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Andary v. USAA Cas. Ins. Co.

Court of Appeals of Michigan
Aug 25, 2022
No. 356487 (Mich. Ct. App. Aug. 25, 2022)

Opinion

356487

08-25-2022

ELLEN M. ANDARY, a Legally Incapacitated Person, by and through her Conservator and Guardian, MICHAEL T. ANDARY, M.D., PHILIP KRUEGER, a Legally Incapacitated Person, by and through his Guardian, RONALD KRUEGER, and MORIAH, INC., doing business as EISENHOWER CENTER, Plaintiffs-Appellants, v. USAA CASUALTY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA, Defendants-Appellees.


Ingham Circuit Court LC No. 19-000738-CZ

Before: MARKEY, P.J., and SHAPIRO and PATEL, JJ.

SHAPIRO, J.

The question in this case is whether legislative amendments to the no-fault act, MCL 500.3101 et seq., limiting reimbursement for expenses covered by personal protection insurance apply retroactively so as to limit benefits to those injured before the effective date of the amendments. We conclude that they do not because the Legislature did not clearly demonstrate an intent for the amendments to apply retroactively to persons injured in pre-amendment accidents. We further conclude that even if retroactive intent had been demonstrated, imposing the new limits would substantially impair no-fault insurance contracts entered into before the amendments' effective date, and therefore would violate the Contracts Clause of the Michigan Constitution.

I. BACKGROUND

Since the inception of the no-fault act in 1973, Michigan law has required that personal protection insurance (PIP) policies provide for payment of "all reasonable charges incurred for reasonably necessary products, services and accommodations for an injured person's care, recovery or rehabilitation." MCL 500.3107(1)(a). Previously, the rates of reimbursement were limited only by what constituted "reasonable" and "customarily charge[d]" fees. MCL 500.3157, as enacted by 1972 PA 294. And there was no cap on the amount of attendant care that could be provided by family.

Effective June 11, 2019, the Legislature enacted 2019 PA 21 and 2019 PA 22, both of which made significant amendments to the no-fault act. Relevant to this case, 2019 PA 21 amended MCL 500.3157 to include fee schedules limiting a medical provider's reimbursement amount. This case specifically concerns MCL 500.3157(7), which caps a provider's reimbursement for services not covered by Medicare to 55 percent of the fees charged as of January 1, 2019. Also at issue is MCL 500.3157(10), which limited the reimbursable hours of family-provided attendant care to 56 hours per week.

The fee schedules went into effect on July 1, 2021. See MCL 500.3157(2); MCL 500.3157(7)(a)(i).

More specifically, MCL 500.3157(7)(a) provides that, if MCL 500.3157(2) applies, and the treatment or rehabilitative training is not compensable by Medicare,

the applicable following percentage of the amount payable for the treatment or training under the person's charge description master in effect on January 1, 2019 or, if the person did not have a charge description master on that date, the applicable following percentage of the average amount the person charged for the treatment on January 1, 2019:
(i) For treatment or training rendered after July 1, 2021 and before July 2, 2022, 55%.
(ii) For treatment or training rendered after July 1, 2022 and before July 2, 2023, 54%.
(iii) For treatment or training rendered after July 1, 2023, 52.5%. [MCL 500.3157(7)(a).]

MCL 500.3157(10) provides in part that "[f]or attendant care rendered in the injured person's home, an insurer is only required to pay benefits for attendant care up to the hourly limitation in section 315 of the worker's disability compensation act of 1969, 1969 PA 317, MCL 418.315." In turn, MCL 418.315 provides that "[a]ttendant or nursing care shall not be ordered in excess of 56 hours per week if the care is to be provided by the employee's spouse, brother, sister, child, parent, or any combination of these persons."

Plaintiffs Ellen Andary and Philip Krueger are individuals who suffered traumatic brain injuries in motor vehicle accidents prior to June 11, 2019. Both Andary and Krueger are permanently disabled as a result of their respective accidents. Andary requires 24-hour in-home attendant care, most of which is performed by family members. Krueger is a patient at plaintiff Eisenhower Center, which provides inpatient living accommodations and rehabilitative services to individuals with traumatic brain injuries. The vast majority of the residential patients at Eisenhower Center are victims of motor vehicle accidents, and the services Eisenhower Center provides to them are reimbursed through the no-fault system. Most of the services performed by Eisenhower Center are not compensable under Medicare, however.

The defendants in this case are the insurers responsible for providing no-fault benefits to the two injured plaintiffs, respectively. At the time of their respective accidents, Andary was covered under a PIP policy issued by defendant USAA Casualty Insurance Company; Krueger was covered under a PIP policy issued by defendant Citizens Insurance Company of America.

In this declaratory action, the injured plaintiffs assert that because they (1) were injured prior to the effective date of 2019 PA 21, and (2) have vested contractual rights under the policy in effect when they were injured, they are not subject to 2019 PA 21's limitations on benefits and payment contained in MCL 500.3157(7) and (10). Plaintiffs further argue that the limitations on payments violate the Contracts Clause of the Michigan Constitution and their constitutional rights to equal protection and due process. In lieu of filing an answer, defendants filed a motion for summary disposition under MCR 2.116(C)(8) (failure to state a claim). They argue that regardless of when Andary's and Krueger's injuries occurred, they are subject to the newly enacted limitations of MCL 500.3157, and that this does not violate that Contracts Clause or any other constitutional provision. Defendants also assert that no factual development is necessary to consider plaintiffs' constitutional challenges to the future application of the 2019 amendments. The trial court agreed with defendants and granted them summary disposition as to all counts. The court also denied plaintiffs' motion to amend the complaint to include a breach-of-contract claim. This appeal followed.

We review de novo a trial court's decision on a motion for summary disposition. See Spiek v Dep't of Transp, 456 Mich. 331, 337; 572 N.W.2d 201 (1998). A motion under MCR 2.116(C)(8) tests the legal sufficiency of a complaint by the pleadings alone. Patterson v Kleiman, 447 Mich. 429, 432; 526 N.W.2d 879 (1994). All well-pleaded factual allegations are accepted as true, as well as any reasonable inferences or conclusions that can be drawn from the allegations. Peters v Dep't of Corrections, 215 Mich.App. 485, 486; 546 N.W.2d 668 (1996). We also review de no whether a statute applies retroactively, see Johnson v Pastoriza, 491 Mich. 417, 428-429; 818 N.W.2d 279 (2021), and questions of constitutional law, Janer v Barnes, 288 Mich.App. 735, 737; 795 N.W.2d 183 (2010).

II. DISCUSSION

A. RETROACTIVITY

The first question presented by this appeal is whether the Legislature intended MCL 500.3157(7) and (10) to apply retroactively to those injured before 2019 PA 21's effective date.

Statutes and amendments of statutes are presumed to operate prospectively. Davis v State Employees' Retirement Bd, 272 Mich.App. 151, 155; 725 N.W.2d 56 (2006). To overcome this presumption, the Legislature must clearly manifest an intent for retroactive application. Johnson v Pastoriza, 491 Mich. 417, 429; 818 N.W.2d 279 (2012). As stated by this Court in Davis, 272 Mich.App. at 155, "[t]he Legislature's expression of an intent to have a statute apply retroactively must be clear, direct, and unequivocal as appears from the context of the statute itself." (Emphasis added). Given the presumption against retroactive application of statutory amendments, courts commonly apply the version of the no-fault act in effect at the time of the accident. See e.g., Fuller v GEICO Indemnity Co, 309 Mich.App. 495, 501; 872 N.W.2d 504 (2015) (applying the definition of "registrant," MCL 500.3101(2)(i), in effect "at the time of the accident . . . ").

See also Hmeidan v State Farm Mut Auto Ins Co, unpublished per curiam opinion of the Court of Appeals, issued November 18, 2021 (Docket No. 351670), p 2 (holding that the trial court "erred by failing to apply the version of MCL 500.3113(a) in effect at the time of plaintiff's accident . . . ."); Mullen v Progressive Marathon Ins Co, unpublished per curiam opinion of the Court of Appeals, issued October 22, 2020 (Docket No. 350015), p 7 n 1 (noting that "2019 PA 21 amended many of the statutes at issue in this case," but applying the version of the no-fault act "in effect at the time of plaintiff's accident."). Although not binding precedent, a court may consider unpublished opinions for their instructive or persuasive value. Cox v Harman, 322 Mich.App. 292, 307; 911 N.W.2d 219 (2017). We also note that in Jones v Esurance Ins Co (After Remand), unpublished per curiam opinion of the Court of Appeals, issued February 25, 2021 (Docket No. 351772), p 6, this Court agreed with the defendant insurer that 2019 PA 21's amendment to MCL 500.3145 adding a statutory tolling provision to the one-year-back rule did not apply retroactively.

