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          "para_315",
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          "para_318",
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          "para_320",
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          "para_322",
          "para_323",
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          "para_325",
          "para_326",
          "para_327",
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          "para_360",
          "para_361",
          "para_362",
          "para_363",
          "para_364",
          "para_365",
          "para_366",
          "para_367",
          "para_368",
          "para_369"
        ],
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    ],
    "paragraphs": [
      {
        "text": "J.L., INDIVIDUALLY, AND",
        "paragraph_id": "para_1"
      },
      {
        "text": "TOGETHER WITH R.P., ON",
        "paragraph_id": "para_2"
      },
      {
        "text": "BEHALF OF THE MINOR",
        "paragraph_id": "para_3"
      },
      {
        "text": "CHILD, R.P.",
        "paragraph_id": "para_4"
      },
      {
        "text": "VERSUS",
        "paragraph_id": "para_5"
      },
      {
        "text": "CHARNELL HAYMOND,",
        "paragraph_id": "para_6"
      },
      {
        "text": "UNIVERSITY MEDICAL",
        "paragraph_id": "para_7"
      },
      {
        "text": "CENTER MANAGEMENT",
        "paragraph_id": "para_8"
      },
      {
        "text": "CORPORATION AND",
        "paragraph_id": "para_9"
      },
      {
        "text": "LOUISIANA CHILDREN'S",
        "paragraph_id": "para_10"
      },
      {
        "text": "MEDICAL CENTER DBA",
        "paragraph_id": "para_11"
      },
      {
        "text": "LCMC HEALTH",
        "paragraph_id": "para_12"
      },
      {
        "text": "*",
        "paragraph_id": "para_13"
      },
      {
        "text": "*",
        "paragraph_id": "para_14"
      },
      {
        "text": "*",
        "paragraph_id": "para_15"
      },
      {
        "text": "*",
        "paragraph_id": "para_16"
      },
      {
        "text": "* * * * * * *",
        "paragraph_id": "para_17"
      },
      {
        "text": "NO. 2025-CA-0059",
        "paragraph_id": "para_18"
      },
      {
        "text": "COURT OF APPEAL",
        "paragraph_id": "para_19"
      },
      {
        "text": "FOURTH CIRCUIT",
        "paragraph_id": "para_20"
      },
      {
        "text": "STATE OF LOUISIANA",
        "paragraph_id": "para_21"
      },
      {
        "text": "APPEAL FROM",
        "paragraph_id": "para_22"
      },
      {
        "text": "CIVIL DISTRICT COURT, ORLEANS PARISH",
        "paragraph_id": "para_23"
      },
      {
        "text": "NO. 2024-04957, DIVISION “M”",
        "paragraph_id": "para_24"
      },
      {
        "text": "Honorable Paulette R. Irons, Judge",
        "paragraph_id": "para_25"
      },
      {
        "text": "* * * * * *",
        "paragraph_id": "para_26"
      },
      {
        "text": "Judge Tiffany Gautier Chase",
        "paragraph_id": "para_27"
      },
      {
        "text": "* * * * * *",
        "paragraph_id": "para_28"
      },
      {
        "text": "(Court composed of Judge Sandra Cabrina Jenkins, Judge Tiffany Gautier Chase,",
        "paragraph_id": "para_29"
      },
      {
        "text": "Judge Dale N. Atkins)",
        "paragraph_id": "para_30"
      },
      {
        "text": "Brian L. McCullough",
        "paragraph_id": "para_31"
      },
      {
        "text": "Peyton Patrick Murphy",
        "paragraph_id": "para_32"
      },
      {
        "text": "MUPRHY LAW FIRM",
        "paragraph_id": "para_33"
      },
      {
        "text": "2354 South Acadian Thruway",
        "paragraph_id": "para_34"
      },
      {
        "text": "Baton Rouge, LA 70808",
        "paragraph_id": "para_35"
      },
      {
        "text": "COUNSEL FOR PLAINTIFF/APPELLANT",
        "paragraph_id": "para_36"
      },
      {
        "text": "Ann Marie LeBlanc",
        "paragraph_id": "para_37"
      },
      {
        "text": "Kathryn M. Caraway",
        "paragraph_id": "para_38"
      },
      {
        "text": "Erica Andrews",
        "paragraph_id": "para_39"
      },
      {
        "text": "CARAWAY LEBLANC, L.L.C.",
        "paragraph_id": "para_40"
      },
      {
        "text": "3936 Bienville Street",
        "paragraph_id": "para_41"
      },
      {
        "text": "New Orleans, LA 70119",
        "paragraph_id": "para_42"
      },
      {
        "text": "COUNSEL FOR DEFENDANT/APPELLEE",
        "paragraph_id": "para_43"
      },
      {
        "text": "EXCEPTION OF NO CAUSE",
        "paragraph_id": "para_44"
      },
      {
        "text": "OF ACTION DENIED;",
        "paragraph_id": "para_45"
      },
      {
        "text": "REVERSED AND REMANDED",
        "paragraph_id": "para_46"
      },
      {
        "text": "JULY 22, 2025",
        "paragraph_id": "para_47"
      },
      {
        "text": "1",
        "paragraph_id": "para_48"
      },
      {
        "text": "Plaintiffs/Appellants seek review of the trial court’s October 16, 2024",
        "paragraph_id": "para_49",
        "court_paragraph": 1
      },
      {
        "text": "judgment granting the exception of prematurity filed by Defendants/Appellees,",
        "paragraph_id": "para_50"
      },
      {
        "text": "University Medical Center Management Corporation and Louisiana Children’s",
        "paragraph_id": "para_51"
      },
      {
        "text": "Medical Center (hereinafter collectively “the Hospital”). On April 21, 2025, the",
        "paragraph_id": "para_52"
      },
      {
        "text": "Hospital filed a partial exception of no cause of action with this Court. After",
        "paragraph_id": "para_53"
      },
      {
        "text": "consideration of the record before this Court and the applicable law, we deny the",
        "paragraph_id": "para_54"
      },
      {
        "text": "Hospital’s exception of no cause of action and reverse the trial court’s judgment.",
        "paragraph_id": "para_55"
      },
      {
        "text": "This matter is remanded to the trial court for further proceedings consistent with",
        "paragraph_id": "para_56"
      },
      {
        "text": "this opinion.",
        "paragraph_id": "para_57"
