Manago v. The County of Cook
Manago v. The County of Cook
Opinion
¶ 1 The minor plaintiff in this case was injured while riding on the roof of an elevator owned by the Chicago Housing Authority. The public hospital that treated the minor obtained a health care lien on any damage recovery pursuant to the Health Care Services Lien Act (Lien Act) ( 770 ILCS 23/1 et seq. (West 2012)). On the minor's motion, the trial court extinguished the hospital's lien. Cook County appealed on behalf of the hospital. The appellate court ultimately affirmed the trial court's ruling, and Cook County (the County) filed the instant appeal. After applying our rules of statutory construction and examining the Lien Act in light of the Rights of Married Persons Act (Family Expense Act) ( 750 ILCS 65/15 (West 2012) ), we reverse the judgment of the appellate court.
¶ 2 I. BACKGROUND
¶ 3 Akeem Manago was 12 years old when he was treated at John H. Stroger, Jr., Hospital of Cook County in 2005 for injuries sustained while he was "elevator surfing" on the roof of an elevator owned and operated by the Chicago Housing Authority. Through his mother and next friend, April Pritchett, the minor filed a negligence claim in the Cook County circuit court against the Chicago Housing Authority, H.J. Russell & Company, and A.N.B. Elevator Services, Inc. The complaint that appears to have been litigated and is currently before this court, however, is the minor's second amended complaint. That complaint sought damages for the minor's personal injuries and included an allegation that his mother had "expended and incurred obligations for medical expenses and care and will in the future expend and incur such further obligations"
*414 but did not include a claim for those expenses. During the pendency of the case, the minor turned 18, and the court granted the defendants' motion to amend the case caption to show the plaintiffs as "Akeem Manago and April Pritchett." No changes were made to the second amended complaint, however. 1 The County filed a notice of lien pursuant to the Lien Act ( 770 ILCS 23/1 et seq. (West 2012)) in 2009 on behalf of the hospital for the minor's unpaid medical bills, totaling $79,572.53.
¶ 4 Following a bench trial in 2011, the trial court declined to award any medical expenses, citing Pritchett's failure to prove she was obliged to pay the hospital bill. The plaintiff was awarded $400,000: $250,000 for scarring, $75,000 for pain and suffering, and $75,000 for loss of normal life. His award was reduced to $250,000 after he was found 50% liable. Later, the trial court corrected its arithmetic error, making the final award $200,000. After trial, the trial court granted the plaintiff's motion to strike, dismiss, and extinguish the hospital's lien, and the County filed a timely notice of appeal from that ruling. The plaintiff did not, however, appeal the trial court's failure to award damages for his medical expenses or file a timely appellate brief before the appellate court's initial judgment was entered in the County's appeal ( Manago I ).
¶ 5 In
Manago I
, a majority of the appellate court found the cases cited by the plaintiff in the circuit court were inapposite because they either rejected insurers' subrogation liens against minors or merely held parents liable for their children's medical expenses under section 15 of the Family Expense Act ( 750 ILCS 65/15 (West 2012) ). Instead, the majority decided to reinstate the hospital's lien and remand for further proceedings based on
Cooper
,
¶ 6 The plaintiff filed a motion for reconsideration and, for the first time, submitted written briefs.
2
The appellate court granted the motion, set a supplemental briefing schedule, and heard oral argument. Later, the court withdrew its prior opinion and reversed course in
Manago II
(2016 IL App 1st 121365,
¶ 7 Justice Gordon filed a special concurrence that acknowledged a conflict between the majority's reading of the Lien Act and its plain statutory language.
¶ 8 This court allowed the County's petition for leave to appeal on behalf of the hospital pursuant to Illinois Supreme Court Rule 315(a) (eff. Jan. 1, 2015) and permitted Southern Illinois Hospital Services and the Illinois State Medical Society to file amicus curiae briefs in support of the County ( Ill. S. Ct. R. 345 (eff. Sept. 20, 2010)).
¶ 9 II. ANALYSIS
¶ 10 The disposition of this appeal hinges on our construction of the Health Care Services Lien Act ( 770 ILCS 23/1
et seq.
(West 2012)) in light of the Family Expense Act ( 750 ILCS 65/15 (West 2012) ). Because the construction of a statute presents a question of law, we review the underlying judgment
de novo
. In construing a statute, our goal is to effectuate the intent of the legislature, with the plain and unambiguous language enacted providing the most reliable indicator of that intent. Whenever possible, courts must enforce clear and unambiguous statutory language as written, without reading in unstated exceptions, conditions, or limitations.
