                 IN THE SUPREME COURT OF TENNESSEE
                            AT KNOXVILLE
                               September 4, 2014 Session

  SAMUEL E. FOSTER ET AL. v. WALTER WILLIAM CHILES, III, M.D.
                              ET AL.

          Appeal by Permission from the Court of Appeals, Eastern Section
                          Circuit Court for Knox County
                      No. 122712    Dale C. Workman, Judge


                No. E2012-01780-SC-R11-CV – Filed January 27, 2015


       This appeal presents two issues for review: 1) whether a person asserting a health
care liability claim must give written notice of the claim to all potential health care
defendants before re-filing a complaint, or whether notice given before filing the first
complaint is sufficient notice for a subsequently filed complaint against the same
defendants; and 2) if pre-suit notice is required for each complaint, whether the sanction
for noncompliance is a dismissal with or without prejudice. The plaintiffs, before filing
their health care liability complaint, gave the defendants written notice under Tenn. Code
Ann. § 29-26-121(a)(1). Thereafter, the plaintiffs voluntarily dismissed their complaint.
The plaintiffs re-filed their complaint but did not provide the defendants with notice
before the re-filing. The trial court dismissed the complaint with prejudice for failure to
comply with the notice requirement of Tenn. Code Ann. § 29-26-121(a)(1). The Court of
Appeals reversed, holding that the plaintiffs had to give pre-suit notice only once and that
pre-suit notice for the first complaint was sufficient for any subsequently filed complaints
asserting the same claims against the same defendants. We hold that Tenn. Code Ann.
§ 29-26-121(a)(1) requires that plaintiffs notify prospective defendants of a forthcoming
health care liability lawsuit before the filing of each complaint. The sanction for failure
to comply with Tenn. Code Ann. § 29-26-121(a)(1) is a dismissal without prejudice.

   Tenn. R. App. P. 11 Appeal by Permission; Judgment of the Court of Appeals
                           Reversed; Case Dismissed

SHARON G. LEE, C.J., delivered the opinion of the Court, in which CORNELIA A. CLARK,
JEFFREY S. BIVINS, and HOLLY KIRBY, JJ., joined. GARY R. WADE, J., filed a separate
dissenting opinion.

Stephen C. Daves, Knoxville, Tennessee, for the appellants, Walter William Chiles, III,
M.D., and Knoxville Urology Clinic, P.C.
Edward G. White, II, and B. Chase Kibler, Knoxville, Tennessee, for the appellants,
Gordon Lee Collins, M.D., and Anesthesia Medical Alliance of East Tennessee, P.C.

F. Michael Fitzpatrick and Rachel Park Hurt, Knoxville, Tennessee, for the appellants,
Covenant Health and Parkwest Medical Center.

John D. Agee and Bradley D. Williams, Clinton, Tennessee, for the appellees, Samuel E.
Foster and Mary Foster.

                                                 OPINION

                                                       I.

       In November 2009, Samuel Foster received medical treatment from Dr. Walter
William Chiles, III, Dr. Gordon Lee Collins, Knoxville Urology Clinic, Anesthesia
Medical Alliance of East Tennessee, Covenant Health, and Parkwest Medical Center
(“Defendants”).       On November 18, 2010, pursuant to Tenn. Code Ann.
§ 29-26-121(a)(1), Mr. Foster, through counsel, notified Defendants of his intent to file a
health care liability action against them. On March 17, 2011, Mr. Foster and his wife,
Mary Foster, filed a health care liability complaint in Knox County Circuit Court against
Defendants. On May 6, 2011, the Fosters voluntarily dismissed their case.

       On May 4, 2012, the Fosters filed a new complaint in Knox County Circuit Court,
raising the same claims against the same defendants.1 The complaint alleged that the
notice requirements of Tenn. Code Ann. § 29-26-121(a) had been met, as shown by an
affidavit attached to the complaint. However, neither an affidavit nor any proof of
service of notice was attached to the complaint. The Fosters did not give Defendants
pre-suit notice after dismissing the first complaint and before filing the second action.

