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Opinion - Disposition

Maya Kowalski, Jack Kowalski appeal

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26K views47 pages

Opinion - Disposition

Maya Kowalski, Jack Kowalski appeal

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Tampa Bay 28
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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DISTRICT COURT OF APPEAL OF FLORIDA

SECOND DISTRICT

JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC.,

Appellant,

v.

MAYA KOWALSKI and JACK KOWALSKI, individually and as


personal representative of the Estate of Beata Kowalski, deceased,

Appellees.

No. 2D2024-0382

October 29, 2025

Appeal from the Circuit Court for Sarasota County; Hunter W. Carroll,
Judge.

Derek M. Stikeleather, Carrie J. Williams, and M. Peggy Chu of Goodell,


DeVries, Leech & Dann, LLP, Baltimore, Maryland; Chris W. Altenbernd
of Banker Lopez Gassler P.A., Tampa; and Eleanor H. Sills of Banker
Lopez Gassler P.A., Tallahassee, for Appellant.

Christine R. Davis of Davis Appeals, PLLC, St. Petersburg, for Amici


Curiae The American Academy of Pediatrics and The Children's Hospital
Association.

Andrew S. Bolin of Bolin Law Group, Tampa, for Amicus Curiae Florida
Hospital Association.

Michael G. Tanner, Kenneth B. Bell, and Justin T. Delise of Gunster,


Yoakley & Stewart, P.A., Jacksonville; Gregory A. Anderson and Jennifer
C. Anderson of Anderson Glenn, LLP, Jacksonville; Seldon J. Childers
and Nicholas P. Whitney of Childers Law, LLC, Gainesville (substituted
as counsel for record); and Raymond T. Elligett, Jr. and Amy S. Farrior of
Buell Elligett Farrior & Faircloth, P.A., Tampa, for Appellees.

BLACK, Judge.

Johns Hopkins All Children's Hospital, Inc. (JHACH), appeals from


the final judgment rendered against it and in favor of Maya Kowalski,
Jack Kowalski, and the Estate of Beata Kowalski (collectively, the
Kowalskis). The final judgment awarded damages to the Kowalskis for
false imprisonment between October 7 and October 13, 2016; intentional
infliction of emotional distress; wrongful death for intentional infliction of
emotional distress; false imprisonment between October 18 and October
20, 2016; false imprisonment on January 6, 2017; medical negligence;
battery on January 6, 2017; battery for unspecified dates; and
fraudulent billing. The trial court's erroneous interpretation and
application of section 39.203(1)(a), Florida Statutes (2016), and the
immunity afforded thereunder, as well as the trial court's erroneous
denial of JHACH's motions for directed verdicts and JHACH's motion for
a new trial require reversal of the final judgment.
I. Background
In the fall of 2015, Maya Kowalski was diagnosed with Complex
Regional Pain Syndrome (CRPS). Beata Kowalski, Maya's mother and a
nurse infusionist, became aware of CRPS prior to Maya's diagnosis
through one of Mrs. Kowalski's patients. CRPS is a central nervous
system disorder; it is characterized by severe regional pain with no
apparent cause. Patients with CRPS experience an array of symptoms
including agonizing pain in the affected region or limb, extreme
sensitivity to touch, light sensitivity, and lesions.

2
Initial treatments for Maya's CRPS included warm water therapy,
physical therapy, nonnarcotic pain medications, and opioids. When the
initial treatments failed to relieve Maya's pain and symptoms, Maya
began receiving ketamine. This included Mrs. Kowalski taking Maya to
Mexico where Maya was placed in a five-day ketamine coma. For a
period of approximately eight months prior to her admission to JHACH in
October 2016, Maya was being treated with ketamine infusions through
a central venous port in her chest. The ketamine infusions were
authorized and overseen by Dr. Ashraf Hanna, a pain management
doctor. Although ketamine had been the longest used and most
successful treatment for Maya's CRPS prior to her admission to JHACH,
Maya's physicians had also prescribed other treatments, including
hyperbaric oxygen and immune system stimulants. During most, if not
the entirety, of her treatment Maya was unable to walk without
assistance and was in a wheelchair.
On the day before Maya's admission to JHACH, Dr. Hanna advised
Mrs. Kowalski that he had given Maya the maximum dosage of ketamine
that could be administered and that it was not helping Maya; Dr. Hanna
advised that Maya be taken to JHACH.1 On October 7, 2016, Mr.
Kowalski brought Maya, then ten years old, to the emergency room of
JHACH. Maya presented with excruciating pain. Upon Mrs. Kowalski's
arrival at JHACH, she was adamant that Maya receive ketamine
infusions, and although JHACH was able to confirm with Dr. Hanna that
Maya had been in his care and had been receiving high dosages of
ketamine, the hospital emergency room notes state that dosages at the
level demanded by Mrs. Kowalski could not be administered in the ER.

1 Dr. Hanna did not testify at trial.

3
Maya was ultimately admitted to the pediatric intensive care unit at
JHACH (PICU).
Concerned about Mrs. Kowalski's demands for ketamine and
perceived inconsistencies between Mrs. Kowalski's recitation of Maya's
medical history and JHACH's own observations, a social worker at
JHACH—in accordance with JHACH policy—called the Department of
Children and Families abuse hotline on October 7, 2016. The following
day, October 8, 2016, JHACH contacted Dr. Sally Smith because of the
suspected abuse. Dr. Smith, who had privileges at JHACH, is a
pediatrician and was the medical director of the Child Protection Team
for Pinellas County at that time.2
On October 9, 2016, a second call from a social worker at JHACH
was made to the Department child abuse hotline. This second call
resulted in an immediate investigation.
On October 13, 2016, Maya remained at JHACH but was taken into
the Department's custody. The Department filed a dependency shelter
petition, requesting that Maya be placed in the shelter care of the
Department because Maya had been abused, abandoned, or neglected or
was in imminent danger of abuse, abandonment, or neglect. The
Department sought medical shelter care for Maya and requested no
contact between Maya and Mrs. Kowalski but supervised visits between
Maya and Mr. Kowalski and Maya's brother. On October 14, 2016,
following a hearing on the Department's petition, Maya was placed in the
shelter care of the Department. The dependency court order provided
that Mrs. Kowalski was to have no contact with Maya pending

2Child Protective Teams are used "to supplement the assessment


and protective supervision activities of" the Department. § 39.303(3).

4
psychological evaluations of both Mrs. Kowalski and Maya. The order
further provided that the Department would make all efforts to identify
an appropriate person at JHACH to supervise visitations between Mr.
Kowalski and Maya. Additionally, the order provided that in the event
Maya's parents were unwilling, the Department or "the person primarily
responsible of [sic] the care management" of Maya was authorized to
consent to "ordinary and necessary medical"3 examination and treatment
of Maya.
Thus as of October 13, 2016, Maya was in the custody of the
Department, and beginning on October 14, 2016, Maya was under the
jurisdiction of the dependency court.
At trial, Mr. Kowalski testified that at some point between October
8 and 13, 2016, he and Mrs. Kowalski requested that Maya be released
from JHACH and that JHACH subsequently threatened them with arrest
if Maya were to leave the hospital against medical advice. Mr. Kowalski
testified that JHACH advised him that Maya could not leave the hospital
because Maya had to be safely weaned off medications, including
ketamine. Evidence at trial established that JHACH attempted to
transfer Maya to another hospital but that the Kowalskis would not
consent to the transfer because the insurance codes on the transfer form
indicated that Maya had Munchausen syndrome or conversion disorder
or was the target of Munchausen syndrome by proxy and did not indicate
that Maya was suffering with CRPS. Mr. Kowalski testified that he and

3 Section 39.01(43) defined "[n]ecessary medical treatment" as the


"care which is necessary within a reasonable degree of medical certainty
to prevent the deterioration of a child's condition or to alleviate
immediate pain of a child."

5
Mrs. Kowalski would not sign the transfer form because they believed it
would mean admitting guilt or blame.4
Without referencing the limitations and requirements of the
dependency court orders, Mr. Kowalski testified that anything that he
brought into the hospital had to be approved, whether it was clothing,
food, or letters. Food was required to be prepackaged and could not be
homemade.
Mr. Kowalski testified that during one of his visits Maya had asked
him whether Mrs. Kowalski was in a mental institution. When Mr.
Kowalski asked why Maya would say that, Maya told him that a JHACH
social worker assigned to Maya, Catherine Bedy, had told Maya that Mrs.
Kowalski was receiving mental health treatment.
Mr. Kowalski testified to additional statements made to him by
Maya, including instances where nurses had told Maya that her illness
was all in her head and where Ms. Bedy had told Maya that "she could
be [Maya's] mother while [Maya is] there at the hospital."
Mr. Kowalski also testified regarding his own interaction with Ms.
Bedy, wherein she asked him, "Did you ever consider divorcing your
wife?" He responded, "What are you talking about?" and Ms. Bedy said,
"Oh, forget it," and walked away. Mr. Kowalski relayed to Mrs. Kowalski
what had happened during his visits with Maya and the information he
had learned.

4 Evidence established that prior to Maya's admission to JHACH in


October 2016, concerns had been raised about psychological factors
affecting Maya's physical condition by medical professionals who had
treated Maya at Tampa General Hospital and Lurie Children's Hospital of
Chicago.

