Michael A. Kramer; Masserman & Ducey and Mitchell F. Ducey, for Defendant and
Appellant.
Coddington, Hicks & Danforth, R. Wardell Loveland and Hyon M. Kientzy for
AAA Northern California, Nevada & Utah Insurance Exchange as Amicus Curiae on
behalf of Defendant and Appellant.
Greines, Martin, Stein & Richland and Robert A. Olson for Association of
Southern California Defense Counsel and Association of Defense Counsel of
Northern California and Nevada as Amici Curiae on behalf of Defendant and Appellant.
Cole Pedroza, Curtis A. Cole, Kennedy R. Pedroza and Cassidy C. Davenport for
California Medical Association, California Dental Association and California Hospital
Association as Amici Curiae on behalf of Defendant and Appellant.
Fred J. Hiestand for Civil Justice Association of California as Amicus Curiae on
behalf of Defendant and Appellant.
2
Newdorf Legal, David B. Newdorf and Vicki F. Van Fleet for League of
California Cities and California State Association of Counties as Amici Curiae on
behalf of Defendant and Appellant.
Hager Dowling Lim & Slack, John V. Hager for Mercury Insurance Group as
Amicus Curiae on behalf of Defendant and Appellant.
Sedgwick and Christina J. Imre for Personal Insurance Federation of California,
Pacific Association of Domestic Insurance Companies, Property Casualty Insurers’
Association of America and National Association of Mutual Insurance Companies as
Amici Curiae on behalf of Defendant and Appellant.
_______________________________________
3
This case requires us to consider the impact and implications of the California
Supreme Court’s opinion in Howell v. Hamilton Meats & Provisions, Inc. (2011)
52 Cal.4th 541 (Howell). As in Howell, the medical providers who treated plaintiffs in
this case accepted, pursuant to prior agreements, less than the full amount of their
medical billings as payment in full for their services. We must determine the
admissibility in evidence of the full amount of an injured plaintiff’s medical billings not
only with respect to damages for past medical expenses, but also with respect to future
medical expenses and noneconomic damages.
John Corenbaum and Charles Carter (Carter) suffered injuries when a vehicle
driven by Dwight Eric Lampkin collided with a taxicab in which they were passengers.
Lampkin was convicted of fleeing the scene of an injury accident (Veh. Code, § 20001,
subd. (a)), but was not found guilty on another count for driving under the influence
(id., § 23153, subd. (a)). Corenbaum, Carter and Daniella Carter then filed two civil
actions against Lampkin, which were later consolidated. After a trial, the jury found
that Corenbaum and Carter, respectively, suffered approximately $1.8 million and
$1.4 million in compensatory damages, and that Daniella Carter suffered $75,000 in
damages for loss of consortium. The jury also awarded Corenbaum and Carter
$20,000 each in punitive damages. Lampkin appeals the separate judgments entered in
favor of Corenbaum and Carter. Plaintiffs filed their own appeal from the denial of
their motion for an attorney fee award under Code of Civil Procedure section 1021.4
(section 1021.4).
4
Lampkin contends the trial court erred by admitting (1) evidence of the full
amounts billed for plaintiffs’ medical care, rather than the amounts actually paid and
accepted as full payment by plaintiffs’ medical providers, and (2) evidence of his prior
arrest for driving under the influence. He also contends Carter is not entitled to an
award of punitive damages because he did not seek punitive damages in his complaint,
and the amount of punitive damages awarded to both Corenbaum and Carter is
excessive relative to his ability to pay. We conclude that evidence of the full amounts
billed for plaintiffs’ medical care was not relevant to the amount of damages for past
medical services, damages for their future medical care or noneconomic damages.
Because plaintiffs have not shown that evidence of the full amounts of their medical
bills was relevant to any other issue, the admission of such evidence was error. We
reject Lampkin’s challenges to the punitive damage awards. We therefore will reverse,
in part, the judgments in favor of Corenbaum and Carter and remand the matter for
a new trial limited to the issue of compensatory damages.
In their appeal, plaintiffs contend the trial court erroneously held that
section 1021.4, which authorizes an attorney fee award to the prevailing plaintiff “[i]n
an action for damages against a defendant based upon that defendant’s commission of
a felony offense for which that defendant has been convicted,” does not authorize a fee
award in these circumstances. We conclude that the court properly held that this action
is not based on the felony offense for which Lampkin was convicted. We therefore will
affirm the order denying a fee award.
5
FACTUAL AND PROCEDURAL BACKGROUND
1. Plaintiffs’ Injuries and Lampkin’s Arrest and Conviction
Corenbaum and Carter were passengers in a taxicab traveling east on Broadway
in downtown Long Beach at approximately 1:30 a.m. on April 5, 2008, when a Lexus
automobile traveling south on Atlantic Avenue collided with the taxicab in the
intersection of those two streets. A witness in the vehicle immediately behind the
taxicab testified that the Lexus ran the red light traveling at a speed of approximately
50 to 70 miles per hour. The posted speed limit on Atlantic Avenue was 25 miles
per hour. Both vehicles involved in the collision came to a rest, and the driver of the
Lexus fled on foot. Corenbaum and Carter suffered serious injuries.
Lampkin was one of two registered owners of the Lexus at the time of the
collision. He had spent the evening of April 4, 2008, eating dinner with friends at
a restaurant and nightclub in downtown Long Beach. He consumed copious amounts of
alcohol that evening. Security guards asked him to leave the restaurant and escorted
him out at approximately 11:30 p.m. His companions left as well, and the group walked
to a bar nearby. While the group was walking to the bar, Lampkin stumbled and fell to
the ground. He later separated from the group, walked away from the others and fell
a second time.
Nicolle Topp was one of several friends who were with Lampkin on the evening
of April 4, 2008. After leaving the bar, several of them went to Topp’s condominium
a few blocks away. Lampkin arrived later, at approximately 2:15 a.m., apparently still
intoxicated. He fell asleep on the floor. After he awakened in the morning he stated
6
that his keys, wallet, cell phone and jacket were missing. Lampkin and Topp searched
for those items where Lampkin said he might have left them, but found nothing, and
then went to the parking garage near the restaurant where he said he had parked his
Lexus, but did not find his car there. Lampkin called the police and reported his car
stolen.
The police interviewed Lampkin that morning and arrested him. A jury found
him guilty of fleeing the scene of an injury accident (Veh. Code, § 20001, subd. (a)),
a felony, and fleeing the scene of an accident causing property damage (id., § 20002,
subd. (b)), a misdemeanor, in January 2009. Another count for driving under the
influence (Veh. Code, § 23153, subd. (a)) apparently was dismissed because the People
exceeded the statutory time to bring the case to trial. He was sentenced to three years’
imprisonment and ordered to pay $271,335 in restitution fines (Pen. Code, § 1202.4,
subd. (f)).
2. Proceedings Before Trial
Corenbaum filed a complaint against Lampkin and others in February 2010 and
filed a first amended complaint in August 2010 alleging counts against Lampkin for
negligence and gross negligence, and seeking punitive damages. Charles and Daniella
Carter, husband and wife, filed a complaint against Lampkin and others in March 2010
alleging counts against Lampkin for negligence and loss of consortium. The two
actions were consolidated before trial.
Lampkin filed a motion in limine before trial to exclude any evidence of his
arrest and conviction of driving under the influence arising from a prior incident that
7
occurred on December 23, 2007. He argued that such evidence was relevant only to his
character and was inadmissible to show his lack of credibility, pursuant to Evidence
Code section 787. He also argued that the evidence should be excluded under Evidence
Code section 352 because his conviction for that offense did not occur until after the
incident in this case. The trial court denied the motion in limine, stating that the
evidence “shows a continuing pattern of drinking, becoming impaired and driving as to
the issue of malice.” The court suggested that counsel request a limiting instruction.
