State of Louisiana v. Lynn E. Foret, M.D.
State of Louisiana v. Lynn E. Foret, M.D.
Opinion of the Court
hWe granted certiorari to determine whether the Sledge Jeansonne Louisiana Insurance Fraud Prevention Act,
FACTS AND PROCEDURAL HISTORY
On April 18,. 2013, defendant, Lynn For-et, a medical doctor who specialized in orthopedic surgery, pled guilty in federal court to one count of health care fraud,
On August 1, 2012, approximately, eight months prior to Dr, Foret’s guilty plea, the Sledge Jeansonne Louisiana Insurance Fraud Prevention Act (the Act) took effect. The act provided the State Attorney General with the authority to bring a civil action for penalties against “a person who has entered a plea of guilty ... 'to crinlinal conduct arising out of circumstances which would constitute a violation of Revised Statute 22:1924,” which' governs insurance fraud.
The Louisiana Attorney General filed a civil suit on May 31, 2013, seeking actual damages, civil fines in the amount of
In response to the State’s action, Dr. Foret filed three declinatory exceptions alleging: • (1) impermissible retroactive application of the Sledge Jeansonne Act to |3criminal misconduct committed prior to the effective date of the Act; (2) impermissible retroactive application of LUTPA as to any alleged violations of LUTPA before the effective date of" the amendment to LUTPA allowing the State Attorney General to seek penalties for a violation; and (3) improper venue, , which was disposed of in a prior application to this Court. Dr. Foret also filed a dilatory exception of vagueness and ambiguity!
On October 21, 2013, a hearing was held on the
The court of appeal affirmed the trial court’s rulings,
By Act 201% No. 862, § 1, the Louisiana Legislature enacted the Sledge Jeansonne Act to grant the Louisiana Attorney General and his assistants, as agents of the State, “the ability, áuthority, and resources to pursue civil monetary penalties, liquidated damages, or other remedies to protect the integrity of the insurance industry from persons who engage in fraud, misrepresentation,'abuse, or other illegal practices ... in order to obtain payments to which these insurance providers or persons are "not entitled.”
The Sledge Jeansonne Act sets forth the burden of proof in Louisiana Revised Statute 22:1931.4, providing that the burden of proof shall be a preponderance of the evidence, and that “[p]roof by a preponderance of the evidence of a violation of Louisiana Revised Statute 22:1924 shall be deemed to exist if the defendant hás pled guilty ... in any federal ... court when such charge arises out of circumstances which would be a violation of Louisiana Revised Statute 22:1924.” The Act grants the State Attorney General the right to seek a civil monetary penalty against, among others, “[a] person who has entered a plea of guilty ... in federal ... [court] of criminal conduct ^arising out of circumstances which would constitute a violation of Revised Statute 22:1924.”
The Sledge Jeansonne Act became effective on August 1, 2012, nearly three years after Dr. Foret’s last act of criminal misconduct, but approximately eight months before Dr. Foret entered his guilty plea. These facts call into question whether the State, through the State Attorney General, may rely upon the provisions of the Act to seek damages and penalties against Dr. Foret for misconduct that occurred prior to the enactment of the Act. The State also pursued penalties under the Louisiana Unfair Trade Practices and Consumer Protection Law which was amended on June 2, 2006 to allow the State Attorney General to seek penalties for violations of LUTPA.
The State argues that the express language of Louisiana Reyised Statute 22:1931.5(4) of the Sledge Jeansonne Act specifically authorizes the State Attorney General to seek a civil monetary penalty based on a defendant’s plea of guilty which was made after the effective date of the Act, but postdates the underlying criminal misconduct arising out of circumstances which would constitute a violation of Louisiana Revised Statute 22:1924. Relying on Walls v. American Optical Corporation,
It is well settled that legislatures can pass laws that limit a person’s rights based Ron , past criminal convictions.
In federal criminal cases, retroactive effect is measured from the date of criminal conduct.
Likewise, courts have examined-the retroactive application of new sentencing guidelines to past criminal misconduct. In Miller v. Florida,
The federal courts’ treatment of issues involving retroactive application of laws in eases involving criminal conduct has a long history. Lindsey v. Washington,
When examining the retroactive application of statutes, a court must first determine whether the legislature expressed an intent concerning the retroactive or prospective application of the law, and if the legislature did express such an .intent, the inquiry, is at an end, but if no intent is expressed by the legislature, then that intent |8must be discerned by classifying the law as either substantive, procedural, or interpretive.
A review of the legislative history of the Sledge Jeansonne Act, and LUPTA reveal that there is no clear expression of
The challenge of distinguishing retroactive from prospective operation of a statute “is not always a simple or mechanical task.”
