferred upon the governor by law, he may do any or all of the following: (1) Suspend the provisions of any regulatory statute prescribing the procedures for conduct of state business, or the orders, rules, or regulations of any state agency, if strict compliance with the provisions of any statute, order, rule, or regulation would in any way prevent, hinder, or delay necessary action in coping with the emergency. (2) Utilize all available resources of the state government and of each political subdivision of the state as reasonably necessary to cope with the disaster or emergency. (3) Transfer the direction, personnel, or functions of state departments and agencies or units thereof for the purpose of performing or facilitating emergency services. (4) Subject to any applicable requirements for compensation, commandeer or utilize any private property if he finds this necessary to cope with the disaster or emergency. (5) Prescribe routes, modes of transportation, and destination in connection with evacuation. (6) Suspend or limit the sale, dispensing, or transportation of alcoholic beverages, firearms, explosives, and combustibles. (7) Make provision for the availability and use of temporary emergency housing. 2 --------------------~-- -- - regulations of any state agency, if strict compliance with the provisions of any statute, order, rule, or regulation would in any way prevent, hinder, or delay necessary action in coping with the emergency; WHEREAS, families and businesses may have suffered damages due to Hurricane Isaac and its aftermath or may have to relocate temporarily due to mandatory or voluntary evacuations and/or damage to their dwellings or offices; WHEREAS, in addition to ·the displacement of citizens and disruption of business operations, Hurricane Isaac may cause interruption of communications, including phone service, internet service, and delivery of mail in numerous areas throughout Louisiana; WHEREAS, in the ordinary ·course of business, insurance companies send notices to their insureds, many of which are required by law to be responded to within specified time limits with consequences for failure to do so; WHEREAS, State law also provides requir~ments for the approval and denial of claims by insurers, though compliance may not [be] practical or possible; WHEREAS, Commissioner of Insurance James J. Donelon has advised the Governor that citizens in Louisiana are at risk with regard to any and all kinds of insurance; and WHEREAS, Commissioner of Insurance James J. Donelon has requested that the Governor authorize him to suspend laws regarding legal deadlines and certain processes and procedures applicable to Louisiana citizens who on 12:01 A.M., August 26, 2012, resided in certain parishes, regarding any and all insurance matters, including but not limited to flood insurance, homeowners insurance, life insurance, health and accident insurance, limited benefit . insurance, vehicle insurance, liability insurance, workers' compensation insurance, burglary and forgery insurance, glass insurance, fidelity and surety insurance, title insurance, fire and extended coverage insurance, steam boiler and sprinkler leakage insurance, crop and livestock insurance, marine and transportation insurance, credit life insurance, medical supplement insurance, credit property and casualty insurance, annuity insurance, HMOs, professional and medical malpractice liability insurance, property and casualty insurance, all surplus lines insurance, self insurance funds, disability insurance, reciprocal insurance, long term care insurance, short term health insurance, stop loss insurance, excess loss insurance, commercial general insurance, Medicare supplement insurance, preferred provider organizations, managed care organizations and any and all other insurance related entities licensed by the Commissioner or doing business in Louisiana; NOW THEREFORE I, BOBBY JINDAL, Governor of the State of Louisiana, by virtue of the authority vested in me by the Constitution and laws of the State of Louisiana, do hereby order and direct as follows: SECTION 1: Commissioner of Insurance James J. Donelon shall have limited transfer of authority to act only according to the requirements for implementation of Emergency Rule 26, Title 37. The Governor's authority pursuant to R.S. 29:724 to suspend provisions of any 3 regulatory statute prescribing the ·procedures for .conduct of State business, or the orders, rules or regulations of the Department of Insurance rs transferred to Commissioner of Insurance James J. Donelan for purposes of enacting and enforcing Ernergency Rule 26; Title 37. SECTION 2: This limited transfer of authority referenced in Section 1 specifically includes but _is not 'lifnited to the . authority to suspend applicable statutes, issue any r'ules, regulations, and ,directives or take any other action that Commissioner James J, Donelan deems necessary for purposes of Emergency Rule No., 26 to protect the public health, safety, and welfare of the citizens of Louisiana who were affected by Hurricane