Plaintiffs filed a motion in limine before trial to exclude any evidence of the
payment of plaintiffs’ medical bills by a collateral source. On the same day, Lampkin
filed a “Request for Court to Hold a Post-Verdict Hearing on Reduction of Plaintiffs’
Medical Expenses to the Amount Incurred,” requesting a postverdict hearing “in the
event that the jury verdict includes damages for past medical expenses in an amount
exceeding the amount paid for those medical services.” The trial court granted
plaintiffs’ motion in limine “without prejudice” subject to a posttrial “Hanif/Nishihama”
motion.1 The court also granted Lampkin’s request to hold a postverdict hearing,
stating, “ . . . we’ll have the hearing.”
3. Trial and Verdict
A jury trial in the consolidated actions commenced in May 2011 with Lampkin
as the sole defendant appearing at trial. Lampkin admitted that he was negligent before
1 Hanif v. Housing Authority (1988) 200 Cal.App.3d 635, 640-641 (Hanif), and Nishihama v. City and County of San Francisco (2001) 93 Cal.App.4th 298, 306-307 (Nishihama), held, generally, that if the plaintiff’s medical providers agreed to accept less than the full amount billed as full payment, the damages for past medical expenses could not exceed the amount actually paid or incurred on the plaintiff’s behalf.
8
jury selection began. Charles and Daniella Carter moved before opening statements to
amend their complaint by adding a count for willful misconduct and a prayer for
punitive damages. The trial court granted the motion.
In accordance with the trial court’s in limine rulings, the jury heard evidence of
the full amounts billed for Corenbaum’s and Carter’s past medical care and heard no
evidence of the lesser amounts accepted by their medical providers as full payment
pursuant to prior agreements with Lampkin’s private insurers. The trial court, over
Lampkin’s objection, also allowed him to be questioned regarding his arrest for driving
under the influence on December 23, 2007. The court instructed the jury, including an
instruction that Lampkin had admitted his negligence.
The jury returned a special verdict on June 3, 2011, finding that Lampkin’s
negligence was a substantial factor in causing harm to each of the three plaintiffs. It
found that Corenbaum and Carter had suffered past and future economic and
noneconomic damages totaling $1,834,602 and $1,392,141.87, respectively, and
that Daniella Carter had suffered $75,000 in damages for loss of consortium.2 It also
found that Corenbaum and Carter, respectively, bore 10 percent and 20 percent of the
responsibility for their own injuries. The jury also found that Lampkin had acted with
malice.
Lampkin testified in the second phase of the trial relating to punitive damages.
He admitted that he had been served with a subpoena to produce at trial all records in
2 The special verdict included specific findings as to the amounts of past economic damages, future economic damages and noneconomic damages suffered by each plaintiff.
9
his possession, custody or control evidencing his “current wealth, assets and liabilities.”
He acknowledged that he had produced no documents and stated that he had no assets
or wealth and nothing to produce. He later conceded, however, that he had $300 in
a savings account and had a bank statement or bank book evidencing that account, but
had failed to produce it. He testified by way of explanation, “I thought it [the subpoena]
was assets and wealth. It didn’t say anything about checking account or savings
account.” He testified that his only assets were his savings account and his personal
clothing, the value of which he could not estimate. The jury returned a verdict, also on
June 3, 2011, awarding punitive damages in the amount of $20,000 each to Corenbaum
and Carter and awarding no punitive damages to Daniella Carter.
4. Posttrial Motions, Judgments and Appeals
On June 24, 2011, Lampkin filed a motion to reduce the compensatory damage
awards pursuant to Hanif, supra, 200 Cal.App.3d 635, and Nishihama, supra,
93 Cal.App.4th 298, and pursuant to the trial court’s pretrial ruling granting Lampkin’s
request to hold a postverdict hearing on such a reduction. Lampkin sought to reduce the
awards by the difference between the full amounts billed for past medical expenses and
the amounts actually accepted by plaintiffs’ medical providers as full payment for the
services provided. The hearing on the motion was noticed for July 19, 2011, but later
was continued to August 23 and then to September 6, 2011.
On July 5, 2011, the trial court entered a separate judgment against Lampkin for
each plaintiff, awarding Corenbaum and Carter, respectively, $1,537,985.97 and
$1,108,362.08 in compensatory and punitive damages, and awarding Daniella Carter
10
$60,000 in compensatory damages.3 The judgments in favor of Corenbaum and Carter
also awarded $15,000 in damages against the co-owner of the Lexus, who did not
appear at trial.
Lampkin filed a new trial motion challenging the punitive damage awards as
excessive and unsupported by the evidence. He argued that there was insufficient
evidence of his financial condition at the time of trial and that the awards were
excessive in light of Lampkin’s testimony as to his limited assets. He also moved for
judgment notwithstanding the verdict on the same grounds. The trial court denied both
motions on August 17, 2011.
The California Supreme Court filed its opinion in Howell, supra, 52 Cal.4th 541,
on August 18, 2011.
The trial court heard Lampkin’s motion to reduce the compensatory damage
awards on September 6, 2011. The court denied the motion, stating in a minute order,
“[w]hile this Court feels that a reduction is appropriate, it is without jurisdiction to do
so. As this Court has already denied the Motion for New Trial, the jurisdiction now
rests with the Court of Appeal.”
Corenbaum filed a motion for an award of attorney fees pursuant to
section 1021.4.4 Charles and Daniella Carter filed a separate fee motion under the same
3 The amounts awarded reflect reductions for comparative negligence and a prior settlement. 4 Section 1021.4 states: “In an action for damages against a defendant based upon that defendant’s commission of a felony offense for which that defendant has been
11
statute. The trial court denied the motions in an order dated September 6, 2011, stating
that the felonious conduct for which Lampkin was convicted was fleeing the scene of an
injury accident rather than causing or being involved in an injury accident, and that
plaintiffs’ injuries resulted from the latter rather than the former.
Lampkin filed a notice of appeal on September 16, 2011, stating that he was
appealing the judgment entered on July 5, 2011 (No. B236227).5 Plaintiffs jointly filed
a notice of appeal from the order denying their motions for attorney fees
(No. B237871). We have consolidated the two appeals.
CONTENTIONS
Lampkin contends the trial court erred by (1) admitting evidence of the full
amounts billed for Corenbaum’s and Carter’s medical care when the amounts accepted
by their medical providers as full payment were less than the amounts billed;
(2) admitting evidence of his prior arrest for driving under the influence on
December 23, 2007; (3) instructing the jury on punitive damages as to Carter despite the
absence of a claim for punitive damages in Carter’s complaint; and (4) denying his
motion for a new trial on punitive damages.
Corenbaum and Carter contend the trial court erroneously concluded that
section 1021.4 does not authorize an attorney fee award in these circumstances.
convicted, the court may, upon motion, award reasonable attorney’s fees to a prevailing plaintiff against the defendant who has been convicted of the felony.” 5 We liberally construe the notice of appeal (Cal. Rules of Court, rule 8.100(a)(2)) as an appeal from each of the separate judgments entered on July 5, 2011, in favor of Corenbaum and Carter.
12
DISCUSSION
1. The Admission of Evidence of the Full Amounts Billed for Plaintiffs’ Medical Care Was Error
a. Howell v. Hamilton Meats & Provisions, Inc.