      },
      {
        "text": "Facts and Procedural History",
        "paragraph_id": "para_58"
      },
      {
        "text": "On May 30, 2024, J.L. filed a petition for damages, individually and together",
        "paragraph_id": "para_59"
      },
      {
        "text": "with her partner R.P., on behalf of their minor child, R.P. (hereinafter collectively",
        "paragraph_id": "para_60"
      },
      {
        "text": "“Plaintiffs”).1 The petition names the following defendants: Charnell Haymond",
        "paragraph_id": "para_61"
      },
      {
        "text": "1 From this point forward, any reference to R.P. refers to the minor child that is the subject of the",
        "paragraph_id": "para_62"
      },
      {
        "text": "petition for damages. J.L. refers to the mother of the minor child. The Plaintiffs’ initials will be",
        "paragraph_id": "para_63"
      },
      {
        "text": "used throughout this opinion as J.L. alleges she is a victim of a sexual offense and R.P. is a",
        "paragraph_id": "para_64"
      },
      {
        "text": "minor. See La. R.S. 46:1844(W) and Rule 5-1 and Rule 5-2, Uniform Rules, Courts of Appeal.",
        "paragraph_id": "para_65"
      },
      {
        "text": "TGC",
        "paragraph_id": "para_66"
      },
      {
        "text": "SCJ",
        "paragraph_id": "para_67"
      },
      {
        "text": "DNA",
        "paragraph_id": "para_68"
      },
      {
        "text": "2",
        "paragraph_id": "para_69"
      },
      {
        "text": "(hereinafter “Ms. Haymond”); University Medical Center Corporation (hereinafter",
        "paragraph_id": "para_70",
        "court_paragraph": 2
      },
      {
        "text": "“UMC”); and Louisiana Children’s Medical Center d/b/a LCMC Health",
        "paragraph_id": "para_71"
      },
      {
        "text": "(hereinafter “LCMC”).",
        "paragraph_id": "para_72"
      },
      {
        "text": "The Plaintiffs maintain that Ms. Haymond was employed by UMC when she",
        "paragraph_id": "para_73"
      },
      {
        "text": "accessed J.L. and R.P.’s private and protected health information, on or around",
        "paragraph_id": "para_74"
      },
      {
        "text": "August 29, 2021. Plaintiffs alleged that Ms. Haymond then posted the protected",
        "paragraph_id": "para_75"
      },
      {
        "text": "information on social media, in violation of the Health Insurance Portability and",
        "paragraph_id": "para_76"
      },
      {
        "text": "Accountability Act (hereinafter “HIPAA”) and LCMC’s Notice of Privacy",
        "paragraph_id": "para_77"
      },
      {
        "text": "Practices. According to the Plaintiffs, Ms. Haymond continuously posted J.L. and",
        "paragraph_id": "para_78"
      },
      {
        "text": "R.P.’s medical information on social media and/or sent J.L. harassing text",
        "paragraph_id": "para_79"
      },
      {
        "text": "messages, causing her to experience both physical and mental injuries. Plaintiffs",
        "paragraph_id": "para_80"
      },
      {
        "text": "assert that UMC and LCMC are vicariously liable for Ms. Haymond’s negligent",
        "paragraph_id": "para_81"
      },
      {
        "text": "and/or intentional acts of accessing protected information during the course and",
        "paragraph_id": "para_82"
      },
      {
        "text": "scope of her employment with UMC. Plaintiffs also maintain that UMC and",
        "paragraph_id": "para_83"
      },
      {
        "text": "LCMC are liable for negligently hiring, training and retaining Ms. Haymond.",
        "paragraph_id": "para_84"
      },
      {
        "text": "The Hospital answered the petition by filing an exception of prematurity",
        "paragraph_id": "para_85"
      },
      {
        "text": "asserting that the allegations of the petition fall under the Louisiana Medical",
        "paragraph_id": "para_86"
      },
      {
        "text": "Malpractice Act (hereinafter “the LMMA”).2 Specifically, it asserts that Plaintiffs’",
        "paragraph_id": "para_87"
      },
      {
        "text": "allegations arise from healthcare related services and that it is a “qualified health",
        "paragraph_id": "para_88"
      },
      {
        "text": "care provider” as defined in the LMMA. In support of its exceptions, the Hospital",
        "paragraph_id": "para_89"
      },
      {
        "text": "attached an affidavit of Connie Madden (hereinafter “Ms. Madden”), the Director",
        "paragraph_id": "para_90"
      },
      {
        "text": "of Compliance at UMC; proof of Ms. Haymond’s attendance at UMC’s general",
        "paragraph_id": "para_91"
      },
      {
        "text": "orientation and educational seminars during her employment; and certification of",
        "paragraph_id": "para_92"
      },
      {
        "text": "2 In addition to the exception of prematurity, the Hospital filed an exception of prescription.",
        "paragraph_id": "para_93"
      },
      {
        "text": "3",
        "paragraph_id": "para_94"
      },
      {
        "text": "the Hospital’s enrollment in the Patient Compensation Fund pursuant to La. R.S.",
        "paragraph_id": "para_95",
        "court_paragraph": 3
      },
      {
        "text": "40:1231.10, et seq.",
        "paragraph_id": "para_96"
      },
      {
        "text": "Plaintiffs opposed the exception denying that their allegations against the",
        "paragraph_id": "para_97"
      },
      {
        "text": "Hospital and Ms. Haymond fall under the provisions of the LMMA. They further",
        "paragraph_id": "para_98"
      },
      {
        "text": "assert that the Hospital failed to meet its burden of proof that their allegations are",
        "paragraph_id": "para_99"
      },
      {
        "text": "related to medical treatment. After a hearing, the trial court granted the Hospital’s",
        "paragraph_id": "para_100"
      },
      {
        "text": "exception of prematurity on October 16, 2024.3 This appeal followed.",
        "paragraph_id": "para_101"
      },
      {
        "text": "Discussion",
        "paragraph_id": "para_102"
      },
      {
        "text": "On appeal, Plaintiffs contend the trial court erred in granting the Hospital’s",
        "paragraph_id": "para_103"
      },
      {
