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Florida Justice Reform Institute

1st DCA Rejects Challenge to Use of ‘Daubert Standard’ in Comp Cases

January 19, 2017/in WorkCompCentral

 

Thursday, January 19, 2017

By Sherri Okamoto

Florida’s 1st District Court of Appeal this week summarily denied a challenge to the use of the “Daubert” evidentiary standard in workers’ compensation cases.

This standard derives from a 1993 U.S. Supreme Court case called Daubert v. Merrell Dow Pharmaceuticals. It requires trial judges to assess the scientific validity of an expert’s opinion before the opinion will be admissible.

While the U.S. Supreme Court’s decision in Daubert technically applies only to evidentiary rulings in the federal court system, many states have rules of evidence that mirror the Federal Rules of Evidence. The vast majority of jurisdictions have embraced the Daubert standard.

Florida’s legislature amended Evidence Code Sections 90.702 and 90.704 in 2013 to incorporate the Daubert standard – but the Florida Supreme Court has not yet adopted them.

The court usually makes changes to its Rules of Evidence to conform to legislative amendments to the Evidence Code, so the rules and the code basically parallel each other.

But that doesn’t always happen. The Florida Supreme Court has previously refused to implement legislative changes to the Evidence Code that were procedural in nature because the Florida constitution provides the Florida Supreme Court has sole authority to establish court procedures.

The Florida Bar has taken the position that the 2013 amendments to Sections 90.702 and 90.704 are also procedural in nature – and the Florida Supreme Court heard oral argument on the matter in September.

Krys Godwin, director of legal publications for the the Florida Bar, said they are still “waiting for an opinion by the Florida Supreme Court on whether this standard will be adopted, to the extent that it is procedural.”

Until the Florida Supreme Court rules, claimants’ attorney Michael Winer said Wednesday, the use of the Daubert standard is “far from settled-law.”

Accordingly, Winer had objected to a decision by Judge of Compensation Claims Mark A. Massey to use the standard to exclude a medical expert’s opinion evidence in his client’s comp case.

Unfortunately for him, the 1st DCA on Monday issued a per curiam decision that affirmed Massey’s decision without a written opinion. In an unusual move, Judge Kent Wetherell II wrote a concurrence to the decision, berating Winer’s argument as “frivolous.”

Wetherell said the 1st DCA’s 2014 decision in Giaimo v. Florida Autosport established that the Daubert standard applies in workers’ compensation cases.

Wetherell said the Giaimo decision had been based on the Florida Supreme Court’s 2002 decision in U.S. Sugar Corp. v. G.J. Henson, which decreed that “the Florida Evidence Code applies in workers’ compensation proceedings,” and the fact that the Daubert standard is now a part of the Evidence Code.

The JCC was therefore bound to follow Giaimo—and the plain language of Section 90.702, Wetherell opined.

Wetherell further posited that even if the Florida Supreme Court declines to adopt the Daubert standard into the Rules of Evidence, that wouldn’t stop the Daubert standard from applying to Winer’s case since “it is well established that the Court does not have the authority to establish procedural rules for executive branch quasi-judicial proceedings.”

But Winer on Wednesday said the Florida Supreme Court “has always set forth the evidentiary standards to be applied in workers’ compensation proceedings.” Indeed, he said, that’s exactly what the court did in the U.S. Sugar Corp. case.

Winer said he doubted he’d be able to get the Florida Supreme Court to review the 1st DCA’s decision though, since per curiam affirmances are not precedential.

George Kagan, a defense attorney with Miller, Kagan, Rodriguez & Silver, served as amicus counsel in the U.S. Sugar case.

His argument to the court had been that the Evidence Code should apply to comp cases – but that had been the predecessor-standard to Daubert.

Kagan said he had never been a huge fan of the Daubert standard, and trying to apply it to comp cases is akin to fitting “a square peg into a round hole.”

The problem, he said, is that there are many things that comp attorneys rely on doctors to establish for which there is no accepted medical standard, such as the proper way to determine the major contributing cause of a condition.

Fellow defense attorney Rogers Turner of Hurley, Rogner, Miller, Cox & Waranch said he considered the Daubert standard a bit of a double-edged sword.

While he can use it to challenge the opinion of a claimants’ expert, he said, he has to be sure his own expert’s opinion can satisfy the requirements of Sections 90.702 and 90.704.

The statutes require that a judge screen an expert’s proffered opinion to ensure it is based upon sufficient facts or data and that it is the product of reliable principles and methods that have been reliably applied to the facts of a given case.

Thus, Turner said it is “valuable to prevent a jury from relying on opinions that don’t have a sufficient scientific basis,” but it “doesn’t make a lot of sense at a bench trial.”

David Langham, the deputy chief judge of the Florida Office of Judges of Compensation Claims, said the point of the Daubert standard is to “control the evidence heard by the finder-of-fact,” and have a judge decide what evidence a jury will hear.

“But the thing about comp is, we have no juries,” he said.