The California Supreme Court in Howell, supra, 52 Cal.4th 541, held that an
injured plaintiff whose medical expenses are paid by private insurance can recover
damages for past medical expenses in an amount no greater than the amount that the
plaintiff’s medical providers, pursuant to prior agreement, accepted as full payment or,
to the extent that payment is still owing, the amount that the medical providers had
agreed to accept as full payment for the services provided. (Id. at p. 566.) The
plaintiff’s pecuniary loss is limited to the amount paid or incurred for past medical
services, so the plaintiff cannot recover damages in excess of that amount. (Id. at
p. 555.) Howell approved the general rule from Hanif, supra, 200 Cal.App.3d 635,
640-641, and Nishihama, supra, 93 Cal.App.4th 298, 306-307, in this regard. (Howell,
supra, at pp. 553-555.)
Howell also held that limiting a plaintiff’s recovery in this manner does not
contravene the collateral source rule. (Howell, supra, 52 Cal.4th at pp. 563-566.) The
collateral source rule provides that the damages awarded to an injured plaintiff cannot
be reduced by the amount paid on the plaintiff’s behalf by a source independent of the
tortfeasor, such as an insurer. (Id. at p. 551; Helfend v. Southern Cal. Rapid Transit
Dist. (1970) 2 Cal.3d 1, 6 (Helfend).) “The rule thus dictates that an injured plaintiff
may recover from the tortfeasor money an insurer has paid to medical providers on his
13
or her behalf.” (Howell, supra, at p. 551.) Helfend reaffirmed California’s acceptance
of the collateral source rule, but did not explain “how the collateral source rule would
apply to damages for past medical expenses when the amount billed for medical
services substantially exceeds the amount accepted in full payment.”6 (Howell, supra,
at p. 552.)
Medical providers typically enter into agreements with private insurers in which
the medical providers agree to accept discounted payments for the services provided to
insured patients. (Howell, supra, 52 Cal.4th at pp. 558, 560-561.) The term “negotiated
rate differential” refers to the difference between the full amount billed and the amount
that the provider has agreed to accept from the insurer as full payment. (Id. at p. 555.)
An insured plaintiff incurs no liability for the negotiated rate differential and suffers no
pecuniary loss in that amount. (Id. at pp. 555, 557.) Instead, the plaintiff’s pecuniary
loss is limited to the amount that the medical providers accepted or agreed to accept as
full payment. (Id. at p. 555.)
6 Howell addressed this issue by analyzing four specific questions: “(1) Was Hanif correct that a tort plaintiff can recover only what has been paid or incurred for medical care, even if that is less than the reasonable value of the services rendered? (2) Even if Hanif, which involved Medi–Cal payments, reached the right result on its facts, does its logic extend to plaintiffs covered by private insurance? (3) Does limiting the plaintiff’s recovery to the amounts paid and owed on his or her behalf confer a windfall on the tortfeasor, defeating the policy goals of the collateral source rule? (4) Is the difference between the providers’ full billings and the amounts they have agreed to accept from a patient’s insurer as full payment—what the appellate court below called the ‘negotiated rate differential’—a benefit the patient receives from his or her health insurance policy subject to the collateral source rule?” (Howell, supra, 52 Cal.4th at p. 555.) Howell answered those questions: yes, yes, no and no. (Id. at pp. 555-566.)
14
To be recoverable in damages, a plaintiff’s medical expenses must be both
incurred and reasonable. (Howell, supra, 52 Cal.4th at p. 555.) Damages for past
medical expenses are limited to the lesser of (1) the amount paid or incurred for past
medical expenses and (2) the reasonable value of the services.7 (Id. at p. 556.)
“ ‘ “[R]easonable value” is a term of limitation, not of aggrandizement.’ (Hanif, supra,
200 Cal.App.3d at p. 641.)” (Id. at p. 553.) “ ‘[W]hen the evidence shows a sum
certain to have been paid or incurred for past medical care and services, whether by the
plaintiff or by an independent source, that sum certain is the most the plaintiff may
recover for that care despite the fact it may have been less than the prevailing market
rate.’ ” (Id. at p. 549, fn. 1, quoting Hanif, supra, 200 Cal.App.3d at p. 641; see also
Howell, supra, 52 Cal.4th at p. 555.) Thus, where a medical provider has agreed, before
treating a plaintiff, to accept a certain amount for its services, that constitutes the
provider’s price and there is no need to determine a reasonable value for those services.
(Howell, supra, at p. 559.)
Howell also stated that the full amount billed by medical providers is not an
accurate measure of the value of medical services. (Howell, supra, 52 Cal.4th at
p. 562.) Howell addressed this issue in rejecting the argument that limiting the
plaintiff’s recovery to the amount paid or incurred for medical expenses would result in
a windfall to the tortfeasor. (Id. at pp. 560-563.) Howell noted that there can be
significant disparities between the amounts charged by medical providers and the costs
7 “The rule that medical expenses, to be recoverable, must be both incurred and reasonable [citations] applies equally to those with and without medical insurance.” (Howell, supra, 52 Cal.4th at p. 559, fn. 6.)
15
of providing services, that prices for providing a particular service can “vary
tremendously . . . from hospital to hospital in California,” and that there can be
significant disparities between the amounts charged to insured and uninsured patients.
(Id. at pp. 560-562.) Even uninsured patients often pay less than the published rates as
a result of means-tested discounts. (Id. at p. 561.)
“With so much variation, making any broad generalization about the relationship
between the value or cost of medical services and the amounts providers bill for them—
other than that the relationship is not always a close one—would be perilous. [¶] . . . it
is not possible to say generally that providers’ full bills represent the real value of their
services, nor that the discounted payments they accept from private insurers are mere
arbitrary reductions.” (Howell, supra, 52 Cal.4th at p. 562, italics added.) Howell
stated that “a medical care provider’s billed price for particular services is not
necessarily representative of either the cost of providing those services or their market
value.” (Id. at p. 564.)
Howell emphasized that the negotiated rate may be the best indication of the
reasonable value of the services provided and that it is unclear how any other “market
value” could be determined. Howell stated, “pricing of medical services is highly
complex and depends, to a significant extent, on the identity of the payer. In effect,
there appears to be not one market for medical services but several, with the price of
services depending on the category of payer and sometimes on the particular
government or business entity paying for the services. Given this state of medical
economics, how a market value other than that produced by negotiation between the
16
insurer and the provider could be identified is unclear.” (Howell, supra, 52 Cal.4th at
p. 562, italics added.)
Howell also held that the negotiated rate differential is not a collateral source
payment and therefore is not subject to the collateral source rule. (Howell, supra,
52 Cal.4th at pp. 563-566.) The collateral source rule does not apply to losses or
liabilities that the plaintiff never incurred and therefore is not entitled to recover. (Id. at
pp. 563-564.) For this and other reasons, the collateral source rule is inapplicable to the
negotiated rate differential and does not make that amount recoverable as tort damages.
(Id. at pp. 564-565.)
Further, the evidentiary aspect of the collateral source rule makes any evidence
of a collateral source payment inadmissible for the purpose of determining the amount
of damages. (Howell, supra, 52 Cal.4th at p. 552.) This precludes evidence that an
insurer, or another source independent of the tortfeasor, paid for the plaintiff’s medical
care, but does not preclude evidence of the amount that a medical provider, pursuant to
prior agreement, accepted as full payment. (Id. at pp. 563, 567.) Evidence of the
amount that a medical provider accepted as full payment, pursuant to prior agreement, is
relevant to the amount of damages for past medical expenses and is admissible for that
purpose, “assuming it satisfies other rules of evidence.” (Id. at p. 567.)