        "text": "exception of prematurity because the allegations are not related to medical",
        "paragraph_id": "para_104"
      },
      {
        "text": "treatment. However, prior to addressing the merits of Plaintiffs’ appeal, we first",
        "paragraph_id": "para_105"
      },
      {
        "text": "consider the Hospital’s exception of no cause of action on the issue of vicarious",
        "paragraph_id": "para_106"
      },
      {
        "text": "liability which was filed in this Court.",
        "paragraph_id": "para_107"
      },
      {
        "text": "Exception of No Cause of Action",
        "paragraph_id": "para_108"
      },
      {
        "text": "In its exception of no cause of action, the Hospital asserts that the Plaintiffs’",
        "paragraph_id": "para_109"
      },
      {
        "text": "petition fails to state a cause of action for vicarious liability. Specifically, it",
        "paragraph_id": "para_110"
      },
      {
        "text": "contends that the petition fails to allege that Ms. Haymond was within the course",
        "paragraph_id": "para_111"
      },
      {
        "text": "and scope of her employment when she allegedly disclosed J.L. and R.P.’s",
        "paragraph_id": "para_112"
      },
      {
        "text": "protected health information on social media. We find this argument unpersuasive.",
        "paragraph_id": "para_113"
      },
      {
        "text": "Pursuant to La. C.C.P. art. 2163(A), an appellate court may consider a",
        "paragraph_id": "para_114"
      },
      {
        "text": "peremptory exception filed for the first time on appeal if (1) proof of the exception",
        "paragraph_id": "para_115"
      },
      {
        "text": "appears in the record and (2) the exception was pleaded prior to the submission of",
        "paragraph_id": "para_116"
      },
      {
        "text": "3 The trial court’s judgment also denied the exception of prescription filed by the Hospital. The",
        "paragraph_id": "para_117"
      },
      {
        "text": "Hospital sought supervisory review of the trial court’s denial of its exception of prescription. The",
        "paragraph_id": "para_118"
      },
      {
        "text": "writ was denied by this Court on December 23, 2024. J.L., individually and together with R.P., et",
        "paragraph_id": "para_119"
      },
      {
        "text": "al. v. Charnell Haymond, et al., 2024-0739, (La.App. 4 Cir. 12/23/24).",
        "paragraph_id": "para_120"
      },
      {
        "text": "4",
        "paragraph_id": "para_121"
      },
      {
        "text": "the case for decision. “The purpose of the peremptory exception of no cause of",
        "paragraph_id": "para_122",
        "court_paragraph": 4
      },
      {
        "text": "action is to test the legal sufficiency of the petition by determining whether the law",
        "paragraph_id": "para_123"
      },
      {
        "text": "affords a remedy on the facts alleged in the petition.” Aaron & Gianna, PLC v.",
        "paragraph_id": "para_124"
      },
      {
        "text": "Chambers, 2024-0016, p. 3 (La.App. 4 Cir. 1/22/24), 381 So.3d 174, 176 (quoting",
        "paragraph_id": "para_125"
      },
      {
        "text": "Scheffler v. Adams & Reese, LLP, 2006-1774, p. 4 (La. 2/22/07), 950 So.2d 641,",
        "paragraph_id": "para_126"
      },
      {
        "text": "646). A court considers the following when deciding on an exception of no cause",
        "paragraph_id": "para_127"
      },
      {
        "text": "of action: the petition for damages; amendments to the petition for damages; and",
        "paragraph_id": "para_128"
      },
      {
        "text": "any documents attached to the petition. Id. (citation omitted). “[I]t is not necessary",
        "paragraph_id": "para_129"
      },
      {
        "text": "for a plaintiff to plead the theory of [the] case in the petition.” 831 Bartholomew",
        "paragraph_id": "para_130"
      },
      {
        "text": "Investments-A, L.L.C. v. Margulis, 2008-0559, pp. 9-10 (La.App. 4 Cir. 9/29/09),",
        "paragraph_id": "para_131"
      },
      {
        "text": "20 So.3d 532, 538 (citation omitted). Mere conclusions, unsupported by facts, do",
        "paragraph_id": "para_132"
      },
      {
        "text": "not constitute as a cause of action. Id., 2008-0559, p. 10, 20 So.3d at 538 (citation",
        "paragraph_id": "para_133"
      },
      {
        "text": "omitted). “The grant of the exception of no cause of action is proper when,",
        "paragraph_id": "para_134"
      },
      {
        "text": "assuming all well pleaded factual allegations of the petition and any annexed",
        "paragraph_id": "para_135"
      },
      {
        "text": "documents are true, the plaintiff is not entitled to the relief he seeks as a matter of",
        "paragraph_id": "para_136"
      },
      {
        "text": "law.” Green v. Garcia-Victor, 2017-0695, p. 5 (La.App. 4 Cir. 5/16/18), 248 So.3d",
        "paragraph_id": "para_137"
      },
      {
        "text": "449, 453 (quoting 2400 Canal, LLC v. Bd. of Sup’rs of Louisiana State Univ. Agr.",
        "paragraph_id": "para_138"
      },
      {
        "text": "& Mech. Coll., 2012-0220, p. 7 (La.App. 4 Cir. 11/7/12), 105 So.3d 819, 825). We",
        "paragraph_id": "para_139"
      },
      {
        "text": "must consider that “[t]he burden of demonstrating that the petition states no cause",
        "paragraph_id": "para_140"
      },
      {
        "text": "of action is upon the mover.” 831 Bartholomew Investments-A, L.L.C., 2008-0559,",
        "paragraph_id": "para_141"
      },
      {
        "text": "p. 10, 20 So.3d at 538.",
        "paragraph_id": "para_142"
      },
      {
        "text": "The principle of vicarious liability is codified in La. C.C. art. 2320, which",
        "paragraph_id": "para_143"
      },
      {
        "text": "provides that an employer is liable for the tortious acts of its employees “in the",
        "paragraph_id": "para_144"
      },
      {
        "text": "exercise of the functions in which they are employed.” Thus, “[t]he threshold",
        "paragraph_id": "para_145"
      },
      {
        "text": "question is whether the employee’s conduct was in the course and scope of his",
        "paragraph_id": "para_146"
      },
      {