6
Although he was aware that Maya had been moved to a new room
on October 18, 2016, Mr. Kowalski testified that he was unaware that
the new room—identified by JHACH staff as the EEG room—was under
video surveillance until many years after the fact.5 He testified that he
never saw Maya mistreated; likewise, he never saw nurses taking actions
that he considered to be cold or unusual.
Maya testified at trial that the commode in the EEG room was far
enough from the bed that she would have to stand up and walk to use it,
which she could not do. Maya believed that the nurses wanted to
provoke her in order to prove that she could walk.
Maya testified that she was not permitted to speak with her mother
and that this infuriated her. Although Maya was told that her pain was
in her head and that she was making it up, Maya testified that she was
not told that physicians believed she had conversion disorder or
Munchausen syndrome. One instance Maya relayed involved a specific
nurse verbally accosting her for not moving during a bed change.
Despite Maya advising the nurse that she could not walk, stand, or roll,
the nurse said, "If you don't move right now or else." She recalled that
the nurse yelled at her for quite a while, saying: "I know you can move. I
know you're faking it. Just stand up. We all know."
The Kowalskis are Catholic, and Maya testified that she was not
permitted to receive communion from her parish priest; she did receive
communion from a priest associated with JHACH. Maya believed that
outside food, including the communion wafer, was not permitted because
there was a fear that Mrs. Kowalski would tamper with it or somehow

5JHACH's admission form includes the following language: "I


understand that . . . closed circuit television monitoring of patients care,
may be used during the course of treatment."

7
add ketamine to it. She did not testify to the requirements of the
dependency court orders in this regard.
Maya reiterated in her own testimony that Ms. Bedy had told her
that Mrs. Kowalski was in a mental institution. Maya quickly learned
that Ms. Bedy's statement was false, and Maya believed the statement
was intended to manipulate Maya into thinking that her mother was sick
and therefore making Maya sick. Maya also reiterated that Ms. Bedy told
her, "I'm not trying to be your mother, but I can be."
Mrs. Kowalski was born in Poland, and Maya often spoke in Polish
with her mother before her admission to JHACH. Although the
dependency court eventually permitted Mrs. Kowalski to have supervised
phone and FaceTime calls with Maya, Maya was not permitted to speak
Polish with her mother, and the calls were limited to basic and
insignificant things. An audio recording was played of one conversation
wherein a female voice advised Mrs. Kowalski that "[w]e are not allowed
to talk about the [dependency] case" after Mrs. Kowalski told Maya that
as soon as the judge makes the decision she would be able to see Maya
again.6
A final instance involving Ms. Bedy occurred when Ms. Bedy took
photographs of Maya before Maya left the hospital for a dependency
court hearing on January 6, 2017. Maya testified that Ms. Bedy came to
Maya's room and told Maya that if Maya wanted to go to court, she was
going to have to be "stripped naked and photographed." Ms. Bedy and a

6 Maya recalled that this was Ms. Bedy redirecting the


conversation; however, JHACH introduced into evidence an email from
Charlotte LaPorte, a Department social worker assigned to Maya's case,
stating that Ms. LaPorte redirected Mrs. Kowalski during that
conversation.

8
nurse did photograph Maya before court; Maya was wearing a training
bra and shorts in the photographs. She understood that the photos were
for purposes of the dependency case.
Maya testified that she was in worse condition when she was
released from JHACH in January 2017 than when she was admitted.
She also testified that by her seventh- and eighth-grade years in school,
August 2018 through May 2020, she was participating in physical
activities without restrictions.
Ms. Bedy's deposition was played for the jury. She testified that
she was a licensed clinical social worker at JHACH at the time of Maya's
admission. Ms. Bedy testified that she was required to follow the
dependency court shelter orders and that it was the dependency court
that determined who Maya could see and when. She also testified that
court orders provided general parameters but that the Department and
JHACH, to some extent, determined how to implement those parameters.
Ms. Bedy testified concerning the initial calls to the Department abuse
hotline and the rationale behind those calls. 7 She also testified that
"95% of the time that [she] saw [Maya], [Maya] was up in her wheelchair.
And the times that she would report extraordinary pain would be when
she was prompted by her mother" or "if somebody asked her if she was
having pain." She further testified that
JHACH noted on several occasions where [Maya] was moving
her legs, moving her hands without any pain. [Maya] was
engaging in activities such as foosball, cutting out and
making crafts in the craft room. She was out playing the
piano downstairs and often moved herself around the

7Much of Ms. Bedy's testimony concerned actions authorized or


required by chapter 39 and responses to questions mischaracterizing
JHACH's continued involvement as "taking this child away from her
parents."

9
hospital. It was only after we gave that information to [the
Department] that [Maya] then decided—or quit moving herself
around the hospital for a few days.
In one of her case notes, Ms. Bedy wrote: "[Maya] told me she was
furious, angry, and in pain. She told me she can't talk or trust anyone,
that she knows there is court on Monday, and it's all lies."
Ms. Bedy testified that JHACH has a policy against recording phone
calls and that she therefore objected to Mrs. Kowalski recording calls
with Ms. Bedy. She also testified that whether Maya was permitted to
see her priest was up to the dependency court. Ms. Bedy testified that
the Department asked that JHACH monitor Maya's calls and that at
times calls came through Ms. Bedy's phone and she would put her phone
on speaker to allow Maya to have the conversation. Ms. Bedy supervised
phone calls between Maya and Mrs. Kowalski once the dependency court
authorized supervised limited contact. At no time did the dependency
court authorize in person visitation between Maya and Mrs. Kowalski.
Ms. Bedy testified that in January 2017, JHACH's risk
management department asked Ms. Bedy and another person to take
photographs of Maya before she was taken to a January 6 dependency
court hearing; the request for photographs had been made by an
attending physician at JHACH. Ms. Bedy testified that "in the
professional context" and "in the foster care program" photographs are
taken "if there [are] injuries." She confirmed that at the time of the
photographs Maya was in the custody of the Department and that the
Department was "getting ready to take their own pictures" as well. No
one explained to Ms. Bedy why she was taking photographs of Maya.
Ms. Bedy noted that the email she received addressed concerns that
Maya was "self-mutilating" and had scratches on her body.

10
On January 6, 2017, the dependency court ordered that Maya
would remain sheltered at JHACH and set a February 2017 trial date.
Mrs. Kowalski committed suicide the following day, January 7, 2017,
leaving two suicide notes. Those notes reflect Mrs. Kowalski's sadness
and frustration with the dependency court proceedings and those
involved with the dependency proceedings, including JHACH, the
Department, and Dr. Smith.
One week after Mrs. Kowalski's suicide, on January 13, 2017, the
dependency court allowed Maya to be released from JHACH and to
resume living with Mr. Kowalski. The dependency case was ultimately
dismissed. During the months that Maya was sheltered at JHACH, she
was weaned off ketamine, and the dependency court order releasing
Maya from JHACH prohibited additional ketamine treatments. Maya had
been admitted to JHACH in severe pain, unable to walk, and receiving
high doses of ketamine; when she was discharged from JHACH, she was
still in significant pain and unable to walk. At the time of trial, the only
medications she routinely took were Claritin, Flonase, and a sleep aid;
she had been able to walk, run, and ice skate. Maya testified that she
had experienced no CRPS flare-ups in the three years following her
January 2017 discharge from JHACH.
The Kowalskis filed their lawsuit on October 5, 2018. The operative
eighth amended complaint was filed on January 24, 2023. More than
fifty pretrial motions were litigated and resolved before this legally
complex and emotionally charged case was heard by a jury beginning on
September 14, 2023. During the two-month trial, additional motions
were filed and resolved, including multiple motions for directed verdicts.
On November 9, 2023, the jury returned a verdict in favor of the
Kowalskis on all remaining claims. Postverdict, JHACH filed an omnibus

11
renewed motion for directed verdict, motion for new trial, and motion for
remittitur. The court denied, largely without elaboration, the renewed
motion for directed verdict and motion for new trial. It granted in part
the motion for remittitur. The court then entered the final judgment.
II. Analysis
A. Standards of review
Issues of statutory interpretation are reviewed de novo. M.K. v.
Dep't of Child. & Fams., 380 So. 3d 469, 472 (Fla. 4th DCA 2023) (citing
B.Y. v. Dep't of Child. & Fams., 887 So. 2d 1253, 1255 (Fla. 2004)).
"A trial court's decision on a motion for directed verdict presents a
question of law—the sufficiency of a party's evidence—that we review de
novo." Kim v. Jung Hyun Chang, 249 So. 3d 1300, 1305 (Fla. 2d DCA
2018) (citing Fell v. Carlin, 6 So. 3d 119, 120 (Fla. 2d DCA 2009)). When
considering whether the trial court should have granted a directed
verdict, we "must evaluate the testimony in the light most favorable to
the nonmoving party and every reasonable inference deduced from the
evidence must be indulged in favor [of] the nonmoving party." Winter
Haven Hosp., Inc. v. Liles, 148 So. 3d 507, 515 (Fla. 2d DCA 2014)
(alteration in original) (quoting GEICO Gen. Ins. v. Hoy, 136 So. 3d 647,
651 (Fla. 2d DCA 2013)).
Our review of the denial of a motion for new trial is for an abuse of
discretion. Edwards v. Rosen, 189 So. 3d 177, 182 (Fla. 2d DCA 2016).
"In reviewing an order on a motion for a new trial, an appellate court
should consider the totality of all errors and improprieties." Id. at 182-
83 (citing Manhardt v. Tamton, 832 So. 2d 129, 132-33 (Fla. 2d DCA
2002)).
B. Section 39.203(1)(a) immunity