Evidence of the full amount billed, in contrast, is not relevant to the amount of
damages for past medical expenses if the plaintiff never incurred liability for that
17
amount.8 “Where the provider has, by prior agreement, accepted less than a billed
amount as full payment, evidence of the full billed amount is not itself relevant on the
issue of past medical expenses.”9 (Howell, supra, 52 Cal.4th at p. 567.) But Howell
expressly declined to decide whether evidence of the full amount billed is relevant or
admissible “on other issues, such as noneconomic damages or future medical expenses.”
(Ibid.) Because the defendant in Howell had conceded that it was proper for the jury to
hear evidence of the plaintiff’s full medical bills, those issues were not presented in that
case. (Ibid.)
8 An unpaid bill is not independently admissible to prove that an expense was incurred, but is admissible only for the purpose of corroborating testimony. Pacific Gas & E. Co. v. G. W. Thomas Drayage etc. Co. (1968) 69 Cal.2d 33, 42-43, stated, “Since invoices, bills, and receipts for repairs are hearsay, they are inadmissible independently to prove that liability for the repairs was incurred, that payment was made, or that the charges were reasonable. [Citations.] If, however, a party testifies that he incurred or discharged a liability for repairs, any of these documents may be admitted for the limited purpose of corroborating his testimony [citations], and if the charges were paid, the testimony and documents are evidence that the charges were reasonable. [Citations.]” (Id., at pp. 42-43.) Damages for past medical expenses are limited to the amount that the medical providers accepted or agreed to accept as full payment. (Howell, supra, 52 Cal.4th at page 555.) This compels the conclusion that an unpaid bill for past medical services is admissible to corroborate testimony as to the amount incurred only if the bill reflects the amount that the medical provider agreed to accept as full payment. 9 Howell made the quoted statement in explaining the implications of its holding limiting the amount of a plaintiff’s recovery when the plaintiff’s medical expenses are paid through private insurance. (Howell, supra, 52 Cal.4th at pp. 566-567.) Howell acknowledged that the defendant in that case had conceded that it was proper for the jury to hear evidence of the plaintiff’s full medical bills, but the Howell court nonetheless expressed its opinion that evidence of the full amount billed was not relevant on the issue of past medical expenses in those circumstances. (Id. at p. 567.) Although this statement in Howell was not part of its holding, the point clearly was carefully considered and expressed quite deliberately.
18
b. Evidence of the Full Amount Billed Is Not Relevant to the Amount of Past Medical Expenses
Although Howell, supra, 52 Cal.4th 541, did not directly so hold, we are
persuaded by the carefully considered reasoning in Howell, and therefore do hold that
evidence of the full amount billed for a plaintiff’s medical care is not relevant to the
determination of a plaintiff’s damages for past medical expenses, and therefore is
inadmissible for that purpose if the plaintiff’s medical providers, by prior agreement,
had contracted to accept a lesser amount as full payment for the services provided.10 In
contrast, evidence of the amount accepted by medical providers as full payment does
not violate the collateral source rule and is admissible provided that the source of the
payment is not disclosed to the jury and the evidence satisfies the other rules of
evidence. (Id. at p. 567.)
Consumer Attorneys argues that any evidence of the amount accepted by
a medical provider as full payment for the services provided, including testimony given
in court, constitutes evidence of a statement as to the terms of the agreement between
the medical provider and the plaintiff’s health insurer and therefore is inadmissible
under the hearsay and parol evidence rules. We disagree. The hearsay rule provides
10 Consumer Attorneys of California, as amicus curiae on behalf of plaintiffs (Consumer Attorneys), cites Katiuzhinsky v. Perry (2007) 152 Cal.App.4th 1288, 1295-1296, for the proposition that evidence of the full amount billed is admissible to determine the reasonable value of past medical services. Katiuzhinsky is distinguishable because the plaintiffs in that case, who apparently had no health insurance, remained fully liable to their medical providers for the full amount billed despite the providers’ sale of their accounts to a medical finance company at a discount. (Id. at pp. 1291, 1296; see id. at p. 1292.) Howell distinguished Katiuzhinsky on this basis. (Howell, supra, 52 Cal.4th at pp. 554, 557.)
19
that evidence of an out-of-court statement offered to prove the truth of the matter stated
is inadmissible unless an exception applies. (Evid. Code, § 1200, subds. (a), (b).)
Although the amount accepted as full payment might have been determined by an
agreement, evidence that a medical provider accepted a certain amount as full payment
does not constitute evidence of a statement as to the terms of the agreement and is not
offered to prove the terms of the agreement. Moreover, it is not the terms of that
agreement that are in issue. Rather, it is the amount that has been accepted as full
payment by the medical provider. In the typical case, that will not even be in dispute
and, in any event, it is a fact easily proven by non-hearsay testimonial and documentary
evidence from the provider. The hearsay argument asserted by Consumer Attorneys has
no merit whatever.11
Consumer Attorneys also argues that a plaintiff seeking damages for past
medical expenses should be able to present evidence of not only the amount accepted as
full payment for past medical services provided, but also the reasonable value of those
services. We reject that argument as well. Because an injured plaintiff can recover as
damages for past medical expenses no more than the amount incurred for those past
medical services (Howell, supra, 52 Cal.4th at p. 555), evidence that the reasonable
value of such services exceeded the amount paid is irrelevant and inadmissible on the
issue of the amount of damages for past medical services. (See id. at p. 559.)
Moreover, for the jury to consider both evidence of the amount accepted by medical
11 For essentially the same reasons, there is no basis for a parol evidence objection to evidence that a provider has accepted a particular amount in full payment for medical services rendered.
20
providers as full payment and evidence of a potentially greater reasonable value would
very likely cause jury confusion and suggest the existence of a collateral source
payment, contrary to the evidentiary aspect of the collateral source rule. Likewise, the
presentation in each case of evidence as to the reasonable value of a plaintiff’s medical
care apart from the amount accepted by medical providers as full payment would, as
Howell stated, “routinely involve violations of the evidentiary aspect of the collateral
source rule. If the jury were required to decide whether the price actually paid for
medical care was lower than reasonable, the defense could not in fairness be precluded
from showing the circumstances by which that price was determined, including that it
was negotiated and paid by the plaintiff’s health insurer. In contrast, our conclusion,
that the plaintiff may recover no more than the medical providers accepted in full
payment for their services, allows for proof of the amount paid without admitting
evidence of the payment’s source.”12 (Howell, supra, 52 Cal.4th at p. 563.)
We therefore conclude that evidence of the full amount billed for plaintiffs’
medical care was not admissible for the purpose of determining plaintiffs’ damages for
their past medical expenses. Unresolved issues remain, however, as to whether
evidence of the full amounts billed for plaintiffs’ medical care in this case was
12 Howell provided this explanation in rejecting the argument by the dissent in that case that an insured plaintiff should recover the “reasonable value” of care, to be proven in each case by expert testimony, rather than a lesser amount accepted by medical providers as full payment. (Howell, supra, 52 Cal.4th at p. 563.) Our conclusion that evidence of the reasonable value of past medical services is inadmissible to prove the amount of damages for past medical services in these circumstances would not necessarily prevent a defendant from offering evidence that the reasonable value of past medical services was less than the amount paid.