        "text": "5",
        "paragraph_id": "para_147"
      },
      {
        "text": "employment.” J.C. on Behalf of N.C. v. St. Bernard Par. Sch. Bd., 2021-0111, p.",
        "paragraph_id": "para_148",
        "court_paragraph": 5
      },
      {
        "text": "12 (La.App. 4 Cir. 2/4/22), 336 So.3d 92, 100. “[T]his Court has held that in order",
        "paragraph_id": "para_149"
      },
      {
        "text": "for an employer to be vicariously liable for the tortious acts of its employee the",
        "paragraph_id": "para_150"
      },
      {
        "text": "‘tortious conduct of the [employee must be] so closely connected in time, place,",
        "paragraph_id": "para_151"
      },
      {
        "text": "and causation to his employment duties as to be regarded as a risk of harm fairly",
        "paragraph_id": "para_152"
      },
      {
        "text": "attributable to the employer’s business, as compared with conduct instituted by",
        "paragraph_id": "para_153"
      },
      {
        "text": "purely personal considerations entirely extraneous to the employer’s interest.’”",
        "paragraph_id": "para_154"
      },
      {
        "text": "Loya v. Lucas, 2016-0321, p. 8 (La.App. 4 Cir. 9/21/16), 201 So.3d 928, 933-34",
        "paragraph_id": "para_155"
      },
      {
        "text": "(quoting Baumeister v. Plunkett, 1995-2270, p. 3 (La. 5/21/96), 673 So.2d 994,",
        "paragraph_id": "para_156"
      },
      {
        "text": "996) (citations omitted).",
        "paragraph_id": "para_157"
      },
      {
        "text": "A review of the petition reveals that Ms. Haymond’s acts occurred during",
        "paragraph_id": "para_158"
      },
      {
        "text": "the course and scope of her employment with UMC. The Plaintiffs’ petition asserts",
        "paragraph_id": "para_159"
      },
      {
        "text": "that Ms. Haymond was employed by UMC in 2021 as a patient sitter. Moreover,",
        "paragraph_id": "para_160"
      },
      {
        "text": "Plaintiffs allege that Ms. Haymond used her UMC employee credentials to access",
        "paragraph_id": "para_161"
      },
      {
        "text": "J.L. and R.P.’s private and protected health information which she later posted on",
        "paragraph_id": "para_162"
      },
      {
        "text": "social media. The petition contains examples of social media posts and text",
        "paragraph_id": "para_163"
      },
      {
        "text": "messages, from Ms. Haymond to J.L., regarding the disclosure of private and",
        "paragraph_id": "para_164"
      },
      {
        "text": "protected health information. Further, the Plaintiffs’ petition also maintains that",
        "paragraph_id": "para_165"
      },
      {
        "text": "UMC conceded that Ms. Haymond accessed J.L. and R.P.’s private health",
        "paragraph_id": "para_166"
      },
      {
        "text": "information from its database on August 29, 2021. After a thorough review of the",
        "paragraph_id": "para_167"
      },
      {
        "text": "petition, it is evident that the tortious conduct, i.e. Ms. Haymond’s improper",
        "paragraph_id": "para_168"
      },
      {
        "text": "accessing of J.L and R.P.s’ health information, occurred during the course and",
        "paragraph_id": "para_169"
      },
      {
        "text": "scope of her employment with UMC. Accepting the allegations of Plaintiffs’",
        "paragraph_id": "para_170"
      },
      {
        "text": "petition as true, we find sufficient facts were pled to support the imposition of",
        "paragraph_id": "para_171"
      },
      {
        "text": "6",
        "paragraph_id": "para_172"
      },
      {
        "text": "vicarious liability. Accordingly, the Hospital’s exception of no cause of action is",
        "paragraph_id": "para_173",
        "court_paragraph": 6
      },
      {
        "text": "denied.",
        "paragraph_id": "para_174"
      },
      {
        "text": "Exception of Prematurity",
        "paragraph_id": "para_175"
      },
      {
        "text": "On appeal, Plaintiffs maintain the trial court erred in concluding that their",
        "paragraph_id": "para_176"
      },
      {
        "text": "allegations fall under the provisions of the LMMA. Conversely, the Hospital",
        "paragraph_id": "para_177"
      },
      {
        "text": "maintains that the Plaintiffs’ claims are intertwined with their medical treatment",
        "paragraph_id": "para_178"
      },
      {
        "text": "and must therefore be presented to a medical review panel before proceeding in the",
        "paragraph_id": "para_179"
      },
      {
        "text": "trial court.",
        "paragraph_id": "para_180"
      },
      {
        "text": "Whether a claim sounds in medical malpractice is a question of law that is",
        "paragraph_id": "para_181"
      },
      {
        "text": "reviewed de novo. Davis v. Hillview Nursing Home, Inc., 2023-0523, p. 2 (La.App.",
        "paragraph_id": "para_182"
      },
      {
        "text": "4 Cir. 9/25/23), 372 So.3d 849, 852 (citation omitted). An exception of prematurity",
        "paragraph_id": "para_183"
      },
      {
        "text": "questions whether a cause of action is ripe for judicial determination. Kelleher v.",
        "paragraph_id": "para_184"
      },
      {
        "text": "Univ. Med. Ctr. Mgmt. Corp., 2021-00011, p. 3 (La. 10/10/21), 332 So.3d 654, 657",
        "paragraph_id": "para_185"
      },
      {
        "text": "(citation omitted). “An action that is brought before the right to enforce it has",
        "paragraph_id": "para_186"
      },
      {
        "text": "accrued is deemed premature.” Burandt v. Pendleton Mem’l Methodist Hosp.,",
        "paragraph_id": "para_187"
      },
      {
        "text": "2013-0049, p. 6 (La.App. 4 Cir. 8/7/13), 123 So.3d 236, 240 (citation omitted).",
        "paragraph_id": "para_188"
      },
      {
        "text": "When the grounds for prematurity cannot be found on the face of the petition,",
        "paragraph_id": "para_189"
      },
      {
        "text": "evidence may be introduced to support or controvert the exception. La. C.C.P. art.",
        "paragraph_id": "para_190"
      },
      {
        "text": "930.",
        "paragraph_id": "para_191"
      },
      {