12
Pretrial, JHACH moved for partial summary judgment based on the
immunity afforded pursuant to section 39.203(1)(a). JHACH argued, as
relevant to this appeal, that every claim against it, except the battery
claims, was precluded as a matter of law because JHACH had reasonable
cause to report suspected child abuse and was otherwise participating in
chapter 39 proceedings. The trial court granted in part and denied in
part the motion based on its interpretation and application of section
39.203(1)(a) to the Kowalskis' claims. JHACH argued in its postverdict
motions that a new trial is warranted based on the trial court's narrow
interpretation and erroneous application of the statutory immunity. On
appeal, JHACH again seeks a new trial based on the court's erroneous
rulings with regard to section 39.203(1)(a) and their pervasive impact on
the trial.
The trial court considered two sections of chapter 39 and applicable
precedent addressing the statutory language. Section 39.201(1)(a)
addresses mandatory reporting of child abuse and provides, in relevant
part: "Any person who knows, or has reasonable cause to suspect, that a
child is abused, abandoned, or neglected by a parent . . . shall report
such knowledge or suspicion to the [D]epartment in the manner
prescribed by subsection (2)." Physicians, nurses, and "hospital
personnel engaged in the admission, examination, care, or treatment of
persons," as well as other "health or mental health professional[s]," are
required to provide their names to the abuse hotline when making a
report. § 39.201(1)(d)1-2. Suspected child abuse by a parent must be
reported "immediately." § 39.201(2)(a).8 And any person who is required

Notably, the Department also bears responsibility under section


8

39.201:

13
to report "known or suspected child abuse" and who fails to do so
commits a felony. § 39.205(1).
Section 39.203(1)(a) addresses actions authorized or required by
chapter 39, as well as reporting child abuse, and provides:
Any person, official, or institution participating in good faith
in any act authorized or required by this chapter, or reporting
in good faith any instance of child abuse, abandonment, or
neglect to the [D]epartment or any law enforcement agency,
shall be immune from any civil or criminal liability which
might otherwise result by reason of such action.
In construing section 39.201(1)(a), the trial court also considered
Urquhart v. Helmich, 947 So. 2d 539 (Fla. 1st DCA 2006), and Ross v.
Blank, 958 So. 2d 437 (Fla. 4th DCA 2007). Both cases address only
reports of suspected child abuse and the immunity afforded thereto. In
Urquhart, the court concluded that
there are two ways in which a doctor can be immune from
civil liability for making an incorrect report of child abuse.
Immunity exists as a matter of law if the doctor has
reasonable cause to suspect that the child has been abused
and makes a report of the abuse as required by law. In that
event, there is no need to determine whether the doctor acted
in good faith. . . . [O]nce reasonable cause has been shown,
"a reporter complying with the statutory mandate to make a

If it appears that the immediate safety or well-being of a child


is endangered, that the family may flee or the child will be
unavailable for purposes of conducting a child protective
investigation, or that the facts otherwise so warrant, the
[D]epartment shall commence an investigation immediately,
regardless of the time of day or night. In all other child
abuse, abandonment, or neglect cases, a child protective
investigation shall be commenced within 24 hours after
receipt of the report.
§ 39.201(5). The shelter petition in this case alleged—and the
dependency court found—that shelter was appropriate based on evidence
of abuse and imminent danger.

14
report is, by definition, operating, in good faith." However,
the absence of reasonable cause does not prove liability; it
merely removes the immunity that would otherwise apply as a
matter of law. If the objective evidence does not support a
conclusion that the doctor had reasonable cause to make the
report, the doctor may nevertheless claim immunity from civil
liability by showing that the report was made in good faith.
947 So. 2d at 542 (citations omitted) (quoting O'Heron v. Blaney, 583
S.E.2d 834, 836 (Ga. 2003)).9 Citing Urquhart, the court in Ross likewise
concluded that if a reasonable basis existed to report child abuse, the
motive in making the report is irrelevant. 958 So. 2d at 441.
Based on the facts before it and the above-cited precedent, the trial
court determined—"very easily"—that JHACH had reasonable cause to
report suspected child abuse to the Department hotline. Accordingly, the
trial court found that JHACH was "entitled to section 39.203(1)(a)
immunity from any civil claim 'which might otherwise result by reason of'
the report[s]." But the court said nothing of immunity for claims
resulting from "participat[ion] in good faith in any act authorized or
required by [chapter 39]." See § 39.203(1)(a).
The facts of this case are unusual in that the reporter for purposes
of sections 39.201 and 39.203 remained a participant in Maya's care
beyond the initial shelter hearing and was required to comply with the
dependency court orders by virtue of the Department designating Maya's

9 The trial court expressed trepidation in applying the Urquhart


analysis insofar as Urquhart concluded that "the immunity that is
afforded to a medical doctor . . . is not the same as that afforded to an
ordinary citizen," see 947 So. 2d at 542, where neither section 39.201
nor section 39.203 differentiate between doctors and ordinary citizens
except that the former are required to give their names when making a
report while the latter may remain anonymous. While we might agree
with the trial court on that narrow issue, application of the statutory
immunity as between doctors and ordinary citizens is not before us.

15
placement with JHACH. As the shelter placement, JHACH was required
to implement the dependency court orders. Those orders required
JHACH to comply with visitation guidelines set forth in the orders, as
well as to manage correspondence between Maya and Mrs. Kowalski.10
Moreover, the orders directed that the court would not micromanage or
countermand JHACH's policies and that absent "clear and compelling
reasons," JHACH's staff was to "be free to address the medical needs of
their patients without the court, the parents, or others interfering with
their professional judgment."
JHACH was required to take part in the sheltering of Maya by
virtue of the shelter order entered October 14, 2016. The Department
sought to have Maya sheltered based on ongoing abuse and imminent
danger; the dependency court sheltered Maya, and the Department was
authorized to determine her placement. The Department placed Maya at
JHACH for ongoing medical treatment, including psychological
evaluation and weaning off ketamine.
Within the text of chapter 39, the legislature established its intent
expressly: "The purposes of this chapter are . . . [t]o provide for the care,
safety, and protection of children . . . and to prevent the occurrence of
child abuse, neglect, and abandonment." § 39.001(1)(a). The legislature
further stated its intent that chapter 39 "be liberally interpreted and
construed in conformity with its declared purposes." § 39.001(12).
"[C]ourts may not extend, modify, or limit the statute's express
terms or its reasonable or obvious implications because to do so would
be an abrogation of legislative power." Searcy, Denney, Scarola, Barnhart

10 The dependency court orders included directives on screening


visitors through the Department and who specifically would be permitted
visitation.

16
& Shipley v. State, 209 So. 3d 1181, 1189 (Fla. 2017). "Moreover, 'all
parts of a statute must be read together in order to achieve a consistent
whole.' " Id. (quoting Borden v. E.–Eur. Ins., 921 So. 2d 587, 595 (Fla.
2006)). Effect must be given to every clause of the statute and meaning
given to all of its parts. See Alvarez-Sowles v. Pasco County, 386 So. 3d
224, 229 (Fla. 2d DCA 2024) (quoting Larimore v. State, 2 So. 3d 101,
106 (Fla. 2008)).
Here, the trial court erred by not considering the entirety of section
39.203(1)(a) and its application to the facts of this case beyond JHACH's
immunity from claims premised on or immediately resulting from the
reports of suspected child abuse. And nothing in the record suggests
that JHACH's participation in implementing the dependency court
orders, as it was required to do, was not done in good faith. Cf. Dep't of
Health & Rehab. Servs. v. Dougherty, 700 So. 2d 77, 79 (Fla. 2d DCA
1997) ("Although the process was unfortunately slow and painful for the
Doughertys, nothing reveals that the investigation was not instituted and
conducted in good faith after a legitimate report of abuse . . . . As such,
the Department, as an 'institution participating in good faith' in acts
'authorized or required by ss. 415.502-415.514,' was 'immune from civil
. . . liability which might otherwise result by reason of its action.' "
(quoting § 415.511(1)(a), Fla. Stat. (1995) (current version at §
39.203(1)(a), Fla. Stat.))); Pope v. State, 246 So. 3d 1282, 1283 (Fla. 1st
DCA 2018) ("The State argues (correctly) that Pope could have and
should have done more. But the [l]egislature did not condition immunity
on doing more than seeking medical assistance in good faith. The
[l]egislature could have imposed more conditions."). The statutory
scheme at issue is "intended to protect those who might be overzealous
in protecting children from potential abuse." See Floyd v. Dep't of Child.

17
& Fams., 855 So. 2d 204, 206 (Fla. 1st DCA 2003) (discussing section
425.511(1)(a), a predecessor to section 39.203(1)(a)). This is not to
suggest that section 39.203(1)(a) provides absolute immunity. It provides
immunity from liability that might otherwise result from good faith
reporting or good faith participation in acts authorized or required by
chapter 39. Cf. Dep't of Health & Rehab. Servs. v. Yamuni, 529 So. 2d
258, 262 (Fla. 1988) ("Section 827.07(7)[, Florida Statutes (1979),]
protects against liability for carrying out the protective measures of
chapter 827 on behalf of the protected class, it does not protect against
failing to carry out the protective measures." (citing § 827.07, Fla. Stat.
(1979) (current version at § 39.203, Fla. Stat.))).
There are complexities created by the interplay of chapter 39 with
the claims raised in this case. We are aided in interpreting and applying
chapter 39 by the amicus curiae briefs filed by the American Academy of
Pediatrics, the Children's Hospital Association, and the Florida Hospital
Association. The Florida Hospital Association (FHA) articulated its
concerns with the trial court's ruling in this case:
[T]he trial court found as a matter of law that [JHACH] had a
reasonable basis for suspecting that their patient was the
subject of child abuse; that [JHACH] acted in good faith in
reporting that suspicion; and that [JHACH] could not be held
liable for any cause of action directly arising from sheltering
the child pursuant to a court order. Unfortunately, these
findings were rendered meaningless at the trial itself when
the court permitted [the Kowalskis] to attack [JHACH's] basis
for suspecting abuse, its motives for reporting that suspicion,
and present evidence to the jury of the psychological impact
of the court-ordered sheltering period. . . . [T]he actions of
[JHACH] with respect to their good faith, mandatory reporting
were repeatedly called into question and leveraged by the
[Kowalskis] in their effort to secure a finding of civil liability
and an award for damages.