       Defendants moved to dismiss the complaint under Tenn. R. Civ. P. 12.02(6), based
on the Fosters’ failure to comply with Tenn. Code Ann. § 29-26-121(a)(1). Defendants
asserted that § 29-26-121(a)(1) requires pre-suit notice to be given each time a complaint


       1
           The second suit was filed pursuant to Tenn. Code Ann. § 28-1-105(a), which provides:

                 If [an] action is commenced within the time limited by a . . . statute of
                 limitation, but [a] judgment . . . is rendered against the plaintiff upon any
                 ground not concluding the plaintiff’s right of action, . . . the plaintiff . . .
                 may . . . commence a new action within one (1) year. . . .

Tenn. Code Ann. § 28-1-105(a) (2012).

                                                       -2-
alleging health care liability is filed. Further, Defendants argued that the Fosters’ failure
to comply with § 29-26-121(a)(1) warranted a dismissal with prejudice. In response, the
Fosters argued that they complied with the notice statute because they provided
Defendants pre-suit notice before filing the first complaint and that the original notice
was sufficient for any subsequently filed complaints.

        The trial court granted Defendants’ motions to dismiss, finding that Tenn. Code
Ann. § 29-26-121(a)(1) requires plaintiffs who have voluntarily non-suited a health care
liability action to provide notice to all defendants before re-filing the action. The trial
court dismissed the complaint with prejudice.

        The Court of Appeals reversed, holding that the Fosters had complied with Tenn.
Code Ann. § 29-26-121(a)(1) by providing Defendants notice at least sixty days before
filing their second complaint. The intermediate court reasoned that since the complaints
were essentially identical, the plain language of § 29-26-121(a)(1) required only that
Defendants be notified once. The Court of Appeals found that the Fosters’ failure to
attach to their complaint proof of service of notice under § 29-26-121(b) did not require
dismissal and would have allowed the Fosters to late-file the required documentation.

       We granted Defendants’ application for permission to appeal to decide whether a
person asserting a health care liability claim must give written notice of the claim to all
potential health care defendants before each complaint is filed, or whether notice given
before filing the first complaint is sufficient notice for a subsequently filed complaint
against the same defendants. Further, if pre-suit notice is required for each complaint, we
must determine whether the sanction for noncompliance is a dismissal with or without
prejudice.

                                             II.

       We review the trial court’s dismissal of the complaint in this case de novo with no
presumption of correctness.        Thurmond v. Mid-Cumberland Infectious Disease
Consultants, PLC, 433 S.W.3d 512, 516 (Tenn. 2014) (citing Myers v. AMISUB (SFH),
Inc., 382 S.W.3d 300, 307 (Tenn. 2012)). In analyzing the legal sufficiency of the
complaint, we must presume that all factual allegations in the complaint are true and
construe them in favor of the plaintiff. Lind v. Beaman Dodge, Inc., 356 S.W.3d 889,
894 (Tenn. 2011) (citing Stein v. Davidson Hotel Co., 945 S.W.2d 714, 716 (Tenn.
1997)). The issue of statutory construction involved in this appeal is also a question we
review de novo, affording no presumption of correctness to the decisions of the lower
courts. Womack v. Corr. Corp. of Am., No. M2012-00871-SC-R11-CV, 2014 WL
4670807, at *3 (Tenn. Sept. 22, 2014) (citing Baker v. State, 417 S.W.3d 428, 433 (Tenn.
2013)).

                                             -3-
       It is our duty to ascertain and fully effectuate the intent of the Legislature.
Thurmond, 433 S.W.3d at 517 (citing Baker, 417 S.W.3d at 433). In doing so, we must
take care not to broaden a statute beyond its intended scope or unduly restrict its
coverage. Shore v. Maple Lane Farms, LLC, 411 S.W.3d 405, 420 (Tenn. 2013) (citing
State v. Strode, 232 S.W.3d 1, 9 (Tenn. 2007)). We are to construe statutes reasonably, to
“avoid[] statutory conflict and provide[] for harmonious operation of the laws.” Baker,
417 S.W.3d at 433 (quoting Frye v. Blue Ridge Neuroscience Ctr., P.C., 70 S.W.3d 710,
716 (Tenn. 2002)).