Isaac and on 12:01 AM, August 26, 2012, resided in those parishes of Louisiana specified in Emergency Rule No. 26. SECTION 3: Any rules, regulations, directives or any other actions taken by Commissioner of Insurance James J. Donelan to effectuate Emergency Rule No. 26 shall have the full force and effect as if said rules, regulations, directives or any other actions were, issued by the Governor of the State of Louisiana. · The Governor of the State of Louisiana shall retain his power, coterminous with the ppwer transferred to Commissioner of Insurance James J. Donelan, to issue any rules, regulations, directives or take any other actions with regard_ to any. and all insurance matters necessary to protect the public healthf safety and welfare of the citizens of Louisiana. SECTION 4: SECTION 5: This limited transfer of authority shall remain in full force and effect for the duration of Emergency Ruie No. 26, which is until September 25, 2012. Relying upon the transfer of authority from Governor Jindal, the State of Louisiana through the Department of Insurance, and James J. Donelon, in his capacity as Commissioner of the Department of Insurance (the "Commissioner") (collectively "the Department"), promulgated Emergency Rule 26 ("Rule 26"), which in pertinent part, temporarily banned the practice of ~~balance . billingn by out~of-network health care providers as discussed in detail below. 2 Pursuant to §4767 of Rule 26, it became effective at 12:01 a.m. on August 26, 2012, and was 1'in fuli force and effect until 12:01 a.m. 2 "Balance billing" is defined as follows: [A]ny written or electronic communication by a non-contracted health care provider that appears to attempt to collect from an enrollee or insured any amount for covered, non~ covered, and out-of-network health care services received by the enrollee or insured from the non-contracted health care provider that is not fully paid by the enrollee or insured, or the health insurance issuer. La. R.S. 22:1880(A)(l). 4 September 25, 2012," As originally implemented~ Rule 26 did not contain any geographical limitations. Specificallyr §4701(A) provided as follows: The benefits, entitlements and protections of Emergency Rule 26 shall be applicable to insureds who, as of 12:01 asn. on August 26r 2012, had a policy, insurance contract or certificate of coverage for any of the types of insurance enumerated in §4703 and reside in the state of Louisiana. Insureds shall include, but not be 'limited to, any and all policyholders, members, subscribers, enrollees and certificate hoiders. However, this statewide version of ~ule 2:{) was only in place from August 26, 2012 through September 8, 2012, when Rule 26 was amended by the Commissioner. As set forth in §4701(8), as amended, Rule 26'sapplic;ability G?fter September 8, 2012, was limited to insureds who resided in certQin parishes·.arid wh,oQave written notice before . . . . September 25, 2012, to their insurers of tre . impaQt ihfli(:ted lipqn them as a result of . . .... Hurricane Isaac. ~ .' ' . ' ) . The majority of Rule 26 only suspended statutory and regulatory provisions concerning cancellations, non-renewals, reinstatements, premium payments, and claim filings regarding any and all insurance matters caused by Hurricane Isaac and affecting insureds in certain parishes. However, §§4719 and 4721, which are at issue herein, appeared to go a bit further, The provisions of §4719, entitled "Emergency' Health Care Services," provided as follows: A. RS, 22:1821 et seq,, remains in effect regarding all health insurance issuers, HMOs, PPOs, MCOs, PBMs or TPAs, and any other health insurance entities doing business. in louisiana or regulated by the commissioner, and any and all other health .insurance· regulated by the Louisiana Insurance Code, Emergency services claims shail be covered as if in-network and health care prof~ssion~ls and health: care providers. shall be reimbursed in accordance. with· the ·Patfent Protection and Affordable Care Act specifically, 'section 27t9A ~mdJ5- FR 37188. and health care professionals and health care provider's shaH be prohibited from balance billing the insured, policyholder,. member, subscriber, enrollee and certificate holder. · Further, the provisions of §4721, entitled "Compliance with Health Care Consumer Billing and Protection Act," provided as follows: A. All health care professionals and health care providers rendering services to an insured in the state of Louisiana shall comply with the Health Care Consumer Billing and Protection Act pursuant to R.S. 22:18.71, et seq, Health care providers and/or health care professionals who file a 5 ----------------------- claim and/or accept payment for non-elective health care services and emergency health care services shaW have legally released the insureds from any further financial obligation for the health care services rendered. Health care providers and/or health care professionals shall be deemed to have released.