People ex rel. Glasgow v. Carlson
,
¶ 11 The plaintiff asserts that this court must consider the "competing and conflicting public policies involved in the resolution of this case." The essence of his contention is the alleged unfairness of subjecting a minor's tort recovery to a health care provider's lien for the minor's medical expenses even though the minor is barred from obtaining those damages from the tortfeasor. He also contends that allowing the lien in this case would undermine courts' duties to protect the interests of minors and to provide full and fair compensation for tortious injuries. An examination of the merits of those arguments requires us to identify and weigh the public policies behind both the Lien Act and the Family Expense Act.
¶ 12 We have long recognized that the Lien Act was enacted "to promote the health, safety, comfort, or well-being of the community" by providing medical care for the poor, thus reducing the financial burden on hospitals treating accident victims unable to pay for their own care and treatment.
In re Estate of Cooper
,
¶ 13 The legislative concerns that led to the enactment of the Lien Act and the Family Expenses Act are long-standing and diverse. This court is not tasked with evaluating and setting public policy, however (
Clark
,
¶ 14 Our duty in this case is properly limited to determining the intent of the legislature based on the plain and unambiguous statutory language and construing the relevant statutes consistent with that intent.
Carlson
,
" 'run[ ] the risk of implementing [our] own notions of optimal public policy and effectively becoming a legislature. Interpreting legislation to mean something other than what it clearly says is a measure of last resort, to avoid "great injustice" or an outcome that could be characterized, without exaggeration, as an absurdity and an utter frustration of the apparent purpose of the legislation.' " Illinois State Treasurer v. Illinois Workers' Compensation Comm'n ,2015 IL 117418 , ¶ 39,391 Ill.Dec. 18 ,30 N.E.3d 288 (quoting Dusthimer v. Board of Trustees of the University of Illinois ,368 Ill. App. 3d 159 , 168-69,306 Ill.Dec. 250 ,857 N.E.2d 343 (2006) ).
Applying the plain and unambiguous statutory language here neither creates a great injustice or clear absurdity nor utterly frustrates the legislature's intent. Therefore, we decline the invitation to look outside the plain and unambiguous statutory language to weigh the merits of the allegedly competing public policy interests underlying the Lien Act and the Family Expense Act. Instead, we will construe the statutory provisions at issue by strictly adhering to our well-established rules of construction. 3
¶ 15 In relevant part, section 10 of the Lien Act provides that
"(a) [e]very *** health care provider that renders any service in the treatment, care, or maintenance of an injured person *** shall have a lien upon all claims and causes of action of the injured person for the amount of the *** health care provider's reasonable charges up to the date of payment of damages to the injured person. The total amount of all liens under this Act, however, shall not exceed 40% of the verdict, judgment, award, settlement, or compromise secured by or on behalf of the injured person on his or her claim or right of action.
***
(c) *** The statutory limitations under this Section may be waived or otherwise *417 reduced only by the lienholder. No individual licensed category of health care professional *** or health care provider ***, however, may receive more than one-third of the verdict, judgment, award, settlement, or compromise secured by or on behalf of the injured person on his or her claim or right of action. If the total amount of all liens under this Act meets or exceeds 40% of the verdict, judgment, award, settlement, or compromise, then:
(1) all the liens of health care professionals shall not exceed 20% of the verdict, judgment, award, settlement, or compromise; and
(2) all the liens of health care providers shall not exceed 20% of the verdict, judgment, award, settlement, or compromise;
***
If the total amount of all liens under this Act meets or exceeds 40% of the verdict, judgment, award, settlement, or compromise, the total amount of all the liens *** under the Attorneys Lien Act shall not exceed 30% of the verdict, judgment, award, settlement, or compromise." 770 ILCS 23/10 (West 2012).
Section 20 of the Lien Act states:
"The lien of a *** health care provider under this Act shall, from and after the time of the service of the lien notice, attach to any verdict, judgment, award, settlement, or compromise secured by or on behalf of the injured person. If the verdict, judgment, award, settlement, or compromise is to be paid over time by means of an annuity or otherwise, any lien under this Act shall be satisfied *** before the establishment of the annuity or other extended payment mechanism." 770 ILCS 23/20 (West 2012).
Finally, the relevant portion of the Family Expense Act provides that
"[t]he expenses of the family and of the education of the children shall be chargeable upon the property of both husband and wife, or of either of them, in favor of creditors therefor, and in relation thereto they may be sued jointly or separately." 750 ILCS 65/15(a)(1) (West 2012).