        "text": "“The exception [of prematurity] is the proper procedural mechanism for a",
        "paragraph_id": "para_192"
      },
      {
        "text": "qualified health care provider to invoke when a medical malpractice plaintiff has",
        "paragraph_id": "para_193"
      },
      {
        "text": "failed to submit the claim for decision by a medical review panel before filing suit",
        "paragraph_id": "para_194"
      },
      {
        "text": "against the provider.” Burandt, 2013-0049, p. 6, 123 So.3d at 240-41 (citations",
        "paragraph_id": "para_195"
      },
      {
        "text": "omitted). The moving party bears the burden of proving prematurity and is",
        "paragraph_id": "para_196"
      },
      {
        "text": "required to show that it is entitled to a medical review panel because the",
        "paragraph_id": "para_197"
      },
      {
        "text": "7",
        "paragraph_id": "para_198"
      },
      {
        "text": "allegations fall within the scope of the LMMA. Kelleher, 2021-00011, pp. 3-4, 332",
        "paragraph_id": "para_199",
        "court_paragraph": 7
      },
      {
        "text": "So.3d at 657 (citation omitted). “A medical malpractice claim against a qualified",
        "paragraph_id": "para_200"
      },
      {
        "text": "health care provider is subject to dismissal on a timely exception of prematurity if",
        "paragraph_id": "para_201"
      },
      {
        "text": "such claim has not first been reviewed by a pre-suit medical review panel.” Id.,",
        "paragraph_id": "para_202"
      },
      {
        "text": "2021-00011, p. 3, 332 So.3d at 657 (citing La. R.S. 40:1231.8) (citation omitted).",
        "paragraph_id": "para_203"
      },
      {
        "text": "We recognize that “the LMMA is special legislation in derogation of the rights of",
        "paragraph_id": "para_204"
      },
      {
        "text": "tort victims, and its limitations on tort liability ‘apply strictly to claims arising from",
        "paragraph_id": "para_205"
      },
      {
        "text": "medical malpractice.’” Thomas v. Reg’l Health Sys. of Acadiana, LLC, 2019-",
        "paragraph_id": "para_206"
      },
      {
        "text": "00507, p. 7 (La. 1/29/20), 347 So.3d 595, 600 (quoting Billeaudeau v. Opelousas",
        "paragraph_id": "para_207"
      },
      {
        "text": "Gen. Hosp. Auth., 2016-0846, p. 10 (La. 10/19/16), 218 So.3d 513, 520 (citation",
        "paragraph_id": "para_208"
      },
      {
        "text": "omitted). “[A]ll other tort liability on the part of the qualified health care provider",
        "paragraph_id": "para_209"
      },
      {
        "text": "is governed by general tort law.” Burandt, 2013-0049, p. 6, 123 So.3d at 241",
        "paragraph_id": "para_210"
      },
      {
        "text": "(citations omitted). “If an ambiguity exists regarding whether or not the alleged tort",
        "paragraph_id": "para_211"
      },
      {
        "text": "sounds in medical malpractice, it is to be resolved in favor of the plaintiff.” Id.,",
        "paragraph_id": "para_212"
      },
      {
        "text": "2013-0049, p. 7, 123 So.3d at 241 (citations omitted). Thus, when appellate courts",
        "paragraph_id": "para_213"
      },
      {
        "text": "are interpreting the LMMA, it must determine whether the alleged acts sound in",
        "paragraph_id": "para_214"
      },
      {
        "text": "general negligence or medical malpractice. Id. (citations omitted). In order to fall",
        "paragraph_id": "para_215"
      },
      {
        "text": "under the provisions of the LMMA, the alleged act complained of must be related",
        "paragraph_id": "para_216"
      },
      {
        "text": "to medical treatment. Id. (citation omitted).",
        "paragraph_id": "para_217"
      },
      {
        "text": "The LMMA defines “[m]alpractice” as:",
        "paragraph_id": "para_218"
      },
      {
        "text": "[A]ny unintentional tort or any breach of contract based on health care",
        "paragraph_id": "para_219"
      },
      {
        "text": "or professional services rendered, or which should have been",
        "paragraph_id": "para_220"
      },
      {
        "text": "rendered, by a health care provider, to a patient, including failure to",
        "paragraph_id": "para_221"
      },
      {
        "text": "render services timely and the handling of a patient, including loading",
        "paragraph_id": "para_222"
      },
      {
        "text": "and unloading of a patient, and also includes all legal responsibility of",
        "paragraph_id": "para_223"
      },
      {
        "text": "a health care provider arising from acts or omissions during the",
        "paragraph_id": "para_224"
      },
      {
        "text": "procurement of blood or blood components, in the training or",
        "paragraph_id": "para_225"
      },
      {
        "text": "supervision of health care providers, or from defects in blood, tissue,",
        "paragraph_id": "para_226"
      },
      {
        "text": "transplants, drugs, and medicines, or from defects in or failures of",
        "paragraph_id": "para_227"
      },
      {
        "text": "8",
        "paragraph_id": "para_228"
      },
      {
        "text": "prosthetic devices implanted in or used on or in the person of a",
        "paragraph_id": "para_229",
        "court_paragraph": 8
      },
      {
        "text": "patient.",
        "paragraph_id": "para_230"
      },
      {
        "text": "La. R.S. 40:1231.1(A)(13). Likewise, the term “[h]ealth care” is defined in the",
        "paragraph_id": "para_231"
      },
      {
        "text": "LMMA as “any act or treatment performed or furnished, or which should have",
        "paragraph_id": "para_232"
      },
      {
        "text": "been performed or furnished, by any health care provider for, to, or on behalf of a",
        "paragraph_id": "para_233"
      },
      {
        "text": "patient during the patient’s medical care, treatment, or confinement… .” La. R.S.",
        "paragraph_id": "para_234"
      },
      {
        "text": "40:1231.1(A)(9).4 A “[t]ort” is defined as “any breach of duty or any negligent act",
        "paragraph_id": "para_235"
      },
      {
        "text": "4 In the 2025 legislative session, the definitional provisions of La. R.S. 40:1231.2 were amended,",
