Car Accidents

April 15, 2013

United States Supreme Court Strikes Down Arbitrary State Medicaid Recovery Legislation

Last month, the U.S. Supreme Court issued a landmark opinion in the case of Wos v. E.M.A. that protects the rights of those who receive settlements or judgements following an accident. Specifically, the ruling prevents states from taking unnecessary large portions of the award for Medicaid reimbursements.

In WOS a victim of medical malpractice and subsequent Medicaid recipient challenged a North Carolina statute requiring that up to one-third of any settlement recovered by a Medicaid beneficiary be paid to the State as reimbursement for payments made for medical treatment. The victim estimated her damages to exceed $42 million, but she eventually settled the claims for $2.8 million. The state court approved the settlement but put one-third of the recovery into escrow pending a determination as to the amount owed to North Carolina for Medicaid payments.

While the case was pending, the North Carolina Supreme Court issued an opinion holding that the irrebuttable statutory one-third presumption was a reasonable method for determining the amount due the State for medical expenses. The Federal District Court that originally heard WOS agreed with the North Carolina Supreme Court, but, on appeal, the Fourth Circuit Court of found otherwise. The U.S. Supreme Court granted certiorari to resolve the conflict between the Fourth Circuit and North Carolina Supreme Court.

In a previous case, the Supreme Court held that the federal Medicaid statute sets both a floor and a ceiling on a State’s potential share of a beneficiary’s tort recovery. The Court determined that federal law requires an assignment to the State of “the right to recover that portion of a settlement that represents payments for medical care,” but also “precludes attachment or encumbrance of the remainder of the settlement.”
Unfortunately, the earlier case did not establish how to determine what portion of a settlement constitutes payment for medical care, allowing North Carolina to adopt the statute presuming one-third a recipient’s the recovery represents compensation for medical expenses.
Writing for a 6-3 majority in WOS, Justice Kennedy stated that the statute’s arbitrary determination that one-third of every settlement was reimbursable to Medicaid constituted a violation of the Federal Medicaid anti-lien provision.

April 5, 2013

National Safety Council Designates April As Distracted Driving Awareness Month

by Gerson & Schwartz, P.A.

Recently, the National Safety Council (“NSC”), a nonprofit organization dedicated to injury and death prevention, designated the month of April distracted driving awareness month and introduced a plan asking all motorists to participate in remedying this problem plaguing our nation’s roadways.

Distracted driving is becoming an increasingly serious issue across America. Despite a rising number of distracted driving car accidents each year, many states, including Florida, have been slow to adopt measures to curb the problem.

Indeed, Florida has yet to pass any law banning the use or cell phones in any capacity while driving. Thirty-nine states and the District of Columbia have already adopted texting while driving bans and many others have restrictions on cell-phone use. As has been discussed by this blog before, several bills proposing statewide bans on texting while driving have passed through the Florida Senate, but failed in the House of Representatives.

According to recent statistics, of the more than 170,000 crash reports filed in Florida during the first ten months in 2011, over 100 involved motorists that were texting at the time of the accident. That number is almost certainly too low, however, as most driver’s would be reluctant to admit to texting while driving. Studies have found that almost a third of motorists admit to using their to using their cell regularly while driving. Over two-thirds of drivers professed to using their cell phone while driving at least once in the previous month.

Further, according to a 2009 report compiled by the National Highway Traffic Safety Administration (“NHTSA”), 5,474 people were killed on U.S. roadways and an estimated additional 448,000 were injured in motor vehicle crashes that were reported to have involved distracted drivers. Of the distracted driving crashes resulting in the death of an individual, 995 were reported to involve a cell phone as the distraction. Of the distracted driving crashes resulting in an injury to someone, over 24,000 were reported to involve a cell phone as the distraction.

April 1, 2013

Florida International University Student Killed In Miami Hit And Run Accident

by Gerson & Schwartz, P.A.