That means the judges of compensation claims have to hear whatever expert opinion that a party wants to exclude from evidence when there is a Daubert challenge – even though the judge is also going to be the ultimate finder-of-fact on the case, Langham explained.

At the end of the day though, Langham said, the judges of compensation claims have to follow the Evidence Code.

If the Supreme Court winds up excluding the Daubert standard from the Rules of Evidence, Langham said that would mean the standard wouldn’t apply in the judicial system – but the judges of compensation claims will still have to use it as long as it remains in the Evidence Code.

“So we’ll have it where we need it the least,” Langham opined.

William Large, the president of the Florida Justice Reform Institute, said his organization had backed the effort to have the Daubert standard adopted.

Large said the change “was meant to address the admissibility of pure opinion testimony and the limited opportunity to challenge the validity of scientific and technical evidence” under the pre-existing process being used by the courts. Monday’s ruling from the 1st DCA “stands for the proposition that Daubert applies to workers’ compensation cases,” he said.

To read the court’s decision, click here

https://www.workcompcentral.com/news/story/id/cdb324a9ae35bf069ec2a306105b290b0b1c9914

Reprinted courtesy of WorkCompCentral.

https://www.fljustice.org/wp-content/uploads/2024/11/fjri-news.jpg 800 800 RAD Tech https://www.fljustice.org/wp-content/uploads/2024/11/Florida-Justice-Reform-Institute.jpg RAD Tech2017-01-19 15:52:182024-11-26 02:10:561st DCA Rejects Challenge to Use of ‘Daubert Standard’ in Comp Cases
Florida Justice Reform Institute

Debate Heats Up Over Property Insurance Claims

January 10, 2017/in Citrus County Chronicle

 

Debate heats up over property insurance claims

By News Service of Florida
Tuesday, January 10, 2017 at 9:32 pm (Updated: January 10, 9:32 pm)

TALLAHASSEE — With insurers and regulators blaming a surge in water-damage claims for higher property-insurance rates, Florida lawmakers Tuesday began grappling with a controversial debate that includes homeowners, contractors, insurance companies and trial lawyers.

The issue centers on a practice known as “assignment of benefits,” which involves homeowners signing over insurance benefits to contractors who are hired to do repairs. Supporters say the practice can help ensure that insurance companies pay claims properly — but critics say abuses of the practice are driving up insurance premiums.

The Senate Banking and Insurance Committee heard testimony from both sides Tuesday, and the House Insurance and Banking Subcommittee is scheduled to host a panel discussion Wednesday. Lawmakers also tried to untangle the issue last year but could not reach agreement on a bill.

“The time to act is now,” state Insurance Consumer Advocate Sha’Ron James told the Senate committee Tuesday.

Much of the focus of the issue is on Miami-Dade, Broward and Palm Beach counties, where water-damage claims for problems such as leaking pipes have soared in recent years. The increased claims have affected the state-backed Citizens Property Insurance Corp., which blames water-damage claims and assignment of benefits for playing a key role in rate increases taking effect Feb. 1.

Critics contend that assignment of benefits can lead to inflated or fraudulent claims and increased lawsuits against insurance companies. David Bronstein, an insurance-defense attorney who spoke on behalf of the Florida Justice Reform Institute, told senators that the current assignment-of-benefits system “is simply not in the best interest of Florida consumers.”

“This whole AOB (assignment of benefits) system is about a special interest of lawyers and vendors creating clients, as opposed to clients in need of lawyers,” Bronstein, who is from Broward County, said. “No one’s house gets fixed any better or any faster. It only gets fixed more expensively with this fabricated system that’s been in place for a few years now.”

But some contractors Tuesday accused insurance companies of delaying claim payments or not paying the proper amounts. They said assignment of benefits helps force insurers to act properly.

“They don’t pay me. I wait 60, 90, 120, 150 days to get paid. … There’s so much abuse (by insurers). The AOB protects us little guys, the David against the giant,” said Dave DeBlander, owner of Pro Clean Restoration & Cleaning in Pensacola.

Members of the Senate committee said relatively little about the assignment-of-benefits issue, though Chairwoman Anitere Flores, R-Miami, released a statement later that said the meeting “ensured us the opportunity to openly discuss the rising costs of insurance, and the need to stay accountable to consumers.”

“The insurance rate hikes that have been going into effect recently will negatively impact the growth of our state in regards to home ownership and new business opportunities,” Flores said. “As an advocate for legislation that keeps insurance rates predictable and affordable, I reminded my Senate colleagues that we were not only elected as the voice of our constituents in Tallahassee; we were elected to bring about responsible reforms on a growing statewide challenge.”

Citizens Property Insurance has aggressively targeted the assignment-of-benefits issue. Officials said last month that Citizens could grow by about 50,000 policies in 2017, as private insurers shy away from issuing policies in South Florida because of water-damage claims.

But some contractors said lawmakers should use regulations to weed out people who improperly use assignment of benefits, rather than making major changes to the system.

http://www.chronicleonline.com/content/debate-heats-over-property-insurance-claims

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