        "paragraph_id": "para_236"
      },
      {
        "text": "effective August 1, 2025. The term “health care” and “malpractice” were amended to provide:",
        "paragraph_id": "para_237"
      },
      {
        "text": "any act, treatment, administration, service, or care related to policies and",
        "paragraph_id": "para_238"
      },
      {
        "text": "procedures and the administration thereof, staffing, custodial services by licensed",
        "paragraph_id": "para_239"
      },
      {
        "text": "or certified staff, performed or furnished, or which should have been performed or",
        "paragraph_id": "para_240"
      },
      {
        "text": "furnished, by any health care provider for, to, or on behalf of a patient during the",
        "paragraph_id": "para_241"
      },
      {
        "text": "patient’s medical care, treatment, or confinement, or during or relating to or in",
        "paragraph_id": "para_242"
      },
      {
        "text": "connection with the procurement of human blood or blood components. This",
        "paragraph_id": "para_243"
      },
      {
        "text": "includes all acts associated with the medical treatment of an individual, whether",
        "paragraph_id": "para_244"
      },
      {
        "text": "directly related to clinical care or performed in an administrative or managerial",
        "paragraph_id": "para_245"
      },
      {
        "text": "capacity necessary for the delivery of such care.",
        "paragraph_id": "para_246"
      },
      {
        "text": "***",
        "paragraph_id": "para_247"
      },
      {
        "text": "means any unintentional tort or any breach of contract based on health care or",
        "paragraph_id": "para_248"
      },
      {
        "text": "professional services rendered, or which should have been rendered, by a health",
        "paragraph_id": "para_249"
      },
      {
        "text": "care provider, to a patient, including but not limited to failure to render services",
        "paragraph_id": "para_250"
      },
      {
        "text": "timely and the handling of a patient, loading and unloading of a patient, and all",
        "paragraph_id": "para_251"
      },
      {
        "text": "legal responsibility of a health care provider arising from acts or omissions during",
        "paragraph_id": "para_252"
      },
      {
        "text": "the procurement of blood or blood components, in the staffing, training, or",
        "paragraph_id": "para_253"
      },
      {
        "text": "supervision of health care providers, or from defects in blood, tissue, transplants,",
        "paragraph_id": "para_254"
      },
      {
        "text": "drugs, and medicines, or from defects in or failures of prosthetic devices",
        "paragraph_id": "para_255"
      },
      {
        "text": "implanted in or used on or in the person of a patient. This includes all acts",
        "paragraph_id": "para_256"
      },
      {
        "text": "associated with the medical treatment of an individual, whether directly related to",
        "paragraph_id": "para_257"
      },
      {
        "text": "clinical care or performed in an administrative or managerial capacity necessary",
        "paragraph_id": "para_258"
      },
      {
        "text": "for the delivery of such care.",
        "paragraph_id": "para_259"
      },
      {
        "text": "The Hospital maintains that Ms. Haymond’s actions clearly fall under the amended definitions of",
        "paragraph_id": "para_260"
      },
      {
        "text": "“health care” and “malpractice.” As a threshold matter, we note that the effective date of the",
        "paragraph_id": "para_261"
      },
      {
        "text": "amendments to La. R.S. 40:1231.1 is August 1, 2025. Moreover, La. C.C. art. 6 provides that in",
        "paragraph_id": "para_262"
      },
      {
        "text": "the absence of legislative expression, substantive laws apply prospectively, while procedural",
        "paragraph_id": "para_263"
      },
      {
        "text": "laws may apply prospectively and retroactively. “If the legislature does not express an intent",
        "paragraph_id": "para_264"
      },
      {
        "text": "regarding retroactive or prospective application of a statute, the court must determine whether",
        "paragraph_id": "para_265"
      },
      {
        "text": "the enactment is substantive or procedural.” Doe v. Jesuit High Sch. of New Orleans, 2021-0284,",
        "paragraph_id": "para_266"
      },
      {
        "text": "p. 6, (La.App. 4 Cir. 11/10/21), 331 So.3d 426, 431 (citation omitted). Here, the legislature did",
        "paragraph_id": "para_267"
      },
      {
        "text": "not express an intent as to whether the amendments to La. R.S. 40:1231.1 apply retroactively or",
        "paragraph_id": "para_268"
      },
      {
        "text": "prospectively. While cognizant of the Hospital’s arguments, we find that the amendments to La.",
        "paragraph_id": "para_269"
      },
      {
        "text": "R.S. 40:1231.1 are substantive in nature as it establishes new rules, rights and duties – or changes",
        "paragraph_id": "para_270"
      },
      {
        "text": "to existing ones – regarding the service and care related to administrative procedures and the",
        "paragraph_id": "para_271"
      },
      {
        "text": "staffing and licensing of certified staff. See St. Paul Fire & Marine Ins. Co. v. Smith, 609 So.2d",
        "paragraph_id": "para_272"
      },
      {
        "text": "809, 817 (La. 1992) (finding that substantive laws “establish new rules, rights, and duties or",
        "paragraph_id": "para_273"
      },
      {
        "text": "9",
        "paragraph_id": "para_274"
      },
      {
        "text": "or omission proximately causing injury or damage to another.” La. R.S.",
        "paragraph_id": "para_275",
        "court_paragraph": 9
      },
      {
        "text": "40:1231.1(A)(22).",
        "paragraph_id": "para_276"
      },
      {
        "text": "Additionally, our Supreme Court has set forth the following six-part test to",
        "paragraph_id": "para_277"
      },
      {
        "text": "determine whether negligent acts fall under the provisions of the LMMA:",
        "paragraph_id": "para_278"
