(This syllabus is not part of the opinion of the Court. It has been prepared by the Office of the Clerk for the
convenience of the reader. It has been neither reviewed nor approved by the Supreme Court. Please note that, in
the interests of brevity, portions of any opinion may not have been summarized).
PORITZ, C.J., writing for a unanimous Court.
In this appeal, the Court considers a dispute involving the timeliness of an affidavit of merit filed by
plaintiff, Denise L. Burns, pursuant to the Affidavit of Merit Statute, N.J.S.A. 2A:53A-27. That statute establishes
procedures by which plaintiffs in malpractice cases are required to make a threshold showing that their claim is
meritorious. Specifically, the statute requires a plaintiff in a medical malpractice action to file an affidavit of merit
executed by an appropriate licensed physician within sixty days of the date the defendant files his answer to the
complaint, but allows a sixty-day extension for good cause.
In this case, Denise Burns and her husband alleged medical malpractice by defendants, Drs. Mark and
Robert Belafsky, Dr. Ira Stark, and South Jersey Imaging Associates, in their diagnosis, treatment, and care of
Denise Burns in respect of a soft tissue mass found in the left side of her neck. Between December 1995 and
January 1996, the defendant physicians performed several tests and procedures on Denise Burns in an attempt to
diagnose and remove the mass. Burns and her husband alleged that, as a result of those procedures, she suffered
paralysis of certain cranial nerves, as well as other permanent damage to her head, neck, throat, and vocal cords.
After undergoing successful surgery in April 1996 to remove the mass, Burns submitted her medical
records to a neurosurgeon, Dr. Michael Salcman. In his report dated June 6, 1997, Dr. Salcman expressed his belief
that the defendant physicians had deviated from accepted standards of care in their diagnosis and treatment of
Burns. Burns and her husband then filed a malpractice action against the defendants on October 6, 1997.
Thereafter, all of the defendant physicians filed answers to the complaint. However, Burns's counsel failed
to provide an affidavit of merit within sixty days of those answers. Thus, on March 4, 1998, Dr. Stark filed a
motion to dismiss the complaint based on that failure. On March 23, 1998, ninety-five days after Dr. Stark filed his
answer and eighty-five days after Drs. Mark and Robert Belafsky filed their answer, Burns filed Dr. Salcman's
affidavit, incorporating his June 1997 report. Although the affidavit was filed within the extension period permitted
by statute, Burns had not specifically sought leave of court within the initial sixty-day period to file the affidavit
outside of that initial period. In June 1998, Drs. Mark and Robert Belafsky also filed a motion to dismiss the
complaint based on Burns's failure to file the affidavit of merit within sixty days of the filing of their answer, to
which Burns filed a responding motion.
The trial court granted defendants' motions, agreeing that the statute required Burns to file either an
affidavit of merit or a motion for an extension within sixty days of each defendant's answer. The trial court further
found that Burns had not made a showing of good cause for an extension.
The Appellate Division reversed, finding that Burns had timely filed her motion within the sixty-day
extension period provided by the statute and that counsel's inadvertent failure to file Dr. Salcman's affidavit
constituted good cause to permit the extension.
The Supreme Court granted defendants' petition for certification.
HELD: An affidavit of merit submitted within the sixty-day extension period set forth in the Affidavit of Merit
Statute should be considered timely filed so long as good cause is found by the trial court.
1. When a statute is silent or ambiguous, it must be interpreted it in light of the Legislature's intent. Because the
Affidavit of Merit Statute is silent regarding when a plaintiff must seek an extension and because the Legislature has
given no explicit direction on the issue, the Court must adopt the interpretation of the affidavit of merit provision
that best effectuates the legislative intent. (pp. 7-9)
2. Requiring plaintiffs to file a motion for an extension within the first sixty days to avail themselves of the
extension provision adds a technical precondition that the Legislature did not include in the statute. Imposing such
a technical requirement is unwarranted, especially where the Legislature has indicated a preference for flexibility by
including the extension provision and thereby allowing leeway in the filing deadline. (pp. 9-11)
3. Reference to other enactments by the New Jersey Legislature, the purpose of the Legislature, and the silence of
the Legislature all indicate that plaintiff is not limited to seeking an extension within the initial sixty-day period.