¶ 16 In
Manago II
, the appellate court examined the interaction between the Lien Act and the Family Expense Act. Because the obligation to pay medical expenses pursuant to the Family Expense Act is imposed only on an injured minor's parent, the court interpreted the Lien Act's use of the term "injured person" to refer to either the injured minor or the child's parent.
¶ 17 The County counters that the appellate court's attempt to harmonize the Lien Act and the Family Expense Act violates our rules of statutory construction by improperly adding conditions and exceptions to the Lien Act's clear and unambiguous *418 terms and relies on irrelevant case law. We agree.
¶ 18 The Lien Act states that a hospital "shall have a lien upon
all claims and causes of action of the injured person
" and that the lien "shall *** attach to
any verdict, judgment, award, settlement, or compromise secured by or on behalf of the injured person
." (Emphases added.) 770 ILCS 23/10(a), 20 (West 2012). The language used is plain, unambiguous, and expansive. Contrary to the appellate court's conclusion, the age of the injured person is not a factor in determining whether a lien attaches. Instead, the statute creates "a type of property interest in
any assets constituting the [plaintiff's] recovery
, because a lien is a property interest." (Emphasis added.)
Cooper,
¶ 19 The pool of resources subject to attachment is, in turn, broadly and repeatedly defined to include any "verdict, judgment, award, settlement, or compromise secured by or on the behalf of the injured person." 770 ILCS 23/10, 20 (West 2012). Indeed, "every time the legislature sets forth a percentage limitation in section 10, it refers back to and requires the calculation be based on the 'verdict, judgment, award, settlement or compromise.' No mention is made of a deduction of any kind."
McVey v. M.L.K. Enterprises, LLC
,
¶ 20 This is not the first time we have refused to read limiting language into the Lien Act. In
McVey
, the trial court did not deduct an injured plaintiff's attorney fees and costs before calculating the hospital's lien after analyzing the plain language of the Lien Act and this court's decision in
Wendling v. Southern Illinois Hospital Services
,
¶ 21 After closely examining the plain language of the Lien Act, this court reversed the appellate judgment, concluding that "no express language in section 10 *** would allow the calculation of a health care lien to be based upon the total 'verdict, judgment, award, settlement or compromise' less attorney fees and costs."
McVey
,
¶ 22 Just as the Lien Act does not hint at any preliminary deduction for attorney fees and costs, it also does not suggest that the "verdict, judgment, award, settlement, or compromise" belonging to a minor cannot be subject to attachment. Similarly, it does not condition the availability of a lien on an award of medical expenses. The plaintiff cites no evidence suggesting that the omission of either condition was mere legislative oversight. If the legislature intended to create either restriction, it could have readily done so. The inclusion of a provision making the lienholder the
only
entity able to "waive [ ] or otherwise reduce[ ]" the statute's express limitations further refutes any claim that the legislature intended to create additional limitations on the application of the lien. 770 ILCS 23/10(c) (West 2012); see also
*419
McVey
,
¶ 23 Consistent with our analysis in McVey , we conclude the plain and unambiguous language of the Lien Act controls the outcome of this appeal. Nothing in that language precludes a lien from attaching to a damage award recovered by or on behalf of an injured minor or limits the lien's potential funding sources to sums earmarked for medical expenses.
¶ 24 In reaching the contrary conclusion in
Manago II
, the appellate court erred by adding new conditions and limitations to the Lien Act's plain and unambiguous language in its attempt to harmonize the two statutes. Nothing in the statutes, however, requires the introduction of new terms to read them "in harmony." See
¶ 25 Nonetheless, the plaintiff contends a health care lien cannot attach to a minor's tort recovery in the absence of an assignment of the parent's cause of action for medical expenses owed under the Family Expense Act because the obligation to pay a child's medical expenses belongs solely to the parent. In support, he cites the decisions in
Graul v. Adrian
,
¶ 26 In
Graul
, a father filed a two-count complaint, seeking damages for his son's wrongful death as the administrator of his son's estate in one count and recovery for his son's associated medical and funeral expenses in the father's individual capacity in the other. The father appealed the dismissal of his individual cause of action, and the appellate court reversed and reinstated that count. The defendant appealed to this court, where "[t]he sole question presented *** [was] whether a parent may recover, in a separate action, medical and funeral expenses incurred by him for a child whose death occurs as the result of the wrongful act of a third party."
Graul
,
¶ 27 The appellate court decided
Bibby
shortly after our decision in
Graul
. In
Bibby
, the minor plaintiff was injured when his mother's car was struck by the defendant's car. In a settlement agreement, both the minor and his mother released the defendant from all liability. While that settlement was pending approval in the probate court, however, the minor
*420
filed a separate tort complaint. In that complaint, he attempted to plead and prove the medical expenses incurred due to his injuries. Because the defendant did not contest the plaintiff's right to seek a recovery for his injuries, the trial court addressed the merits of the minor's medical expense claim. The trial court found that the claim rightfully belonged to the minor's mother and refused to admit the minor's medical expense evidence because the mother's release bound the minor as well. The minor appealed.