~ discharged and waived any and ali rights to take any legal action or redress, either in person or via trans~er, assignment or subrogation, to collect any unpaid arriounts fron1 insureds and/or health insurance issuers, HMOs, PPOs, MCOsf PBMs or TPAs or any or all other health insurance entities doing business in louisiana or regulated by the commissioner. Any violation by health care providers and/or health care professionals of this provision may be deemed an unfair trade practice under R.S. 22:1871 et seq. and may be referred to the Louisiana Attorney General. The Louisiana Attorney General may pursue remedies as provided for in R.S. 51:1401 et seq. In response to Rule 26, the Louisiana Hospital Association and the Louisiana State Medical Society (collectively referred to as "LHA 11 filed the instant petition for ) preliminary and permanent injunction and declaratory relief against the Department, challenging the constitutionality of §§4719 and 4?2L LHA argued that the provisions of Rule 26, and specifically §§4719 and 4721, were :unconstitutional in the following, nonexclusive respects: 1) the authority granted to Governor Jindal by La. R.S. 29:724 does not authorize the governor, or any transferee, to make substantive, affirmative law; 2) the authority granted to Governor Jindal by La. R.S. 29:724 is non-transferable and the Executive Order relied upon by the Department is without effect; 3) the provisions of §§4719 and 4721 exceed the authority delegated to the Commissioner by Governor Jindal; 4) the provisions of §§4719 and 4721 exceed the authority granted to the Commissioner by the Louisiana Constitution . and/or the Louisiana legislature; 5) the promulgation of Rule 26 by the Department is in clear violation of the separation of powers provisions of the Louisiana Constitution; and 6) the referenced regulatory sections are in violation of the Louisiana ·Contract Claus~,' .Arbde. I, . §23 . of the Louisiana 1 , , ~ • 1 .' ' Constitution. i . ' ··· .. ·: Thereafter, the Department· filed a ·motion for su~mary judgment, arguing that LHA's constitutional challenge was unfounded .and' the petition was ripe for summary dismissal. The motion filed by the Department was supported by the following exhibits: (1) a certified copy of Executive Order No" BJ 2012-16; (2) a certified copy of Rule 26 and a certified copy of Amended Rule 26; (3) a certified copy of Proclamation No 92 BJ 2012 6 ...-----;:-- ----------------~~~-~~ -- (the declaration of a state of emergency for Tropical Storfl1 Isaac); and (4) the affidavit of David Truax (Custodian of the official records of the Office of the State Register of the State of Louisiana) with attached certified copies of various emergency rules and previous executive orders by Governor Jindal and former Governor Kathleen Bianco, introduced to show that this was not the first time that a governor had delegated his authority to the Commissioner in the wake of an emergency. LHA filed an opposition to the motion for summary judgment, alleging that the Department, "in purported response to HL!rricane Isaac, [has] impermissibly usurped the exclusive law-making authority. of the Louisiana ·legislature and [has] exceeded the authority granted by La. R.S. 29:724 by enacting the disputed provisions of Emergency Rule 26." Arguing that the issue before the court was purely a legal one, i.e., the constitutionality of §§4719 and 4721 of Rule. 26, LHA maintained that the matter was appropriate for declaratory relief in its favo·r. 3 Following a January 14, 2013 hearing on the motion for summary judgment, the trial court granted the Department's motion, dismissing, with prejudice, LHA's petition for preliminary and permanent injunction and declaratory relief in its entirety. In oral reasons for judgment, the trial court noted as follows: This court is firmly of the opinion that the governor of this state, as the chief executive officer, has the constitutional power and authority to act in cases of emergency declared through his subordinates, through his cabinet level, and it may occasion some abrogation of certain clauses in certain contracts wherein the safety, public safety, and health, and other concerns of the citizens have to be balanced against the exercise at that rate at that juncture. And the legislature has provided an orderly delegation, which is Iconstitutionally]. permissible from the most plenary of branches to the executive or the administration.. The executive acted appropriately, a thirty day _period, .tWenty~three jurisdictions to provide within its delegation as well as'the .ppiicepower~ a schematic design that the obligqtion of an existing did not forever more and henceforth·. contract. The governor, as the chiefexecutive, .may have delegated it to the commissioner of insurance. He could have also delegated it to the treasurer, might have delegated it to the -- well, I won't go that far, but he might have delegated it otherwise. But in any event, this court is of impair 3 We note that LHA subsequently filed its own motion for summary judgment, seeking a judgment in its favor prohibiting the Department from implementing and enforcing Rule 26 and declaring Rule 26 unconstitutional and unenforceable. However, LHA's motion was not filed until four days before the hearing on the Department's motion for summary judgment. Accordingly, LHA's motion was not heard by the trial court as a cross motion for summary judgment, which would be the normal course and procedure, and is not before us on review. 