(pp. 11-13)
4. In order to regularlize the affidavit of merit practice and to further the legislative purpose, the Civil Practice
Committee is asked to revise the form Civil Case Information Statement (CIS) found in Appendix XII of the Rules
of Court to require plaintiffs to inform the court on the CIS whether an affidavit of merit will be provided to each
defendant. (pp. 13-14)
5. The Legislature did not intend to preclude meritorious lawsuits in these circumstances where, as here, a plaintiff
has a physician's report and where, as here, plaintiff's lawyer inadvertently fails to file the affidavit of merit until
the statutory extension period. In these circumstances, good cause has been demonstrated. (pp. 14-15)
6. The Appellate Division properly exercised its original jurisdiction to dispose of the issue of Dr. Salcman's
qualifications to provide an affidavit of merit both because disposition of that issue was necessary for the sake of
completeness and because the record provides ample basis for disposition without further factfinding. (pp. 15-16)
7. An affidavit of merit need not be executed by an expert with the same qualifications or certifications as the
defending physician; that the expert is qualified to supply the required basis for the medical malpractice complaint is
sufficient. Dr. Salcman meets the qualifications enumerated in N.J.S.A. 2A:53A-27 in that he is licensed in this
state and has particular expertise in the general area involved in the action. (pp. 16-19)
Judgment of the Appellate Division is AFFIRMED.
JUSTICES STEIN, COLEMAN, LONG, LaVECCHIA, and ZAZZALI join in CHIEF JUSTICE PORITZ's
opinion. JUSTICE VERNIERO did not participate.
SUPREME COURT OF NEW JERSEY
A-99/
105 September Term 1999
DENISE L. BURNS and MATTHEW
BURNS, w/h,
Plaintiffs-Respondents,
v.
MARK L. BELAFSKY, M.D.,
ROBERT B. BELAFSKY, M.D.,
BELAFSKY AND BELAFSKY, M.D.,
P.A., and IRA STARK, D.O.,
Defendants-Appellants,
and
SOUTH JERSEY IMAGING
ASSOCIATES, P.A.,
Defendant.
Argued September 11, 2000 -- Decided February 26, 2001
On certification to the Superior Court,
Appellate Division, whose opinion is
reported at
326 N.J. Super. 462 (1999).
Robert E. Paarz and Thomas B. Leyhane argued
the cause for appellants (Paarz, Master,
Koernig, Crammer, O'Brien, Bishop & Horn,
attorneys for Ira Stark, D.O. and Mr.
Leyhane, attorney for Mark L. Belafsky,
M.D., Robert B. Belafsky, M.D. and Belafsky
and Belafsky, M.D., P.A.; Mr. Leyhane and
Joseph L Marczyk on the joint briefs).
John J. Del Casale argued the cause for
respondents.
William L. Gold submitted a brief on behalf
of amicus curiae, Association of Trial
Lawyers - New Jersey (Bendit Weinstock,
attorneys; Mr. Gold and Abbott S. Brown, on
the brief).
The opinion of the Court was delivered by
PORITZ, C.J.
In this case we are once again called on to consider the
Affidavit of Merit Statute enacted by the Legislature in 1995 as
part of a legislative package designed to effectuate tort reform
in New Jersey. See Peter Verniero, Chief Counsel to the
Governor, Report to the Governor on the Subject of Tort Reform
(Sept. 13, 1994). That statute establishes procedures by which
plaintiffs in malpractice cases [are required] to make a
threshold showing that their claim is meritorious, in order that
meritless lawsuits readily [can] be identified at an early stage
of litigation. Cornblatt v. Barow,
153 N.J. 218, 242 (1998)
(quoting In re Petition of Hall,
147 N.J. 379, 391 (1997)). To
make that threshold showing, when plaintiffs allege medical
malpractice they must provide defendants with an affidavit of
merit executed by an appropriate licensed physician. N.J.S.A.