       Our construction of a statute must begin with the words the Legislature has
chosen. Lee Med., Inc. v. Beecher, 312 S.W.3d 515, 526 (Tenn. 2010) (citing
Waldschmidt v. Reassure Am. Life Ins. Co., 271 S.W.3d 173, 176 (Tenn. 2008)). We
must presume that the General Assembly intended each word in a statute to have a
specific purpose and meaning. Cunningham v. Williamson Cnty. Hosp. Dist., 405 S.W.3d
41, 44 (Tenn. 2013) (citing State v. Hawk, 170 S.W.3d 547, 551 (Tenn. 2005)). If the
statutory language is clear and unambiguous, we apply its plain meaning, understood in
its normal and accepted usage, without a forced interpretation. Baker, 417 S.W.3d at 433
(quoting Carter v. Bell, 279 S.W.3d 560, 564 (Tenn. 2009)). Where statutory language is
ambiguous, we may decipher legislative intent in other ways, including consideration of
the broader statutory scheme, legislative history, and other sources. Thurmond, 433
S.W.3d at 517 (citing Mills v. Fulmarque, Inc., 360 S.W.3d 362, 368 (Tenn. 2012)).

                                           III.

                                            A.

      Tenn. Code Ann. § 29-26-121(a)(1) provides for pre-suit notice as follows:

             Any person, or that person’s authorized agent, asserting a
             potential claim for health care liability shall give written
             notice of the potential claim to each health care provider that
             will be a named defendant at least sixty (60) days before the
             filing of a complaint based upon health care liability in any
             court of this state.

Tenn. Code Ann. § 29-26-121(a)(1) (2012).

       In Myers v. AMISUB (SFH), Inc., we held, based on the clear language of Tenn.
Code Ann. § 29-26-121(a)(1), that the requirement of pre-suit notice is mandatory and
not directory. 382 S.W.3d at 308-09. Strict compliance with the pre-suit notice provision
is required; substantial compliance is not sufficient. Id. at 310. Myers involved a

                                           -4-
plaintiff who filed a health care liability action before Tenn. Code Ann.
§ 29-26-121(a)(1) became effective, non-suited the action, and then re-filed after the
statute was in effect. Id. at 304. Before filing his second action, the plaintiff did not
provide pre-suit notice to the health care defendants.2 Id. at 306. We held that the
plaintiff was required to strictly comply with the statute and provide written pre-suit
notice. Id. at 310. We noted that after the dismissal of the first suit, the filing of the
second suit was the institution of a new and independent action, which required its own
pre-suit notice to the defendants. Id. at 309.

        We address a somewhat similar issue in this case—whether notice given before
the filing of the first complaint is sufficient pre-suit notice for a suit that is re-filed after
the dismissal of the first complaint. The Fosters argue that § 29-26-121(a)(1) requires
that pre-suit notice be given at least sixty days before the filing of “a complaint.”
According to the Fosters, they gave Defendants pre-suit notice in November 2010, which
sufficed for the complaints filed in March 2011 and in May 2012. Conversely,
Defendants argue that the pre-suit notice given for the first complaint was not sufficient
notice for the re-filed complaint and that they were entitled to new notice before the
Fosters re-filed their lawsuit.

       The language of § 29-26-121(a)(1) provides that any person asserting a potential
health care liability claim “shall” give written notice of the claim to each health care
defendant at least sixty days before the filing of a complaint. By the use of the word
“shall,” the Legislature evidenced its intent to require plaintiffs to give health care
defendants notice of any complaint before it is filed. In Myers, we referenced the
comments of Senator Mark Norris, the co-sponsor of Tenn. Code Ann. §§ 29-26-121 and
-122, indicating that the new laws were “designed to give people notice that there’s about
to be a claim and to put everyone who might be involved on notice that a suit will shortly
be filed.” Myers, 382 S.W.3d at 309-10 (emphasis added).

        The notice statute, § 29-26-121, ensures that health care defendants are provided
with timely notice of potential claims prior to the commencement of litigation. Stevens
ex rel. Stevens v. Hickman Cmty. Health Care Servs., Inc., 418 S.W.3d 547, 564 (Tenn.
2013) (citing Myers, 382 S.W.3d at 309). Pre-suit notice affords defendants the
opportunity to investigate the merits of a claim and to pursue settlement negotiations
before suit is filed. Id. (citing DePue v. Schroeder, No. E2010-00504-COA-R9-CV,
2011 WL 538865, at *5-7 (Tenn. Ct. App. Feb. 15, 2011)); see also Jenkins v. Marvel,
683 F. Supp. 2d 626, 638-39 (E.D. Tenn. 2010) (noting § 29-26-121’s similarity with a

        2
          The plaintiff in Myers also failed to comply with Tenn. Code Ann. § 29-26-122 by his failure to
attach a certificate of good faith to the complaint. See Tenn. Code Ann. § 29-26-122 (2012).