Bibby
,
¶ 28 More recently, the minor in
Kennedy
recovered damages for medical expenses resulting from injuries suffered when she was struck by the defendant's car while crossing a busy highway alone. On appeal, the defendant argued that the child needed to allege and prove her parents' lack of contributory negligence because they had assigned their right to recover for her medical expenses to her.
Kennedy
,
¶ 29 After reviewing the decisions in Graul , Bibby , and Kennedy , we conclude that those factual scenarios and legal questions are unlike the ones currently before us. Graul held that a parent could seek recovery for a deceased child's medical and funeral expenses based on the parental liability created in the Family Expense Act. Here, however, that fundamental proposition is not at issue. Although it is undoubtedly true that, absent an assignment of rights, parents have the exclusive right to seek recovery from a tortfeasor for their minor children's medical expenses, that conclusion does not affect the critical question here: whether, in the absence of a parental assignment, a statutory health care lien may attach to a minor's tort recovery where that recovery does not explicitly include expenses for the minor's medical care and treatment.
¶ 30 The decisions in Bibby and Kennedy shed light on a question that grew out of our analysis in Graul : how does a parent's assignment of the exclusive right to seek recovery for medical expenses impact the child's original tort action? Those decisions stand for the unsurprising proposition that if an assignment of rights has been made, the minor-assignee steps into the shoes of the parent-assignor, thereby becoming subject to the same limitations and conditions that the parent would have faced. Here, however, no assignment of rights was ever made, and the legal issue addresses the propriety of a third party's claim on the minor's postjudgment recovery, not the underlying tort action. Graul , Bibby , and Kennedy fail to provide us with any additional guidance in construing the interplay between the Lien Act and the Family Expense Act in this case.
¶ 31 The plaintiff also raises several subrogation lien cases cited by the appellate court in
Manago II
. Those cases relied on
Graul
to bar the enforcement of an
*421
insurer's subrogation lien against the recovery obtained by a minor's estate.
¶ 32 In
Enloe
, a newborn was hospitalized for injuries she sustained as a passenger in a pickup truck that rolled over. While her father sought approval of the minor's settlement agreement with the owner of the truck, the treating hospital requested a lien under the Lien Act. The trial court approved the settlement but declined to consider the lien's validity.
Enloe
,
¶ 33 Because it is consistent with our well-established rules of statutory construction, we agree with the appellate court's conclusion in
Enloe
. As that decision correctly recognized, there is no inherent conflict between the application of the Family Expense Act and the Lien Act. The two statutes can easily coexist simply by adhering to the plain meaning of the unambiguous language enacted by the legislature. Giving the statutes their plain and ordinary meaning, creditors may seek a remedy under either or both statutes in the appropriate case. None of the cases cited by the plaintiff or the appellate court undermine our decision to rely on our established rules of statutory construction here. Without clear evidence of a contrary legislative intent, we are precluded from adding unstated exceptions, conditions, or limitations to the language of a statute. The plain statutory language enacted by the legislature remains the best indicator of legislative intent.
Carlson
,
¶ 34 III. CONCLUSION
¶ 35 Applying our established rules of statutory construction to construe the statutes at issue, we hold that John H. Stroger, Jr., Hospital was entitled to a health care lien in this case, pursuant to the Lien Act. We reverse the judgments of the circuit and appellate courts and remand the cause to the trial court for further proceedings.
¶ 36 Reversed and remanded.
Chief Justice Karmeier and Justices Freeman, Thomas, Garman, Burke, and Theis concurred in the judgment and opinion.
The plaintiffs' failure to modify the complaint is but one of the numerous procedural anomalies present in this case, as noted in the appellate court decision.
On January 27, 2015, the appellate court granted Pritchett's "motion to suggest the death of" her son due to causes unrelated to this case and to appoint her special administrator of his estate for purposes of this appeal.
If, however, our construction of the relevant statutory language does not comport with the legislature's original intent, we encourage it to use its policy-making authority to consider an amendment to the Lien Act.
Reference
- Full Case Name
- Akeem MANAGO, a Deceased Minor BY AND THROUGH April PRITCHETT, Mother and Next Friend, Appellee, v. the COUNTY OF COOK, Appellant.
- Cited By
- 8 cases
- Status
- Published