Defendants argue that the Legislature clearly stated its intention in 2019 PA 21 for the newly imposed limits contained within MCL 500.3157 to apply to those injured before their effective date. However, defendants fail to identify any language within chapter 31 of the Michigan Insurance Code, i.e., the no-fault act, so indicating, either explicitly or by implication. Indeed, 2019 PA 21 provided an effective date of June 11, 2019, and it contains no language referring to retroactive application. See Brewer v AD Transport Exp, Inc, 486 Mich. 50, 56; 782 N.W.2d 475 (2010) ("[P]roviding a specific, future effective date and omitting any reference to retroactivity supports a conclusion that a statute should be applied prospectively only.") (quotation marks and citation omitted).

Defendants direct this Court only to 2019 PA 21's inclusion of a new provision, MCL 500.2111f, within chapter 21 of the Insurance Code, which they assert demonstrates an intent to retroactively apply the amendments by implication. We disagree. Chapter 21 of the Insurance Code does not define the benefits and payments that must be provided to no-fault policy beneficiaries. Rather, MCL 500.2111f merely defines how premium rates are to be determined under the new no-fault scheme. Defendants specifically rely on MCL 500.2111f(8), which provides that in its rate filings, "An insurer shall pass on . . . savings realized from the application of section 3157(2) to (12) to treatment, products, services, accommodations, or training rendered to individuals who suffered accidental bodily injury from motor vehicle accidents that occurred before July 2, 2019." But this rate-setting provision does not mandate that the limits on benefits provided in MCL 500.3157 shall be applied to persons injured before its effective date. And the claim that it does so by implication is very weak. The statute merely provides that if there are such savings, they must be used to reduce future rates. Whether such savings will occur is not defined by this statute. For these reasons, we conclude that MCL 500.2111f does not "clearly, directly and unequivocally" demonstrate an intent to apply the new limits retroactively. Davis, 272 Mich.App. at 155.

We note that our view of the amendments' prospective application is consistent with the one expressed by the Director of the Michigan Department of Insurance and Financial Services (DIFS) at a videotaped town hall meeting after the no-fault amendments were adopted. The Director was asked by a participant whether her sister, who was injured before the effective date of the amendments, would lose her unlimited benefits. The Director responded:

[T]he answer for that is that that's one of the big differences between healthcare and auto insurance. We know that with your health insurance if you have it today you go to the doctor you have coverage and they'll pay all or some of your cost, but if you lose your job or your health care today and tomorrow you go, you have no coverage. With auto insurance it vests or becomes fixed at the benefit on the day of your accident. So your sister having lifetime medical under that policy, will forever have unlimited coverage for the medical costs associated with that accident as long as she needs them. So you're under the old law, and under the current law, it's the date of the accident and the coverage that was in place [on that date] that matters for what kind of coverage you have. [<https://www.youtube.com/watch?v=gBhlWJ6Cn_0&t=2958s> at 48:25 to 49:32 (accessed August 17, 2022) (emphasis added; minor, nonsubstantive edits were made to the DIFS Director's answer for readability).]
Despite the Director's view expressed at the town hall meeting, the DIFS has filed an amicus brief in this case supporting defendants' position. The DIFS amicus brief does not explain why its position is contrary to the stated view of its Director or how the Director could have failed to perceive what the DIFS now asserts was clear, direct and unequivocal legislative intent to apply the new limits to those injured before its effective date.

As stated, defendants do not identify any language within Chapter 31 itself mandating application of benefit reductions to those injured prior to 2019 PA 21's effective date, either explicitly or implicitly. Had the Legislature wished to overcome the presumption against retroactivity, it surely could have expressed its intent plainly, directly and unequivocally, but it did not do so. We will not find legislative intent to apply the new benefit limitations to those injured prior to 2019 PA 21's effective date based solely on a rate-setting provision that does not mandate it.

While our use of legislative bill analyses is limited, see Frank W Lynch v Flex Technologies, Inc, 463 Mich. 578, 587; 624 N.W.2d 180 (2001), we cannot help but note that in the scores of pages issued by the Legislative Service Bureau regarding 2019 PA 21, no reference is made to application of the newly imposed limits to those who were injured prior to its adoption. Nor do they refer to MCL 500.2111f as mandating such application.

Defendants alternatively argue that the issue of retroactivity is a red herring because the benefit reductions apply only to claims made after the amendments' effective date. But this argument runs afoul of the principle defined in LaFontaine Saline, Inc v Chrysler Group, LLC, 496 Mich. 26; 852 N.W.2d 78 (2014).

LaFontaine concerned the applicable "market area" of an automobile dealership, i.e., the size of the area around the dealership in which a manufacturer could not establish a new dealership without notifying the existing dealer, who then had a right to object. Id. at 28. When the plaintiff dealership was established in 2007, the relevant radius of each dealer's market area was defined by statute as six miles. Id. at 29. However, in 2010 the Legislature passed an amendment which- to the dealers' benefit-expanded this area to nine miles. Id. at 28. The question as to which limit applied arose in LaFontaine because the defendant manufacturer case sought to establish a new dealership more than six miles but less than nine miles away from the plaintiff. Id. at 30-31. The manufacturer argued that the 2010 amendment did not apply because the new statute could not be applied retroactively to a dealer agreement entered into before the amendment's effective date. See id. at 32.

The 2007 dealer agreement between the parties did not contain any limits on the manufacturer's ability to open additional nearby dealerships. Id. at 37-38. Accordingly, the issue was solely whether the statute applied retroactively and did not involve a claim of breach of contract or violation of the Contracts Clause. As the Supreme Court noted, "any right [the dealer] has against encroachment by like-line dealers is a creature of statute." Id. at 38. In other words, the only question was whether the amended statute applied going forward to all dealerships, or whether those operating before the 2010 amendment were only entitled to the protections afforded by the pre-amendment statute.

The Supreme Court first determined that "nothing in the language of [the amended statute] suggests the legislative intent that the law apply retroactively." Id. at 39. The Court reasoned that "[t]he Legislature knows how to make clear its intention that a statute apply retroactively," and the lack of such explicit language "undermines any argument that [the amendment] was intended to apply retroactively." Id. at 39-40 (quotation marks and citation omitted). Relevant to defendants' argument in this case, the Court was not persuaded by the dealer's contention that retroactivity was not at issue because it did not invoke the protection afforded by the 2010 amendment until after it went into effect. Id. at 40. See also id. at 31-32. Significantly, the Court held that to apply the nine-mile rather than six-mile limit would constitute retroactive application of the 2010 amendment, even though the new dealership would not be established until after the amendment's effective date. See id. at 40-41. The Court explained that the question of retroactivity concerned whether application of the 2010 amendment would "create a new liability in connection with a past transaction," i.e., the parties' 2007 agreement. Id. at 41 (quotation marks and citation omitted). The Court then determined that the amendment would impose a "new obligation" on the manufacturer that it

The Court noted that when adopting other amendments to the Motor Vehicle Dealer Act (MVDA), MCL 445.1561 et seq., the Legislature had included language "explicit[ly] provid[ing] that they apply to pre-existing contracts." LaFontaine, 496 Mich. at 39.

A sub-issue in LaFontaine concerned whether the manufacturer's "Letter of Intent to Add Vehicle Line" (LOI) with the new dealer, which was signed before the amendment's effective date, constituted a dealer agreement. If so, then that agreement, being entered into before the amendment became effective would be subject to the six-mile limit. However, the Supreme Court held that the LOI was at most "an agreement to agree" and so was irrelevant, and the relevant date was that on which the manufacturer actually entered into a dealer agreement with a new dealership. See LaFontaine, 496 Mich. at 36-37.

did not bargain for or contemplate this obligation at the time of its 2007 Dealer Agreement . . . when the [the pre-amendment statute] imposed only a relevant market area of six miles. Rather, [the manufacturer] had the settled expectation at the time of its 2007 agreement that it could establish a like-line dealership anywhere outside a six-mile radius of [the dealer's] place of business. [Id. at 40-41 (emphasis added).]