7 I--------------~------------- the op1mon that the exercise of their powers are constitutional[,] the plaintiffs [sic] have established [a] prima facie showingr and they're entitled to summary judgment. The court grants it A judgment in accordance with these · findjngs ·was signed by the trial court on February 20, 2013. 4 It is from this judgment that LHA has appealed,, assigning the following specifications of error: . . The trial court erred when 1t sanct1oried the promulgation of §§4719 and 4721 of Emergency Rule 26 by th~ Department of Insurance, which is a direct violation of the separation of powers provisions of the Louisiana Constitution of 1974. 1. 2. The trial court erred when it approveq the. enactment of the substantive provisions of §§4719 and 4721 of Emergency Rule 26 by the Department of Insurance, the enactment of which exceeds the authority granted by the Legislature pursuant to La. R.S. 29:724. 3. The trial court erred when it found that the authority to enact substantive law, as contained in §§4719 and 4721 of Emergency Rule 26, to be within the authority delegated to the Department of Insurance by Executive Order, No. BJ 2012-16. 4. The trial court erred in failing to find that §§4719 and 4721 of Emergency Rule 26, promulgated by the Department of Insurance, violated the provisions of Louisiana's Contract Clause (La. Canst. art. I, §23). DECLARATORY RELIEF Louisiana Code of Civil Procedure article. 1871 authorizes the judicial declaration of "rights, status, and other legal relations whether or not further relief is or could be claimed." A declaratory judgment is one that simply establishes the rights of the parties or expresses the opinion of the court on a question of law~ without ordering anything to be done, and its distinctive characteristic is that the declaration stands by itself with no executory process following as a matter of course, so that it is distinguished from a direct action in that it does not seek ex~cution or perf?rmance from the defendant or 4 On May 13, 2014, during the pendency of this appeal, the Department filed with this court a "Peremptory Exception Of Lack Of Sta.nding Or, In The Alternative Motion To Dismiss Or Remand:' Filing a peremptory exception for the first time on appeal is permitted by La. Code Civ. P. art. 2163. Howeverr Article 2163 makes consideration of such an exception discretionary with the appellate court. Southern States Masonry, Inc. v. J.A. Jones Const. Co", 507 So.2d 198, 207 (La, 1987). Given the lateness of the filing herein, we decline to exercise our discretionary authority to consider the Department exception filed for the first time on appeal. The facts underlying the exception have existed since the inception of the litigation, but inexplicably, were not complained of until after the matter was on appeal. We find it would not be in the interest of justice or judicial efficiency to address and decide the exception at this juncture. Accordingly, we decline to do so. 8 the opposing litigants. Lemoine v. Baton Rouge Pnysica~ Therapy, L.LP., 2013- 0404, p. 4 (La. App. 1 Or. 2013), 135 so.Jd 771, 773, .w.rit.d§:nt~~d, 2014-0201 (La. 4/4/14), 135 So.3d 1182. The trial cowts February 20, 2013 judgment provided, !n pertinent part, as follows: IT IS HEREBY ORDERED~ ADJUDGED, AND DECREED that defendants' Motion for SummaryJudgment be andhereby is GRANTED, as there are no genuine issues of· material fatt that preclude Final Judgment in favor of THE STATE OF . LOUISIANA, THE. LOUISIANA DEPARTMENT OF INSURANCE AND JAMESJ. DONELON IN HIS CAPACITY AS COMMISSIONER OF THE LOUISIANA DEPARTMENT OF INSURANCE; IT IS HEREBY FURTHER. ORDERED, ADJUDGED AND DECREED that plarntiffs' PETITION FOR PRELIMINARY AND PERMANENT INJUNCTION AND .DECLARATORY RELIEF be and hereby is DISMISSED WITH PREJUDI.CE in its entirety; . ·· . ' . . . . . IT IS HEREBY FURTHER ORDERED, ADJUDGED AND DECREED that this. ruling be and .hereby . is deem d a FINAL JUDGMENT, as it resolves ail issued in the ·above-cap ioned matter between the parties[.] Although a liberal interpretation of what the triQ.i court ac;:complis ed in this judgment could allow one to infer that the trial courtf. by virtue of granti g the Department's motion for summary judgment and dismissing/ with prejudice LHA's petition for declaratory relief, implicitly denied LHA's request for a declaration hat §§4719 and 4721 of Rule 26 were unconstitutional and therefore void and unenforc able, we find it was legal error on the part of the trial court not to specifically ded re the rights of the parties in the February 20, 2013 judgment .Neverthelessr as an appellate court, we are empowered to render any judgment that