                                                  -5-
Texas pre-suit notice statute, also created “to facilitate early resolution of cases through
settlement”). Early resolution of claims is beneficial to the parties and is an efficient use
of judicial resources.

       When the Fosters first gave pre-suit notice on November 18, 2010, Defendants,
knowing that a lawsuit was forthcoming, had the opportunity to investigate the claim and
pursue settlement negotiations as contemplated by the notice statute. Suit was filed on
March 17, 2011, but dismissed on May 6, 2011. As of the dismissal of the suit, there was
no pending litigation between the parties. Eighteen months after the Fosters first gave
Defendants notice of the original suit, and nearly a year after the suit’s dismissal, the
Fosters sued Defendants again. The second filing was the institution of a new and
independent action. Myers, 382 S.W.3d at 309.3 Defendants had no advance notice of
the second suit, no chance to investigate the claim, and no opportunity to pursue
settlement negotiations before the suit was filed. This was not the result intended by the
Legislature in enacting § 29-26-121(a)(1).

       Although the March 2011 and May 2012 complaints asserted the same claims and
involved the same parties, Defendants were statutorily entitled to separate notice of each
forthcoming complaint so that they might evaluate the merits of the claim and pursue
settlement. To hold otherwise would be to ignore the clear and unambiguous language of
§ 29-26-121(a)(1) and to thwart the intent of the Legislature. We do not favor procedural
dismissals, but we are unwilling to engage in a strained interpretation of the statute to
reach a desired result. The Fosters could easily have avoided the delay caused by the
dismissal of their complaint had they simply complied with the statute and given
Defendants pre-suit notice.

       We hold that Tenn. Code Ann. § 29-26-121(a)(1) requires that plaintiffs provide
pre-suit notice to prospective health care defendants each time a complaint is filed.
Because the Fosters did not provide Defendants with notice that they intended to
recommence their health care liability action, the Fosters failed to comply with
§ 29-26-121(a)(1).

                                                     B.

      We now address the consequences of the Fosters’ failure to comply with Tenn.
Code Ann. § 29-26-121(a)(1). § 29-26-121 does not provide for a penalty or
consequence for failing to provide pre-suit notice.     We held in Stevens that

        3
         In Myers, the health care defendants had knowledge of the claim from the first-filed complaint,
but we held that the defendants were still entitled to statutory pre-suit notice of the subsequent complaint.
382 S.W.3d at 309. The same is true in the case before us.

                                                    -6-
noncompliance with Tenn. Code Ann. § 29-26-121(a)(2)(E) required a dismissal without
prejudice. 418 S.W.3d at 560. In Stevens, we noted that § 29-26-121 did not provide for
a penalty for noncompliance, whereas § 29-26-122 expressly required a dismissal with
prejudice for a plaintiff’s failure to file a certificate of good faith. Id. at 560-61. These
code sections, §§ 29-26-121 and -122, were enacted together as part of the Tennessee
Health Care Liability Act; therefore, we interpret these sections together and must
presume that the Legislature intended for them to carry different sanctions for
noncompliance. Id. at 560. The Legislature could have, but did not, provide for
dismissal with prejudice for noncompliance with § 29-26-121(a)(1). Therefore, we hold
that dismissal without prejudice is the proper sanction for noncompliance with Tenn.
Code Ann. § 29-26-121(a)(1).4

                                             Conclusion

        We hold that the Fosters were required to provide Defendants with notice under
Tenn. Code Ann. § 29-26-121(a)(1) before filing their second complaint. The Fosters
failed to provide the required pre-suit notice. We reverse the judgment of the Court of
Appeals and dismiss this action without prejudice. Costs of this appeal are assessed to
Samuel E. Foster and Mary Foster and their surety, for which execution may issue if
necessary.



                                                _________________________________
                                                SHARON G. LEE, CHIEF JUSTICE




        4
          As Tenn. Code Ann. § 29-26-121(a)(1) requires dismissal of this action, we need not address the
Fosters’ noncompliance with § 29-26-121(b).

                                                  -7-