Just as in LaFontaine, defendants' argument that the amendments are prospective because they will apply only to benefit claims made after July 1, 2021, misses the mark. It was immaterial in LaFontaine that the dealer was seeking to invoke the 2010 amendment after its effective date. Instead, the Court was concerned with how the application of the amended statute-even as to future events-would affect the rights and obligations established by the prior statute. This is because a retroactivity analysis requires courts to determine whether applying the new statute will "impair vested rights acquired under existing laws or create new obligations or duties with respect to transactions or considerations already past." LaFontaine, 496 Mich. at 39. As noted in LaFontaine, retroactive application of legislation "presents problems of unfairness . . . because it can deprive citizens of legitimate expectations and upset settled transactions." Id. at 38 (quotation marks and citation omitted). See also Nash v Robinson, 226 Mich. 146, 149; 197 N.W. 522 (1924) ("Courts, as a rule, are loath to give retroactive effect to statutes and this is especially so when, by so doing, it would disturb contractual or vested rights."). Accordingly, in this case, we must examine how the application of MCL 500.3157(7) and (10) to those injured before 2019 PA 21's effective date would impair the parties' pre-amendment rights and obligations.

On the date of the accidents, the recovery of PIP benefits for an injured person's care, recovery or rehabilitation was limited only by the reasonableness and necessity of the provider's customary charges. See MCL 500.3107(1); former MCL 500.3157. These statutory provisions were expressly referenced or incorporated into the pre-amendment no-fault policies. See LaFontaine, 496 Mich. at 35-36. Therefore, insureds and those whose benefits are provided by their policies had a legitimate expectation that should they be injured in a motor vehicle accident, they would receive unlimited lifetime benefits, so long as the charges were reasonable and the care reasonably necessary. These individuals "did not bargain for or contemplate," id. at 26, that limits would be placed on the amount of attendant care family members can provide an injured person, or that treatment not compensable by Medicare would be limited to 55 percent reimbursement from the insurer. And these new limitations do not create minor or collateral effects on those settled expectations; to the contrary, they directly and drastically limit the ability of motor vehicle accident victims to continue to obtain the care they require. Indeed, accident victims and those who care for them have relied on these benefits for nearly 50 years. Severely injured individuals and their families have made long-term life changes based on the pre-amendment nofault act. Some in reliance on the promise of unlimited PIP benefits may have foregone the opportunity to make alternative arrangements in the event of catastrophic injury (e.g., purchase of disability or accidental injury insurance) as a substitute. And some family members providing attendant care have chosen to leave employment and forego income and careers so that their loved one may be cared for at home by family rather than in an inpatient care facility. Finally, the number of catastrophically injured individuals that would be affected by retroactive application of the amendments is by no means de minimis. According to the Michigan Catastrophic Claims Association (MCCA), there are more than 17,000 victims of pre-amendment auto accidents whose benefits would be cut.

Krueger's and Andary's auto accidents occurred in 1990 and 2014, respectively.

Contrary to defendants' argument, the fee schedules and attendant-care cap do not merely clarify the meaning of a "reasonable charge." 2021 PA 19 make no reference to the fee schedules and attendant-care cap being reasonable, nor is there a definition of "reasonable" added in the amendment.

"The MCCA is an unincorporated nonprofit association, whose purpose is to provide insurers with indemnification for PIP policies that exceed a certain threshold." United States Fidelity & Guaranty Co v Mich. Catastrophic Claims Ass'n (On Rehearing), 484 Mich. 1, 18; 795 N.W.2d 101 (2009). According to the MCCA's website, there are 17,542 open catastrophic claims. <http://michigancatastrophic.com/Consumer-Information/Claim-Statistics> (accessed August 17, 2022).

From the insurers' perspective, retroactive application would yield a windfall with no corresponding benefit to their insureds. The premiums and reserves for pre-amendment PIP policies were set by insurers based upon the risk that the persons covered might need lifetime care for catastrophic injuries. Put simply, the insurers have already collected premiums in an amount sufficient to provide unlimited benefits, and to release them from that responsibility would substantially diminish their well-settled obligations under the pre-amendment no-fault scheme.

The MCCA must assess premiums against insurers in an amount that is sufficient to cover the lifetime claims of all persons expected to be catastrophically injured in that year. See MCL 500.3104(7)(d).

To summarize, the ongoing benefit claims in this case stem from motor vehicle accidents that occurred before the effective date of the revised statute, and the PIP policies covering the injured plaintiffs provided for unlimited benefits. We therefore conclude that the amendments would substantially alter the "settled expectation[s]" and long-term reliance of auto accident victims. See LaFontaine, 496 Mich. at 41. See also INS v St Cyr, 533 U.S. 289, 321; 121 S.Ct. 2271; 150 L.Ed.2d 347 (2001) ("[T]he judgment whether a particular statute acts retroactively should be informed and guided by familiar considerations of fair notice, reasonable reliance, and settled expectations.") (quotation marks and citation omitted).

Under LaFontaine, even if defendants are correct that no-fault benefits are purely statutory, the relevant statute is the one that existed when the policies were issued. But we reject defendants' characterization; PIP benefits are not purely statutory in nature. The no-fault act sets the mandatory minimum coverage for PIP policies and is the "rule book" for disputes over that coverage, Rohlman v Hawkeye-Security Ins Co, 442 Mich. 520, 524-525; 502 N.W.2d 310 (1993), but it does not follow that the policies sold by insurers promising unlimited lifetime care are nullities. Indeed, suits against insurers for PIP benefits are brought as contract actions, and insurers may pursue traditional contract defenses not have not been abrogated by the no-fault act. See Meemic Ins Co v Fortson, 506 Mich. 287, 300-303; 954 N.W.2d 115 (2020). It is clear therefore that a PIP policy confers enforceable contract rights upon those entitled to benefits.

We are also unpersuaded by defendants' arguments that the injured plaintiffs could not have reasonably relied on the benefits provided by defendants' policies and the no-fault act as it existed at the time of the accident because they had no vested right in the continuation of the nofault act as it existed on the date of their accidents. Defendants rely heavily on the workers' compensation cases of Lahti v Fosterling, 357 Mich. 578; 99 N.W.2d 490 (1959), and Romein v Gen Motors Corp, 436 Mich. 515; 462 N.W.2d 555 (1990). They argue that plaintiffs in this case, like the employers in Lahti and Romein, could not have relied on the law as it existed when the injury occurred. These cases are, however, distinguishable on several grounds.

First, the workers compensation system is wholly a creature of statute and regulation. The only contracts at issue in Lahti and Romein were the unwritten employment contracts, see Lahti, 357 Mich. at 584, which do not outline a right to workers' compensation if injured or any amounts to be paid. In contrast, under the PIP policies issued by defendants, the injured plaintiffs have contractual rights to reimbursement for attendant-care services and other medical care without limitation.

Second, Romein presented unique circumstances. In 1981 the Legislature enacted a statute, effective in 1982, providing for coordination of workers' compensation benefits with other sources such as pension plans. Romein, 436 Mich. at 521. Although the statute was silent on retroactivity, the defendant corporation applied it to those injured before 1982, and in 1985 the Supreme Court upheld that practice. Id. at 522-523. The Legislature then passed a statute that made clear that the coordination provided by the 1981 act did not apply to those injured before its effective date and required employers to repay injured employees sums that had been deducted from their benefits as a result of coordination. Id. at 523. The employer then brought an action asserting in part that the 1987 act violated due process because it modified the employer's liability for the period during which coordination had been permitted. Id. The Supreme Court explained that the 1987 amendment was specifically intended to correct what the Legislature determined was an improper interpretation of the 1981 act by the Courts: "[I]t is clear that the Legislature was modifying the coordination of benefits provision to cure a perceived defect resulting from the interpretation of the prior law [by the Court]. Therefore, the amendment is remedial." Id. at 531-532.

The 1987 amendment was expressly retroactive, and Romein concerned only constitutional challenges to the retroactive effect. See Romein, 436 Mich. at 523-539.