18
The trial court found that "section 39.203(1)(a) immunity flows for
any civil liability that may result by reason of the [child abuse] report"
and that "[w]ithout question, an investigation, shelter, removal of
custody, and prohibiting visitation all are outcomes that logically could
occur from a report to the abuse hotline." 11 The trial court implicitly
recognized that dependency court orders, that is, those sheltering a child
and restricting or prohibiting visitation, may result from the reporting
and investigation of abuse. Yet the trial court failed to give effect to its
interpretation by permitting the jury to hear significant and inflammatory
testimony concerning the restrictions put in place by the dependency
court and the impacts of those restrictions on the Kowalskis. For
example, Mr. Kowalski testified that Mrs. Kowalski lost consciousness
and fell to the floor upon learning that she was not going to be able to see
Maya and that during the time that she was unable to see Maya, Mrs.
Kowalski deteriorated; she was losing hope. He repeatedly testified to the
profound impacts of the dependency court orders on Mrs. Kowalski.
Maya also testified to the impacts of the dependency court orders on her,
from anger in not being able to speak with or see her mother to feelings
of isolation. Maya testified that she was suspicious about the comments
made to her and the restrictions placed on her; no one ever "directly told

11 Whether the trial court's interpretation is correct in this respect


has not been raised by the parties to this appeal. We note, however, that
the plain language of the statute provides immunity from civil liability
resulting from good faith abuse reports. Whether civil liability results
from, or as the trial court found "flows from," the abuse reports or from
other acts authorized or required by chapter 39 is not a distinction we
must draw in this case because JHACH was required to comply with
dependency court orders as a matter of its good faith participation in the
chapter 39 proceedings regardless of whether its compliance with court
orders flowed from the abuse reports.

19
[her] what was going on," and she had to figure out for herself that she
was being "stripped from [her] family." She testified that JHACH
provided her with a "My Care Journal" and that in it she listed names of
JHACH doctors and nurses with notations and drawings: "I was trying to
get out of the hospital, and I'm 10. So I'm thinking if they think I like
you, then I'll get out."12
The trial court erred by not giving effect to that portion of the
statute to which it assigned meaning, and it further erred by not giving
meaning to all words within the statute. See N. Broward Hosp. Dist. v.
Agency for Health Care Admin., 398 So. 3d 1038, 1043 (Fla. 1st DCA
2024) ("Courts must give significance and effect to every word and phrase
in a statute."). Section 39.203(1)(a) provides immunity from civil liability
"which might otherwise result by reason of" both "reporting in good faith
any instance of child abuse" and "participating in good faith in any act
authorized or required by" chapter 39. Ninety-one of Maya's ninety-
seven days in JHACH were the result of dependency court orders wherein
the Department had been given placement and care responsibility of
Maya while she remained under protective supervision. JHACH argues

12 The closing arguments were also inflammatory: Counsel for the


Kowalskis argued that JHACH "took [Mrs. Kowalski] out of the game" by
"changing its diagnosis" and treating the Kowalskis "like criminals."
Counsel then went through JHACH's defenses because "if we get rid of
the defenses, then all that [is] left is [the Kowalskis'] case." Counsel for
the Kowalskis argued that "something happened [between Mrs. Kowalski
and JHACH] that ticked [JHACH] off," causing JHACH to call the
Department, and that JHACH was not "going to let this brusque lady
with an Eastern European accent come in and tell[] them how to do their
job." They argued that JHACH calling the Department hotline was
retaliatory against Mrs. Kowalski and that she committed suicide
because she knew that if she did not take drastic action Maya would
"end up in some kind of foster care" or die.

20
that the trial court's errors in interpreting and applying section
39.203(1)(a) immunity should result in a new trial for all claims. 13 We
agree that the trial court's rulings on section 39.203(1)(a) immunity
permeated the entire trial; a new trial is required on all counts not
otherwise disposed of by this opinion.
C. False imprisonment: October 7-13, 2016
The trial court denied JHACH's motion for directed verdict as to the
false imprisonment claim for JHACH's actions between October 7 and
October 13, 2016.14 This was error.
"The essential elements of a cause of action for false imprisonment
include: (1) the unlawful detention and deprivation of liberty of a person;
(2) against that person's will; (3) without legal authority or 'color of
authority'; and (4) which is unreasonable and unwarranted under the
circumstances." Mathis v. Coats, 24 So. 3d 1284, 1289-90 (Fla. 2d DCA
2010) (citing Montejo v. Martin Mem'l Med. Ctr., Inc., 935 So. 2d 1266,

13 We note that JHACH has not argued that evidence of good faith
participation in actions authorized or required by chapter 39 is not
admissible because such actions cannot form the basis for liability. The
FHA, however, contends that "[i]f a party is immune from any civil
liability that might otherwise result by reason of certain conduct, then
evidence of such conduct should not be offered as part of an effort to
support a finding of any form of civil liability" and that "[o]ffering such
evidence 'creates an obvious and significant danger of "unfair prejudice,
confusion of issues, [and] misleading the jury." ' " See § 90.403, Fla.
Stat. (2023).
14Although JHACH sought summary judgment for this false
imprisonment claim, as well as the other false imprisonment claims, on
the basis of section 39.203(1)(a) immunity, JHACH does not challenge
the court's denial of its motion for summary judgment. The only
challenge it raises on appeal as to the October 18 through October 20
and January 6 false imprisonment claims concerns punitive damages.

21
1268 (Fla. 4th DCA 2006)). All elements must be proven for a plaintiff to
recover on a false imprisonment claim. Montejo, 935 So. 2d at 1268.
The October 7 through October 13 allegations stem from JHACH's
refusal to release Maya from the ER and PICU. JHACH argues both that
it had legal authority and that there was no evidence that keeping Maya
in its care was unreasonable and unwarranted under the circumstances,
whether because of Maya's pain levels and overall health at the time or
because of the suspected child abuse.
We need only consider whether the hospital was without legal
authority or color of authority, a question of law, to resolve this issue.
See Whipple v. Dep't of Corr., 892 So. 2d 554, 558 (Fla. 3d DCA 2005);
see also Citizens of State v. Graham, 191 So. 3d 897, 900 (Fla. 2016)
("Whether the [Florida Public Service Commission] has the authority to
act is a question of law, which is subject to de novo review."). JHACH's
legal authority or color of authority stems from section 39.395:
Any person in charge of a hospital or similar institution, or
any physician or licensed health care professional treating a
child may detain that child without the consent of the parents,
caregiver, or legal custodian, whether or not additional
medical treatment is required, if the circumstances are such,
or if the condition of the child is such that returning the child to
the care or custody of the parents, caregiver, or legal custodian
presents an imminent danger to the child's life or physical or
mental health.
(Emphasis added.) We are mindful that section 39.395 also requires that
"[a]ny such person detaining a child shall immediately notify the
[D]epartment" and that "the [D]epartment shall immediately begin a child
protective investigation in accordance with the provision of this chapter."
Beyond the initial detention and reporting to the Department, the

22
legislature has placed no burden on the person detaining the child;
instead, it has placed the burden on the Department:
If the department determines, according to the criteria set
forth in this chapter, that the child should be detained longer
than 24 hours, it shall petition the court through the attorney
representing the Department of Children and Families as
quickly as possible and not to exceed 24 hours, for an order
authorizing such custody in the same manner as if the child
were placed in a shelter.
Id. Certainly, section 39.395 provides color of authority for JHACH's
detention of Maya in the ER and PICU during the period between the first
and second reports to the Department. And following the second report,
on October 9, 2016, the Department instituted its investigation.
Moreover, JHACH's actions were authorized or required by chapter
39, and there is no evidence that its participation was not in good faith,
particularly where the trial court concluded as a matter of law that
JHACH had reasonable cause to suspect child abuse. As such, JHACH
is immune from liability resulting from its detention of Maya between
October 7 and October 13, 2016.
Accordingly, JHACH's motion for directed verdict on the claim of
false imprisonment for the period of October 7 through October 13, 2016,
should have been granted.15
D. Intentional infliction of emotional distress: Beata Kowalski
Two claims of intentional infliction of emotional distress (IIED)
specific to Beata Kowalski were resolved by the jury in favor of the
Kowalskis after the trial court denied JHACH's motions for directed
verdicts. JHACH contends that its motions for directed verdicts should

15 JHACH's issue concerning the corresponding motion for directed


verdict on punitive damages is therefore rendered moot.