2A:53A-27.
The dispute before the Court involves the timeliness of
plaintiffs' affidavit. The statute requires a plaintiff to
provide the affidavit of merit within sixty days of the date the
defendant files his answer to the complaint, but allows a sixty-
day extension for good cause. Ibid. Here, plaintiffs obtained a
physician's report months before filing their complaint, and then
failed to submit the affidavit until eighty-five and ninety-five
days after each defendant's respective answer had been filed.
The affidavit was thereby provided within the extension period
permitted by statute, although leave of court had not been sought
within the initial sixty-day window. Defendants claim that the
affidavit may be submitted after the first sixty days only when
the plaintiffs have made their request for an extension during
the first sixty days. The statute is silent on that question.
We do not know whether plaintiffs will ultimately prevail at
trial. We do know that in this case, an expert's report was
obtained even before the complaint was filed. Indeed, the
physician who prepared that report later executed the affidavit,
asserting to the merit of plaintiffs' claims. When a statute is
susceptible of an interpretation true to its purpose and that
permits plaintiffs to proceed with meritorious claims, we will
not add requirements not explicitly set forth that deny
plaintiffs their day in court. We hold therefore that an
affidavit submitted within the sixty-day extension period should
be considered timely filed so long as good cause is found by the
trial court.
In any action for damages for personal
injuries, wrongful death or property damage
resulting from an alleged act of malpractice
or negligence by a licensed person in his
profession or occupation, the plaintiff
shall, within 60 days following the date of
filing of the answer to the complaint by the
defendant, provide each defendant with an
affidavit of an appropriate licensed person
that there exists a reasonable probability
that the care, skill or knowledge exercised
or exhibited in the treatment, practice or
work that is the subject of the complaint,
fell outside acceptable professional or
occupational standards or treatment
practices. The court may grant no more than
one additional period, not to exceed 60 days,
to file the affidavit pursuant to this
section, upon a finding of good cause.
Both plaintiffs and defendants rest their respective
positions in this appeal on principles of statutory construction.
Plaintiffs' argue that the statute does not expressly require a
plaintiff to file a motion for an extension within sixty days of
a defendant's answer, and therefore permits a court to grant such
an extension for good cause when the affidavit is provided before
the expiration of the extension period, i.e., after sixty but
before 120 days from defendants' answers. In support of that
position, plaintiffs contrast the Affidavit of Merit Statute with
other New Jersey statutes that explicitly state when a motion for
an extension must be filed. Plaintiffs also contend that
permitting an extension in this case will not compromise the
legislative purpose behind the statute -- the prevention of
meritless malpractice lawsuits -- because plaintiffs had Dr.
Salcman's report in their possession even before filing their
lawsuit.
Defendants counter that the statute imposes a strict
requirement on plaintiffs to file an affidavit within sixty days
of a defendant's answer. Defendants contend that that
requirement can be relaxed only if a court grants an extension
for good cause within the original sixty day time period.
Defendants further argue that counsel's inadvertent failure to
file the affidavit does not constitute good cause to grant an
extension.
inadvertence of counsel may justly be deemed
to constitute good cause where the delay does
not prejudice the adverse party and a
rational application under the circumstances
present favors a determination that provides
justice to the litigant. [Martindell v.
Martindell,
21 N.J. 341 (1956)]. Absent
demonstrable prejudice, it is neither
necessary nor proper to visit the sins of the
attorney upon his [or her] blameless client.
Jansson v. Fairleigh Dickinson Univ.,
198 N.J. Super. 190, 196 (App. Div. 1985); see
also Parker v. Markus,
281 N.J. Super. 589,
594 (App. Div. 1995).