Defendants in this case argue that the 2019 amendments to the no-fault act were "remedial" because the original no-fault act needed alteration in order to lower rates and benefits. To call that "remedial" legislation is far too broad a use of the term. The amendments were not aimed at a narrow problem regarding a technical or procedural difficulty or an attempt to correct what the legislature viewed as an erroneous judicial interpretation of an existing statute. See Frank W Lynch Co v Flex Technologies, Inc, 463 Mich. 578, 585; 624 N.W.2d 180 (2001) (" '[R]emedial' in this context should only be employed to describe legislation that does not affect substantive rights."); Allstate Ins Co v Faulhaber, 157 Mich.App. 164, 167; 403 N.W.2d 527 (1987) ("A statute is considered remedial or procedural if it is designed to correct an existing oversight in the law or redress an existing grievance."). Rather, they enacted far-reaching alterations to a statutory scheme that had stood for 50 years and on which virtually the entire population of the state relied. It is a broad policy-based change, not a remedial statute.

As noted by Justice BRICKLEY, "the term [remedial] should be used with caution, lest every amendment be deemed remedial." Romein, 436 Mich. at 547 (BRICKLEY, J., concurring).

Finally, the Romein Court made clear that its holding that the statute increasing workers' compensation benefits was permissibly retroactive did not mean that a statute reducing benefits would be viewed in the same light given the different reliance interests at stake. The Court was careful to note that it was not addressing "the constitutionality of a retroactive statutory reduction in workers' compensation benefit levels." Romein, 436 Mich. at 531 n 14 (emphasis in original). The Court also noted that the multiple amendments and the Court's interpretation of them over a period of years lessened the employers' reliance interest because the law was "in a state of flux." Id. at 531. Romein also reasoned that the employers could not have reasonably relied on the preamendment level of benefits because workers' compensation is a "highly regulated industry" and "[t]he defendants knew that their rights were subject to alteration." Romein, 436 Mich. at 534-535. Although the no-fault scheme is also a highly regulated area, it nonetheless remains true that, for decades, all "reasonably necessary" services have been reimbursed by PIP insurers at the reasonable and customary rates charged by providers that rendered care for persons injured in motor vehicle accidents. See MCL 500.3107(1)(a); former MCL 500.3157. And Michigan appellate courts routinely rejected challenges to limit charges based on amounts paid under workers' compensation, Medicare, Medicaid, or by private insurers. Accordingly, this specific area of the law was not in a "state of flux," Romein, 436 Mich. at 531, and the injured plaintiffs had no reason to anticipate the significant reductions in benefits mandated by 2019 PA 21. It was therefore entirely reasonable for plaintiffs to rely on the existing statutory scheme regarding reimbursement for medical expenses.

See e.g., Johnson v Michigan Mutual Ins Co, 180 Mich.App. 314, 321-322; 446 N.W.2d 899 (1989) (rejecting the insurer's argument that the provider's charges must approximate those reimbursable by Medicaid); Hofmann v Auto Club Ins Ass'n, 211 Mich.App. 55, 114; 535 N.W.2d 529 (1995) (rejecting the insurer's argument that "the obligation of a no-fault carrier must be limited to what a health insurer would have had to pay if health insurance existed . . . "); Munson Medical v Auto Club Ass'n, 218 Mich.App. 375, 390; 554 N.W.2d 49 (1996), overruled in part on other grounds Covenant Med Ctr, Inc v State Farm Mut Automobile Ins Co, 500 Mich. 191; 895 N.W.2d 490 (2017) (holding that insurer could not use workers' compensation fee schedules to determine reimbursable charges); Mercy Mt Clemens v Auto Club Ins Ass'n, 219 Mich.App. 46, 55-56; 555 N.W.2d 871 (1996) (holding that amounts customarily paid under workers' compensation, Medicare, Medicaid, Blue Cross Blue Shield are not relevant to whether the provider's charge were reasonable and customary).

In sum, the amended version of MCL 500.3157 contains no "clear, direct, and unequivocal," Davis, 272 Mich.App. at 155, expression of intent to have subsections (7) and (10) apply retroactively, i.e., to individuals who were injured before its effective date, even as to services provided after its effective date. Nor is such language found elsewhere in the amended no-fault act. MCL 500.2111f(8) is insufficient to overcome the presumption of retroactivity when it is located in a separate chapter of the insurance code and does not directly call for retroactive application. Further, retroactive application would alter the injured plaintiffs' settled rights and expectations under the pre-amendment no-fault act, which were obtained in exchange for premiums based on defendants' obligation to pay all reasonable charges not subject to fee schedules or caps. For these reasons, we conclude that the amendments at issue in this case may not be applied retroactively to the injured plaintiffs.

B. CONTRACTS CLAUSE

Even if we were to conclude that the Legislature intended for 2019 PA 21 to apply retroactively to those injured before the amendments' effective date, we would nonetheless hold that retroactive application violates the Contracts Clause of the Michigan Constitution.

As noted, plaintiffs moved to amend their complaint to include a claim for breach of contract following the trial court's decision to grant summary disposition to defendants under MCR.2116(C)(8). The trial court denied the motion on the grounds that amendment of the complaint would be futile. See Weymers v Khera, 454 Mich. 639, 658; 563 N.W.2d 647, 657 (1997) ("If a court grants summary disposition pursuant to MCR 2.116(C)(8) . . . the court must give the parties an opportunity to amend their pleadings pursuant to MCR 2.118, unless the amendment would be futile."). This was error because, as we will now discuss, defendants' refusal to provide the benefits set out in their contract with the insureds is plainly a breach of contract. However, the breach-of-contract claim is moot given our rulings in this case.

The Contracts Clause states that "[n]o bill of attainder, ex post facto law or law impairing the obligation of contract shall be enacted." Const 1963, art 1, § 10. "[T]he purpose of the Contract Clause is to protect bargains reached by parties by prohibiting states from enacting laws that interfere with preexisting contractual arrangements." In re Certified Question, 447 Mich. 765, 777; 527 N.W.2d 468 (1994). Courts apply a three-part balancing test to determine whether a violation of the Contracts Clause has occurred: (1) whether a change in state law has resulted in a substantial impairment of a contractual relationship; (2) whether the legislative disruption of contract expectancies is necessary to the public good; and (3) whether the means chosen by the legislature to address the public need are reasonable. Aguirre v State of Mich, 315 Mich.App. 706, 715-716; 891 N.W.2d 516 (2016).

Regarding the first prong, we conclude that there is a substantial impairment of the injured plaintiffs' rights under the policies. As discussed, under the pre-amendment no-fault policies, Andary and Krueger were entitled to reimbursement for "reasonably necessary" services at the reasonable and customary rates charged by providers that rendered care for persons injured in motor vehicle accidents. See MCL 500.3107(1)(a); former MCL 500.3157. Providers were paid without regard to fee schedules, and there was no cap on how many hours of attendant care could be provided by the injured person's family. If MCL 500.3157(7) is applied retroactively, however, reimbursement for services not compensable by Medicare will be reduced by at least 45 percent, despite being reasonably necessary for the injured party. The practical effect is that many providers will no longer be able to offer these services. Similarly, retroactive application of MCL 500.3157(10) will greatly limit the number of reimbursable hours for attendant care that may be performed by family. Again, there was no attendant-care cap under plaintiffs' policies at the time of the respective accidents.

Accordingly, retroactive application of the amendments will permanently slash the paid-for insurance benefits that are at the heart of the parties' contract. In that sense this case is comparable to the reduction in teachers' contracted-for salaries that we held violated the Contracts Clause in ATF Mich. v State (On Remand), 315 Mich.App. 602; 893 N.W.2d 90 (2016), aff'd in part, vacated in part by 501 Mich. 939 (2017). In that case, we reasoned that "the statute directly and purposefully required that certain employers not pay contracted-for wages. Such an action is unquestionably an impairment of contract by the state." Id. at 616. We noted that the legislative act at issue was "not a broad economic or social regulation that impinges on certain contractual obligations by happenstance or as a collateral matter." Id. Although the no-fault act involves broad social policy, ATF does not stand for the proposition that such a statute impairing contractual rights should necessarily be upheld; rather, that is true only when the social policy regulation's effect on certain contractual obligations is simply a "collateral matter" or the result of "happenstance." Id. That certainly is not true in this case. The fee schedules and attendant-care cap are at the core of the no-fault amendments.

In sum, the impairments are more than substantial; they wholly remove numerous duties to be performed by one party to the contract after the other party has fully performed their duties under the contract. Accordingly, we conclude that the impairment of contract is severe.