23
have been granted because the Kowalskis failed to present evidence of
conduct directed at Mrs. Kowalski and the Kowalskis' evidence was
insufficient as a matter of law. We agree.16
To support a claim for IIED, a plaintiff must prove:
(1) the wrongdoer's conduct was intentional or reckless, that
is, he intended his behavior when he knew or should have
known that emotional distress would likely result;
(2) the conduct was outrageous, that is, as to go beyond all
bounds of decency, and to be regarded as odious and utterly
intolerable in a civilized community;
(3) the conduct caused emotional distress; and
(4) the emotional distress was severe.
Glegg v. Van Den Hurk, 379 So. 3d 1171, 1174 (Fla. 4th DCA 2024)
(quoting Brown v. Brown, 800 So. 2d 359, 362-63 (Fla. 4th DCA 2001));
accord Metro. Life Ins. v. McCarson, 467 So. 2d 277, 278-79 (Fla. 1985)
(quoting Restatement (Second) of Torts § 46 (1965)). The trial court must
make the initial determination on a motion for directed verdict that the
evidence presented meets that high standard. Liberty Mut. Ins. v.
Steadman, 968 So. 2d 592, 595 n.1 (Fla. 2d DCA 2007); see Calvert ex.
rel. Est. of Duckett v. Cable News Network LLLP, No. 5:06-CV-444-OC-
10GRJ, 2008 WL 2959753, at *4 (M.D. Fla. July 31, 2008) ("Pleading a
cause of action for intentional infliction of emotional distress is one
thing, avoiding summary judgment or prevailing at trial is quite
another."). And "because the outrageousness test is objective," testimony
as to the plaintiff's beliefs on whether the defendant intended to cause
emotional distress is "of no moment." Mellette v. Trinity Mem'l Cemetery,
Inc., 95 So. 3d 1043, 1049 (Fla. 2d DCA 2012). Likewise, "the subjective

16We therefore decline to address JHACH's argument that Florida


does not recognize IIED suicide.

24
response of the person who is the target of the actor's conduct does not
control the question of whether the tort of intentional infliction of
emotional distress occurred." Steadman, 968 So. 2d at 595 (citing
Ponton v. Scarfone, 468 So. 2d 1009, 1011 (Fla. 2d DCA 1985)).
As relevant to the Estate's IIED claims, "in order to state a claim for
IIED based on [one's] own emotional distress, a plaintiff must be present
when the alleged extreme and outrageous conducted is directed toward a
third party." Buchanan v. Miami-Dade County, 400 So. 3d 684, 686 (Fla.
3d DCA 2024); see also M.M. v. M.P.S., 556 So. 2d 1140, 1141 (Fla. 3d
DCA 1989) ("Appellants were not present when the alleged mistreatment
of their daughter took place and may not claim emotional distress for her
injurious or offensive treatment."). Otherwise, the conduct alleged to be
outrageous must be directed at the plaintiff. Baker v. Fitzgerald, 573 So.
2d 873, 873 (Fla. 3d DCA 1990) ("Appellant's claim for intentional
infliction of emotional distress fails because there was no showing of
outrageous conduct directed at appellant herself."); Habelow v. Travelers
Ins., 389 So. 2d 218, 220 (Fla. 5th DCA 1980) ("In all cases we have
found in Florida recognizing the tort of intentional infliction of emotional
distress, the plaintiff was the recipient of the insult or abuse, or the
message was clearly directed at the plaintiff through a third person."
(emphasis added)). Stated differently, if the plaintiff is not present to
witness the outrageous conduct, the plaintiff must have been the target
of the outrageous conduct. See Steadman, 968 So. 2d at 595 (citing
Ponton, 468 So. 2d at 1011).
The Kowalskis presented no evidence that Mrs. Kowalski was the
target of any of the conduct alleged to be outrageous; rather, the heart of
the Kowalskis' claim, repeated in various ways throughout multiple
bench conferences and asserted before the jury, was that the "separation

25
of mother from child with knowledge by both and without the ability to
combat it" was outrageous. The Kowalskis argued: "[A] plan that is told
to the mother that we're going to take away your child, and there's
nothing you can do about it"; "the real outrageousness is the systematic
nature of the actions against [Mrs. Kowalski] through this. And
everything—every contact that she had and everything she learned
reenforced that there was a plan to take her daughter away, and that is
outrageous in our society."
The Kowalskis contended that there were concerted efforts to "raise
the pressure" on Mrs. Kowalski—"if this doesn't get her, let's suggest that
[Mr. Kowalski] get a divorce. And if this doesn't get her, let's tell [Maya]
that I'm going to be her mother." The Kowalskis acknowledged that
"these statements were not made directly to [Mrs. Kowalski] because she
wasn't allowed in the hospital but were funneled to [her] through a proxy,
which was her child" or her husband. That Mr. Kowalski or Maya
relayed what they had seen or experienced is not evidence that JHACH's
actions were directed to Mrs. Kowalski. And there was no evidence that
Mrs. Kowalski was somehow the target of statements made to either
Maya or Mr. Kowalski. Cf. De La Campa v. Grifols Am., Inc., 819 So. 2d
940, 943-44 (Fla. 3d DCA 2002); Lashley v. Bowman, 561 So. 2d 406,
409 (Fla. 5th DCA 1990).
Moreover, the trial court recognized that the allegations in the
operative complaint were insufficient when it granted JHACH's pretrial
motion to dismiss the IIED claim as to Mr. Kowalski. With the exception
of actions immune under section 39.203(1)(a) and the assertion that Mrs.
Kowalski suffered from Munchausen syndrome by proxy, there is little
difference between the allegations the trial court found legally insufficient

26
as to Mr. Kowalski's claim and the evidence presented as to the Estate's
claims.
The Kowalskis' evidence was legally insufficient to survive directed
verdict. The motions for directed verdicts on the IIED claims specific to
Mrs. Kowalski should have been granted.
E. Intentional infliction of emotional distress: Maya Kowalski
In denying JHACH's motion for directed verdict specific to Maya's
IIED claim, the trial court considered evidence for which JHACH should
have been immune from liability and evidence of other pleaded torts.
This was error.
We reiterate that the actions for which JHACH should have been
immune pursuant to section 39.203(1)(a) cannot be used to establish
liability. The Department placed Maya with JHACH. JHACH's
participation in the chapter 39 proceedings, as well as its initial reports
of suspected child abuse to the Department, pervaded the Kowalskis'
evidence of intentional infliction of emotional distress against Maya. The
trial court was required to consider which of JHACH's actions should
have been immune from liability and which actions could support the
independently pleaded tort of IIED. Medical professionals' disagreements
about a complex medical case and perhaps overzealous implementation
of dependency court orders are not acts that are "intolerable in a civilized
community." Cf. Gonzalez-Jiminez de Ruiz v. United States, 378 F.3d
1229, 1231 (11th Cir. 2004) ("[T]he rendering of substandard medical
care does not constitute the intentional infliction of emotional distress."
(quoting Gonzalez–Jimenez de Ruiz v. United States, 231 F. Supp. 2d
1187, 1200 (M.D. Fla. 2002))). Good faith actions to protect children are
neither "utterly intolerable in a civilized community" nor "beyond all
possible bounds of decency." Indeed, section 39.203(1)(a) immunity

27
"protect[s] those who might be overzealous in protecting children from
potential abuse." See Floyd, 855 So. 2d at 206. To the extent JHACH
took actions within its legal rights, under chapter 39 or otherwise, it
cannot be liable for IIED. See Canto v. J.B. Ivey & Co., 595 So. 2d 1025,
1028 (Fla. 1st DCA 1992) ("A privilege exists as a matter of law to engage
in reckless or even outrageous conduct if there is sufficient evidence that
shows the defendant 'did no more than assert legal rights in a legally
permissible way.' " (quoting Metro. Life Ins., 467 So. 2d at 279)).
Additionally, IIED conduct must not be "violative of any other
recognized tort." Foshee v. Health Mgmt. Assocs., 675 So. 2d 957, 960
(Fla. 5th DCA 1996). That is, the facts upon which it is based must be
independent of any other alleged tort. See id. ("Because the actions of
the chargeable defendants here can be deemed to fit within the false
imprisonment category those actions will not support a claim of
intentional infliction of emotional distress."); cf. Fridovich v. Fridovich,
598 So. 2d 65, 69-70 (Fla. 1992) ("Obviously, if the sole basis of a
complaint for emotional distress is a privileged defamatory statement,
then no separate cause of action exists. . . . [A] plaintiff cannot
transform a defamation action into a claim for intentional infliction of
emotional distress simply by characterizing the alleged defamatory
statements as 'outrageous.' " (citation omitted)). Where the conduct
alleged to be outrageous is itself a pleaded tort, a claim of IIED cannot
lie. Boyles v. Mid-Fla. Television Corp., 431 So. 2d 627, 636 (Fla. 5th
DCA 1983). Here, the Kowalskis relied upon evidence of other pleaded
torts in order to establish the IIED claim. The law is clear, however, that
the evidence supporting Maya's three false imprisonment claims, as well

28
as her battery claims and medical negligence claim, cannot also be used
to meet the legal threshold for her IIED claim. 17
F. Medical negligence: apparent agency
JHACH contends that the trial court erred in denying its motion for
directed verdict on the narrow issue of apparent agency as it relates to
Dr. Smith and that chapter 39 otherwise immunizes Dr. Smith's actions
such that JHACH cannot be held liable for those actions. We agree.
"An apparent agency exists only if all three of the following
elements are present: (a) a representation by the purported principal; (b)
a reliance on that representation by a third party; and (c) a change in
position by the third party in reliance on the representation." Roessler v.
Novak, 858 So. 2d 1158, 1161-62 (Fla. 2d DCA 2003) (citing Mobil Oil
Corp. v. Bransford, 648 So. 2d 119, 121 (Fla. 1995)).
Mr. Kowalski testified that he was unaware that Dr. Smith was not
a JHACH doctor at the time he first met her, but he could not specify the
date. He testified that she was wearing a white lab coat when she came
into Maya's room and started asking questions. Maya testified that she

17 Further, evidence supporting the negligent hiring and


supervision claim cannot be used. That claim was resolved in favor of
JHACH. And while the Kowalskis argued that "[t]he evidence taken as a
whole indicates that there was a desire and plan on the part of [Ms.]
Bedy to separate [Maya] from [Mrs. Kowalski]" and that "[t]here was a
plan by the hospital to force [Mrs. Kowalski] and [Maya] . . . and [Mr.
Kowalski] to change their story," to the extent that such evidence is not
subject to section 39.203(1)(a) immunity, there is no evidence of any
such concerted effort. Cf. Mellette, 95 So. 3d at 1049 (concluding that
plaintiff's testimony as to her beliefs on whether defendant intended to
hurt her was "of no moment"); Ponton, 468 So. 2d at 1011 ("[T]he
subjective response of the person who is the target of the actor's conduct
is not to control the question of whether the tort [of IIED] occurred.").
Moreover, the trial court granted summary judgment in favor of JHACH
on the Kowalskis' conspiracy claim pretrial.