21
admissible for the purpose of determining future medical expenses and noneconomic
damages, or may be admissible on remand for those purposes.13 (Howell, supra,
52 Cal.4th at p. 567.) We now turn to those issues.
c. Evidence of the Full Amount Billed For Past Medical Services Is Not Relevant to the Determination of Damages for Future Medical Expenses
An injured plaintiff is entitled to recover the reasonable value of medical services
that are reasonably certain to be necessary in the future. (Civ. Code, §§ 3283 [damages
may be awarded for “detriment . . . certain to result in the future”], 3359 [“[d]amages
must, in all cases, be reasonable . . . ”]; Caminetti v. Pacific Mut. Life Ins. Co. (1943)
23 Cal.2d 94, 103 [future damages must be proven with “reasonable certainty”].) The
argument that the full amount billed for past medical services is relevant to the
reasonable value of future medical services that the plaintiff is reasonably certain to
require necessarily assumes that the full amount billed for past medical services is
relevant to the value of those past medical services. In our view, Howell, supra,
52 Cal.4th 541, negates such an assumption and precludes this argument.
As already noted, Howell stated that the full amount billed is not an accurate
measure of the value of medical services, that there can be significant disparities
between the amounts charged by medical providers and the costs of providing services
13 Evidence that is not relevant on a particular issue is nevertheless admissible if it is relevant on another issue in dispute, subject to a limiting instruction upon request. (Evid. Code, § 355; Bullock v. Philip Morris USA, Inc. (2008) 159 Cal.App.4th 655, 682.) We requested supplemental briefs from the parties and solicited amicus curiae briefs addressing the admissibility of evidence of the full amount billed for an injured plaintiff’s medical care for the purpose of determining damages for future medical expenses and noneconomic damages.
22
and that the price of a particular service can “vary tremendously . . . from hospital to
hospital in California” and “a medical provider’s billed price for particular services is
not necessarily representative of either the cost of providing those services or their
market value.” (Howell, supra, 52 Cal.4th at pp. 560-562, 564.) These and other
observations in Howell compel the conclusion that the full amount billed by medical
providers is not relevant to the value of past medical services. For the same reason, the
full amount billed for past medical services is not relevant to a determination of the
reasonable value of future medical services. Moreover, for a jury to consider both
evidence of the amount accepted as full payment, for the purpose of determining the
amount of past economic damages, and the full amount billed, for some other purpose,
would most certainly cause jury confusion and suggest the existence of a collateral
source payment, contrary to the evidentiary aspect of the collateral source rule. We
therefore conclude that the full amount billed for past medical services is not relevant to
the amount of future medical expenses and is inadmissible for that purpose.
d. Evidence of the Full Amount Billed For Past Medical Services Cannot Support an Expert Opinion on the Reasonable Value of Future Medical Services
Our conclusion that the full amount billed by medical providers for past medical
services is not relevant to the value of the services provided also has implications for
expert opinion testimony that may be offered on remand as to the reasonable value of
medical services to be provided in the future. Because the full amount billed for past
medical services provided to plaintiffs is not relevant to the value of those services, we
believe that the full amount billed for those past medical services can provide no
23
reasonable basis for an expert opinion on the value of future medical services. Evidence
of the full amount billed for past medical services provided to plaintiffs therefore cannot
support an expert opinion on the reasonable value of future medical services. (Evid.
Code, §§ 801, subd. (b), 802.)
Evidence Code section 801, subdivision (b) states that an expert opinion must be
“[b]ased on matter . . . that is of a type that reasonably may be relied upon by an expert
in forming an opinion upon the subject to which his testimony relates . . . . ” “ ‘We
construe this to mean that the matter relied on must provide a reasonable basis for the
particular opinion offered, and that an expert opinion based on speculation or conjecture
is inadmissible.’ ” (Sargon Enterprises, Inc. v. University of Southern California (2012)
115 Cal.App.4th 558, 564.) Expert opinion testimony based on matter that provides no
reasonable basis for the opinion offered is properly excluded under Evidence Code
section 801, subdivision (b). (Sargon, supra, at p. 776.)
Similarly, Evidence Code section 802 allows the trial court to inquire into the
reasons for an expert’s opinion and to exclude expert opinion testimony if it is “based
on reasons unsupported by the material on which the expert relies.” (Sargon, supra,
55 Cal.4th at p. 771.) Evidence Code section 802 also allows the courts to develop
“ ‘case law restrictions on an expert’s “reasons.” ’ [Citation.]” (Sargon, supra, at
p. 771.) If the material on which an expert relies does not support the expert’s
reasoning, the expert’s opinion is properly excluded under Evidence Code section 802.
(Sargon, supra, 55 Cal.4th at p. 771.)
24
Moreover, for an expert to base an opinion as to the reasonable value of future
medical services, in whole or in part, on the full amount billed for past medical services
provided to a plaintiff would lead to the introduction of evidence concerning the
circumstances by which a lower price was negotiated with that plaintiff’s health insurer,
thus violating the evidentiary aspect of the collateral source rule. (Howell, supra,
52 Cal.4th at p. 563.) Thus, we conclude that any expert who testifies on remand with
respect to the reasonable value of the future medical services that Corenbaum and
Carter are reasonably likely to require may not rely on the full amounts billed for
plaintiffs’ past medical expenses.14
e. Evidence of the Full Amount Billed Is Not Relevant to the Amount of Noneconomic Damages
Noneconomic damages compensate an injured plaintiff for nonpecuniary
injuries, including pain and suffering. Pain and suffering is a unitary concept that
encompasses physical pain and various forms of mental anguish and emotional distress.
(Capelouto v. Kaiser Foundation Hospitals (1972) 7 Cal.3d 889, 892-893.) Such
injuries are subjective, and the determination of the amount of damages by the trier of
fact is equally subjective. (Id. at p. 893.)15 There is no fixed standard to determine the
14 Given this limitation on the presentation of an expert’s opinion in this case, any issues that may arise on remand regarding such presentation should be resolved by the trial court in a hearing held outside the presence of the jury. 15 Subjective mental states “represent[] a detriment which can be translated into monetary loss only with great difficulty. [Citations.] But the detriment, nevertheless, is a genuine one that requires compensation [citations], and the issue generally must be resolved by the ‘impartial conscience and judgment of jurors who may be expected to
25
amount of noneconomic damages. Instead, the determination is committed to the
discretion of the trier of fact. (Ibid.; see Rest.2d Torts, § 912, com. b, pp. 479-480.)
This is no easy task. In Beagle v. Vasold (1966) 65 Cal.2d 166, the Supreme
Court, in allowing a per diem pain and suffering argument, commented, “One of the
most difficult tasks imposed upon a jury in deciding a case involving personal injuries is
to determine the amount of money the plaintiff is to be awarded as compensation for
pain and suffering. No method is available to the jury by which it can objectively
evaluate such damages, and no witness may express his subjective opinion on the
matter. [Citation.] In a very real sense, the jury is asked to evaluate in terms of money
a detriment for which monetary compensation cannot be ascertained with any
demonstrable accuracy. . . . ‘Translating pain and anguish into dollars can, at best, be
only an arbitrary allowance, and not a process of measurement, and consequently the
judge can, in his instructions, give the jury no standard to go by; he can only tell them to
allow such amount as in their discretion they may consider reasonable. . . . The chief
reliance for reaching reasonable results in attempting to value suffering in terms of
money must be the restraint and common sense of the jury. . . . ’ [Citation.]” (Id. at
p. 167.)
Lawyers have used the amount of economic damages as a point of reference in
their argument to a jury, or in settlement discussions, as a means to help determine the
amount of noneconomic damages. We need not comment on this practice except to
act reasonably, intelligently and in harmony with the evidence.’ [Citations.]” (Capelouto v. Kaiser Foundation Hospitals, supra, 7 Cal.3d at p. 893.)
