Lucero v. Secretary of Health and Human Services

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 19-704V UNPUBLISHED MICHAEL LUCERO, Chief Special Master Corcoran Petitioner, Filed: June 15, 2020 v. Special Processing Unit (SPU); SECRETARY OF HEALTH AND Damages Decision Based on Proffer; HUMAN SERVICES, Influenza (Flu) Vaccine; Guillain- Barre Syndrome (GBS) Respondent. John Robert Howie, Howie Law, PC, Dallas, TX, for petitioner. Claudia Barnes Gangi, U.S. Department of Justice, Washington, DC, for respondent. DECISION AWARDING DAMAGES 1 On May 14, 2018, Michael Lucero filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq., 2 (the “Vaccine Act”). Petitioner alleges that he suffered from Guillain-Barre Syndrome (“GBS”) following the administration of an influenza (“flu”) vaccine he received on November 9, 2017. Petition at 1, 13. The case was assigned to the Special Processing Unit of the Office of Special Masters. On June 10, 2020, a ruling on entitlement was issued, finding Petitioner entitled to compensation for GBS. On June 12, 2020, Respondent filed a proffer on award of compensation (“Proffer”) indicating Petitioner should be awarded $165,500.00 for pain and suffering and $1,255.47 for the satisfaction of a Medicaid lien. Proffer at 1-2. In the Proffer, Respondent represented that Petitioner agrees with the proffered award. Id. 1 Because this unpublished decision contains a reasoned explanation for the action in this case, I am required to post it on the United States Court of Federal Claims' website in accordance with the E- Government Act of 2002. 44 U.S.C. § 3501 note (2012) (Federal Management and Promotion of Electronic Government Services). This means the decision will be available to anyone with access to the internet. In accordance with Vaccine Rule 18(b), Petitioner has 14 days to identify and move to redact medical or other information, the disclosure of which would constitute an unwarranted invasion of privacy. If, upon review, I agree that the identified material fits within this definition, I will redact such material from public access. 2 National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755. Hereinafter, for ease of citation, all “§” references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 300aa (2012). Based on the record as a whole, I find that Petitioner is entitled to an award as stated in the Proffer. Pursuant to the terms stated in the attached Proffer, I award Petitioner: A. A lump sum payment of $1,255.47, which amount represents reimbursement of a State of New Mexico Medicaid lien, in the form of a check payable joint to Petitioner and Presbyterian Health Plan Subrogation P.O. Box 27489 Albuquerque, NM 87125-7489 Presbyterian ID: 1058642700 Petitioner agrees to endorse this payment to Presbyterian Health Plan Subrogation. B. A lump sum payment of $165,500.00, in the form of a check payable to Petitioner. These amounts represent compensation for all damages that would be available under § 15(a). The clerk of the court is directed to enter judgment in accordance with this decision. 3 IT IS SO ORDERED. s/Brian H. Corcoran Brian H. Corcoran Chief Special Master 3 Pursuant to Vaccine Rule 11(a), entry of judgment can be expedited by the parties’ joint filing of notice renouncing the right to seek review. 2 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS _________________________________________ ) MICHAEL LUCERO, ) ) Petitioner, ) ) No. 19-704V v. ) Chief Special Master Corcoran ) ECF SECRETARY OF HEALTH AND ) HUMAN SERVICES, ) ) Respondent. ) __________________________________________) RESPONDENT’S PROFFER ON AWARD OF COMPENSATION On May 14, 2018, Michael Lucero (“petitioner”) filed a petition for compensation under the National Childhood Vaccine Injury Act of 1986, 42 U.S.C. §§ 300aa-1 to -34 (“Vaccine Act” or “Act”), alleging that he suffered from Guillain-Barre Syndrome (“GBS”), as defined in the Vaccine Injury Table, following administration of an influenza vaccine he received on November 9, 2017. Petition at 1, 13. On June 8, 2020, the Secretary of Health and Human Services (“respondent”) filed a Rule 4(c) Report indicating that this case is appropriate for compensation under the terms of the Act for a GBS Table injury, and on June 10, 2020, the Chief Special Master issued a Ruling on Entitlement finding petitioner entitled to compensation. ECF No. 26; ECF No. 27. I. Items of Compensation A. Pain and Suffering Respondent proffers that petitioner should be awarded $165,500.00 in pain and suffering. See 42 U.S.C. § 300aa-15(a)(4). Petitioner agrees. B. Medicaid Lien Respondent proffers that petitioner should be awarded $1,255.47, which represents full satisfaction of any right of subrogation, assignment, claim, lien, or cause of action the State of New Mexico may have against any individual as a result of any Medicaid payments that New Mexico has made to or on behalf of petitioner from the date of his eligibility for benefits through the date of judgment in this case as a result of his vaccine-related injury suffered on or about November 9, 2017, under Title XIX of the Social Security Act. Such compensation shall be in the form of a lump sum payment as forth in section II.A below. Petitioner agrees. II. Form of the Award Petitioner is a competent adult. Evidence of guardianship is not required in this case. Respondent recommends that the compensation provided to petitioner should be made through the lump sum payments as described below and requests that the Chief Special Master’s decision and the Court’s judgment award the following 1: A. A lump sum payment of $1,255.47, which amount represents reimbursement of a State of New Mexico Medicaid lien, in the form of a check payable jointly to petitioner and Presbyterian Health Plan Subrogation P.O. Box 27489 Albuquerque, NM 87125-7489 Presbyterian ID: 10581642700 Petitioners agree to endorse this payment to Presbyterian Health Plan Subrogation. B. A lump sum payment of $165,500.00, in the form of a check payable to petitioner. 1 Should petitioner die prior to entry of judgment, the parties reserve the right to move the Court for appropriate relief. In particular, respondent would oppose any award for future pain and suffering. 2 III. Summary of Recommended Payments Following Judgment Lump sum payable jointly to petitioner, Michael Lucero, and Presbyterian Health Plan Subrogation: $1,255.47. Lump sum payable to petitioner, Michael Lucero: $165,500.00 Respectfully submitted, JOSEPH H. HUNT Assistant Attorney General C. SALVATORE D’ALESSIO Acting Director Torts Branch, Civil Division CATHARINE E. REEVES Deputy Director Torts Branch, Civil Division ALEXIS B. BABCOCK Assistant Director Torts Branch, Civil Division s/Claudia B. Gangi Claudia B. Gangi Senior Trial Attorney Torts Branch, Civil Division U.S. Department of Justice P.O. Box 146 Ben Franklin Station Washington, D.C. 20044-0146 Direct dial: (202) 616-4138 Dated: June 12, 2020 3