"[I]f the legislative impairment of a contract is severe, then to be upheld it must be affirmatively shown that (1) there is a significant and legitimate public purpose for the regulation and (2) that the means adopted to implement the legislation are reasonably related to the public purpose." Health Care Ass'n Workers Comp Fund v Bureau of Worker's Compensation Dir, 265 Mich.App. 236, 240-241; 694 N.W.2d 761 (2005). We do not dispute defendants' arguments that 2019 PA 21 and 2019 PA 22 concerned the legitimate public purpose of lowering no-fault insurance premiums for drivers. But the question as it pertains to the Contracts Clause issue in this case is whether the retroactive application of the fee schedules and attendant-care cap serve that purpose. In other words, it is the retroactive application of these specific amendments that plaintiffs allege violates the constitutional prohibition against the impairment of contracts.

We note that the mandated rate reductions for PIP policies expire July 1, 2028. See MCL 500.2111f(2).

Defendants do not explain what significant and legitimate public purpose justifies applying the amendments to those injured before the effective date. Nor do they explain how applying the amendments retroactively is "reasonably related" to the public purpose of lowering no-fault insurance rates. As discussed, the fee schedules and attendant-care cap drastically reduce the previously unlimited PIP benefits, and there has been no demonstration that the rest of 2019 PA 21 would be affected if the amendments are applied prospectively only. The goal of lowering insurance rates is contingent on the lowering of benefits, but because the lowering of premiums is only prospective, it would severely limit the benefits promised in the policies when higher premium rates, reflective of the greater benefits, were charged and paid for. And since the insurers have already been paid for the benefits promised under those policies, retroactive application would permit insurers to retain all the premiums paid prior to the 2019 amendments while allowing them to provide only a fraction of the benefits set out in those policies. Giving a windfall to insurance companies who received premiums for unlimited benefits is not a legitimate public purpose, nor a reasonable means to reform the system.

To summarize, the lifetime unlimited benefits that the insurers were paid for will be severely impaired if the amendments are given retroactive effect. Defendants have not shown that retroactive application of the amendments is necessary to accomplish the goal of lowering no-fault policy premiums. Nor have defendants explained how applying the amendments to those injured before the amendments' effective date is reasonable, especially considering that the relevant premiums have already been paid in full. Accordingly, we conclude that retroactively applying the amendments violates the Contracts Clause of the Michigan Constitution.

IV. DUE PROCESS &EQUAL PROTECTION

Plaintiffs also allege that application of MCL 500.3157(7) and (10) to past, present, and future victims of motor-vehicle accidents would violate the victims' due-process and equalprotection rights. See Const 1963, art 1, § 2 (equal protection) and § 17 (due process). Defendant argue that plaintiffs have no standing to seek such relief.

"To have standing, a party must have a legally protected interest that is in jeopardy of being adversely affected." Dep't of Treasury, Revenue Div v Comerica Bank, 201 Mich.App. 318, 329330; 506 N.W.2d 283 (1993). "The purpose of the standing doctrine is to assess whether a litigant's interest in the issue is sufficient to ensure sincere and vigorous advocacy." Lansing Sch Ed Ass'n v Lansing Bd of Ed, 487 Mich. 349, 355; 792 N.W.2d 686 (2010) (quotation marks and citation omitted). "When a party's standing is contested, the issue becomes whether the proper party is seeking adjudication, not whether the issue is justiciable." Tennine Corp v Boardwalk Commercial, LLC, 315 Mich.App. 1, 7; 888 N.W.2d 267 (2016).

At the time they filed their declaratory action, Andary and Krueger had a direct interest in the question of prospective application. We therefore disagree with the trial court's conclusion that they lacked standing at that time. However, because our decision regarding retroactivity provides full relief to the injured plaintiffs, they no longer have any personal interest in whether prospective application of the amendments can survive constitutional scrutiny. As stated in Fieger v Comm of Ins, 174 Mich.App. 467, 472; 437 N.W.2d 271 (1988):

[R]egardless of the liberal policy underlying the declaratory judgment rule, a plaintiff must still allege a distinct and palpable injury to himself, even if it is an injury shared by a large class of other possible litigants. Without such limitation, courts would be continually called upon to decide abstract questions on hypothetical issues.

Because their ability to obtain full PIP benefits renders them without a distinct and palpable interest in the amendments' future application, we affirm dismissal of Andary's and Krueger's claims that prospective application would violate their constitutional rights. A decision regarding the constitutionality of the amendments with respect to those injured after 2019 PA 21's effective date is not necessary "to guide [Andary and Krueger's] future conduct in order to preserve [their] legal rights." Shavers v Kelly, 402 Mich. 554, 588; 267 N.W.2d 72 (1978).

This does not mean, however, that the constitutionality of 2019 PA 21's prospective application is not justiciable. To the contrary, Eisenhower Center, as a provider of care and services to catastrophically injured accident victims, clearly retains a distinct and palpable injury that our decision regarding retroactive application does not resolve. Accordingly, we reverse the trial court's decision to dismiss Eisenhower Center's claims on the basis of standing. Nevertheless, we cannot now resolve the constitutional challenges given the lack of an adequate record, even on rational basis review. As explained by the Supreme Court in Shavers, 402 Mich. at 615, which involved various constitutional challenges to the no-fault act:

And no-fault insureds injured after the amendments' effective date would also have such a distinct and palpable injury sufficient to seek declaratory or other relief.

We decline at this time to address at this time whether a heightened level of scrutiny applies to Eisenhower Center's constitutional claims.

There are . . . instances in which police power legislative judgments cannot be affirmed or rejected on the basis of purely legal arguments or indisputable, generally known or easily ascertainable facts which can be judicially noticed. In such instances, the facts upon which the existence of a rational basis for the legislative judgment are predicated may properly be made the subject of judicial inquiry. Thus, a court may require a trial so that it may establish adequate findings of facts to determine whether, on the one hand, plaintiffs have shown facts which reveal that the legislative judgment is without rational basis, or, on the other hand, whether there is any reasonable state of facts on the record which can be produced in support of the legislative judgment. [Quotation marks and citation omitted.]

Accordingly, consistent with Shavers, we remand this case for discovery necessary to determine whether the no-fault amendments, even when applied only prospectively, pass constitutional muster.

Affirmed in part, reversed in part, and remanded for proceedings consistent with this opinion. No costs are awarded, neither party prevailing in full. MCR 7.219(A). We do not retain jurisdiction.

MARKEY, P.J. (dissenting).

I respectfully dissent. Pursuant to 2019 PA 21 and 2019 PA 22, our Legislature made sweeping changes to the Michigan no-fault act, MCL 500.3101 et seq., which became effective June 11, 2019. This appeal concerns the application of some of those amendments, specifically the added language in MCL 500.3157(2), (7), and (10), to circumstances in which accidental bodily injuries arising from automobile accidents were sustained before the effective date of the no-fault amendments. MCL 500.3157, as amended by 2019 PA 21, sets forth fee schedules and otherwise places limitations with respect to the payment of personal protection insurance (PIP) benefits. These schedules and limitations did not previously exist. In their complaint, plaintiffs raised challenges to the amendatory legislation under the Michigan Constitution. The trial court granted summary disposition under MCR 2.116(C)(8) in favor of defendants, USAA Casualty Insurance Company (USAA) and Citizens Insurance Company of America (Citizens), concluding, as a matter of law, that there was no violation of due process, Const 1963, art 1, § 17, no violation of equal protection, Const 1963, art 1, § 2, and no violation of the Contracts Clause, Const 1963, art 1, § 10. The court also denied plaintiffs' motion to amend their complaint. On appeal, plaintiffs argue that the trial court's rulings were erroneous. Plaintiffs additionally raise a new argument, contending that the amendment of MCL 500.3157 should not be applied retroactively to reach motor-vehicle accidents that occurred before June 11, 2019, because the Legislature expressed no such intent. The majority agrees with plaintiffs' newly formed argument on retroactivity and with their claim regarding the Contracts Clause. I conclude that the legislative changes made to MCL 500.3157 apply to automobile accidents that occurred before June 11, 2019. I would also find that plaintiffs' constitutional claims fail. Accordingly, I would affirm the trial court's ruling granting summary disposition to defendants.

I. STANDARD OF REVIEW

I agree with the majority's discussion regarding the factual and procedural history of the litigation.

