finding decision of the former Fifth Circuit entered on September 30, 1981 would be binding on all federal courts within the Eleventh Circuit
How later courts described this case
- finding decision of the former Fifth Circuit entered on September 30, 1981 would be binding on all federal courts within the Eleventh Circuit
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF FLORIDA
MIAMI DIVISION
CASE NO. 19-21220-CIV-COOKE/GOODMAN
PATRICIA MORRISON,
Plaintiff,
v.
ROYAL CARIBBEAN CRUISES, LTD,
Defendant.
__________________________________/
ORDER GRANTING MOTION TO STRIKE EIGHTH AFFIRMATIVE DEFENSE
Plaintiff Patricia Morrison filed [ECF No. 8] a motion to strike the Eighth
Affirmative Defense raised by Defendant Royal Caribbean Cruises, Ltd. (“RCCL”) in its
Answer [ECF No. 5] to this personal injury lawsuit. RCCL’s defense is: “Defendant is
entitled to a setoff for any and all collateral source benefits paid or payable to Plaintiff.”
[ECF No. 5, p. 5]. RCCL filed an opposition response [ECF No. 10] and Morrison filed a
reply [ECF No. 11]. United States District Court Judge Marcia G. Cooke referred the
motion to the Undersigned. [ECF No. 15].
The Undersigned grants the motion because RCCL’s answer, as currently phrased,
violates the well-established collateral source rule.
This lawsuit concerns a passenger who was allegedly injured when she tripped
over an ashtray which was obscured by a vacant wheelchair left in the walkway of a
casino on RCCL’s Enchantment of the Seas.
In its opposition response, RCCL says that it advised Plaintiff’s counsel that it
“would amend affirmative defense number 8” to provide the following clarification:
Plaintiff may only introduce into evidence the amount of medical bills and
costs paid by collateral sources (rather than the billed amount).
Alternatively, Defendant is entitled to a post-verdict setoff for any and all
collateral source benefits paid or payable to Plaintiff.
[ECF No. 10, p. 2 (emphasis added)].
Despite this offer, however, RCCL never actually amended its answer or filed a
motion to amend its answer. So the Undersigned is left with the original affirmative
defense, as originally phrased (i.e., not making a distinction between money paid by
collateral sources for medical treatment and money billed by healthcare providers but
not paid by collateral sources). Had RCCL followed through and amended the answer to
reflect this distinction, then this ruling would have been different. The discussion
outlined below explains why.
The so-called collateral source doctrine is an affirmative defense. Hassan v. United
States Postal Serv., 842 F.2d 260 (11th Cir. 1988). The general maritime law applicable to
this case bars a tortfeasor from mitigating damages by setting off compensation received
by the plaintiff from an independent source. Borque v. Diamond M. Drilling Co., 623 F.2d
351, 354 (5th Cir. 1980);1 see also Hillenburg v. Carnival Corp., No. 16-22091-CIV, 2016 WL
5922756, at *1 (S.D. Fla. Sept. 21, 2016) (“In attempting to reduce the amount of damages
by the amount of benefits paid or payable to the plaintiff by a collateral source, Carnival
. . . runs squarely against the collateral-source rule.”); Baptista v. Carnival Corp., No. 1:17-
CV-22115-KMM, 2018 WL 1226041, at *1 (S.D. Fla. Mar. 5, 2018) (“The collateral source
rule prohibits evidence that a plaintiff was compensated by a third-party source, like a
health insurance provider.”); Brown v. NCL (Bahamas) Ltd., No. 15-21732-CIV, 2016 WL
8730145, at *5 (S.D. Fla. Oct. 13, 2016) (“Defendant is prohibited from introducing
evidence or argument of past or future collateral source payments of Plaintiff’s medical
bills.”).
However, although there is no binding Eleventh Circuit case on point, many of the
judges in this district, including the Undersigned, have also held that “(1) only the
amounts of medical bills that represent the amounts actually paid by a third party for a
plaintiff’s medical care are a collateral source; and (2) no collateral source benefit is
conferred for an amount billed but not paid and, therefore, a plaintiff would obtain an
improper windfall if he or she were permitted to recover damages for the billed-but-not-
paid amount or to recover for bills that were written off.” Gharfeh v. Carnival Corp., No.
17-20499, 2019 WL 186864, at *6 (S.D. Fla. Jan. 14, 2019).
1 Borque is binding in this circuit pursuant to Bonner v. City of Prichard, 661 F.2d 1206,
1209 (11th Cir. 1981) (finding decision of the former Fifth Circuit entered on September
30, 1981 would be binding on all federal courts within the Eleventh Circuit).
In addition to the Undersigned’s ruling in Gharfeh, other district courts have
followed this rule which distinguishes between amounts billed but written off or
discounted and bills actually paid. See also Diczok v. Celebrity Cruises, Inc., No. 16-21011-
CIV, 2017 WL 3206327, at *3 (S.D. Fla. July 26, 2017) (emphasis added) (“An abundance
of case law in this District holds that, under general maritime law, recoverable medical
expenses are limited to those actually paid by the plaintiff.”); Szczurko v. Celebrity Cruises,
Inc., U.S. District Court for the Southern District of Florida, Case No. 15-20592-UU, ECF
No. 41 (Dec. 30, 2015) (emphasis added) (granting cruise ship operator’s motion in limine
to preclude plaintiff from introducing evidence of medical charges “written off” by her
providers and “agree[ing] with the abundant case law within this District finding that
Plaintiff is precluded from admitting evidence of the amount billed by healthcare
providers, rather than amount actually paid”); Underwood v. NCL (Bahamas) Ltd., No. 17-
24492, 2019 WL 1559026, at *3 (S.D. Fla. April 10, 2019) (citing Gharfeh, 2019 WL 186864,
at *1).
As explained in Underwood, “the collateral source rule does not and should not
allow Plaintiff to introduce all her medical bills, including those she or a third party was
never required to pay” because, “if it did, Plaintiff would be allowed to obtain an
improper windfall” for the billed amount, instead of the value of her actual medical
expenses. Id. at *6.
As phrased (as opposed to the never-formally-implemented offer), RCCL’s eighth
affirmative defense runs afoul of the still-valid collateral source rule for amounts actually
paid, and Morrison’s motion to strike is therefore granted. However, subject to
evidentiary rulings made by Judge Cooke, who will preside at trial, Morrison will not be
permitted to introduce medical bills which were discounted or written off or not paid --
and RCCL will likewise not be permitted to introduce evidence to show that Morrison
has already been compensated for the medical costs she incurred, and which were, in fact,
paid.?
DONE AND ORDERED in Chambers, in Miami, Florida, on October 1, 2019.
/ A fig i ee a
Li Goodman
UNITED STATES MAGISTRATE JUDGE
Copies furnished to:
The Honorable Marcia G. Cooke
All counsel of record
2 The substantive collateral source rule carries an evidentiary component, which
“prohibits the introduction of evidence offered to show that the [plaintiff] already has
been compensated for his injuries.” Borque, 623 F.2d at 354.