Earlier this month, The Miami Herald reported on the unfortunate death of a Florida International University student as a result of a hit-and-run accident. Forty-three year-old Melita Jaric was walking across Southwest 11th Street in Miami, Florida, when she was struck by a car driven by an unknown individual.

Jaric suffered serious injuries, including a fractured skull and left arm, as well as experiencing substantial swelling of the brain. Jaric was transported to nearby Jackson Memorial Hospital where she remained in a coma for several days before succumbing to her substantial injuries.

Investigators interviewed neighbors following the incident, many of whom complained that the four-way-stop at the intersection is regularly ignored. According to one resident, “This street has become like a race track. Everybody passes by here. Don’t respect the stop sign.”

March 28, 2013

Florida Senate Considering Bill Repealing Personal Injury Protection Laws

by Gerson & Schwartz, P.A.

Florida legislators are considering measures that would repeal Florida’s No Fault Benefits, also referred to as Personal Injury Protection. Under the current law, Florida drivers are required to carry up to a total of $10,0000 in coverage. The benefits pays an insured’s medical bills and expenses regardless of fault. Currently, the PIP covers up to 80% up to $10,0000 of medical bills and hospital related expenses and up to 60% of wage loss. Once the 10,0000 has been exhausted, accident victims must find other sources such as making a claim against the at fault party. Of course, that assumes the driver of the other vehicle also has coverage for bodily injury. In Florida, unlike many other states, bodily injury coverage is not legally required. Just recently, Florida’s PIP laws were changed. Prior to January 1, 2013, there were not as many limitations on personal injury benefits such as who can claim them and under what circumstances. Now, the PIP laws require that injury victims seek medical attention within 14 days of an accident to receive maximum benefits. Other changes to the law require the diagnosis by a medical doctor that an accident victim sustained an “emergency medical condition”, among others. The new laws also placed limitations on the types of medical providers that could get paid under PIP. The law now excludes massage therapists and acupuncture all together. The changes, of course were the direct result of insurance companies claiming that the system was being taken advantage of by medical providers and others in car accidents. Attorney referral services and other marketing companies that advertise for car accidents have also been under scrutiny by the Florida Bar. The “savings” argument was that the changes in Florida PIP laws would allow for future lower insurance premiums for all, and that savings would then be passed on to Florida consumers drivers. Of course, that logic and reasoning is now being questioned. In the midst of the new “Affordable Healthcare Act” ready to take effect, law makers are beginning to wonder if personal injury protection benefits will be necessary. Most states, require motor vehicle operators to carry bodily injury insurance. If PIP is repealed in Florida, Florida law would likely require all vehicle owners to carry bodily injury protection as well. Miami, Florida injury attorneys at Gerson & Schwartz, PA believe changes to existing Florida No Fault Laws are a good thing. Since bodily injury coverage is not required in Florida, many accident victims are left with little legal recourse if there is no insurance coverage available. The latest news is that the Florida Senate is considering a bill and other law makers are considering other legislation to address the issue. The bill that is in the works, would repeal Florida’s No Fault Benefits. It appears that it may have a chance of being passed by both the house and senate as it appears it has gained much public attention and support.

March 27, 2013

Will My Insurer Cover Me If I have A Motor Vehicle Accident In Florida Under The New Law?

by Gerson & Schwartz, P.A.

Florida lawmakers have passed a new law which was implemented January 1 stating that all drivers from foreign countries (including Canada) must have an International Driver’s License to operate a vehicle in Florida. Many of our clients have been seeking the advice of a personal injury lawyer in Ottawa to help them determine whether they would be covered in the event of an accident if they were driving in Florida without an International License.

Victims of motor vehicle accidents seeking a lawyer in Toronto may want to consult with the head office of the Insurance Bureau of Canada, which has recently issued a statement indicating that they’ve asked insurance companies to conduct business in the same way as they have to date, therefore protecting all Canadians if such an unfortunate event should arise.

On their end, the Florida Highway Patrol has indicated they will not be enforcing the new law as it is subject to review due to potential conflict with international agreements.