This Court reviews de novo a trial court's ruling on a motion for summary disposition. El-Khalil v Oakwood Healthcare, Inc, 504 Mich. 152, 159; 934 N.W.2d 665 (2019). We also review de novo questions concerning the interpretation and application of a statute. Estes v Titus, 481 Mich. 573, 578-579; 751 N.W.2d 493 (2008). This Court similarly reviews de novo issues regarding the constitutionality of a statute. Makowski v Governor, 495 Mich. 465, 470; 852 N.W.2d 61 (2014).

II. SUMMARY DISPOSITION PRINCIPLES UNDER MCR 2.116(C)(8)

In The Gym 24/7 Fitness, LLC v Michigan, ___ Mich. ___, ___; ___ N.W.2d ___ (2022); slip op at 8, this Court articulated the principles that govern review of a motion for summary disposition brought under MCR 2.116(C)(8):

The issues raised on appeal also implicate MCR 2.116(C)(8), which provides for summary disposition when a "party has failed to state a claim on which relief can be granted." MCR 2.116(C)(8) tests the legal sufficiency of a complaint. Beaudrie v Henderson, 465 Mich. 124, 129; 631 N.W.2d 308 (2001). In rendering its decision under MCR 2.116(C)(8), a trial court may only consider the pleadings. Id. The trial court must accept as true all of the factual allegations in the complaint. Dolan v Continental Airlines/Continental Express, 454 Mich. 373, 380-381; 563 N.W.2d 23 (1997). "The motion should be granted if no factual development could possibly justify recovery." Beaudrie, 465 Mich. at 130.

III. MCL 500.3157

In 2019, the Michigan Legislature enacted 2019 PA 21 and 2019 PA 22, comprehensively amending the no-fault act. Relevant for our purposes was the overhaul of MCL 500.3157, which before the amendment provided in full as follows:

A physician, hospital, clinic or other person or institution lawfully rendering treatment to an injured person for an accidental bodily injury covered by personal protection insurance, and a person or institution providing rehabilitative occupational training following the injury, may charge a reasonable amount for the
products, services and accommodations rendered. The charge shall not exceed the amount the person or institution customarily charges for like products, services and accommodations in cases not involving insurance. [1972 PA 294 (emphasis added).]

The amendment of MCL 500.3157 by the Legislature under 2019 PA 21 added fee schedules and limitations with respect to the payment of PIP benefits, providing, in pertinent part:

(2) Subject to subsections (3) to (14), a physician, hospital, clinic, or other person that renders treatment or rehabilitative occupational training to an injured person for an accidental bodily injury covered by personal protection insurance is not eligible for payment or reimbursement under this chapter for more than the following:
(a) For treatment or training rendered after July 1, 2021 and before July 2, 2022, 200% of the amount payable to the person for the treatment or training under Medicare.
(b) For treatment or training rendered after July 1, 2022 and before July 2, 2023, 195% of the amount payable to the person for the treatment or training under Medicare.
(c) For treatment or training rendered after July 1, 2023, 190% of the amount payable to the person for the treatment or training under Medicare.
* * *
(7) If Medicare does not provide an amount payable for a treatment or rehabilitative occupational training under subsection (2), (3), (5), or (6), the physician, hospital, clinic, or other person that renders the treatment or training is not eligible for payment or reimbursement under this chapter of more than the following, as applicable:
(a) For a person to which subsection (2) applies, the applicable following percentage of the amount payable for the treatment or training under the person's charge description master in effect on January 1, 2019 or, if the person did not have a charge description master on that date, the applicable following percentage of the average amount the person charged for the treatment on January 1, 2019:
(i) For treatment or training rendered after July 1, 2021 and before July 2, 2022, 55%.
(ii) For treatment or training rendered after July 1, 2022 and before July 2, 2023, 54%.
(iii) For treatment or training rendered after July 1, 2023, 52.5%. * * *
(10) For attendant care rendered in the injured person's home, an insurer is only required to pay benefits for attendant care up to the hourly limitation in section 315 of the worker's disability compensation act of 1969, 1969 PA 317, MCL 418.315. This subsection only applies if the attendant care is provided directly, or indirectly through another person, by any of the following:
(a) An individual who is related to the injured person.
(b) An individual who is domiciled in the household of the injured person.
(c) An individual with whom the injured person had a business or social relationship before the injury.

MCL 418.315(1) states, in part, that "[a]ttendant or nursing care shall not be ordered in excess of 56 hours per week if the care is to be provided by the employee's spouse, brother, sister, child, parent, or any combination of these persons."

IV. ALLEGED RETROACTIVE APPLICATION

In determining whether a statutory enactment should be applied prospectively or retroactively, the overriding rule of construction is that the intent of the Legislature governs, and all other rules of interpretation and operation are subservient to this principle. Buhl v Oak Park, 507 Mich. 236, 243-244; 968 N.W.2d 348 (2021). A statute is presumed to apply prospectively only unless the Legislature clearly manifested an intent that the statute apply retroactively. Johnson v Pastoriza, 491 Mich. 417, 429-430; 818 N.W.2d 279 (2012). The retroactive application of a newly-enacted statute can present problems of unfairness, potentially depriving citizens of legitimate expectations or upsetting settled transactions; therefore, we have required the Legislature to make clear its intentions when it enacts a law with retroactive effect. LaFontaine Saline, Inc v Chrysler Group, LLC, 496 Mich. 26, 38; 852 N.W.2d 78 (2014). "This is especially true if retroactive application of a statute would impair vested rights, create a new obligation and impose a new duty, or attach a disability with respect to past transactions." Frank W Lynch &Co v Flex Technologies, Inc, 463 Mich. 578, 583; 624 N.W.2d 180 (2001).

Our Supreme Court has also stated that "[a] statute is construed to have prospective effect only unless the Legislature expressly, or impliedly, indicates its intention to give it retrospective effect." Hughes v Judge's Retirement Bd, 407 Mich. 75, 85; 282 N.W.2d 160 (1979).

PIP benefits are payable for "[a]llowable expenses consisting of reasonable charges incurred for reasonably necessary products, services and accommodations for an injured person's care, recovery, or rehabilitation." MCL 500.3107(1)(a). "Personal protection insurance benefits payable for accidental bodily injury accrue not when the injury occurs but as the allowable expense, work loss or survivors' loss is incurred." MCL 500.3110(4). Prospective expenses for future accommodations and services are not yet incurred; therefore, the insurer cannot be held liable to pay for such expected costs. Proudfoot v State Farm Mut Ins Co, 469 Mich. 476, 483484; 673 N.W.2d 739 (2003). Accordingly, a motor-vehicle accident and injuries sustained therein do not trigger an immediate right to the payment of PIP benefits. Rather, it is the treatment of those injuries that gives rise to an entitlement to benefits. "It is a well-known principle that the Legislature is presumed to be aware of, and thus to have considered the effect on, all existing statutes when enacting new laws." Walen v Dep't of Corrections, 443 Mich. 240, 248; 505 N.W.2d 519 (1993).

MCL 500.3157 concerns a no-fault insurer's obligation to pay for treatment or training, and, under existing Michigan law, PIP benefits to cover the cost of treatment or training accrue only when the expense is incurred, i.e., when the injured person receives the treatment or training. And the fee schedules and payment limitations in MCL 500.3157 were made applicable to treatment or training rendered in the future. Consequently, the no-fault amendments regarding the payment of PIP benefits for the costs associated with the treatment or training provided to a person who suffered accidental bodily injury operate prospectively. The Legislature did not make MCL 500.3157 applicable to previously-received treatment or training.

I acknowledge that treatment or training necessarily relates to an antecedent event-the underlying motor-vehicle accident. It is true, however, that "[a] statute is not regarded as operating retrospectively because it relates to an antecedent event[,]" or, in other words, "[m]erely because some of the requisites for [a statute's] application are drawn from a time antedating its passage does not constitute a law retrospective." Hughes v Judge's Retirement Bd, 407 Mich. 75, 86; 282 N.W.2d 160 (1979), citing Clearwater Twp v Kalkaska Co Bd of Supervisors, 187 Mich. 516, 521; 153 N.W. 824 (1915). But I shall proceed on the assumption that MCL 500.3157 is being applied retroactively in relation to motor-vehicle accidents that occurred before June 11, 2019. I conclude that the Legislature clearly manifested an intent that MCL 500.3157 be applied to accidental bodily injuries sustained before the no-fault amendments took effect.