29
was unaware of who Dr. Smith was or in what capacity she questioned
Maya's father. An email dated October 12, 2016, from Mrs. Kowalski's
email address was entered into evidence. In the email, Mrs. Kowalski
reported that on October 11, 2016, she and Dr. Sally Smith, "who was
sent by [the Department] to investigate th[e] possible child
abuse/neglect," had a second visit at which Mrs. Kowalski described
Maya's illness and the doctors involved in Maya's care.
Thus no later than October 11, 2016, Mrs. Kowalski was aware
that Dr. Smith was acting in her capacity as a Child Protective Team
(CPT) physician. And certainly, by the October 14 shelter hearing, Mr.
Kowalski was also aware. The Kowalskis presented no evidence that they
materially changed their position prior to October 11 or October 14 on
the basis of Dr. Smith being an apparent agent of JHACH. Rather, the
Kowalskis acknowledge that they were unaware that JHACH had given
Dr. Smith full access to Maya's medical records at the time such access
was provided. The apparent agency theory should have been rejected as
a matter of law by the trial court, and a directed verdict as to that
specific claim should have been granted.
Nonetheless, even were Dr. Smith an apparent agent of the
hospital, because Dr. Smith was the CPT medical director, she was
authorized by chapter 39 to take the actions that she took. See generally
§§ 39.303, .407. Her actions would not subject JHACH to liability unless
JHACH was not participating in good faith in acts authorized by chapter
39. It was the Kowalskis' burden to prove either that JHACH was not
participating in good faith in authorized or required acts or that Dr.
Smith was not acting in her capacity as the CPT medical director. In
admitting evidence of Dr. Smith's actions without proper consideration of

30
the statutory immunity, the trial court relieved the Kowalskis of their
burden.
G. Punitive damages
JHACH contends that the trial court erred in denying its motion for
directed verdict on the issue of punitive damages as to the false
imprisonment and battery claims.18
"In all civil actions, the plaintiff must establish at trial, by clear and
convincing evidence, its entitlement to an award of punitive damages."
§ 768.725, Fla. Stat. (2023). And "[a] defendant may be held liable for
punitive damages only if the trier of fact, based on clear and convincing
evidence, finds that the defendant was personally guilty of intentional
misconduct or gross negligence." § 768.72(2). Clear and convincing
evidence, an intermediate burden of proof,
requires that the evidence must be found to be credible; the
facts to which the witnesses testify must be distinctly
remembered; the testimony must be precise and explicit and
the witnesses must be lacking in confusion as to the facts in
issue. The evidence must be of such weight that it produces
in the mind of the trier of fact a firm belief or conviction,
without hesitancy, as to the truth of the allegations sought to
be established.
S. Fla. Water Mgmt. Dist. v. RLI Live Oak, LLC, 139 So. 3d 869, 872 (Fla.
2014) (emphasis added) (quoting Inquiry Concerning a Judge, 645 So. 2d
398, 404 (Fla. 1994)).

18 Although our reversal of the judgment as to the October 7


through October 13 false imprisonment claim moots the issue specific to
that claim, we would have otherwise concluded that directed verdict was
warranted as to punitive damages because JHACH's actions during that
period do not meet the definition of either intentional misconduct or
gross negligence.

31
"In the case of an employer, principal, corporation, or other legal
entity, punitive damages may be imposed for the conduct of an employee
or agent only if the conduct of the employee or agent" constitutes
intentional misconduct or gross negligence and
(a) The employer, principal, corporation or other legal entity
actively and knowingly participated in such conduct;
(b) The officers, directors, or managers of the employers,
principal, corporation, or other legal entity knowingly
condoned, ratified, or consented to such conduct; or
(c) The employer, principal, corporation, or other legal entity
engaged in conduct that constituted gross negligence and
that contributed to the loss, damages, or injury suffered by
the claimant.
§ 768.72(3).
"Intentional misconduct" is defined as a "defendant ha[ving] actual
knowledge of the wrongfulness of the conduct and the high probability
that injury or damage to the claimant would result and, despite that
knowledge, intentionally pursu[ing] that course of conduct, resulting in
injury or damage." § 768.72(2)(a). "Gross negligence" is defined as
conduct "so reckless or wanting in care that it constituted a conscious
disregard or indifference to the life, safety, or rights of persons exposed to
such conduct." § 768.72(2)(b).
As to the January 6 battery and false imprisonment claims, Ms.
Bedy testified that she was told to take photographs of Maya before Maya
could leave the hospital for the dependency court hearing. The
Kowalskis presented evidence that a risk management analyst within the
risk management department of JHACH directed the actions on January
6. Evidence established that it was JHACH's policy that the risk
management department reports to senior counsel and then senior

32
counsel reports to the president of JHACH.19 Cf. Fla. Power & Light Co.
v. Dominguez, 295 So. 3d 1202, 1206 (Fla. 2d DCA 2019) (noting that a
midlevel employee had a manager of his own to whom he reported);
Fetlar, LLC v. Suarez, 230 So. 3d 97, 100 (Fla. 3d DCA 2017)
("[C]onstruction managers, superintendents, [and] construction workers .
. . were not, on the record before us, officers or managing members of the
limited liability companies . . . .").
There was no clear and convincing evidence that JHACH actively
and knowingly participated in or engaged in intentional misconduct or
gross negligence. See Dominguez, 295 So. 3d at 1205 ("[A] managing
agent is an individual like a 'president [or] primary owner' who holds a
'position with the corporation which might result in his acts being
deemed the acts of the corporation.' " (second alteration in original)
(quoting Taylor v. Gunter Trucking Co., 520 So. 2d 624, 625 (Fla. 1st DCA
1988))); cf. Fed. Ins. v. Perlmutter, 376 So. 3d 24, 38 (Fla. 4th DCA 2023)
(plaintiff failed to present evidence establishing that defendant's
employees held positions as corporate policymakers "which might result
in conduct deemed to be" the defendant corporation's acts), review
granted, No. SC2024-0058, 2024 WL 4948685 (Fla. Dec. 3, 2024); Grove
Isle Ass'n v. Lindzon, 350 So. 3d 826, 831 (Fla. 3d DCA 2022) (identifying
officer, director, or managing member as the requisite position in order
for the action to have been taken by the corporation).
Likewise, there was no clear and convincing evidence that the
actions in question in this case were relayed to senior counsel or to the
CEO, much less that anyone ratified or condoned the actions other than

19There was also evidence that JHACH's risk management


committee does not "function in real-time decisions" and meets only
quarterly.

33
the risk management analyst. " '[B]efore one may infer that a principal
ratified an unauthorized act of his agent, the evidence must demonstrate
that the principal was [f]ully informed'—beyond having simple
constructive knowledge—'and that he approved of the act.' " Cleveland
Clinic Fla. Health Sys. Nonprofit Corp. v. Oriolo, 357 So. 3d 703, 707 (Fla.
4th DCA 2023) (second alteration in original) (quoting Bach v. Fla. State
Bd. of Dentistry, 378 So. 2d 34, 36 (Fla. 1st DCA 1979)); cf. Orlando
Health, Inc. v. Mohan, 387 So. 3d 477, 481 (Fla. 5th DCA 2024). And
there was no evidence that a risk management analysist satisfies the
statutory requirement of "officer, director, or manager of employees."
Finally, to the extent that the Kowalskis argued ratification after the fact,
"actions taken after the happening of a tortious act are not admissible on
the issue of punitive damages, nor can those subsequent actions form
the basis for bringing such a damage claim." Oriolo, 357 So. 3d at 707.
In the absence of clear and convincing evidence, the issue of punitive
damages should not have gone to the jury.
As to the October 18 through October 20 false imprisonment claim,
there was no evidence that the physicians involved in moving Maya to
the EEG room had actual knowledge of the wrongfulness of the conduct
or that moving Maya into the room with video monitoring was reckless or
wanting in care. Further, like the claims for the January 6 false
imprisonment and battery, there was no evidence presented that JHACH
participated in the actions or that the officers, directors, or managers of
JHACH condoned or ratified the conduct. Cf. McLane Foodservice Inc. v.
Wool, 400 So. 3d 757, 763 (Fla. 3d DCA 2024) ("[T]he admission that
Wool has no idea if management (at any level) was ever notified of the
calls and emails destroys any basis to ground a claim for punitive
damages against McLane Foodservice. . . . Wool makes no allegation that

