SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-4501-99T3
A-4503-99T3
A-4505-99T3
A-4507-99T3
A-4508-99T3
A-4509-99T3
A-4510-99T3
ADRIANA FERNANDEZ and ESTABAN
FERNANDEZ, her husband,
Plaintiffs-Respondents,
v.
JERSEY CITY MEDICAL CENTER,
JERSEY CITY MEDICAL CENTER
BREAST CLINIC, HUDSON OB/GYN
ASSOCIATES, RAUL AGUILAR, M.D.,
MELBA A. BERBANO, M.D., JEA K.
CHOI, M.D., PAMELA BRUG, M.D.,
MARIE DITOMMASO, HYUNG KOO YUN,
M.D. and HAENUM YUN, M.D.,
Defendants-Appellants.
________________________________________
Argued December 19, 2000 -- Decided January
19, 2001
Before Judges Ciancia, Alley and Bilder.
On appeal from the Superior Court of New
Jersey, Law Division, Hudson County, L-1845-
98.
Judith A. Deer argued the cause for appellants
Hudson OB/GYN Associates and Raul Aguilar,
M.D. in A-4501-99T3 (Hurley & Vasios,
attorneys; Leonard Rosenstein, of counsel; Ms.
Deer, on the brief).
Jane S. Kelsey argued the cause for appellant
Jersey City Medical Center Breast Clinic in A-
4503-99T3 and relies on the brief filed by
appellants Hudson OB/GYN Associates and Raul
Aguilar, M.D. in A-4501-99T3 (Giblin & Combs,
attorneys).
Mollie K. O'Brien argued the cause for
appellant Jea K. Choi, M.D. in A-4507-99T3 and
relies on the brief filed by appellants Hudson
OB/GYN Associates and Raul Aguilar, M.D. in A-
4501-99T3 (Wahrenberger & O'Brien, attorneys).
Fred Hughes argued the cause for appellant
Pamela Brug, M.D. in A-4508-99T3 and relies on
the brief filed by appellants Hudson OB/GYN
Associates and Raul Aguilar, M.D. in A-4501-
99T3 (Tafaro & Flynn, attorneys).
Evelyn C. Farkas argued the cause for
appellant Marie Ditommaso in A-4509-99T3 and
relies on the brief filed by appellants Hudson
OB/GYN Associates and Raul Aguilar, M.D. in A-
4501-99T3 (Francis & O'Farrell, attorneys).
Rowena M. Duran argued the cause for
appellants Hyung Koo Yun, M.D. and Haenum Yun,
M.D. in A-4510-99T3 and relies on the brief
filed by appellants Hudson OB/GYN Associates
and Raul Aguilar, M.D. in A-4501-99T3 (Duran &
Pandos, attorneys).
Thomas H.E. Hallett attorney for appellant
Melba A. Berbano, M.D. in A-4505-99T3 (Mr.
Hallett of counsel; Andrea G. Miller-Jones, on
the brief).
Bruce M. Glassner argued the cause for
respondents (Chasan, Leyner, Bariso &
Lamparallo, attorneys; Joel A. Leyner, of
counsel; Mr. Glassner, on the brief).
The opinion of the court was delivered by
CIANCIA, J.A.D.
These consolidated appeals constitute one medical malpractice
action that presents yet another unresolved question concerning
application of the Affidavit of Merit statute, N.J.S.A. 2A:53A-26
to -29: if the negligent act is committed before the effective date
of the statute, but by virtue of the discovery rule the cause of
action does not accrue until after the effective date of the
statute, is a plaintiff obligated to file and serve an affidavit of
merit? We, like the trial judge who denied defendants' motions to
dismiss for failure to submit an affidavit of merit, conclude that
plaintiffs are not so obligated on these facts. We believe
Cornblatt v. Barow,
153 N.J. 218 (1998) directs such a result
although the defendants also rely on Cornblatt in arguing for the
opposite conclusion.
For present purposes, the parties agree that the alleged
negligence concerning the diagnosis of Adriana Fernandez's breast
cancer happened prior to June 29, 1995, the effective date of the
Affidavit of Merit statute. L. 1995, c. 139, § 5. The negligence
was not discovered by plaintiffs until after that date, sometime in
1996. Suit was initiated in February 1998, within two years of
discovering the basis for an actionable claim. The precise dates
of these events are not essential to a decision of the question
before us.
Plaintiffs' complaint was twice amended, bringing in
additional defendants and, upon the death of Adriana Fernandez,
adding a wrongful death claim.See footnote 11 Prior to the second amendment, one
of the defendants brought a motion to dismiss the complaint for
failure to comply with the Affidavit of Merit statute. This motion
was joined by other defendants and was heard by Judge Maurice
Gallipoli on October 22, 1999 and December 21, 1999. On the latter
date, Judge Gallipoli gave an oral decision finding that Cornblatt
stands for the proposition that if the underlying facts
constituting the alleged malpractice occurred prior to the
effective date of the act, the statute does not apply.
Defendants then moved before this court for leave to appeal.
Before those motions were decided, defendants again moved before
the trial court. That motion related to the wrongful death action
that had been brought in the second amended complaint, filed
October 15, 1999. As to that cause of action, an argument
concerning the applicability of the Affidavit of Merit statute had
not been raised at the earlier hearings, apparently because some
defendants had not yet answered the second amended complaint and
the time to file an affidavit of merit, if required at all, had not
yet run. N.J.S.A. 2A:53A-27. At a hearing on March 31, 2000,
Judge Gallipoli ultimately applied the same reasoning to the
wrongful death action as he had to the initial malpractice claim,
now a survival action. Again, he believed Cornblatt established
the proposition that if the operative facts underlying plaintiffs'
claim predate the effective date of the statute, no affidavit of
merit is required. It does not appear that any defendant moved for
leave to appeal Judge Gallipoli's ruling of March 31, 2000.