In his treatise, Planiol sets out the formula for identifying the only two 1 msituations in which a law operates retroactively:
[A] law is retroactive when it goes back to the past either to evaluate the conditions of the legality of an act, or to modify or suppress the effects of a right already acquired. Outside of those conditions, there is no retroac-tivity.39
The Court of Appeal in the instant matter analyzed Walls v. American Optical Corp.,
Further, in Anderson v. Avondale Industries, Inc.,
Rather, what we adopt here today is a case by case approach to determine, in cases involving facts that span enough legislative sessions to allow for the innovation of the law, whether any intervening statute, if applied to that case,,would operate retroactively. If the statute would operate retroactively under Pla-niol’s definition, then, the two-fold analysis from La. C.C. Art. 6, with which all courts are familiar, must be made. Making the determination of when, the cause of action arose for the various causes of action which might be asserted merely .provides the temporal guidepost from which a court may determine whether the intervening statute operates retroactively or prospectively, and. the consequences that flow from that determination will differ in each case.44
The facts of the instant case are analogous to the one presented -in Anderson: the Act impermissibly attached new consequences to past conduct, even though the State’s cause of action accrued after the Act became effective. Planiol writes: “If a law is made which penalizes an act which up to that time was not punishable, or if it increases the penalty, it cannot be applied to acts other than those committed after the effective date of the new law.”
In cases such as Walls, where a new substantive law essentially extinguishes a cause of action, the date that the cause of action accrues is a crueial determining point .in considering. the second condition of retroactivity of Planiol’s formula, i.e., whether the law modifies or suppresses the effects of a right already acquired. . Once |1Pa cause of action accrues, a party has a vested right in the cause of action that a new substantive law cannot take away.
... Plahiol's analysis for retroactivity does not stop with the protection of vested rights, it also prevents retroactive evaluation of the conditions of the legality of past conduct. Under Planiol’s first situation in which a law operates retroactively, when a intervening new law creates a cause of action, and thus attaches new consequences to past events, the retroactivity event is the conduct or activity regulated.47
This Court concluded that the application of former Louisiana Civil Code Article 2315.3, which authorized punitive damages for specifically enumerated wanton or reckless behavior, to conduct occurring before the effective date of the article, violated this condition because it evaluated the conditions of the defendant’s liability for its past conduct.
This court last utilized the Planiol formula to determine whether a statute’s application is impermissibly retroactive in Church Mutual Insurance Company v. Dardar.
Unlike the statute in question in the Dardar case,
CONCLUSION
Accordingly, we conclude that the trial court correctly granted defendant’s exception and dismissed the State’s claims filed pursuant to the Sledge Jeansonne Act. hfiWe likewise find no error in the trial court’s ruling regarding the limited applicability of the Unfair Trade Practices Act herein, i.e., that it can only apply to conduct that occurred after the June 2, 2006 amendment which allows the State Attorney General to seek penalties for unlawful, unfair, methods of competition and unfair or deceptive acts or practices in the conduct of trade or commerce. .
For the above and foregoing reasons, the portions of the July 8, 2014 judgment of the trial court that (1) dismissed all of the State’s causes of action filed pursuant to the Sledge Jeansonne Act, and (2) dismissed the State’s causes of action under the Unfair Trade Practices Act for activities occurring prior to June 2, 2006, are hereby affirmed. This matter is remanded for further proceedings consistent with the views expressed herein. ' -
AFFIRMED.
. LSA-R.S. 22:1931 et seq.
. LSA-R.S. 51:1401 et seq.
. U.S.C. §1347
. La. R.S. 22:1931.5
. The State sought to appeal directly to this Court, contending that ”[t]he trial court’s judgment involved a decision that certain laws of the state of Louisiana are unconstitutional” and, therefore, that the Louisiana Supreme Court has original jurisdiction. This Court noted that while the trial court’s oral reasons “indicate its decision to sustain the exception may have been based on constitutional grounds,” there was no declaration of unconstitutionality in the trial court's judgment. Accordingly, this Court found no basis to exercise its appellate jurisdiction and transferred the appeal. See State v. Foret, 2014-0257 (La.3/14/14), 136 So.3d 792 (per cu-riam). In a later per curiam, this Court found that venue was proper in East Baton Rouge Parish, and ordered the court of appeal to examine the substantive issues contested in the instant writ application. See State v. Foret, 2014-2123 (La.1/16/15), 155 So.3d 514, & 2014-2097 (La.1/16/15), 156 So.3d 43.