is.. just and proper upon he record. La. Code . .. " . ' Civ. P. art 2164. The character of the underlying action herein was one for dedaratory judgment and permanent injunction" However, the judgment ·before the court on appeal was rendered pursuant to a motion for summary judgment Thus, our review is pursuant to the summary judgment standard. See Carrollton Presbyterian Church v. Presbytery of South Louisiana of Presbyterian Church (USA), 2011-0205, p. 6 '9. (La. App. 1 Cir. 9/14/11), 77 So.3d 975, 9/'8 1 ~:'WJlt ge_oied, 2011··2590 (La. 2/17/12); 82 ' ' ' So. 3d 285, cert denied, __ U5. --· .133 S,Ct 150, 184 L.Ed.2d 32 (2012). STANDARD Of REVIEW AND · GENERAL PRINCIPLES Of SUMMARY JUDGMENT revlew on appeai~ using the same oe novo Summary judgment is subJect to standards applicable to the tria! court's determination of the . ~ssues. ' ' Berard v. L-3 ' Communications Vertex Aerospace,. llCr_ .2009~ 1202, . p. ' S (La.. App. 1 Cir. . : . ·. . ' . . . ·. . : .' .• ;' : ~ . 2/12/10), 35 So.3d 3341 339-340,.writ .QeuL~dF 2010-Q715 (La. 6/4/10), 38 So.3d 302. . • • . . •. . ·: • . • ' . ' • ~ l • • . . • ' The summary judgment pro~edure i$ expres.sly .favqred in th~ law and is desigfled to secure the just, speedy, and inexpensive determination of r10n-domestic civil actions. ' ' La. Code Civ. P. art. 966(A)(2). Its purpose is to pierce the pleadings and to assess the Hines v. Garrett, proof in order to see whether there is a genuine need for trial. 2004-0806, p. 7 (La. 6/25/04), 876 So.2d 764r 769 (per curiam). Summary judgment is appropriate if the pleadings, depositions, ~mswers to lnt~rr9g;:3toriesr admissions, and affidavits in the record show that there is no genuine. i_ssue as, tQ material fact and that the mover is entitled to judgment as a matter of ~aw. U~, Code Civ. P. art. 966(B). In ruling on a motion for summal)' judgment~ the judge's role i$ not to evall!ate the weight of the evidence or to determine the truth of the matter, but instead to determine whether there is a genuine issue of tr]abie fact Hinesi 2004-0806 at 1, 876 So.2d at 7650 Despite the legislative mandate that summary judgments are now favored, factual inferences reasonably drawn from the, evidE:nce must be construed in favor of . the party opposing the motion, and ali doubt must be resolved in the opponent's favor. ·Willis v. Medders, 2000-250lff P: 2 (l,.f!. 12/8/00}, 775 So.2d 1049, . ·, . ' ' ' .: . . . ' 1050 (per curiam). After a thorough review of the record. before us, we note .that the material facts of this case are not in dispute. The. real ·.·issue before us .is whether the trial court correctly interpreted and applied the law,. ··Appellate review of questions of law is simpiy a review of whether the trial court was legally correct or legally incorrect City of Baker School Bd. v. East Baton Rouge Parish School Bd.: 99=2505; p., 2 (La. App. ' .... ~ . <.; ~· ti; 1 Cir. 2/18/00), 754 So.2d 291, 292, On legal. issues. the appellate court gives no weight to the findings of the trial court1 but exercises lts constitutional duty to review Northwest Louisiana questions of law and renders judgment on the record. ~ "'.·· Production Credit Ass'n v. State, Dept" of Revenue and Taxation, 98-1995, p. 3 (La. App. 1 Cir. 11/5/99), 746 So.2d 280, 282, LAW AND ANALYSIS On appeal, LHA argues that the "~language of La ..RS. 29:724 makes it clear that the legislature did not grant the Governor limit,ess .' :. ! . ,•. POY'J~r to make substantive law. . Thus, • I the Governor had no such authority to transfer to theJDepartment];" Pointing to Section I . . p6wer~ set forth therein, LHA maintains that (D) of La. R.S. 29:724 and the enumerated there is no provision in the statute that permits the governor to enact any substantive law that the governor deems appropriate. Rather, LHA alleges that when all the powers granted to the governor in Section (D) are read in para materia, it is clear that the legislature intended to give the governor the autho~ity to quickly respond to and cope with the practical realities that can occur during· any give:n emergency. LHA argues that . . . . balance billing is not a scenario created by an emergency situation, but rather, a legislatively endorsed practice that applies to all insureds every day. LHA adds that "Rule 26's revocation of out-of-network provider's statutorily protected right to seek payment for services rendered does not enhance the ability of the State or the Governor to respond to any emergency caused by Hurricane Isaac"" Noting that the Department's attempt to legislatively prevent balance billing is not necessary to "cope with an emergency," LHA asserts the Departm~nrs exercise, of.au~ho~ity b~Y~.nd the scope of La. R.S. 29: 724(D) is unauthorized and unconstitutionaL .. . ., , . , . ' ·~ •, ' I . • I - Citing La. R.S. 29:722, tl;ie Depart:mentargue.s !nresponse:, I ' , ~ ' '· ... •.. . . , ,, , • ,. Reading La. R.S. 29:724 together \Nit~ La. R.S .. 