      },
      {
        "text": "(1) Whether the particular wrong is “treatment related” or caused by a",
        "paragraph_id": "para_279"
      },
      {
        "text": "dereliction of professional skill,",
        "paragraph_id": "para_280"
      },
      {
        "text": "(2) Whether the wrong requires expert medical evidence to determine",
        "paragraph_id": "para_281"
      },
      {
        "text": "whether the appropriate standard of care was breached,",
        "paragraph_id": "para_282"
      },
      {
        "text": "(3) Whether the pertinent act or omission involved assessment of the",
        "paragraph_id": "para_283"
      },
      {
        "text": "patient’s condition,",
        "paragraph_id": "para_284"
      },
      {
        "text": "(4) Whether an incident occurred in the context of a physician-patient",
        "paragraph_id": "para_285"
      },
      {
        "text": "relationship, or was within the scope of activities which a hospital is",
        "paragraph_id": "para_286"
      },
      {
        "text": "licensed to perform,",
        "paragraph_id": "para_287"
      },
      {
        "text": "(5) Whether the injury would have occurred if the patient had not sought",
        "paragraph_id": "para_288"
      },
      {
        "text": "treatment, and",
        "paragraph_id": "para_289"
      },
      {
        "text": "(6) Whether the tort alleged was intentional.",
        "paragraph_id": "para_290"
      },
      {
        "text": "Billeaudeau, 2016-0846, pp. 11-12, 218 So.3d at 521 (quoting Coleman v. Deno,",
        "paragraph_id": "para_291"
      },
      {
        "text": "2001-1517, pp. 17-18 (La. 1/25/02), 813 So.2d 303, 315-16) (citations omitted).",
        "paragraph_id": "para_292"
      },
      {
        "text": "In the matter sub judice, the Hospital bears the burden of proof, as the",
        "paragraph_id": "para_293"
      },
      {
        "text": "exceptor, in proving that the allegations of Plaintiffs’ petition fall under the",
        "paragraph_id": "para_294"
      },
      {
        "text": "provisions of the LMMA. At the hearing, the Hospital submitted evidence in",
        "paragraph_id": "para_295"
      },
      {
        "text": "support of its exception of prematurity. See La. C.C.P. art. 930.5 The Hospital’s",
        "paragraph_id": "para_296"
      },
      {
        "text": "exception provides that Ms. Haymond’s alleged actions fall under the provisions of",
        "paragraph_id": "para_297"
      },
      {
        "text": "change existing ones.”). We therefore find that the amendments to La. R.S. 40:1231.1 cannot be",
        "paragraph_id": "para_298"
      },
      {
        "text": "applied retroactively to the Plaintiffs’ claims.",
        "paragraph_id": "para_299"
      },
      {
        "text": "5 The Hospital submitted the following in support of its exception: (1) the affidavit of Ms.",
        "paragraph_id": "para_300"
      },
      {
        "text": "Madden, the Director of Compliance at UMC; (2) proof of Ms. Haymond’s attendance at UMC’s",
        "paragraph_id": "para_301"
      },
      {
        "text": "general orientation and educational seminars during her employment; and (3) certification of the",
        "paragraph_id": "para_302"
      },
      {
        "text": "Hospital’s enrollment in the Patient Compensation Fund pursuant to La. R.S. 40:1231.10, et seq.",
        "paragraph_id": "para_303"
      },
      {
        "text": "10",
        "paragraph_id": "para_304"
      },
      {
        "text": "the LMMA because they are related to medical treatment or a dereliction of",
        "paragraph_id": "para_305",
        "court_paragraph": 10
      },
      {
        "text": "professional skill. We disagree.",
        "paragraph_id": "para_306"
      },
      {
        "text": "The allegations of Plaintiffs’ petition and the evidence presented at the",
        "paragraph_id": "para_307"
      },
      {
        "text": "exception hearing establish that Ms. Haymond was employed by UMC as either a",
        "paragraph_id": "para_308"
      },
      {
        "text": "patient sitter or as a certified nursing assistant from 2017 to 2022. The Plaintiffs’",
        "paragraph_id": "para_309"
      },
      {
        "text": "petition states that Ms. Haymond improperly accessed J.L. and R.P.’s private and",
        "paragraph_id": "para_310"
      },
      {
        "text": "protected health information in 2021 and subsequently posted that information on",
        "paragraph_id": "para_311"
      },
      {
        "text": "social media. The petition also contends that Ms. Haymond intentionally accessed",
        "paragraph_id": "para_312"
      },
      {
        "text": "J.L. and R.P.’s protected health information and publicly shared their health",
        "paragraph_id": "para_313"
      },
      {
        "text": "conditions on social media to embarrass and/or harass the Plaintiffs. To support",
        "paragraph_id": "para_314"
      },
      {
        "text": "these assertions, the petition includes photos of texts messages from Ms.",
        "paragraph_id": "para_315"
      },
      {
        "text": "Haymond to J.L., in which Ms. Haymond is continuously harassing J.L. and her",
        "paragraph_id": "para_316"
      },
      {
        "text": "infant child regarding their health conditions. Also included in the petition are",
        "paragraph_id": "para_317"
      },
      {
        "text": "social media posts, from Ms. Haymond’s personal accounts, discussing J.L and",
        "paragraph_id": "para_318"
      },
      {
        "text": "R.P.’s medical information on social media. Conversely, the Hospital submitted",
        "paragraph_id": "para_319"
      },
      {
        "text": "evidence in support of its exception including Ms. Madden’s affidavit which",
        "paragraph_id": "para_320"
      },
      {
        "text": "concedes that Ms. Haymond accessed J.L. and R.P.’s health information on",
        "paragraph_id": "para_321"
      },
      {
        "text": "August 29, 2021 during her employment with UMC. The affidavit further",
        "paragraph_id": "para_322"
      },
      {
        "text": "provides that Ms. Haymond attended numerous training sessions from 2017 to",
        "paragraph_id": "para_323"
      },
      {