March 14, 2013

Victims Of Drunk Drivers Entitlement to Punitive Damages in Florida

by Gerson & Schwartz, P.A.

On March 2, 2013, FloridaToday.com reported on the unfortunate death of two Brevard County teens that were killed in a car accident caused by a suspected drunk driver. On February 28, 2013, Rachel Price, 18, and a passenger, Jamaree Cook, 19, were traveling west on U.S. 192 near St. Cloud, Florida when an oncoming pickup truck cut in front Price. Price’s vehicle collided with the pickup and then hit another vehicle stopped at the intersection, killing both Price and Cook. The driver of the pickup was arrested at the scene on suspicion of driving while intoxicated.

This unfortunate incident highlights a continuing problem of negligent and reckless drivers on Florida’s roadways. Because it is impossible to completely safeguard oneself from negligent drivers, it is important that motorists be aware that in the event they are injured in a car accident caused by the negligence or recklessness of another they have a right to compensation and in some instances punitive damages. Punitive damages are not recoverable in every case. Under Florida law, there first be a be a proffer of evidence in the record before a claim for punitive damages can even be included as part of a personal injury lawsuit.

March 11, 2013

Florida Legislature Consider Bill Banning Texting While Driving

by Gerson & Schwartz, P.A.

Yesterday, a Florida State Senate Senate committee unanimously approved Senate Bill 52 (“Bill 52”), which would impose a statewide ban on texting while driving. Similar bills have repeatedly passed through the Florida Senate, but failed in the House of Representatives. Thirty-nine states and the District of Columbia already adopted texting while driving bans.

The Florida Senate Communications Committee voted 9-0 in favor of SB 52 which outlaws texting by motorists but exempts police and other emergency vehicles. SB 52 would make texting subject to secondary enforcement, meaning that law enforcement can cite drivers for texting only if they had been stopped for another traffic violation such as speeding. Under SB 52’s provisions, an initial violation of the anti-texting law would result in a $30 fine. Further, if the illegal texting caused an accident, the driver would be assessed six points on his or her driver’s license.

A spokesperson for the Florida Department of Highway Safety and Motor Vehicles, Courtney Heidelberg, stated that Florida highway safety records indicate that, of the 171,538 Florida crash reports filed during the first ten months of 2011, 149 involved drivers that were texting at the time of the accident.

According to a recent study released by the AAA Foundation for Traffic Safety’s (“Foundation”), distracted driving is a growing concern and common practice among motorists. The study, referred to as the Traffic Safety Index (“Index”), was assembled based upon data gathered from surveys of 3,896 U.S. residents over the age of sixteen. The Index concluded that, although many Americans value safe travel and support laws discouraging unsafe driving behaviors, e.g. speeding, they tend to practice dangerous driving habits themselves.

According to the Index’s findings, 88.5% of drivers consider using a cell phone while driving a serious threat to motorist safety. Additionally, 67.3% of respondents feel that distracted driving is a bigger problem today than it was three years ago. Although most of the surveyed individuals expressed concerns about distracted driving practices, they also adopted a double standard with regard to support of measures to discourage such behavior.

More than two-thirds (68.8%) of respondents confessed to using their cell phone while driving at least once in the past thirty days. 31.9% admitted to doing so “fairly often or regularly.” However, 57.9% of surveyed individuals felt that talking on a cell phone while driving was a serious threat to driver safety and 66% considered the practice to be “unacceptable.”
Just recently, a Broward court entered an order granting a plaintiff in an automobile accident case with leave to plead punitive damage based on an accident with a driver that was text messaging. Under Florida Statutes, 768.73, punitive damages may be awarded if there is “clear and convincing evidence” of reckless disregard for the life and safety of others. In Florida, this legal standard has been often been applied to drunk drivers. More and more recently however, courts are allowing plaintiffs to pursue claims for punitive damage for injury and accident victims due to text messaging. However, most personal insurance policies don’t cover punitive damages, or they are excluded under the policies, so there are practical limitations one must consider when pursuing a claim against a text messaging defendant. Considerations an experienced car accident attorney will look for include an investigation into the personal assets of the defendant, the existence of whether there is any third party liability, such as an employer/employee relationship, or some other legal theory under the law of agency.

