LegalFix

Section 41-9-4 - Limitation on liability for members of review organizations.

NM Stat § 41-9-4 (2019) (N/A)
Copy with citation
Copy as parenthetical citation

No person who is a member or employee of, who acts in an advisory capacity to or who furnishes counsel or services to a review organization shall be liable for damages or other relief in any action brought by a person or persons whose activities have been or are being scrutinized or reviewed by a review organization by reason of the performance by the person of any duty, function or activity of such review organization, unless the performance of such duty, function or activity was done with malice toward the person affected thereby. No person shall be liable for damages or other relief in any action by reason of the performance of the person of any duty, function or activity as a member of a review organization or by reason of any recommendation or action of the review organization when the person acts in the reasonable belief that the person's action or recommendation is warranted by facts known to the person or the review organization after reasonable efforts to ascertain the facts upon which the review organization's action or recommendation is made.

History: Laws 1979, ch. 169, § 4.

Act's qualified immunity replaces common law absolute immunity. — This act abolishes any common-law absolute immunity available to review organization participants prior to its enactment, establishing instead a qualified immunity. Leyba v. Renger, 1992-NMSC-061, 114 N.M. 686, 845 P.2d 780.

Applicability of section. — Under this section, liability for statements is limited to those motivated by malice and is also limited to a person who is either a member of or an employee of the review organization, or a person who acts in an advisory capacity to or furnishes counsel or services to the review organization. Leyba v. Renger, 874 F. Supp. 1218 (D.N.M. 1994).

Immunity under the federal Health Care Quality Improvement Act. — The Health Care Quality Improvement Act, 42 U.S.C. §§ 11101 -11152 (1986) creates a rebuttable presumption of immunity from damages for participants of professional peer review actions if the review process is reasonable. To rebut the presumption, plaintiff must show that the fact-finding process was not reasonable in its totality. The act does not require that participants at every level of a peer review action perform an independent investigation of the facts. Participants in later stages of the review process are entitled to rely on information gathered in earlier stages. The presumption of reasonableness is not overcome simply by identifying one piece of factually questionable evidence upon which a peer review committee relied or by questioning the integrity or motivations of individuals conducting the peer review. The failure of professional peer review to comply with defendant's applicable peer review process does not render the fact-finding process unreasonable. Summers v. Ardent Health Servs., LLC, 2011-NMSC-017, 150 N.M. 123, 257 P.3d 943, rev'g 2010-NMCA-026, 147 N.M. 506, 226 P.3d 20.

Investigation by plaintiff's medical peers was reasonable as a matter of law. — Where defendant suspended plaintiff's medical privileges based on plaintiff's use of inappropriate sexually explicit language with patients; defendant claimed immunity from suit under 42 U.S.C. §11112 of the Health Care Quality Act of 1986; the suspension was based primarily on a consideration by an ad hoc review committee of notes taken by a case manager during a telephone interview of the complaining patient after the patient had been discharged from the hospital; neither the case manager nor the complaining patient were ever contacted or questioned by defendant regarding the incident; and plaintiff's privileges were suspended after two investigations by separate ad hoc committees that included a review of the records of plaintiff's patients, reviews of the ad hoc committee reports by defendant's medical executive committee, an appeal to a professional review committee at which plaintiff presented evidence and cross-examined witnesses, a final review by defendant's appellate review committee, and a review by defendant's board of trustees of the entire record, the fact-finding process conducted by defendant was reasonable as a matter of law. Summers v. Ardent Health Servs., LLC, 2011-NMSC-017, 150 N.M. 243, 257 P.3d 943, rev'g 2010-NMCA-026, 147 N.M. 506, 226 P.3d 20.

LegalFix

Copyright ©2024 LegalFix. All rights reserved. LegalFix is not a law firm, is not licensed to practice law, and does not provide legal advice, services, or representation. The information on this website is an overview of the legal plans you can purchase—or that may be provided by your employer as an employee benefit or by your credit union or other membership group as a membership benefit.

LegalFix provides its members with easy access to affordable legal services through a network of independent law firms. LegalFix, its corporate entity, and its officers, directors, employees, agents, and contractors do not provide legal advice, services, or representation—directly or indirectly.

The articles and information on the site are not legal advice and should not be relied upon—they are for information purposes only. You should become a LegalFix member to get legal services from one of our network law firms.

You should not disclose confidential or potentially incriminating information to LegalFix—you should only communicate such information to your network law firm.

The benefits and legal services described in the LegalFix legal plans are not always available in all states or with all plans. See the legal plan Benefit Overview and the more comprehensive legal plan contract during checkout for coverage details in your state.

Use of this website, the purchase of legal plans, and access to the LegalFix networks of law firms are subject to the LegalFix Terms of Service and Privacy Policy.

We have updated our Terms of Service, Privacy Policy, and Disclosures. By continuing to browse this site, you agree to our Terms of Service, Privacy Policy, and Disclosures.
Section 41-9-4 - Limitation on liability for members of review organizations.