. State of Louisiana v. Foret, 174 So.3d 700, 2014-0419 (La.App. 1 Cir. 6/5/15).
. LSA-R.S. 22:1931(A).
. LSA-R.S. 22:1931.5(4).
. 98-0455 (La.9/8/99), 740 So.2d 1262.
. See, e.g., Bugajewitz v. Adams, 228 U.S. 585, 586-87, 33 S.Ct. 607, 57 L.Ed. 978 (1913) (upholding a law that provided for the deportation of a- women convicted of prostitu
. 170 U.S. 189, 199-200, 18 S.Ct. 573, 42 L.Ed. 1002 (1898).
. See, e.g., Marcello v. Bonds, 349 U.S. 302, 314, 75 S.Ct. 757, 99 L.Ed. 1107 (1955); Bugajewitz, 228 U.S. at 592, 33 S.Ct. 607.
. 533 U.S. 289, 121 S.Ct. 2271, 150 L.Ed.2d 347 (2001).
. See, e.g., Johnson v. United States, 529 U.S. 694, 701-02, 120 S.Ct. 1795, 146 L.Ed.2d 727 (2000) (applying the "clear statement” rule to conclude that a change in the terms of supervised release does'not apply to cases in which the initial offense is before the effective date of the new law); Miller v. Florida, 482 U.S. 423, 435-36, 107 S.Ct. 2446, 96 L.Ed.2d 351 (1987) (applying Ex Post Facto Clause to conclude that a change in sentencing guidelines does not. apply to those whose crimes occurred prior to the new guidelines).
. See Dias v. I.N.S., 311 F.3d 456, 458 (1st Cir. 2002) (per curiam); Chambers v. Reno, 307 F.3d 284, 290-91 (4th Cir. 2002); Perez v. Elwood, 294 F.3d 552, 559-60 (3d Cir. 2002); Armendariz-Montoya v. Sonchik, 291 F.3d 1116, 1121 (9th Cir. 2002); Domond v. I.N.S., 244 F.3d 81, 86 (2d Cir. 2001); DiSanto v. I.N.S., No. Civ. 4239, 2001 U.S. Dist. LEXIS 21763, at 12 (S.D.N.Y. Dec. 31, 2001); Lawrence v. I.N.S., No. Civ. 2154, 2001 WL 818141, *2-3, 2001 U.S. Dist. LEXIS 10058, at 7-9 (S.D.N.Y. July 20, 2001), affd. sub nom., Rankine v. Reno, 319 F.3d 93, 99-100 (2d Cir. 2003).
. 529 U.S. 694, 702, 120 S.Ct. 1795, 146 L.Ed.2d 727 (2000).
. 482 U.S. 423, 107 S.Ct. 2446, 96 L.Ed.2d 351 (1987).
. 301 U.S. 397, 57 S.Ct. 797, 81 L.Ed. 1182 (1937).
. State v. Lindsey, 187 Wash. 364, 61 P.2d 293, 294 (1936), rev’d, 301 U.S. at 398, 57 S.Ct. 797.
. See Lindsey, 301 U.S. at 398, 57 S.Ct. 797.
. LSA-C.C. art. 6, LSA-R.S. 1:2.
. U.S.C.A. Const. Art. 1, § 10, cl. 1; U.S.C.A. Const. Amend. 14; LSA-Const. Art. 1, §§ 2, 23; LSA-C.C. art. 6; LSA-R.S. 1:2.
. See LSA-C.C. art. 6 (stating that ‘‘[i]n the absence of contrary legislative expression, substantive laws apply prospectively only”).
. Church Mutual Insurance Company v. Dardar, 2013-2351 (La.5/7/14), 145 So.3d 271, 279, n. 9.
. Anderson v. Avondale Industries, Inc., 2000-2799 (La.10/16/01), 798 So.2d 93, 97.
. Landgraf v. USI Film Products, 511 U.S. 244, 269, at 268, 114 S.Ct. 1483, 1499, 128 L.Ed.2d 229, 254 (1994).
. 1 M. Planiol, Treatise on the Civil Law, § 243 (La.St.L.Inst.Trans. 1959) (emphasis added); See also Palomeque v. Prudhomme, 95-0725, p. 9 (La.11/27/95), 664 So.2d 88, 94, n. 9. Id. at p. 5, 740 So.2d at 1267.
. 98-0455 (La.9/8/99), 740 So.2d 1262.
. See State of Louisiana v. Foret, 174 So.3d 700, 2014-0419 (La.App. 1 Cir. 6/5/15).
