In Simms v. Bear Valley Community Health Care District, published June 28, 2022, the Fourth District Court of Appeal, Division 2 reversed an order denying a Government Code section 946.6 petition for relief from the claim requirements and dismissing the case. The respondent is a local health care district. On December 8, 2017, the plaintiff was injured and sought treatment at the district’s emergency room. In December 2017 and January 2018, he went to appointments with several district providers to obtain additional treatment. He verbally complained about his treatment on December 26, 2017 and January 26, 2018, alleging the providers were refusing to investigate and treat his complaints because they perceived him as trying to obtain drugs on false pretenses. The district responded to the complaints with a January 30, 2018 letter. Appointments in March and April 2018 also did not meet the plaintiff’s expectations. On April 24, 2018, the District sent plaintiff a “formal notice” that it would no longer serve as his primary care provider. On May 13, 2018, the plaintiff sent the district a letter, framed as a response to the January 30, 2018 letter. In the letter, he complained about his treatment. He demanded all references to “drug seeking behavior” be removed from his medical records, and that he receive a written apology from one doctor. He threatened that if he continued to be “defamed, harassed, mistreated, and ignored” by the district, he would “take his concerns to a higher level” by “filing a lawsuit for restitution.” The district did not respond to this letter. On July 11, 2019, Simms sent the district a letter framed as a Code of Civil Procedure section 364 notice, addressed to the same District employee as the May 2018 letter. In this letter, the plaintiff wrote he intended to file a medical malpractice suit against the district. He represented that in July and September 2018 he had received results of MRI scans that revealed spinal injuries from the 2017 fall that the district had failed to diagnose, resulting in further damage and delay of treatment. He also complained of withdrawal symptoms from failure to prescribe medications. The district treated this letter as a claim under the Government Claims Act. It responded with a Notice of Return of Late claim. On July 30, 2019, the plaintiff applied to the district for leave to present a late claim. The district denied it on August 20, 2019. On November 18, 2019, plaintiff petitioned the trial court under Government Code section 946.6 for relief from the claim requirement. The court denied the petition. It ruled that the May 2018 letter did not comply with the Government Claims Act’s requirements, and could not be deemed either a claim or a defective claim. It further found that the plaintiff had failed to show entitlement to relief.
The appellate court ruled that the trial court should have treated the plaintiff’s May 2018 letter as a defective claim; the district had waived any defect by failing to timely serve a Notice of Insufficiency; and therefore the trial court should have allowed the plaintiff to proceed with a lawsuit alleging causes of action encompassed by that claim. The court acknowledged the split of authority among appellate courts on whether a party could assert in a section 946.6 petition that the claimant had actually submitted a timely claim, or whether the argument could only be made in a subsequent lawsuit. The court decided that it would side with the courts allowing a petition to show actual compliance, so long as the issue did not depend on disputed issues of fact that would have to be submitted to a jury. Where raised in an appeal from a claim-relief proceeding, after having been argued fully in the trial court and submitted on appeal without reservation or argument that the issue remains pending below, the issue of actual compliance is properly addressed on appeal. The court further observed that the notices a public entity is statutorily required to send to a claimant whose claim is untimely, or whose late-claim applications are denied, are inaccurate for claimants who actually submitted a timely claim, in that they advise the claimant that the “only recourse” is to follow the late-claim procedure. The issue of whether the plaintiff’s May 2018 letter qualified as a claim, or as a “claim as presented” or “trigger claim” that triggered the district’s duty to respond with a Notice of Insufficiency, is an issue of law the appellate court reviews de novo. The letter communicated that he felt he had compensable claims for defamation and medical malpractice against the district, and that if it was not settled he would bring a suit for restitution—i.e., damages. It therefore qualified as a “claim as presented,” and the district waived its defects by not sending a timely Notice of Insufficiency. The district contended that the plaintiff’s cause of action did not accrue until the MRI scans he had after he sent the letter. But his causes of action accrued when he sustained injury and suspected a negligent cause, which could have been as early as December 2017 or January 2018, when he orally complained. The plaintiff failed to present a late-claim application within a year of accrual, which deprived the trial court of jurisdiction to grant him relief from the claim requirements. But it did not deprive the court of jurisdiction to deem his claim actually timely. The issue of whether the statute of limitations for filing suit had also passed. Although the two-year statute of limitations under Government Code section 945.6(a)(2) would have expired by May 2020, the court deemed the statute of limitations equitably tolled as of January 10, 2020, when the trial court found the May 2018 letter was neither a claim nor a defective claim. As of that date, the plaintiff was bound by claim preclusion from filing suit and arguing that he had complied with the claim requirement. The tolling period would run through the remittitur on the appeal. The appellate court directed the trial court to deny the petition for relief without prejudice to the plaintiff filing a complaint and proceeding with a lawsuit.