MCL 500.2111f(8), as amended by 2019 PA 22, provides:

An insurer shall pass on, in filings to which this section applies, savings realized from the application of section 3157(2) to (12) to treatment, products, services, accommodations, or training rendered to individuals who suffered accidental bodily injury from motor vehicle accidents that occurred before July 2, 2021. An insurer shall provide the director with all documents and information requested by the director that the director determines are necessary to allow the director to evaluate the insurer's compliance with this subsection. After July 1, 2022, the director shall review all rate filings to which this section applies for compliance with this subsection. [Emphasis added.]

Under 2019 PA 21, the Legislature had initially enacted the following version of MCL 500.2111f(8):

An insurer shall pass on, in filings to which this section applies, savings realized from the application of section 3157(2) to (12) to treatment, products, services, accommodations, or training rendered to individuals who suffered
accidental bodily injury from motor vehicle accidents that occurred before the effective date of the amendatory act that added this section. [Emphasis added.]

It is clear that the change made to MCL 500.2111f(8) in 2019 PA 22 was to capture realized savings in regard to accidental bodily injuries occurring not only before June 11, 2019, but also those arising before July 2, 2021.

When MCL 500.2111f(8) is read in conjunction with MCL 500.3157, it becomes abundantly clear that the Legislature envisioned and intended that MCL 500.3157 be applied to accidents and injuries arising before June 11, 2019. MCL 500.2111f(8) expressly references and effectively incorporates MCL 500.3157. And both statutes were encompassed by the 2019 legislative amendments of the no-fault act. MCL 500.2111f(8) mandates insurers to pass on savings realized from the application of MCL 500.3157(2) to (12) to the motor-vehicle accidents at issue in this litigation. Even if no savings are realized, it does not change the fact that Legislature indicated its intention that MCL 500.3157 be applied to accidents occurring before June 11, 2019. Indeed, the majority's ruling essentially circumvents and renders meaningless, to a great extent, the dictates of MCL 500.2111f(8). The majority reasons:

[T]his rate-setting provision does not mandate that the limits on benefits provided in MCL 500.3157 shall be applied to persons injured before its effective date. And the claim that it does so by implication is very weak. The statute merely provides that if there are such savings, they must be used to reduce future rates. Whether such savings will occur is not defined by this statute.

I find this logic in rejecting the plain and unambiguous language of MCL 500.2111f(8) to be "very weak." In fact, the reasoning escapes me. To the extent that we are truly dealing with retroactive application, MCL 500.2111f(8) clearly, directly, and unequivocally demonstrates legislative intent to reach accidents and injuries occurring before June 11, 2019. See Davis v State Employees' Retirement Bd, 272 Mich.App. 151, 155-156; 725 N.W.2d 56 (2006). The majority indicates that if there are "such savings" by an insurer under MCL 500.2111f(8), the insurer must reduce future rates. This argument appears to suggest or accept that insurers can indeed reap savings by making PIP payments consistent with MCL 500.3157 in relation to accidents occurring before July 2, 2021, which necessarily includes dates before June 11, 2019. And the majority's concern regarding "[w]hether such savings will occur" entirely misses the point that under MCL 500.2111f(8) the Legislature was effectively directing no-fault insurers to apply the fee schedules and limitations in MCL 500.3157 to existing PIP cases in order to realize savings. Finally, the majority dismisses MCL 500.2111f(8) because it is in a different chapter of the Insurance Code of 1956, MCL 500.100 et seq., then MCL 500.3157. This contention ignores the fact that MCL 500.2111f(8) incorporates MCL 500.3157 by direct reference and that the statutes were both part of the overhaul of the no-fault act under 2019 PA 21 and 2019 PA 22.

In sum, I would hold that when MCL 500.2111f(8) is read in conjunction with MCL 500.3157, it becomes amply clear that the Legislature intended that MCL 500.3157 be applied to accidents and injuries arising before June 11, 2019.

V. CONTRACTS CLAUSE

"No bill of attainder, ex post facto law or law impairing the obligation of contract shall be enacted." Const 1963, art 1, § 10. As a starting point, I note that statutes are presumed to be constitutional, and we are obligated to interpret a statute as constitutional unless its unconstitutionality is clearly apparent. In re Request for Advisory Opinion Regarding Constitutionality of 2011 PA 38 , 490 Mich. 295, 307; 806 N.W.2d 683 (2011). The Contracts Clause is intended to protect bargains by prohibiting the enactment of laws that interfere with preexisting contractual arrangements. Wells Fargo Bank, NA v Cherryland Mall Ltd Partnership (On Remand), 300 Mich.App. 361, 371-372; 835 N.W.2d 593 (2013). But the Contracts Clause does not prevent the state from exercising its police power to impair a private contract when doing so is reasonably related to remedying an economic or a social need of the community. Id. at 372. The courts have adopted a balancing approach that weighs the degree or extent of the impairment of contractual obligations and rights against the state's justification for the impairment under the state's police power to implement laws for a legitimate public purpose. Id.

We employ a three-pronged test or inquiry to determine whether there has been a violation of the Contracts Clause, with the first prong focusing on whether there was a substantial impairment of a contractual relationship. Aquirre v Michigan, 315 Mich.App. 706, 715; 891 N.W.2d 516 (2016). This first prong itself entails consideration of three factors: (1) whether a contractual relationship existed; (2) whether the statutory provision impaired that contractual relationship; and (3) whether the impairment was substantial. Id. at 716. If a substantial impairment of a contractual relationship is established, the second prong requires examination whether legislative disruption of the contractual relationship was necessary for the public good, i.e., was the state law based on a significant and legitimate public purpose. Id.; Wells Fargo Bank, 300 Mich.App. at 373; Health Care Ass'n Workers Compensation Fund v Dir of the Bureau of Worker 's Compensation, 265 Mich.App. 236, 241; 694 N.W.2d 761 (2005). The third prong involves an assessment whether the means chosen by the Legislature to address and accomplish the public good or purpose was reasonable. Aquirre, 315 Mich.App. at 716; Health Care Ass'n, 265 Mich.App. at 241. As is customary when reviewing economic and social regulations, we properly defer to the judgment of the Legislature with respect to the necessity and reasonableness of a particular statute except when the state is one of the parties to the contract. Romein v Gen Motors Corp, 436 Mich. 515, 536; 462 N.W.2d 555 (1990); Wells Fargo Bank, 300 Mich.App. at 373-374.

USAA and Citizens first argue that there were no contracts between the parties, considering that plaintiffs Ellen Andary and Philip Krueger were not named insureds under the insurance policies at issue and that plaintiff Eisenhower Center had no contractual relationship whatsoever with Citizens. The majority simply ignores this argument and moves directly to the issue whether the no-fault amendments substantially impaired the obligations under the contracts of insurance. For purposes of my analysis, I will assume that the required contractual relationships existed. USAA and Citizens next maintain that the rights to a certain level of PIP benefits are not contractual rights but are instead statutory in nature, thereby being incompatible with an argument under the Contracts Clause. The majority addresses this issue as part of its retroactive analysis.

There can be no real dispute that liability for PIP benefits arose in the two particular instances covered by this litigation because contracts existed in the form of insurance policies. For example, had Ellen Andary not been covered by the USAA contract of insurance, USAA would certainly not be liable for PIP benefits associated with her care and treatment. But even though there may be a contractual obligation to pay PIP benefits in a general sense because of a specific insurance policy, an insurer's obligation regarding the minimal extent of the PIP coverage is ultimately dictated by the no-fault act, not the contract. And this suit concerns limitations placed on the extent of PIP coverage under MCL 500.3157. As this Court has observed, "PIP benefits are mandated by the no-fault act, and a claimant's entitlement to PIP benefits is therefore based in statute, not in contract." Bronson Health Care Group, Inc v State Auto Prop &Cas Ins Co, 330 Mich.App. 338, 342-343; 948 N.W.2d 115 (2019) (emphasis added). The no-fault act is the rulebook with respect to making decisions on issues involving an award of PIP benefits. Id. at 343. In Rohlman v Hawkeye-Security Ins Co, 442 Mich. 520, 530; 502 N.W.2d 310 (1993), our Supreme Court explained that "[w]here insurance policy coverage is directed by the no-fault act and the language in the policy is intended to be consistent with that act, the language should be interpreted in a consistent fashion, which can only be accomplished by interpreting the statute, rather than individual policies." The Michigan Supreme Court has also stated that "benefits and liabilities [that] are statutory in origin . . . may be revoked or modified at the will of the Legislature." Romein, 436 Mich. at 532. These principles drawn from the caselaw plainly undermine plaintiffs' argument regarding the alleged Contracts Clause violation. Nevertheless, I will continue my analysis because I believe that there is a more serious flaw in the plaintiffs' position and in the majority's ruling, and I shall accept for the sake of argument that the no-fault amendments substantially impaired plaintiffs' contractual rights.