. Id. at p. 13 citing Walls, 740 So.2d at 1267; 1 M. Planiol, Treatise on the Civil Law, § 243 (La.St.L.Inst.Trans. 1959).
. 00-2799 (La.10/16/01), 798 So.2d 93.
. [Walls] at 1271, n. 8.
. 1 M. Planiol, Treatise on the Civil Law, § 243 (La.St.L.Inst.Trans. 1959) (discussing “Penal Offenses”) (emphasis supplied). Notably, the civil action provided to the Attorney General under the Act and LUPTA provides for collection of a civil penalty that can perhaps best be described as punitive.
. See Bourgeois v. A.P. Green Indus., Inc., 00-1528 (La.4/3/01), 783 So.2d 1251 (holding that the Due Process clauses of the United States and Louisiana Constitutions prohibited the Legislature from retroactively abolishing a claim for medical monitoring t<? causes of action that accrued before the amendment to Article 2315 because the retroactive application of the amendment would divest the injured parties of their vested rights). Anderson, 00-2799 at p. 6, 798 So.2d at 99.
. Id. at p. 6., 798 So.2d at 99.
. Anderson, 798 So.2d at 99.
. 2013-2351 (La.5/7/14), 145 So.3d 271, 279.
. La. R.S. 23:1203.1
. Id.
. Id.
. See Anderson, 798 So.2d at 97 (former LSA-C.C. art. 2315.3 was substantive, thus LSA-C.C. art. 6 required that it be given prospective application only),
. LSA-R.S. 22:1931 et seq.
. LSA-R.S. 22:1931;
. See Anderson, 798 So.2d at 100.
Concurring Opinion
concurs ánd assigns reasons.
hi concur in the result of the majority opinion that affirms the court of appeal judgment, particularly with regard to the civil monetary penalties sought pursuant to La.Rev.Stat. 22:1931.6 and La. Rev. Stats. 22:1931.5(B) and (C), as well as the forfeiture provisions of La.Rev.Stat. 22:1931.12. I additionally concur in the affirmation of the lower courts’ rulings with regard to the State’s claims under the Louisiana Unfair Trade .Practices Act prior to the effective date of the relevant provisions of that act. I write, separately because. I believe the State may be able to seek recovery for actual damages pursuant to La.Rev.Stat. 22;1931.5(A)(1), assuming such damages are properly pleaded and provable.
The defendant entered a plea of guilty in federal court to one count of violating 18 U.S.C. § 1347, which triggered a mandatory restitution order pursuant to 18 U.S.C; § 3663A. The corresponding state insurance fraud provision has a similar mandatory restitution requirement that includes ‘^payment of restitution to the victim company of any insurance payments to the defendant that the court determines was [sic] not owed and the costs incurred by the victim company associated with the evaluation and defense of the fraudulent claim....” La.Rev.Stat. 22:1924(A)(1). The federal court in fact, as part of the defendant’s plea agreement with the gov-
However, it must be presumed the State is seeking recovery of damages against victims of the defendant’s fraudulent scheme that were not included in the federal restitution order, because La.Rev. Stat. 22:1931.6(A)(1) clearly provides that “[a]ctual damages incurred as a result of a violation of the provisions of this Part shall be recovered only once by the insurer and shall not be waived by the court.” The State has set forth the amount of damages allegedly incurred by each of 28 insurance companies, including affidavits from fraud investigators for two of those companies. The alleged damages total $478,838.69, according to the State’s petition. But nowhere in its petition does the State allege the federal restitution order failed to include these 28 insurance companies, and as I noted above, it would appear from the State’s petition and the documents filed in support thereof that the federally-ordered restitution amount included all damages against all-victim insurance companies, as well as the Medicare and Medicaid health care programs.
Had the State sufficiently pleaded this distinction, I believe the defendant’s Isdaim the State is seeking to apply the Sledge Jeansonne Act retroactively might not lie, because restitution was mandatory u'ndér both the federal and state insurance fraud statutes in effect at the time of the alleged fraudulent scheme. The guilty plea in federal court thus would have commenced the State’s right to seek recovery under the Sledge jeansonne Act of damages the State could have always recovered under La,Rev.Stat. 22:1294, the Act merely allowing the State the alternative of doing so based on the federal guilty plea. See La.Rev.Stat. 22:1931.4. However, in the absence of any specific allegations in the petition that the restitution ordered and paid in federal court did not encompass all of the damages resulting from the defendant’s fraudulent scheme, I believe the majority correctly affirms the judgment of the court of appeal. I would, though, allow the State on return to the district court to amend its petition, if possible, to plead its entitlement to seek such damages.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.