February 20, 2013

Report Finds Florida FLorida Traffic Congestion Some Of The Worst In The Country

by Gerson & Schwartz, P.A.

According to a recent story published by The Miami Herald, Texas A&M University’s Transportation Institute has issued its annual Urban Mobility Report for 2012, ranking the region encompassing Miami Dade, Broward, and Palm Beach Counties, eleventh of the fifteen worst urban areas in the nation for traffic congestion.

The study reviewed traffic conditions and patterns in cities and suburbs across America in an attempt to quantify the amount of traffic congestion in various regions and give researchers a way to measure the degree of unreliability associated with calculating the amount of time required to make a given trip. According to the report, the only areas in the U.S. with worse traffic congestion than the South Florida region were Washington, DC, Los Angeles, San Francisco-Oakland, New York-Newark, Boston, Houston, Atlanta, Chicago, Philadelphia, and Seattle.

February 12, 2013

Understanding Florida Motorists’ Right To Compensation

by Gerson & Schwartz, P.A.

Recently, the Bradenton Herald reported on a three-vehicle accident on U.S. Route 41 in Bradenton, Florida that occurred on Thursday evening that left two motorists injured. According to the story, at approximately 11:00 p.m., the driver of a Toyota Corolla heading south on Route 41 spun out of control, striking a wall on the shoulder and then rolling back into the southbound lane of traffic.

The motorist driving a Chevrolet Metro behind the Corolla attempted to steer left around the wreck and lost control, eventually coming to a stop in the northbound lane. A driver traveling in the northbound lane was unable to avoid a collision with the Metro. The 27 year-old woman driving the Corolla, who was seriously injured and taken to a nearby medical center, was cited by police for careless driving.

What are your legal rights after a Florida car accident?

With more and more motorists on the road every day, these types of incidents are becoming increasingly common. Safety features built into newer vehicles are trying to address the consequences of each accident, but those safety features rarely actually prevent accidents. It is important for Florida motorists to understand their rights under the law so as to be protected in event they are injured in a motor vehicle accident.

Florida is one of twelve U.S. states that employs a “no fault” insurance scheme. Under a no-fault insurance scheme, when motorists are involved auto accidents which results in injuries to either party, each driver must submit any claims for compensation to his or her own insurance company, regardless of whether either party is determined to be at fault for the accident. Florida requires that motorists carry a minimum of $10,000 of personal injury protection (“PIP”) and additional $10,000 of property damage liability (“PDL”).

PIP covers necessary medical treatment and other economic damages that might arise from a motor vehicle accident, including up to 80% of medical bills and up to 60% of lost wages.

February 4, 2013

New Report Finds Florida Traffic Safety Laws Are Lacking

by Gerson & Schwartz, P.A.

A recent report prepared by the Advocates for Highway and Auto Safety (“AHAS”), calls on the elected officials of all fifty states to adopt 15 basic traffic safety laws that the AHAS maintains have the potential to save thousands of lives and billions of dollars each year.

According to the report, states that adopt the laws will benefit by reducing the number of preventable deaths and injuries due to traffic accidents, save on medical and work loss costs such as Medicaid, hospitalization, emergency responders and law enforcement, and qualify for federal grants designed to encourage enactment of traffic safety programs. The release also contains a report card grading each state’s efforts to adopt the proposed laws.

Fourteen states and the District of Columbia received “green” ratings, indicating significant advancement toward adopting all of the recommended laws. Six states received a “red” rating, indicating poor performance due to a dangerous lack of basic traffic safety laws. Florida was one of thirty states to receive a “yellow” rating, indicating that a “moderately positive performance but with numerous gaps still in [its] highway
According to the report, Florida saw 2,398 traffic fatalities in 2011 and suffered an average annual economic cost due to motor vehicle accidents of $14.4 billion. So which recommended traffic laws is Florida missing?