34
any managing agent of the employer was aware of customer complaints
regarding the stacking of boxes at her restaurant location, let alone that
they endorsed, approved, or willfully disregarded any unreasonable
risk."); Hosp. Specialists, P.A. v. Deen, 373 So. 3d 1283, 1290 (Fla. 5th
DCA 2023) (concluding that there was insufficient record evidence to
establish that treating physician "knew that there was a high probability
that additional injury or damage" would result to patient or that treating
physician, as president of hospital, condoned or ratified actions taken).
The trial court erred in submitting the punitive damages claims to
the jury.
H. Fraudulent billing
The trial court denied JHACH's motion for directed verdict on Mr.
Kowalski's claim that JHACH fraudulently billed the Kowalskis' health
insurance carrier by using a billing code for CRPS. To survive directed
verdict, Mr. Kowalski had to establish that JHACH made a false
statement concerning a material fact in the bills to Mr. Kowalski and his
insurance company, that JHACH knew the statement was false when it
made it, that JHACH intended that Mr. Kowalski or his insurer would
rely upon the false statement, and that Mr. Kowalski or his insurer was
injured as a result of that reliance. See Butler v. Yusem, 44 So. 3d 102,
105 (Fla. 2010) ("[T]here are four elements of fraudulent
misrepresentation: (1) a false statement concerning a material fact; (2)
the representor's knowledge that the representation is false; (3) an
intention that the representation induce another to act on it; and (4)
consequent injury by the party acting in reliance on the representation."
(quoting Johnson v. Davis, 480 So. 2d 625, 627 (Fla. 1985))). "Generally
speaking, to satisfy the element of an injury, the claimant must establish
that he or she has sustained pecuniary damage or injury by which he or

35
she has been placed in a worse position than he or she would have been
absent the fraud." Hoy, 136 So. 3d at 651 (citing 37 C.J.S. Fraud § 68
(2013)).
JHACH contends that the trial court erred in denying its motion for
directed verdict where Mr. Kowalski presented no evidence that JHACH
made a false statement of material fact in billing Mr. Kowalski's
insurance carrier under a code for CRPS and he presented no evidence of
damages. We agree.
There is no dispute that Maya was admitted to JHACH having
already been diagnosed with CRPS by another physician. The dispute
concerns JHACH's billing of the Kowalskis' insurer where, according to
Mr. Kowalski, the hospital did not believe that Maya had CRPS and did
not treat Maya for CRPS. Evidence of JHACH's billing was introduced, as
was evidence of payments by the insurer. However, Mr. Kowalski
presented no evidence that JHACH's bills included false statements.
That is, Mr. Kowalski presented no evidence that JHACH billed for
services or treatments it did not perform or that it billed under a
diagnosis that Maya did not have. JHACH's bills included as many as
twelve diagnosis codes, and Mr. Kowalski was unable to testify what
percentage of the insurer reimbursement was for CRPS versus the other
codes, including nutrition, endoscopy, and child neglect/abandonment.
Further, Mr. Kowalski presented no evidence that he suffered
pecuniary injury for the alleged fraudulent billing; he presented no
evidence that he was billed for treatment, whether as deductible, copay,
or balance payment, that was associated with a CRPS diagnosis. In fact,
Mr. Kowalski concedes in this appeal that "[n]o damages in the form of
increased co-pays, premiums or deductibles were proven at trial."

36
Moreover, in closing argument, counsel for Mr. Kowalski suggested
that the jurors award $1 in nominal damages for this claim unless they
found evidence of an increase in insurance costs or copays. Postverdict,
Mr. Kowalski agreed to remit the jury award to $2 because Mr. Kowalski
requested damages only for "deductibles or co-pays incurred" and
"difficulty of finding insurance in the future" in the operative complaint
and such damages were not proven. Where the claimant "is unable to
prove that he or she was injured by the alleged misrepresentation, the
trial court must grant a directed verdict on the claim." Hoy, 136 So. 3d
at 651.20
The trial court erred in denying JHACH's motion for directed verdict
on this claim.
I. New trial
The complexities in this case are only more complicated by the
existence of immunity pursuant to section 39.203(1)(a). JHACH
contends, as it did below, that the trial court's error in interpreting
section 39.203 pervades not only the court's evidentiary rulings but the
trial itself such that a new trial on all remaining counts is necessary. 21

20 Despite the concession that no pecuniary damages for fraudulent


billing were proven at trial, counsel for the Kowalskis suggests that the
trial court correctly denied the motion for directed verdict because "[t]he
jury was entitled to consider Mr. Kowalski's loss of Mrs. Kowalski as
billing fraud damages" and "Mr. Kowalski's loss of Mrs. Kowalski would
have reasonably supported a verdict of five million dollars for billing
fraud." No authority is cited for this argument, and we have found no
basis in the law to support it.
21We do not address whether those claims survive on remand
under a correct application of section 39.203(1)(a) immunity or
otherwise. We would exceed our function were we to give an opinion on
the merits of any of the claims for which a new trial is required; it is
incumbent upon the parties to present the case anew and for the trial

37
As discussed herein, we agree. Moreover, "[t]he totality of all errors and
improprieties, including those not discussed herein, was pervasive
enough to raise doubts as to the overall fairness of the trial court
proceedings." Manhardt, 832 So. 2d at 132.22
III. Conclusion
The final judgment in favor of the Kowalskis is reversed. On
remand, only the IIED claim brought on behalf of Maya and the
remaining false imprisonment, battery, and medical negligence claims
may be retried.
Reversed and remanded with instructions.
LaROSE, J., Concurs.
SMITH, J., Concurs specially.

SMITH, Judge, Specially concurring.


I concur in the majority opinion but write separately to elaborate on
the discrete issue of whether JHACH was entitled to judgment as a
matter of law on the threshold issue of "outrageousness" on Maya's claim
for intentional infliction of emotional distress (IIED).
Maya, age ten, presented to the hospital with a pain score of ten
out of ten. Ms. Bedy, a licensed clinical social worker employed by the

court to rule on the evidence and issues arising therefrom and presented
to it. Cf. DiMare, Inc. v. Robertson, 758 So. 2d 1193, 1194 (Fla. 3d DCA
2000) ("We decline to address events which may or may not occur at the
retrial of this case."); Marsh v. State, 112 So. 2d 60, 63 (Fla. 1st DCA
1959) (Sturgis, C.J., concurring) ("The new trial, which our action
envisions, should be neither prejudiced nor watered down by . . . obiter
dicta . . . .").
22 We need not address every argument raised by JHACH on appeal

in order to reverse for a new trial, and nothing in this opinion should be
construed as a determination on the merits of the unreached issues.

38
hospital, was in charge of overseeing and making sure that JHACH
followed the dependency court orders, including the monitoring of
hospital visits and phone conversations with Maya's friends and family,
including her mother. Ms. Bedy spent considerable time with Maya,
overseeing her care, including her physical therapy and taking Maya to
the hospital chapel. She testified that Maya was in her wheelchair
ninety-five percent of the time that she saw her. She also testified that
Maya told her that "she was furious, angry, and in pain. She told Ms.
Bedy she can't talk [to] or trust anyone." Ms. Bedy was privy to emails
that highlighted the hospital's concerns that Maya was "self-mutilating."
Maya maintained throughout her stay in the hospital that she was in
debilitating pain and testified that she was worse off at the time of her
discharge than when she presented to the hospital. Maya also
complained that her CRPS lesions returned while she was in the hospital
and were causing her pain. This is all to say that Maya was a patient, in
pain, in a vulnerable state—not only because she was a patient dealing
with debilitating pain, but also because of her tender age of ten.
From this evidence, a case was made by Maya that Ms. Bedy took
advantage of Maya's circumstances and her vulnerable state; she lied to
Maya that Maya's mother was getting mental health treatment, telling
Maya that she may have to go into medical foster care and that Ms. Bedy
could be her mother while she was in foster care. She further lied to
Maya and used things that Maya enjoyed to encourage Maya to do better
at physical therapy, but instead of rewarding her she would stomp and
leave the room saying that Maya did not do well enough.
Maya also established at trial, through her own testimony, that the
nurses spoke loud enough for Maya to overhear that they believed that
her mom was causing her symptoms. Maya testified that the nurses

39
berated her and accused her of faking her ailments. She stated that a
bedside toilet was placed far from her bed so that she could not reach it
without walking—which she could not do. Maya would call for help to go
to the bathroom, but no one would come in and take her, so she was
forced to wet or soil herself in bed or otherwise fall and injure herself.
Maya testified that the statements and actions of the nurses and Ms.
Bedy were done to break her down and prove and/or force her to admit
that she was faking her symptoms.
Maya pleaded, in her eighth amended complaint, an IIED claim,
alleging these behaviors caused severe emotional distress and bodily
harm. The complaint specifically referenced Maya's vulnerability as a
minor while she was a patient at JHACH, alleging: "The Defendants'
offenses are aggravated by the fact that Maya was a minor during the
time of this outrageous conduct."
The tort of IIED was first recognized by the Florida Supreme Court
in Metropolitan Life Insurance v. McCarson, 467 So. 2d 277, 278 (Fla.
1985). In Metropolitan, the court set out the four-part test as defined by
section 46, Restatement (Second) of Torts (1965): (1) deliberate or
reckless infliction of mental suffering; (2) outrageous conduct; (3) the
conduct caused the emotional distress; and (4) the distress was severe.
This appeal concerns prong two as discussed in the initial brief and
majority opinion, and so I only address this prong.
Florida courts have long recognized severe emotional distress
claims by vulnerable individuals under section 46, Restatement (Second)
of Torts (1965). Prior to Metropolitan, the Third District recognized that
statements to a child of "tender years" can cause severe emotional
distress under section 46. See Korbin v. Berlin, 177 So. 2d 551, 553 (Fla.
3d DCA 1965). In Korbin, the court reversed the dismissal of a severe