26
state that it can provide no justification for the admission of evidence that is otherwise
inadmissible and that is not relevant to the amount of economic damages. As we have
explained, the full amount billed for past medical services is not relevant to
a determination of the damages for either past or future medical services if the medical
providers had agreed to accept a lesser amount as full payment. We conclude that
evidence of the full amount billed is not admissible for the purpose of providing
plaintiff’s counsel an argumentative construct to assist a jury in its difficult task of
determining the amount of noneconomic damages and is inadmissible for the purpose of
proving noneconomic damages.
f. The Judgment Must Be Reversed for a New Trial on Compensatory Damages
As explained above, we conclude that evidence of the full amounts billed for
Corenbaum’s and Carter’s medical care was not relevant to the amount of their damages
for past medical expenses, future medical expenses or noneconomic damages, and it
was not offered in evidence for any other purpose. The admission of evidence of the
full amounts billed therefore was error. (Evid. Code, § 350.) The error was prejudicial
because, as the record before us clearly demonstrates, the amounts awarded as damages
were based on the full amounts billed rather than the lesser amounts accepted by
medical providers as full payment. We therefore will reverse the judgments in favor of
Corenbaum and Carter as to the awards of compensatory damages against Lampkin and
27
remand the matter with directions to conduct a new trial to determine the amounts of
compensatory damages, liability having been established.16
2. Lampkin May Raise the Issue on Appeal
Lampkin’s failure to object to the admission of evidence of the full amounts
billed does not preclude him from raising the issue on appeal. An appellant may
challenge the admission of evidence for the first time on appeal despite his or her failure
to object in the trial court if the challenge is based on a change in the law that the
appellant could not reasonably have been expected to foresee. (People v. Black (2007)
41 Cal.4th 799, 810-811; People v. Turner (1990) 50 Cal.3d 668, 703.) Opinions by the
Courts of Appeal prior to Howell, supra, 52 Cal.4th 541, held that the rule from Hanif,
supra, 200 Cal.App.3d 635, and Nishihama, supra, 93 Cal.App.4th 298, limiting the
amount of a plaintiff’s recovery did not preclude the admission of evidence of the full
amount billed for past medical care, and stated that such evidence provided the jury
a more accurate indication and a more complete picture of the extent of the plaintiff’s
injuries. (Olsen v. Reid (2008) 164 Cal.App.4th 200, 204; Greer v. Buzgheia (2006)
141 Cal.App.4th 1150, 1157.) Lampkin could not reasonably have been expected to
anticipate the rule announced for the first time in Howell, supra, 52 Cal.4th at page 567,
that evidence of the full amount billed is not relevant on the issue of past medical
expenses in these circumstances.
16 “An appellate court may order a limited new trial if a new trial on limited issues would not cause such uncertainty or confusion as to deny a fair trial, as here. (Brewer v. Second Baptist Church (1948) 32 Cal.2d 791, 801 [197 P.2d 713]; see Torres v. Automobile Club of So. California (1997) 15 Cal.4th 771, 776 [63 Cal.Rptr.2d 859, 937 P.2d 290].)” (Mealy v. B-Mobile, Inc. (2011) 195 Cal.App.4th 1218, 1225, fn. 1.)
28
On the other hand, we reject plaintiffs’ argument that the rule that evidence of
the full amounts billed is inadmissible in these circumstances (see Howell, supra,
52 Cal.4th at p. 567) should not apply retroactively to the judgments entered in
plaintiffs’ favor.17 As a general rule, judicial decisions in tort cases are given full
retroactive effect in all pending cases, including cases pending on appeal. (Newman v.
Emerson Radio Corp. (1989) 48 Cal.3d 973, 978-979, 981-982; Waller v. Truck Ins.
Exchange, Inc. (1995) 11 Cal.4th 1, 24.) But considerations of fairness and public
policy may justify an exception when a judicial decision changes a settled rule of law on
which the parties have relied. (Claxton v. Waters (2004) 34 Cal.4th 367, 377.)
“ ‘ “Particular considerations relevant to the retroactivity determination include the
reasonableness of the parties’ reliance on the former rule, the nature of the change as
substantive or procedural, retroactivity’s effect on the administration of justice, and the
purposes to be served by the new rule. [Citations.]” ’ [Citations.]” (Id. at pp. 378-379.)
The parties here relied on the former rule allowing the admission of evidence of
the full amounts billed, but did so subject to Lampkin’s right to seek a reduction of
damages in a posttrial hearing. Our application of the rule that evidence of the full
amounts billed is inadmissible in these circumstances will not upset any expectation or
reliance regarding the amount recoverable and will result in no unfairness. Moreover,
the new rule concerns only the relevance and admissibility of evidence of the full
amount billed and does not change the legal consequences of past conduct by imposing
17 As previously noted, those judgments were entered by the trial court on July 5, 2011. The Supreme Court’s opinion in Howell was filed on August 18, 2011.
29
new or different liabilities for such conduct. (Cf. Californians for Disability Rights v.
Mervyn’s, LLC (2006) 39 Cal.4th 223, 230-232.) We conclude that the exception to the
general rule of full retroactivity is inapplicable.
3. Lampkin Has Shown No Error in the Admission of Evidence of his Prior Arrest for Driving Under the Influence
Lampkin contends the evidence of his arrest for driving under the influence on
December 23, 2007, was not relevant to any issue in this case and was unduly
prejudicial. He argues that the evidence was not relevant to his awareness of the
dangers of drunk driving at the time of the April 5, 2008, incident because at that time
he had neither attended drug or alcohol counseling as a result of the prior incident nor
suffered a conviction as a result of that incident. He argues that the only purpose of the
evidence was to show a tendency to act consistent with his conduct on a specific prior
occasion. He argues that such evidence is inadmissible character evidence under
Evidence Code section 1101, subdivision (a) and also should have been excluded under
Evidence Code section 352. He seeks a new trial limited to the issue of damages.18
Lampkin’s argument on appeal differs somewhat from his argument in the trial
court. He argued on his motion in limine in the trial court, based on Evidence Code
section 787, that evidence of a specific instance of conduct is inadmissible to attack the
credibility of a witness, and that evidence of his prior arrest therefore could not be
admitted to attack the credibility of his testimony. He also argued that the evidence
18 As already noted, Lampkin does not seek a new trial on the issue of liability. Having admitted negligence before the denial of his motion in limine to exclude this evidence, he does not argue that the denial of his motion in limine or the admission of evidence of his prior arrest was prejudicial on the issue of liability.
30
should be excluded under Evidence Code section 352, which he also argues on appeal.
But he did not argue in the trial court that the evidence was inadmissible character
evidence under Evidence Code section 1101, subdivision (a).19 We therefore conclude
that Lampkin forfeited any objection based on Evidence Code section 1101,
subdivision (a) by failing to timely assert that specific ground in the trial court. (Evid.
Code, § 353, subd. (a); People v. Demetrulias (2006) 39 Cal.4th 1, 19-20.)
Lampkin also has not shown that he is entitled to a reversal based on Evidence
Code section 352 because he has not shown that the probative value of the admitted
evidence was substantially outweighed by its potential for prejudice. The evidence of
his prior arrest for driving under the influence on December 23, 2007, tended to show
Lampkin’s awareness of the dangers of drunk driving at the time of the incident on
April 5, 2008, and therefore was probative on the issue of malice for purposes of
punitive damages. The potential for prejudice was remote because at the time of the
denial of his motion in limine, Lampkin had already admitted his liability. Lampkin
fails to explain how the admission of evidence of his prior arrest is likely to have
affected the amount of compensatory damages awarded, and we can discern no
reasonable connection. We therefore hold that Lampkin has shown no abuse of
discretion in the admission of this evidence.