29:722, it is apparent that Governor Jindal was legally authorized ·to issue executive orders "to ensure that prepqratio~~ ()f [the state of Lpuisiana would] be adequate to deal with [Hurricane · lsaac]/' · ·"to ... prevent, prepare for, ... respond to, or recover from' 1 Hurncane Isaac, and "generally to preserve the lives and property of the people of the state of Louisiana." Governor Jindal was also legally authorized to issue executive orders "to reduce vulnerability of people and communities of [the state of Louisiana] to damage, injury, and loss of life and property resulting from" Hurricane 11 .. -···- -·-·--·-· --- ~-~----·--·-·------ Isaac. And he was authorized to issue executive orders "to prepare for prompt and efficient. .. treatment of persons victimized or threatened by" Hurricane Isaac. Considering the scope of the emergency powers that the legislature granted to the governor during state d~astersr Governor Jindal was acting well within his authority under HSEDA to issue an executive order temporarily banning out-of.. network [health care providers] from balance billing Louisiana insureds in the immediate aftermath of Hurricane Isaac. The fundamental question in all cases of statutory interpretation is legislative intent and the ascertainment of the reason or reasons that prompted the legislature to enact the law. In re Succession of Boyter, 99-0761, p. 9 (La. 1/7/00), 756 So.2d 1122, 1128. The rules of statutory construction are designed to ascertain and enforce the intent of the legislature. !d.; Stogner v. Stogner, 98-3044, p. 5 (La. 7/7/99), 739 So.2d 762, 766. Legislation is the solemn .expression. of legislative will, and therefore, interpretation of a law involves primarily a. search for the. legislature's intent. La. R.S. 1:4; La. Civ. Code art. 2; Conerly v. State, 97-0871, p. 3 (La. 7/8/98), 714 So.2d 709, 710. When a law is clear and unambiguous and its application does not lead to absurd consequences, the law shall be applied as written .and no further interpretation may be made in search of the intent of the legislature. La. Civ. Code art. 9; Conerly, 97-0871 at 3, 714 So.2d at 710. The meaning and intent of a law is determined by considering the law in its entirety and all other laws on the same subject matter and placing a construction on the provision in question that is consistent with the express terms of the law and with the obvious intent of the legislature in enacting it. 1129; Stogner,. 98-3044 at applied and 5, 73g: So. 2d ai Boyter, 99-0761 at 9, 756 So.2d at 766. The statute must, .therefore, be interp~eted in a manner that is ~onsi~tent' Vvith' logit and 'the presumed fair purpose and intention of the legislature in passing it. Boyter, 99-0761 at 9, 756 So.2d at 1129. This is because the rules of statutory construction require that the general ; ·intent and purpose of the legislature· in enacting the law must, if possible, be given effect. Id.; Backhus v. Transit Cas. Co., 549 So.2d 283, 289 (La. 1989). It is presumed the intent of the legislature is to achieve a consistent body of law. Stognerf 98-3044 at 5, 739 So.2d at 766. 12 -- --------,------------------ ~ In La. R.S. 29:721, et seq., the legislature enacted the HSEDA. The legislature enacted the HSEDA to enable the governor and parish presidents to declare a state of emergency for the stated purposes off/ among other thingsr preseNing the lives and ~ property of the stater reducing vulneratni!ty. of people; and communities to damage, injury and loss of life and property resulting from a natur~i or man-made catastrophe, providing for the orderly start of restoration of persons and pr9perty- affected by the emergency or disaster, coordinating activities relating to response and recovery among the different participatory agencies, and coordinating resources with the federal government, o~her states, and private agencies in order to effectively deal with the emergency or disaster. La. R.S. 29:722, 724, and 727; see State v. Pearson, 2007-332r pp. 9-19 (La. App. 5 Cir. 12/27/07), 975 So.2d 646, 652. Reading the HSEDA as a whole, it is clear that the. legislature did not intend to . . .. ~ ' convey legislative authority upon the governor during a state of emergency. As previously indicated, La. R.S. 29:724(A) permits the governor to issue executive orders, proclamations, and regulations to "effectuate. the provisions of [the HSEDA]. ~~ The specific ' . ' powers granted to the governor under the HSEDA are set out in La. R.S. 29:724(0). While Section (0)(1) permits the governor to ~'[s]uspend the provisions of any regulatory statute prescribing the procedures for conduct of state business ... if strict compliance with the provisions of any statute, order, rule, or regulation would in any way prevent, hinder, or delay necessary action in coping with the emergency," there is no provision in La. R.S. 29:724 that permits the. governor to enact substantive law, (Emphasis added.) As pointed out byLHA in brief to this court, had the legislature deemed it appropr4ate for the governor to enact substantive legislation, it could have easily included same in the series of items designated in La. R.S. 29:724(0). This court must apply the well-settled doctrine of statutory construction, alterius, expressio unius et exc/usio which teaches us that when the lfgislature specifically enumerates a series of things, the legislature's omission of other items, which could have been easily included in the statute, is deemed intentional. Sensebe v. Canal Indem. Co., 2010-0703, p. 16 (La. 1/28/11), 58 So.3d 441, 451. 