40
emotional distress claim brought under section 46 of the Restatement of
the Law of Torts (1948 supplement) by a guardian on behalf of a six-year-
old child against the defendant. Id. at 552-53. The defendant was
alleged to have approached the child and said "Do you know that your
mother took a man away from his wife? Do you know God is going to
punish them? Do you know that a man is sleeping in your mother's
room? . . . God will punish them." The question posed by the court was
"whether what was said to the child was intended or reasonably
calculated to cause the child 'severe emotional distress.' " Id. at 553.
The court answered that question in the affirmative, holding:
The alleged statements and the manner and circumstances
under which they were communicated . . . to the child leave
little room to doubt they were made with a purpose and intent
to shame her, and to shock the sensibilities of this child of
tender years. Relating, as they did, to the child's mother, the
content and import of the statements were such that it
cannot be said as a matter of law that this alleged deliberately
harmful act was not one "calculated to cause 'severe
emotional distress' to a person [child] of ordinary
sensibilities."
Id. (alteration in original).
Following Metropolitan, the Fifth District, in McAlpin v. Sokolay, 596
So. 2d 1266 (Fla. 5th DCA 1992), recognized an IIED claim by a
vulnerable patient against a health care provider. In McAlpin, the
complaint alleged that the adult patient went to the hospital for an x-ray
for her swallowing condition that caused speech difficulty and panic
during attacks. Id. at 1267. Upon entering the x-ray area, the patient
was verbally assaulted by a hospital physician who claimed that because
the patient owed the physician's friend money, the patient would not pay
the hospital bill; the physician threatened to have the patient removed
from the hospital. Id. The complaint further alleged that the "actions of

41
[the physician] were designed and did take advantage of the vulnerability
of [the patient], submitting as she was to diagnostic tests while in fear for
her health and depending for comfort and solace upon the caring and
supporting atmosphere to be generated by [the hospital]." Id. at 1268.
The trial court in McAlpin granted the physician's motion to dismiss
with prejudice, finding that the physician's demand for the patient to pay
the friend's bill, while "albeit not a favored method," was not sufficiently
outrageous to rise to the level of an IIED claim. Id. at 1269. The Fifth
District disagreed, holding that "the allegations of the complaint, if
proved, support [the patient's] argument that a jury as the trier of fact
could find that the [physician's] conduct was reckless and utterly
outrageous in a civilized community. . . . [The physician] acted in
deliberate disregard of the high degree of probability that emotional
distress would follow." Id. at 1269 (citing Restatement (Second) of Torts
§ 46 comment I (1965)). In so holding, the district court reversed the
dismissal of the IIED claim, recognizing the special relationship between
a physician and a patient and that the actions of the physician met "the
threshold test of extreme conduct which would cause an average member
of the community to exclaim, 'Outrageous!' " Id. at 1270.
This court has indeed held that "[t]he extreme and outrageous
character of the conduct may arise from the actor's knowledge that the
other is peculiarly susceptible to emotional distress, by reason of some
physical or mental condition or peculiarity." Liberty Mutual Insurance v.
Steadman, 968 So. 2d 592, 595 (Fla. 2d DCA 2007) (quoting Restatement
(Second) of Torts § 46 comment f). In Steadman, this court found
instructive comment "f" to section 46 of the Restatement (Second) of
Torts, "because it explains how knowledge of a person's particular
susceptibility to emotional distress is relevant to determining whether

42
the conduct is sufficiently extreme and outrageous to constitute
intentional infliction of emotional distress." Id.; see also Anderson v.
Prease, 445 A.2d 612, 613 (D.C. 1982) (affirming judgment for plaintiff
following a bench trial where physician cursed and screamed at patient,
who was known by the physician to be susceptible to emotional distress).
Comment "f" reads:
The extreme and outrageous character of the conduct may
arise from the actor's knowledge that the other is peculiarly
susceptible to emotional distress, by reason of some physical
or mental condition or peculiarity. The conduct may become
heartless, flagrant, and outrageous when the actor proceeds
in the face of such knowledge, where it would not be so if he
did not know. It must be emphasized again, however, that
major outrage is essential to the tort; and the mere fact that
the actor knows that the other will regard the conduct as
insulting, or will have his feelings hurt, is not enough.
Steadman, 968 So. 2d at 595-96. The Steadman court viewed the facts
of that case collectively and not in isolation, holding that the actions of
the insurance company delaying the authorization of the insured's
double lung transplant was outrageous where it was ordered by the
Judge of Compensation Claims to pay the claim but delayed payment
knowing that the insured would not outlive the delay, and it would not
have to pay. Id. at 595.
We must acknowledge that the "unequal position of the parties in a
relationship, where one asserts and has the power to affect the interests
of the other, may also supply the heightened degree of outrageousness
required for a claim of" IIED. Id. at 596. IIED claims exist where one is
susceptible to emotional distress or due to the unequal positions of the
parties and this was raised by the Kowalskis in the eighth amended
complaint. Specifically, the complaint asserted that Maya, aged ten, was
sheltered and placed in the care and custody of JHACH, that JHACH was

43
charged with "looking out for the best interests of Maya while in their
care," and that Maya was isolated from her family, friends, schoolmates,
and priest. I believe the allegations pleaded in the eighth amended
complaint, and as more fully developed at trial, support Maya's theory of
recovery for IIED under both comment "f" and "i" of section 46,
Restatement (Second) of Torts. What is "odious and utterly intolerable in
a civilized community" about the conduct here is that a licensed social
worker in charge of the care of her patient should not lie and tell her
patient, especially a patient of such a young age, that her mother, who
has cared for her, is getting mental health treatment and will not be able
to care for her in the near future, instead consoling the child that she
will be fine in foster care where that social worker can be her mother.
Further, the berating by the nurses that Maya was faking her symptoms
is equally "odious and utterly intolerable in a civilized community,"
especially given Maya's physical condition and their knowing that Maya
believed herself to be suffering from CRPS.
Just as the patient in McAlpin went to the physician for an x-ray for
her medical problems and instead received verbal abuse, Maya too went
to the hospital for debilitating pain and treatment, only to be broken
down, mentally abused, and berated by Ms. Bedy and the hospital
nurses who were in a position to facilitate her care and treatment. Based
upon Maya's mental and physical condition, Ms. Bedy and the nurses
acted in deliberate disregard of the high degree of probability that
emotional distress would follow. The common thread amongst the cases
upholding the "outrageousness" prong is the shockingness of the
statement(s) given the unique circumstances in which those statements
were made.

44
It is my opinion the trial judge will have to weigh whether or not
some of the facts that fall within the chapter 39 immunity would be
relevant and admissible on retrial as they relate to Maya's IIED claims.
When considering a claim for IIED, the facts of that specific case must be
considered. See Thomas v. Hosp. Bd. of Directors of Lee Cnty., 41 So. 3d
246, 256 (Fla. 2d DCA 2010) (applying the facts of that specific case to
reverse the dismissal of an IIED claim, holding "in a situation where a
person's loved one has died, it would be apparent to anyone that the
person would be susceptible to emotional distress and, therefore, that
the action of providing false information concerning the loved one's cause
of death meets the standard for" an IIED claim); see also Williams v. City
of Minneola, 575 So. 2d 683, 691 (Fla. 5th DCA 1991) (noting that there
are times where "behavior which in other circumstances might be merely
insulting, frivolous, or careless becomes indecent, outrageous and
intolerable").
While I agree that some of the actions taken by Ms. Bedy, the
nurses, and others related to JHACH are entitled to immunity under
chapter 39 and that the battery, false imprisonment, and medical
malpractice claims cannot be used to meet the legal threshold for Maya's
IIED claim, I also agree with the argument raised by Maya in her brief
that "[c]hapter 39 did not authorize or protect [acts of intentional
infliction of emotional distress]—especially when committed by
healthcare provider, to whom vulnerable people look for care."
(Emphasis added.) And I believe that some of the information related to
Maya's shelter and the dependency court's orders would be relevant and
admissible to the extent that information is required to give the jury a
full picture of the circumstances at the time. It is hard to imagine a
civilized community that accepts the actions of Ms. Bedy, a licensed

45
social worker, and the nurses as "good faith" participation in the
requirements of chapter 39. To be sure, JHACH makes no attempt to
cast such a broad net to include these actions as privileged under
chapter 39, and, in fact, agreed at oral argument that the chapter 39
immunity was not absolute.
However, even after stripping Maya's IIED allegations of the
offending claims and immunity-entitled evidence, there remains
competent substantial evidence supporting the trial court's finding that
Maya's IIED claim met the high bar of "outrageousness."23
These health care providers were in charge of caring for and
treating Maya. Instead, they exploited their positions with full knowledge
that Maya, a ten-year-old child, would not be able to endure such
outrageous conduct and undoubtedly suffer severe emotional distress as
a result.
The cases finding conduct outrageous are no different than the
actions taken in Maya's case. In fact, Maya's case, given her vulnerable
age paired with her special relationship as a patient under the care of
Ms. Bedy and the nurses, is a more compelling one "which would cause
an average member of the community to exclaim, 'Outrageous!' " See
McAlpin, 596 So. 2d at 1270.

23JHACH counters some of this evidence, but weighing that


evidence against Maya's evidence is a jury question not to be resolved on
a directed verdict motion or, for that matter, in determining whether the
alleged actions and statements met the threshold inquiry. Moisan v.
Frank K. Kriz, Jr., M.D., P.A., 531 So. 2d 398, 399 (Fla. 2d DCA 1988) ("In
ruling on [a motion for directed verdict], the trial court may not weigh the
evidence or assess a witness's credibility and must deny the motion if the
evidence is conflicting or if different conclusions and inferences can be
drawn from it.").

46
For these reasons, I agree that Maya's IIED claim should be retried
with the remainder of the counts.

Opinion subject to revision prior to official publication.

47

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