[Burns, supra, 326 N.J. Super. at 471.]
We agree with the Appellate Division. In these cases
defendants cannot claim demonstrable prejudice because of
delay: it is simply too early in the litigation for that claim
to be credible. When, as here, a plaintiff has a physician's
report and when, as here, plaintiff's lawyer inadvertently fails
to file the affidavit of merit until the statutory extension
period, we find that good cause has been demonstrated. We do not
believe that the Legislature intended to preclude meritorious
lawsuits in these circumstances and would not raise the bar for a
finding of good cause.
person executing the affidavit shall be
licensed in this or any other state; have
particular expertise in the general area or
specialty involved in the action, as
evidenced by board certification or by
devotion of the person's practice
substantially to the general area or
specialty involved in the action for a period
of at least five years.
Defendants urge this Court to reverse the Appellate Division
and find that Dr. Salcman is not qualified to evaluate a
radiologist because he is not board certified in radiology or
otolaryngology and there is no evidence that he devotes a
substantial portion of his practice to radiology. However, an
affidavit of merit need not be executed by an expert with the
same qualifications or certifications as the defending physician;
that the expert is qualified to supply the required basis for the
medical malpractice complaint is sufficient. See Wacht v.
Farooqui,
312 N.J. Super. 184, 188 (App. Div. 1998) (holding that
merely because defendant in medical malpractice action was board
certified diagnostic radiologist did not mean that similarly
qualified expert had to execute affidavit of merit against him;
doctor in one field would be qualified to render an opinion as
to the performance of a doctor in another with respect to their
common areas of practice).
Further, the statute provides that an affiant who devoted at
least five years of his practice substantially to the . . .
specialty involved in the action has the particular expertise
required to execute the affidavit. As the Appellate Division
stated in Wacht v. Farooqui:
The Legislature clearly recognized, . . .
that there are overlaps in practice between
and among the various medical professions and
specialties. Thus, a doctor in one field
would be qualified to render an opinion as to
the performance of a doctor in another with
respect to their common areas of practice.
[312 N.J. Super. at 187-88 (citing Rosenberg
by Rosenberg v. Cahill,
99 N.J. 318, 331-34
(1985); Sanzari v. Rosenfeld,
34 N.J. 128,
136 (1961)).]
Dr. Salcman meets the qualifications enumerated in N.J.S.A.
2A:53A-27 in that he is licensed in this state and has particular
expertise in the general area involved in the action. As the
Appellate Division observed [i]t seems unlikely that a
neurosurgeon would not be qualified to discuss various
radiological diagnosis techniques, given the need [in his
practice] to locate the area and determine the type of surgical
intervention needed. Burns, supra, 326 N.J. Super. at 473.
Indeed, at least three papers authored by [Dr. Salcman] dealing
with CT, MRI and radiological diagnosis techniques, ibid., are
listed in his Curriculum Vitae, along with 194 other publications
spanning a period of twenty-seven years, many of which are in
related fields. We find, as did the Appellate Division, that Dr.
Salcman is amply qualified to execute the affidavit of merit
filed on behalf of plaintiffs.
NO. A-99/105 SEPTEMBER TERM 1999
ON APPEAL FROM
ON CERTIFICATION TO Appellate Division, Superior Court
DENISE L. BURNS and MATTHEW
BURNS, w/h,
Plaintiffs-Respondents,
v.
MARK L. BELAFSKY, M.D.,
ROBERT B. BELAFSKY, M.D.,
BELAFSKY AND BELAFSKY, M.D.,
P.A., and IRA STARK, D.O.,
Defendants-Appellants,
and
SOUTH JERSEY IMAGING
ASSOCIATES, P.A.,
Defendant.
DECIDED February 26, 2001
Chief Justice Poritz PRESIDING
OPINION BY Chief Justice Poritz
CONCURRING OPINION BY
DISSENTING OPINION BY