        "text": "2022, at UMC and LCMC, wherein she was educated on the rules and procedures",
        "paragraph_id": "para_324"
      },
      {
        "text": "regarding the prohibition of accessing patient information unrelated to job duties.",
        "paragraph_id": "para_325"
      },
      {
        "text": "According to Ms. Madden’s affidavit, Ms. Haymond accessed J.L. and R.P.’s",
        "paragraph_id": "para_326"
      },
      {
        "text": "private health information as a result of a “falling-out” between the parties.",
        "paragraph_id": "para_327"
      },
      {
        "text": "Based upon the record before us, there is no evidence to suggest that the",
        "paragraph_id": "para_328"
      },
      {
        "text": "events which lead to Plaintiffs’ allegations were related to medical treatment. Ms.",
        "paragraph_id": "para_329"
      },
      {
        "text": "11",
        "paragraph_id": "para_330"
      },
      {
        "text": "Haymond did not treat or perform any healthcare related services for Plaintiffs in",
        "paragraph_id": "para_331",
        "court_paragraph": 11
      },
      {
        "text": "her capacity as a patient sitter or a certified nursing assistant. Likewise, the",
        "paragraph_id": "para_332"
      },
      {
        "text": "Hospital did not render any form of medical treatment or treatment related",
        "paragraph_id": "para_333"
      },
      {
        "text": "services to J.L. or R.P. which required Ms. Haymond to access their private and",
        "paragraph_id": "para_334"
      },
      {
        "text": "protected health records. Ms. Haymond’s actions will not require an expert",
        "paragraph_id": "para_335"
      },
      {
        "text": "medical opinion nor did her actions involve an assessment of J.L. and/or R.P.’s",
        "paragraph_id": "para_336"
      },
      {
        "text": "medical conditions. We also find that the evidence fails to show how the conduct",
        "paragraph_id": "para_337"
      },
      {
        "text": "occurred within the context of a physician-patient relationship or was within the",
        "paragraph_id": "para_338"
      },
      {
        "text": "scope of activities that Ms. Haymond was permitted to perform. Rather, the",
        "paragraph_id": "para_339"
      },
      {
        "text": "record demonstrates that Ms. Haymond accessed J.L. and R.P.’s protected and",
        "paragraph_id": "para_340"
      },
      {
        "text": "private health information in contravention of her employment duties. Ms.",
        "paragraph_id": "para_341"
      },
      {
        "text": "Haymond’s actions were intentionally and maliciously done to bully and harass",
        "paragraph_id": "para_342"
      },
      {
        "text": "Plaintiffs. See Davis, 2023-0523, p. 5 (La.App. 4 Cir. 9/25/23), 372 So.3d at 853",
        "paragraph_id": "para_343"
      },
      {
        "text": "(quoting Montalbano v. Buffman, Inc., 2011-0753, p. 11 (La.App. 4 Cir. 3/21/12),",
        "paragraph_id": "para_344"
      },
      {
        "text": "90 So.3d 503, 511) (finding that “allegations of [an] intentional tort would not be",
        "paragraph_id": "para_345"
      },
      {
        "text": "submitted to a medical review panel.”).",
        "paragraph_id": "para_346"
      },
      {
        "text": "Applying the Coleman factors, we find that the Hospital failed to show",
        "paragraph_id": "para_347"
      },
      {
        "text": "how Plaintiffs’ allegations and injuries were related to medical treatment. For an",
        "paragraph_id": "para_348"
      },
      {
        "text": "action to be considered under the provisions of the LMMA the act must be related",
        "paragraph_id": "para_349"
      },
      {
        "text": "to medical treatment. See LaCoste v. Pendleton Methodist Hosp. L.L.C., 2007-",
        "paragraph_id": "para_350"
      },
      {
        "text": "0008, p. 7 (La. 9/5/07), 966 So.2d 519, 524 and Davis, 2023-0523, p. 5, 372",
        "paragraph_id": "para_351"
      },
      {
        "text": "So.3d at 853 (noting that the LMMA and its limitations on tort liability for",
        "paragraph_id": "para_352"
      },
      {
        "text": "qualified health care providers shall apply only to claims arising from medical",
        "paragraph_id": "para_353"
      },
      {
        "text": "malpractice and that all other tort liability is to be governed by general tort law).",
        "paragraph_id": "para_354"
      },
      {
        "text": "After a thorough review of the record, the Plaintiffs’ allegations sound in general",
        "paragraph_id": "para_355"
      },
      {
        "text": "12",
        "paragraph_id": "para_356"
      },
      {
        "text": "negligence and/or tort rather than medical malpractice. We find the trial court",
        "paragraph_id": "para_357",
        "court_paragraph": 12
      },
      {
        "text": "erred in granting the Hospital’s exception of prematurity. Accordingly, the trial",
        "paragraph_id": "para_358"
      },
      {
        "text": "court’s judgment is reversed and this case is remanded for further proceedings",
        "paragraph_id": "para_359"
      },
      {
        "text": "consistent with this opinion.",
        "paragraph_id": "para_360"
      },
      {
        "text": "Decree",
        "paragraph_id": "para_361"
      },
      {
        "text": "Based on the foregoing, the Hospital’s exception of no cause of action is",
        "paragraph_id": "para_362"
      },
      {
        "text": "denied. The trial court’s October 16, 2024 judgment granting the exception of",
        "paragraph_id": "para_363"
      },
      {
        "text": "prematurity is reversed and this matter is remanded for further proceedings",
        "paragraph_id": "para_364"
      },
      {
        "text": "consistent with this opinion.",
        "paragraph_id": "para_365"
      },
      {
        "text": "EXCEPTION OF NO CAUSE",
        "paragraph_id": "para_366"
      },
      {
        "text": "OF ACTION DENIED;",
        "paragraph_id": "para_367"
      },
      {
        "text": "REVERSED AND REMANDED",
        "paragraph_id": "para_368"
      },
      {
        "text": "JULY **, 2025",
        "paragraph_id": "para_369"
      }
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