Contrary to the majority's conclusion and in deference to the Legislature, I would hold as a matter of law that the amendment of MCL 500.3157, as applied to motor-vehicle accidents occurring before June 11, 2019, was reasonably related to a significant and legitimate public purpose linked to promoting the public good. As noted earlier, it is customary when reviewing economic and social legislation as part of a Contracts-Clause analysis that we defer to the judgment of the Legislature with respect to the necessity and reasonableness of the legislation unless the state is one of the parties to the contract. Romein, 436 Mich. at 536; Wells Fargo Bank, 300 Mich.App. at 373-374. In support of this proposition, the Court in Romein, 436 Mich. at 536, relied on a decision by the United States Supreme Court in United States Trust Co v New Jersey, 431 U.S. 1, 22-23; 97 S.Ct. 1505; 52 L.Ed.2d 92 (1977), wherein the Court stated:

In Selk v Detroit-Plastic Prod, 419 Mich. 1, 14; 345 N.W.2d 184 (1984), our Supreme Court ruled that in the context of a claim under the Contracts Clause, a court cannot invalidate an act that is reasonably related to a permissible legislative objective.

Legislation adjusting the rights and responsibilities of contracting parties must be upon reasonable conditions and of a character appropriate to the public purpose justifying its adoption. As is customary in reviewing economic and social regulation, however, courts properly defer to legislative judgment as to the necessity and reasonableness of a particular measure. East New York Savings Bank v Hahn, 326 U.S. 230; 66 S.Ct. 69; 90 L.Ed. 34 (1945). [Citation omitted.]

And in East New York Savings Bank, 326 U.S. at 231, the United States Supreme Court addressed a Contracts-Clause argument with respect to legislation "whereby the right of foreclosure for default in the payment of principal was suspended for a year as to mortgages." The Court ruled:

[W]hen a widely diffused public interest has become enmeshed in a network of multitudinous private arrangements, the authority of the State to safeguard the vital interests of its people is not to be gainsaid by abstracting one such arrangement from its public context and treating it as though it were an isolated private contract constitutionally immune from impairment.
The formal mode of reasoning by means of which this protective power of the state is acknowledged is of little moment. It may be treated as an implied condition of every contract and, as such, as much part of the contract as though it were written into it, whereby the State's exercise of its power enforces, and does not impair, a contract. A more candid statement is to recognize . . . that the power which, in its various ramifications, is known as the police power, is an exercise of the sovereign right of the government to protect the general welfare of the people, and is paramount to any rights under contracts between individuals. Once we are in this domain of the reserve power of a State we must respect the wide discretion on the part of the legislature in determining what is and what is not necessary. So far as the constitutional issue is concerned, the power of the State when otherwise justified, is not diminished because a private contract may be affected. [Id. at 232233 (quotation marks, citations, and ellipses omitted).]

In this case, in the title of 2019 PA 21 and 2019 PA 22, the Legislature stated that part of the purpose of the legislation was "to provide for the continued availability and affordability of automobile insurance . . . in this state and to facilitate the purchase of that insurance by all residents of this state at fair and reasonable rates[.]" The means used by the Legislature in an effort to accomplish this purpose included amending MCL 500.3157, alleviating the financial burden on insurance companies to cover claims by limiting or reducing the payment of PIP benefits for treatment and training with respect to all persons injured in the past and those who will be injured in the future. But while at the same time requiring insurance companies to pass cost savings on to insureds. On its face, and absent the need for factual exploration through discovery, the purpose articulated by the Legislature for the sweeping no-fault amendments, which constituted economic legislation, was significant, reasonable, and legitimate, serving the public good. This is especially true in light of the deference that must be given to the Legislature in such matters.

In the context of constitutional challenges to legislation, rational-basis review, which triggers the axiomatic rule of a presumption of constitutionality, dictates "that where the legislative judgment is supported by any state of facts either known or which could reasonably be assumed, although such facts may be debatable, the legislative judgment must be accepted." Shavers v Kelley, 402 Mich. 554, 613-614; 267 N.W.2d 72 (1978) (quotation marks and citation omitted). The Shavers Court added:

In accord with this axiomatic rule and its corollary a court may uphold the constitutionality of police power legislative judgments in the face of [a constitutional] . . . challenge by taking judicial notice of indisputable, generally known or easily ascertainable facts. And, because the "presumption of
constitutionality" is a rebuttable presumption, a party challenging the legislative judgment may attack its constitutionality in terms of purely legal arguments (if the legislative judgment is so arbitrary and irrational as to render the legislation unconstitutional on its face) or may show, by bringing to the court's attention facts which the court can judicially notice, that the legislative judgment is without rational basis. [Id. at 614-615.]

I find nothing arbitrary or irrational about the Michigan Legislature taking steps to make no-fault insurance, which is mandatory for owners or registrants of motor vehicles, MCL 500.3101(1), as affordable as possible for as many Michiganders as possible, especially where it is generally known that Michigan drivers had paid the highest auto insurance rates in the country. Being able to drive an automobile is vital to the livelihood of many individuals, and if no-fault insurance is unaffordable, persons must forego driving, and unfortunately some choose to unlawfully drive without the required insurance.

On the issue regarding whether the means chosen by the Legislature to accomplish its goal or purpose was reasonable, I conclude as a matter of law that imposing fee schedules and other limitations on PIP coverage in relation to accidental bodily injuries occurring before June 11, 2019, was reasonable. It is generally known that insured Michiganders received from their insurers $400 refund checks per vehicle and that insurance premiums declined as a consequence of the economic legislation. Indeed, the majority itself acknowledges that "there are more than 17,000 victims of pre-amendment auto accidents whose benefits would be cut." The resulting financial savings enjoyed by insurers and the concomitant reduction in the financial burden on insureds are indisputable. And at the risk of sounding like a broken record, this Court must defer to the legislative judgment on the matter. I note and embrace the words of the United States Supreme Court in East New York Savings Bank, 326 U.S. at 234:

Appellant asks us to reject the judgment of the joint legislative committee, of the Governor, and of the Legislature, that the public welfare, in the circumstances of New York conditions, requires the suspension of mortgage foreclosures for another year. On the basis of expert opinion, documentary evidence, and economic arguments of which we are to take judicial notice, it urges such a change in economic and financial affairs in New York as to deprive of all justification the determination of New York's legislature of what New York's welfare requires. We are invited to assess not only the range and incidence of what are claimed to be determining economic conditions in sofar as they affect the mortgage market- bank deposits and war savings bonds; increased payrolls and store sales; available mortgage money and rise in real estate values-but also to resolve controversy as to the causes and continuity of such improvements, namely the effect of the war and of its termination, and similar matters. Merely to enumerate the elements that have to be considered shows that the place for determining their weight and their significance is the legislature not the judiciary. [Emphasis added.]

VI. CONCLUSION

I conclude that the legislative changes made to MCL 500.3157 apply to automobile accidents that occurred before June 11, 2019. I also find that the claim alleging a violation of the Contracts Clause is not sustainable. I further conclude that the due process and equal protection claims fail as a matter of law, assuming standing, but for purposes of this dissent, it is unnecessary to set forth my reasoning. Accordingly, I would affirm the trial court's ruling granting summary disposition in favor of defendants. I note that I am not unsympathetic to plaintiffs' plight, but in this case the Legislature's action must be honored without interference by the judiciary. I respectfully dissent.


Summaries of

Andary v. USAA Cas. Ins. Co.

Court of Appeals of Michigan
Aug 25, 2022
No. 356487 (Mich. Ct. App. Aug. 25, 2022)
Case details for

Andary v. USAA Cas. Ins. Co.

Case Details

Full title:ELLEN M. ANDARY, a Legally Incapacitated Person, by and through her…

Court:Court of Appeals of Michigan

Date published: Aug 25, 2022

Citations

No. 356487 (Mich. Ct. App. Aug. 25, 2022)

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