13 --.·---~~--,------------------- As Governor Jindal had no authority· pursuant to La. R.S. 29:724 to enact substantive lawf he had no such authority to transfer to the Department. Thus, we find that by enacting §§4719 and 4721 of Ru!e 26r the .Department exceeded the authority granted by the legislature pursuant to La. R5. 29:724. Accordingiy, summary judgment in favor of the Department was inappropriate" 5 Therefore, we reverse that portion of the trial court's judgment granting summary judgment in favor of the Department. We further vacate that portion of the judgment denying the preliminary and permanent injunction and remand this matter to the trial court for further proceedings. CONCLUSION For the above and foregoing reasons, we reverse that portion of the trial coures February 20, 2013 judgment granting summary judgment iA favor of the Department; and we vacate that portion of the judgment denying the preliminary and permanent injunction and remand this matter for further proceedings consistent with this opinion. Appeal costs in the amount of $1,598.50 are as$essed against the Department. REVERSED IN PART; VACATED IN PART; REMANDED. -,. ,·· 5 J Courts should avoid constitutional rulings when case can be decided on the basis of non-constitutional issues. UTELCOM, Inc. v. Bridges, 2010-0654, p. 12 (La. App. 1 Cir. 9/12/11), 77 So.3d 39, 50, yvrit denied, 2011-2632 (La. 3/2/12), 83 So.3d 1046. Because we have determined that the Department exceeded its authority in enacting §§4719 and 47 1 of Rule 26, the issues raised by LHA concerning the separation of powers provisions of the Louisiana Constitution and the Contract Clause, La, Canst art. I, §23, are not essential to the determination of the issues before th!s court. Accordingly, the constitutional issues are pretermitted. 14 L LOUISIANA HOSPITAL ASSOCIATION AND LOUISIANA STATE MEDICAL SOCIETY FIRST CIRCUIT VERSUS STATE OF LOUISIANA flt;TATE OF LOUISIANA ET AL. COURT OF APPEAL NO. 2013 CA 0579 KUHN, J., concurring. Because· I agree with the reversal and remand of this case, I concur in the result. But I believe the holding -- that since Governor Jindal had no authority to enact substantive law, he had no authority to transfer such power to the Department of Insurance; and as such, the Department exceeded any authority given under La. R.S. 29:274 to enact sections 4719 and 4721 of Rule 26 --is dicta. La. C.C.P. art. 1871 permits courts to declare the rights, status, and other legal relations of the parties. A person whose rights, status, or other legal relations are affected by, among other things, an emergency rule may have any question of construction or validity arising under that rule determined; and may obtain a declaration of rights, status, or other legal relations thereunder. See La. C.C.P. art. 1872. (Emphasis added.) There is no prohibition against granting summary judgment in an action for declaratory judgment. See e.g., Lemoine v. Baton Rouge Physical Therapy, L.L.P., 2013-0404 (La. App. 1st Cir. 12/27113), 135 So.3d 771, writ denied, 2014-0201 (La. 4/4114), 135 So.3d 1182 (affirming the trial court's declaration as valid certain non-competition provisions in a partnership agreement). But in granting summary judgment, where there are no genuine issues of material fact to be resolved, the court is tasked with the assignment of declaring questions of construction or validity of, among other things, the emergency rule. See Nosser v. Health Care Trust Fund Bd. of City of Shreveport, 27,619 (La. App. 2d Cir. 1124/96), 666 So.2d 1272, 1278; see also La. C.C.P. arts. 966, 1871 and 1872. In this case, the trial court issued a judgment that merely states that summary judgment in favor of the State is "GRANTED as there are no genuine issues of material fact that preclude Final Judgment in favor of THE STATE" without expressly declaring anything and, more specifically, without stating the "rights, status, and other legal relations" between the Louisiana Hospital Association and the Louisiana Medical Society (collectively LHA) and the State of Louisiana as it was required to do when rendering a declar ory judgment. Thus, the reversal of the trial court's judgment and remand of the atter to the trial court is correct. On remand, the trial court should articulate t e parties' rights, status, and legal relations to support its legal conclusion that HA is not entitled to the declaration that sections 4719 and 4721 of Rule 26 were illegally promulgated and/or unconstitutional. Accordingly, I concur in the result. 