19 Moreover, despite the trial court’s suggestion upon denying Lampkin’s motion in limine that he should request a limiting instruction, there is no indication in the record that he did so.
31
4. The Trial Court Properly Instructed the Jury on Punitive Damages
Lampkin contends Carter failed to allege a claim for punitive damages in his
complaint, so the trial court erred by instructing the jury on punitive damages as to
Carter. But the reporter’s transcript shows that the court granted the Carters’ oral
motion before opening statements to amend their complaint by adding a count for
willful misconduct and a prayer for punitive damages. We therefore conclude that the
court did not err in instructing the jury on punitive damages as to Carter.
5. Lampkin Is Estopped From Asserting That the Punitive Damage Awards Are Excessive
Lampkin contends there is insufficient evidence of his financial condition to
justify an award of punitive damages in any amount, and his own testimony as to his
financial condition shows that the $40,000 awarded in punitive damages is excessive.
Whatever the merits of this argument, Lampkin is estopped from asserting it.
California law permits the recovery of punitive damages “for the sake of example
and by way of punishing the defendant.” (Civ. Code, § 3294, subd. (a).) In determining
whether a punitive damage award is excessive under California law, a court must
consider (1) the reprehensibility of the defendant’s conduct; (2) the amount of
compensatory damages or actual harm suffered by the plaintiff; and (3) the defendant’s
financial condition. (Adams v. Murakami (1991) 54 Cal.3d 105, 110; Neal v. Farmers
Ins. Exchange (1978) 21 Cal.3d 910, 928.)
“Even if an award is entirely reasonable in light of the other two factors . . . , the
award can be so disproportionate to the defendant’s ability to pay that the award is
32
excessive for that reason alone.” (Adams v. Murakami, supra, 54 Cal.3d at p. 111.)
Absent meaningful evidence of a defendant’s financial condition, a reviewing court
cannot determine whether a punitive damages award is excessive under California law.
(Id. at pp. 113-114.) Accordingly, evidence of the defendant’s financial condition at the
time of trial is a prerequisite to an award of punitive damages. (Id. at pp. 108-109, 116;
Kelly v. Haag (2006) 145 Cal.App.4th 910, 915.)
A trial court ruling on a new trial motion may grant a new trial on the ground of
excessive damages only if “after weighing the evidence the court is convinced from the
entire record, including reasonable inferences therefrom, that the court or jury clearly
should have reached a different verdict or decision.” (Code Civ. Proc., § 657.) On
appeal from a judgment after the denial of a new trial motion, we can reverse the
judgment based on excessive punitive damages only if, viewing the entire record in the
light most favorable to the judgment and considering the three factors discussed above,
we conclude as a matter of law that the award is excessive or is the result of passion or
prejudice. (Neal v. Farmers Ins. Exchange, supra, 21 Cal.3d at pp. 927-928.)
A defendant who fails to comply with a court order to produce records of his or
her financial condition may be estopped from challenging a punitive damage award
based on lack of evidence of financial condition to support the award. (Mike Davidov
Co. v. Issod (2000) 78 Cal.App.4th 597, 608-609 (Mike Davidov).) The trial court in
Mike Davidov ordered the defendant to produce all records of his financial condition for
the purpose of determining the amount of punitive damages. The defendant failed to
comply with the order, and the court awarded $96,000 in punitive damages. (Id. at
33
pp. 603-604.) We noted that the defendant’s records were the only source of
information available to the plaintiff regarding the defendant’s financial condition and
that the defendant’s disobedience of the court order prevented the plaintiff from
obtaining that information. (Id. at p. 609.) We held that having failed to comply with
the order to produce records and having failed to challenge that order on appeal, the
defendant was estopped from challenging the punitive damage award based on the lack
of evidence of his financial condition. (Id. at pp. 600, 608-609.)
Similarly here, Lampkin failed to comply with a subpoena requiring him to
produce at trial records of his financial condition, and he does not challenge that
subpoena on appeal. A subpoena “is a writ or order directed to a person and requiring
the person’s attendance at a particular time and place to testify as a witness” (Code Civ.
Proc., § 1985, subd. (a)), and may also require the production of documents in that
person’s control (ibid.). Thus, for purposes of requiring attendance and the production
of documents at trial, a subpoena is equivalent to a court order. In light of Lampkin’s
failure to comply with the subpoena for records, we conclude that he is estopped from
challenging the punitive damage awards based on lack of evidence of his financial
condition or insufficiency of the evidence to establish his ability to pay the amount
awarded.
6. Section 1021.4 Does Not Authorize a Fee Award in These Circumstances
Plaintiffs contend the trial court erroneously concluded that it had no authority to
award them attorney fees under section 1021.4. We independently review the denial of
the plaintiffs’ motions for attorney fees to the extent that the ruling was based on the
34
court’s construction of a statute and application of the statute to undisputed facts.
(California Forestry Assn. v. California Fish & Game Commission (2007)
156 Cal.App.4th 1535, 1544.)
“Our fundamental task in construing a statute is to ascertain the legislative intent
so as to effectuate the purpose of the law. (Hassan v. Mercy American River Hospital
(2003) 31 Cal.4th 709, 715 [3 Cal.Rptr.3d 623, 74 P.3d 726].) Because the statutory
language ordinarily is the most reliable indicator of legislative intent, we begin by
examining the words of the statute. (Ibid.) We give the words of the statute their
ordinary and usual meaning and construe them in the context of the statute as a whole
and the entire scheme of law of which it is a part. (State Farm Mutual Automobile Ins.
Co. v. Garamendi (2004) 32 Cal.4th 1029, 1043 [12 Cal.Rptr.3d 343, 88 P.3d 71].) If
the language is clear and a literal construction would not result in absurd consequences
that the Legislature did not intend, we presume that the Legislature meant what it said
and the plain meaning governs. (Coalition of Concerned Communities, Inc. v. City of
Los Angeles (2004) 34 Cal.4th 733, 737 [21 Cal.Rptr.3d 676, 101 P.3d 563].) If the
language is ambiguous, we may consider a variety of extrinsic aids, including the
purpose of the statute, legislative history, and public policy. (Ibid.)” (Frontier Oil
Corp. v. RLI Ins. Co. (2007) 153 Cal.App.4th 1436, 1448-1449.)
Section 1021.4 authorizes an attorney fee award in favor of the prevailing
plaintiff “[i]n an action for damages against a defendant based upon that defendant’s
commission of a felony offense for which that defendant has been convicted.” In our
view, an action for damages is “based upon” the defendant’s commission of a felony
35
within the meaning of the statute if and only if the damages claimed by the plaintiff
were caused by the same felonious criminal conduct for which the defendant was
convicted. (Vaillette v. Fireman’s Fund Ins. Co. (1993) 18 Cal.App.4th 680, 689, fn. 7
[“Section 1021.4 authorizes the court to award reasonable attorney fees to a prevailing
plaintiff against the defendant convicted of the felony that has caused the plaintiff’s
loss.”]; see Sommers v. Erb (1992) 2 Cal.App.4th 1644, 1650 [“What section 1021.4
and the restitution provisions of Proposition 8 seek to address are felonies that cause
injuries to other persons”]; Wood v. McGovern (1985) 167 Cal.App.3d 772, 778
[“Section 1021.4 simply provides for the award of attorney’s fees to a plaintiff who
prevails in an action to recover losses occasioned by the commission of a felony by
a convicted defendant”].)
