STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, AND ALLSTATE INDEMNITY COMPANY, APPELLANTS,
v.
WEST GABLES OPEN MRI SERVICES, INC., AND PRESGAR MEDICAL IMAGING, INC., APPELLEES

Fla. 3d DCA | 2003-03-05
Nos. 3D02-1171, 3D02-1086, 3D02-1111, 3D02-1129, 3D02-1130, 3D02-1132, 3D02-1133
Before GERSTEN, GODERICH, and FLETCHER, JJ.
846 So. 2d 538 Florida District Court of Appeal, Third District (2003) Positive Treatment
Cited by 4 cases

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Holding

The court held that the plain meaning rule applies to statutory interpretation, precluding the use of parol evidence to alter an unambiguous effective date.


Headnotes

[1] A statutory provision establishing a revised fee schedule for magnetic resonance imaging services is effective on the date the Act enacting it becomes law, absent clear l…

[2] The plain meaning rule precludes the use of parol evidence to determine legislative intent when the language of a statute is unambiguous.

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Facts & Procedural History

Insurers appealed summary judgments regarding personal injury protection (PIP) benefits for MRI services. The dispute concerned the effective date of …

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Opinion of the Court
FLETCHER, Judge.

FLETCHER, Judge.

State Farm Mutual Automobile Insurance Company and Allstate Indemnity Company appeal various final summary judgments arising from actions for personal injury protection [PIP] benefits filed by West Gables Open MRI Services, Inc. and Presgar Medical Imaging, Inc., providers of magnetic resonance imaging [MRI] services. A number of amici curiae have filed briefs, including The Florida Department of Insurance. The trial (county) court has certified the question involved as one of great public importance. After careful consideration, we reverse the final summary judgments.

During its 2001 session the legislature enacted Chapter 2001-271, General Laws of the State of Florida [the Act], which included certain revisions relating to PIP benefits. Section 6 of the Act enacted official Florida statutory section 627.736(5)(b)(5) establishing a revised MRI fee schedule. As enacted this statutory provision reads:

“5. Effective upon this act becoming a law [June 19, 2001]1 and before November 1, 2001, allowable amounts that may be charged to a personal injury protection insurance insurer and insured for magnetic resonance imaging services shall not exceed 200 percent of the allowable amount under Medicare Part B for year 2001, for the area in which treatment was rendered. Beginning November 1, 2001, allowable amounts that may be charged to a personal injury protection insurance insurer and insured for magnetic resonance imaging services shall not exceed 175 percent of the allowable amount under Medicare Part B for year 2001, for the area in which the treatment was rendered, adjusted annually by an additional amount equal to the medical Consumer Price Index for Florida, except that allowable amounts that may be charged to a personal injury protection insurance insurer and insured for magnetic resonance imaging services provided in facilities accredited by the American College of Radiology or the Joint Commission on Accreditation of Healthcare Organizations shall not exceed 200 percent of the allowable amount under Medicare Part B for year 2001, for the area in which the treatment was rendered, adjusted annually by an additional amount equal to the medical Consumer Price Index for Florida. This paragraph does not apply to charges for magnetic resonance imaging services and nerve conduction testing for inpatients and emergency services and care as defined in chapter 395 rendered by facilities licensed under chapter 395.” [e.s.]

Thus subsection (5) of 627.736(5)(b) unambiguously provided for its own effective date, that is, when the Act became a law, June 19, 2001. Notwithstanding the Act’s lack of ambiguity, the instant dispute certified by the trial court is one over the effective date of subsection (5).

Relying on what it saw as controlling parol evidence of a contrary legislative intent, the trial court concluded that October 1, 2001, was the date the new MRI fee schedule of subsection (5) began, rather than June 19, 2001. This October 1, 2001 date appears in section 11(3) of the Act and provides:

“Paragraphs (4)(b), 5(b) and (c) and subsection 6 of Section 627.736, Florida Statutes, as amended by this act and subsection (11) of section 627.736, Florida Statutes shall apply to treatment and services occurring on or after October 1, 2001, except that subsection (11) of Section 627.736, Florida Statutes, shall apply to actions on or after the effective date of this act with regard to a claim or amended claim or judgment for interest only which was not paid or was incorrectly calculated.” [e.s.]

As can be seen, the above quoted section 11(3) of the Act references, inter alia, subsection 5(b), without altering the unambiguous, effective date language of subsection 5(b)(5), thus leaving 5(b)(5)’s effectiveness controlled by 5(b)(5) itself. As the effective date language of subsection (5)(b)(5) remains unambiguous it is governed by the application of the plain meaning rule, which precludes the use of parol evidence to determine legislative intent. Pursuant to this rule the trial court was not free to depart from the plain and ordinary meaning of the words used by the legislature in order to establish the effective date. E.g., Specialty Restaurants Corp. v. City of Miami, 501 So. 2d 101 (Fla. 3d DCA 1987).2

The effective date of section 627.736(5)(b)(5), Florida Statutes as established by section 6 of the Act, is the effective date of the Act, June 19, 2001. Accordingly the final summary judgments are reversed and the causes remanded for further proceedings consistent herewith.

. The Act became a law on June 19, 2001, having been approved by the Governor on that date. It was filed with the Secretary of State that same date.

. As an observation, 627.736(5)(b), provides in its subsections (l)-(4), allowable amounts that may be charged for services other than MRI services. MRI service charges stand alone in 627.736(5)(b)(5). There is thus no disharmony in 627.736(5)(b)(l)-(5).


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Citator

Cited By

  • Hight v. State, 253 So. 3d 1137 (Fla. 4th DCA 2018)
  • Progressive Express Ins. Co., Inc. v. Menendez, 979 So. 2d 324 (Fla. 3d DCA 2008)
    …ionally, the trial court was not free to depart from the ordinary meaning of the words of the statute to establish the applicability and effective date of subsection 627.736(11). See State Farm Mut. Auto. Ins. Co. v. W. Gables Open MRI Servs., Inc., 846 So. 2d 538, 540 (Fla. 3d DCA 2003). In the absence of limiting language, the ordinary meaning of the word “claim” is extremely broad and encompasses, at a minimum, the assertion of rights, money, property, and other remedies. See generally Black’s Law Dictiona…
  • Castro v. Miami-Dade Cnty. Code Enf't, 844 So. 2d 784 (Fla. 3d DCA 2003)
    …county code contains no definition of “stored” or “in storage,” at least not for section 33 — 20(e)(1), thus the words used therein are to be given their plain and ordinary meaning. State Farm Mut. Automobile Ins. Co. v. West Gables Open MRI Servs., 846 So. 2d 538, 2003 WL 729147 (Fla. 3d DCA March 5, 2003); Specialty Restaurants Corp. v. City of Miami, 501 So. 2d 101 (Fla. 3d DCA 1987). One looks to the dictionary for the plain and ordinary meaning of words. Specialty Restaurants Corp. v. City of Miami; City…

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