2 LOUISIANA HOSPITAL ASSOCIATION & LOUISIANA STATE MEDICAL SOCIETY STATE OF LOUISIANA VERSUS COURT OF APPEAL STATE OF LOUISIANA, THE STATE OF' LOUISIANA THROUGH DEPARTMENT OF INSURANCE & JAMES DONELON IN HIS CAPACITY AS COMMISSIONER 01· THE LOUISIANA DEPARTMENT OF INSURANCE FIRST CIRTCUIT NO. 2013CA0579 r CRAIN, J., dissenting. Louisiana courts are limited in their subject matter jurisdiction to justiciable controversies, and are not empowered to render advisory opinions. See Cat 's Meow, Inc. v. City of New Orleans, through the Department of Finance, 98-0601 (La. 10/20/98), 720 So. 2d 1186, 1193. A "justiciable controversy" is one presenting an existing actual and substantial dispute involving the legal relations of parties who have real adverse interests and upon whom the judgment of the court may effectively operate through a decree of conclusive character. Tobin v. Jindal, 11-0838 (La. App. 1 Cir. 2/10/12), 91 Soo 3d 317, 32L In this case, plaintiff seeks to have certain sections of an emergency rule issued by the Commissioner of Insurance declared unconstitutional. However, it is undisputed that the emergency rule is no longer in effect, and plaintiff has not alleged that any of its members were adversely affected by the emergency rule. Therefore, it appears that plaintiff is seeking an advisory opinion regarding the authority of the governor to delegate powers to the Commissioner of Insurance, and the scope of that authority, which might have effect in future emergency situations. Accordingly, I would vacate the trial court's judgment for lack of jurisdiction and dismiss the appeal. LOUISIANA HOSPITAL ASSOCIATION & LOUISIANA STATE MEDICAL SOCIETY STATE OF LOUISIANA VERSUS COURT OF APPEAL STATE OF LOUISIANA, STATE OF LOUISIANA THROUGH THE DEPARTMENT OF INSURANCE & JAMES DONELON IN HIS CAPA CITY AS , FIRST CIRCUIT COMMISSIONER OF THE LOUISIANA DEPARTMENT OF INSURANCE NO. 2013 CA 0579 McDONALD, J. DISSENTING: I disagree with the majority in this case, because I do not think the executive branch exceeded the express statutory delegation of lawmaking authority conferred upon it by the Louisiana Homeland Security and Emergency Assistance and Disaster Act (HSEADA), La. R.S. 29:721, et seq. The executive branch may execute legislative functions if the legislature expressly so delegates in a statute. State v. Miller, 2003-0206 (La. 10/21103), 857 So.2d 423, 428. The HSEADA allows the governor of Louisiana to declare a state of emergency to protect Louisiana citizens. La. R.S. 29:722. To accomplish this goal, the HSEADA expressly delegates lawmaking authority to the executive branch by giving the governor the authority "to issue executive orders, proclamations, and regulations" to effectuate the provisions of the HSEADA. La. R.S. 29:724(A). The Governor's authority includes the power to suspend regulatory statutes or agency orders, rules, etc., under La. R.S. 29:724(D), but is not limited to the suspension of such regulatory statutes or agency orders, etc. under that statute. Thus, contrary to the majority finding that "there is no provision in La. R.S. 29:724 that permits the governor to enact substantive law," I interpret La. R.S.29:724(A)'s grant of authority to the governor "to issue executive orders, proclamations, and regulations" to be an express delegation of lawmaking authority which is in addition to La. R.S. 29:724(D)(l )'s authority to suspend regulatory statutes or agency orders, rules, etc. Further, a delegation of legislative authority to the executive branch is constitutional, and is not a violation of the separation of powers doctrine, provided the legislature statutorily establishes standards for the guidance of the executive or administrative body or officer so that the executive is not vested with arbitrary discretion. Miller, 857 So.2d at 427. In this case, Governor Jindal issued Executive Order No. BJ 2012-16, transferring his authority to Commissioner Donelon to implement Rule 26 (see §1 of the executive order) and giving Commissioner Donelon authority to suspend statutes and to issue rules necessary for Rule 26 and to protect the public health (see section §2 of the executive order). As part of this authority, Commissioner Donelon promulgated Sections §§4719 and 4721 (as amended), temporarily banning out of network providers from balance billing Louisiana insureds (limited to those insureds in 23 parishes and who gave specific notice to their insurers) for the limited time period of September 8 through September 25, 2012. Given the narrow application of section §§4719 and 4 721, which evidenced a reasonable exercise of discretion, and considering the scope of the emergency powers the legislature granted to the governor during state disasters, I think Governor Jindal, through his delegee Commissioner Donelon, was well within his authority under the HSEADA, to take this action in the aftermath of Hurricane Isaac. For these reasons, I respectfully dissent.

Some case metadata and case summaries were written with the help of AI, which can produce inaccuracies. You should read the full case before relying on it for legal research purposes.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.