Vehicle Code section 20001 states, in relevant part:
“(a) The driver of a vehicle involved in an accident resulting in injury to
a person, other than himself or herself, or in the death of a person shall immediately stop
the vehicle at the scene of the accident and shall fulfill the requirements of
Sections 20003 and 20004.
“(b)(1) Except as provided in paragraph (2), a person who violates
subdivision (a) shall be punished by imprisonment in the state prison, or in a county jail
36
for not more than one year, or by a fine of not less than one thousand dollars ($1,000)
nor more than ten thousand dollars ($10,000), or by both that imprisonment and fine.”20
Vehicle Code section 20003 requires the driver of any vehicle involved in an
injury accident to provide to the driver and the occupants of any vehicle collided with
and to any traffic or police officer at the scene certain identifying information, and
requires the driver to render reasonable assistance to any person injured in the accident.
Vehicle Code section 20004 requires the driver of any vehicle involved in a fatal
accident to report the accident to the California Highway Patrol or other police authority
if there is no traffic or police officer at the scene.
Vehicle Code section 20001, subdivision (b) makes it a felony for the driver of
a vehicle involved in an injury accident to fail to immediately stop the vehicle and
provide the information and assistance required by Vehicle Code sections 20003 and
20004. The failure to comply with those statutory obligations constitutes a felony
regardless of whether the driver was at fault or responsible for the accident. (People v.
Mace (2011) 198 Cal.App.4th 875, 887-888; People v. Bammes (1968) 265 Cal.App.2d
626, 631-633; see People v. Harbert (2009) 170 Cal.App.4th 42, 55, fn. 10 [dictum];
People v. Sell (1950) 96 Cal.App.2d 521, 523 [construing identical operable language in
former Veh. Code, § 480]; cf. Brooks v. E. J. Willig Truck Transp. Co. (1953) 40 Cal.2d
669, 679 [construing identical operable language in former Veh. Code., § 480 for
purposes of civil liability].) The purpose of Vehicle Code section 20001 is to prevent
20 Similarly, Vehicle Code section 20002 imposes certain duties on the driver of a vehicle in an accident resulting in only property damage and states that a person who fails to comply with those requirements is guilty of a misdemeanor.
37
drivers involved in injury accidents from leaving injured persons in distress and in need
of medical care and from attempting to avoid potential criminal and civil liability for the
accident. (People v. Corners (1985) 176 Cal.App.3d 139, 148.)
Many courts have concluded that the conduct made criminal by Vehicle Code
section 20001, subdivision (b) is fleeing the scene of an injury accident without
providing the required information or rendering assistance, rather than causing or being
involved in the accident itself. (E.g., People v. Powell (2010) 181 Cal.App.4th 304,
316; People v. Harbert, supra, 170 Cal.App.4th at p. 59; People v. Wood (2000)
83 Cal.App.4th 862, 866; People v. Braz (1998) 65 Cal.App.4th 425, 432-433; People v.
Corners, supra, 176 Cal.App.3d at p. 148.) We agree. The occurrence of an injury
accident is a condition precedent to the imposition of duties upon the driver under
Vehicle Code sections 20001, subdivision (a) and 20003, but is not an element of the
crime under Vehicle Code section 20001, subdivision (b). (People v. Valdez (2010)
189 Cal.App.4th 82, 85.) Accordingly, the damages recoverable in a civil action for
violation of the statute are limited to those caused by fleeing rather than damages caused
by the accident itself. (People v. Corners, supra, 176 Cal.App.3d at p. 148.)
We therefore conclude that when a defendant has been convicted of a violation
of Vehicle Code section 20001, subdivision (a), the conduct constituting the
commission of a felony for purposes of section 1021.4 is fleeing the scene of an injury
accident without providing the required information or rendering assistance. An action
for damages for injuries suffered in the accident, such as the present action, is not
38
“based upon” that conduct within the meaning of section 1021.4. The trial court
properly denied the motions for attorney fees on this basis.21
People v. Carbajal (1995) 10 Cal.4th 1114, cited by plaintiffs, is not on point.
The trial court in Carbajal ordered restitution, as a condition of probation, for property
damage caused by a driver who was convicted of fleeing the scene of an injury accident
(Veh. Code, § 20001, subd. (a)). The California Supreme Court held that article I,
section 28, of the California Constitution, also known as Proposition 8, and Penal Code
section 1203.04 do not limit the trial court’s discretion to order restitution as a condition
of probation where the victim’s loss was not caused by the criminal conduct underlying
the conviction if the court finds that one of the statutory purposes of restitution would
be served. (Carbajal, supra, at p. 1122.) Carbajal did not hold or suggest that a civil
action to recover damages for losses related to, but not caused by, the criminal conduct
underlying a conviction for a violation of Vehicle Code section 20001, subdivision (a) is
an action for damages based on such a conviction within the meaning of
section 1021.4.22 We also reject plaintiffs’ public policy argument for construing
21 We reject plaintiffs’ argument that Lampkin’s fleeing the scene and denying responsibility caused them damages by frustrating their efforts to hold him liable and increasing their litigation costs. Plaintiffs’ litigation costs are not “damages” sought in this action within the meaning of section 1021.4. 22 People v. Rubics (2006) 136 Cal.App.4th 452, also cited by plaintiffs, involved restitution in connection with sentencing for a violation of Vehicle Code section 20001, subdivision (a). Rubics held that the trial court had the discretion under Penal Code section 1202.4, subdivision (f) to order restitution for damages caused by the accident. (Rubics, supra, at p. 461.) Rubics did not hold that attorney fees are recoverable under section 1021.4 in a civil action seeking such damages. To the extent that Rubics suggested that a conviction under Vehicle Code section 20001, subdivision (a) is based
39
section 1021.4 to authorize an attorney fee award in these circumstances. Such
a construction would be contrary to the clear statutory language.
in part on the defendant’s causing or being involved in an injury accident, we decline to follow it for the reasons we have stated.
40
DISPOSITION
The judgments in favor of Corenbaum and Carter are reversed as to the awards of
compensatory damages against Lampkin, and the matter is remanded with directions to
conduct a new trial limited to determining the amounts of compensatory damages in
favor of Corenbaum and Carter in accordance with the views expressed herein. The
judgments are otherwise affirmed. The order denying the motions for attorney fees is
affirmed. Lampkin is entitled to recover his costs on appeal.
CERTIFIED FOR PUBLICATION
CROSKEY, Acting P. J.
WE CONCUR:
KITCHING, J.
ALDRICH, J.
41
AI Brief
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Holding. The court held that evidence of the full amount billed for a plaintiff's medical care is not relevant to the amount of damages for past medical expenses, future medical expenses, or noneconomic damages when the medical providers have agreed to accept a lesser amount as full payment. Consequently, the admission of such evidence constitutes error.
Issues
Whether evidence of the full amount billed for medical care is admissible to prove damages for past medical expenses when providers accepted a lesser amount.
Whether evidence of the full amount billed for medical care is admissible to prove damages for future medical expenses.
Whether evidence of the full amount billed for medical care is admissible to prove noneconomic damages.
Whether a trial court may award attorney fees under Code of Civil Procedure section 1021.4 when the defendant's conviction was for fleeing the scene of an accident rather than the underlying injury-causing offense.
Disposition. affirmed in part and reversed in part, and the matter is remanded with directions; order affirmed.
Quotations verified verbatim against the opinion
“Where the provider has, by prior agreement, accepted less than a billed amount as full payment, evidence of the full billed amount is not itself relevant on the issue of past medical expenses.”
“a medical care provider’s billed price for particular services is not necessarily representative of either the cost of providing those services or their market value.”