Rather, we granted defendants' leave to appeal from Judge
Gallipoli's order of January 18, 2000 that reflected his oral
decision of December 21, 1999.
In essence, defendants argue that in Cornblatt the Court
equated the "occurrence" of a cause of action with the "accrual" of
a cause of action. The Third Circuit Court of Appeals has recently
taken a similar view of Cornblatt. In the context of a medical
malpractice diversity action, the Court of Appeals stated:
The New Jersey Supreme Court has held
that "the [affidavit of merit] statute does
not apply to malpractice actions filed on or
after the effective date of the statute if the
facts giving rise to the malpractice complaint
occurred before that date." Cornblatt, 708
A.
2d at 406. The Cornblatt Court found the
term "occur" as used in the statute to have
the same meaning as "accrue," so the statute
only applies to causes of action which accrue
on or after June 29, 1995. See id. at 408. A
cause of action accrues when the facts occur
which give rise to a right of action.
[Chamberlain v. Giampapa,
210 F.3d 154, 163
(3d Cir. 2000).]
Neither Cornblatt nor Chamberlain, however, were discovery
rule cases. In both, the cause of action accrued when the
negligence occurred. In Cornblatt, which in our view is
determinative of the present question, the debate was not about the
possible difference between "occur" and "accrue," but rather, about
whether a cause of action that had occurred and accrued prior to
the effective date of the Affidavit of Merit statute, was subject
to the act when the complaint, actually a counterclaim, was timely
filed, albeit after the effective date of the Affidavit of Merit
statute. When an affidavit of merit was not filed within sixty
days of plaintiff's answer to the counterclaim, and the
counterclaimant's motion for an extension of the filing period was
denied, the issue was joined.
The Affidavit of Merit statute states: "This act shall take
effect immediately [June 29, 1995] and shall apply to causes of
action which occur on or after the effective date of this act." L.
1995, c. 139, § 5. The basis of the dispute in Cornblatt was the
phrase "causes of action which occur[.]" The defendant/
counterclaimant said the phrase was synonymous with "causes of
action which accrue," while the plaintiff equated the phrase to
"causes of action filed." Cornblatt, supra, 153 N.J. at 232. In
this context, when the time of occurrence and accrual were
congruent, the Court said:
In sum, the meaning of the Affidavit of
Merit Bill calls for its application only to
those cases the underlying legally-significant
facts of which happen, arise, or take place on
or after the effective date of the statute.
[Id. at 236.]
Thus, the Court never squarely addressed the applicability of the
statute when occurrence of the negligence and accrual of the cause
of action are on opposite sides of June 29, 1995. We believe the
language and rationale of Cornblatt support the view that the
occurrence of the negligent acts is the event that determines
whether the Affidavit of Merit statute is applicable. In the
present circumstances, the accrual of the cause of action is more
akin to the filing event in Cornblatt than it is to an
"occurrence," as the Court interpreted the statutory use of the
word "occurs." The emphasis in Cornblatt was not on the creation
or existence of a legal cause of action, but rather, on the facts
that gave rise to that cause of action. Thus, Justice Handler
initially framed the question as "whether the statute applies to
cases filed on or after its effective date when the underlying
facts constituting the alleged malpractice have occurred prior
thereto." Id. at 224. He later held, "that the statute does not
apply to malpractice actions filed on or after the effective date
of the statute if the facts giving rise to the malpractice
complaint occurred before that date." Id. at 229-230. And still
later in the opinion, "we determine that the phrase 'causes of
action which occur,' in effect, imports as its meaning the
happening of facts that constitute a legal basis for remedial
relief." Id. at 233. When analyzing the meaning of "cause of
action" or "occur" or "accrue" in that context, the Court found
definitional guidance from a variety of sources, virtually all of
which related to facts or events that happen, arise or take place.
Id. at 232-233.
The discovery rule does not alter the happening of events or
facts. Indeed, it does not delay the existence of a cause of
action, in the sense that the events giving rise to the cause of
action are there from the occurrence of the negligence. The
discovery rule simply delays accrual of the cause of action, for
statute of limitations purposes, until the injured party reasonably
discovers that a wrong has been done. Baird v. American Medical
Optics,
155 N.J. 54, 66 (1998). The discovery rule is a court-made
doctrine to ameliorate the "harsh and unjust results" that follow
from a strict application of the statute of limitations. Lopez v.
Swyer,
62 N.J. 267, 273-274 (1973). The focus of the Affidavit of
Merit statute, as interpreted in Cornblatt, is not on a legal
construct such as a filing date or a statute of limitations, but
rather, on the real events that formed the cause of action.
Accordingly, we hold that when negligent acts occur prior to the
effective date of the Affidavit of Merit statute, the plaintiff is
not statutorily obligated to file an affidavit of merit if the suit
is filed after that date, even if the filing is by virtue of the
discovery rule's postponement of accrual. While the related
question concerning an action filed under the Wrongful Death Act,
N.J.S.A. 2A:31-1 to -6, is not strictly before us, we see no
difference in result if the focal point is the happening of the
negligent acts.
Accordingly, the order denying defendants' motions to dismiss
plaintiffs' complaint for failing to file an affidavit of merit is
affirmed.
Footnote: 1 1 Plaintiff Estaban Fernandez was apparently substituted in as general administrator and administrator ad prosequendum for the estate of Adriana Fernandez.