ADKINS, J.
In this tragic case, a young man, age 34, was brought to a hospital emergency room suffering from suicidal ideation and auditory and visual hallucinations. After evaluating him, health care providers decided not to admit him for psychiatric treatment and discharged him to the care of his mother. That same night, he was killed by law enforcement officers after inviting the officers to shoot him, and then aggressively rushing them. Our task is to decide whether hospital and health care providers enjoy statutory immunity against a wrongful death and survivorship action alleging negligence in the decision to release rather than involuntarily admit the young man to the hospital.
On April 20, 2009, Gineene Williams brought her son, Charles Williams, Jr., to Peninsula Regional Medical Center ("PRMC"), where Dr. Michael P. Murphy and mental health worker George Stroop (collectively with PRMC, "the Health Care Providers") examined and evaluated him.
Upon completing the examination, the Health Care Providers elected not to admit Williams, discharging him to the care of his mother and advising her to remove any firearms from the home. Williams received a discharge diagnosis of "insomnia, fatigue, [and] bizarre behavior," a prescription for the sedative Ambien, and instructions to return if he felt that he would harm himself or others.
Immediately after discharge, Williams absconded from his mother's care and went to a restaurant with his children and their mother, Michelle Crippen. At some point upon leaving the restaurant, Williams demanded that Crippen pull her vehicle to the side of the road. He exited the vehicle and disappeared. Shortly before midnight, after spending several hours wandering the streets of Salisbury, Williams broke into a residence, at which time the homeowner notified police. Upon arrival, officers encountered Williams in the front yard of the residence wielding a knife and saying, "shoot me, f* * *ing shoot me, somebody's going to die tonight." He then held the knife to his throat and declared, "I want you to shoot me, I want to die." When Williams rushed the officers, they fired their weapons at him. When he persisted, the officers fired again, killing him.
The Health Care Providers filed Motions to Dismiss, arguing that the Complaint failed to state a claim upon which relief could be granted, that they were entitled to statutory immunity, and that the Complaint failed to assert that the actions of the Health Care Providers were the proximate cause of Williams's injuries. After hearing arguments, the Circuit Court granted the Motions to Dismiss, concluding that the Health Care Providers were protected from liability by statutory immunity. The Family appealed to the Court of Special Appeals, which affirmed the decision of the Circuit Court. Williams v. Peninsula Reg'l Med. Ctr., 213 Md.App. 644, 75 A.3d 359 (2013).
We granted the Family's Petition for Writ of Certiorari to answer the following question:
Because we answer yes, we shall affirm the judgment of the Court of Special Appeals.
The standard of appellate review of a lower court's grant of a motion to dismiss is well-settled: "[i]n reviewing the underlying grant of a motion to dismiss, we must assume the truth of the well-pleaded factual allegations of the complaint, including the reasonable inferences that may be drawn from those allegations." Debbas v. Nelson, 389 Md. 364, 372, 885 A.2d 802, 807 (2005) (citations omitted). We review these issues as a matter of law. See Davis v. Slater, 383 Md. 599, 604, 861 A.2d 78, 80-81 (2004) (citations omitted) (stating that interpreting the Maryland Code is a matter of law).
The single question presented by the Petitioners unfolds in their brief as two distinct issues. First, they read the text of
The Health Care Providers read this legislation more expansively. They contend that both the plain language and underlying purpose of HG § 10-618 and CJP § 5-623 dictate that statutory immunity extends to health care providers who perform an evaluation and decide not to involuntarily admit an individual. Counseling against our adoption of the Family's view, they warn that such a narrow reading of statutory immunity would create a perverse incentive for health care providers to involuntarily admit individuals to avoid potential liability.
Here, we are asked to address the statutory immunity conferred in HG § 10-618, which cross-references CJP § 5-623. Section 10-618 provides:
The subsections in HG § 10-618 correspond to relevant subsections in CJP § 5-623, which states in part
"The cardinal rule of statutory interpretation is to ascertain and effectuate the intent of the Legislature." Kushell v. Dep't of Natural Res., 385 Md. 563, 576, 870 A.2d 186, 193 (2005). Therefore, we must determine whether the General Assembly intended to provide the Health Care Providers immunity from liability. In ascertaining legislative intent, we return to our oft-repeated canons of statutory construction:
Lockshin v. Semsker, 412 Md. 257, 275-76, 987 A.2d 18, 28-29 (2010) (internal citations omitted). Also, "[i]n analyzing a statute, we must always be cognizant of the fundamental principle that statutory construction is approached from a `commonsensical' perspective. Thus, we seek to avoid constructions that are illogical, unreasonable, or inconsistent with common sense." Frost v. State, 336 Md. 125, 137, 647 A.2d 106, 112 (1994) (citation omitted).
To resolve the Family's contention that § HG 10-618 does not apply to those — like the Health Care Providers — who perform an involuntary admission evaluation, we look to the words of the statute. The Family members rely upon the language in § 10-618(a) that "[a] person who applies for involuntary admission of an individual shall have the immunity from liability," arguing that because the Health Care Providers did not apply for Williams's involuntary admission, they are not covered by the statutory immunity scheme. Quite simply, this argument fails because Petitioners stop short in their reading of § 10-618. They read subpart (a) and ignore the rest of the section.
Section 10-618 provides immunity to the three groups who participate in the involuntary admission process. Although the Health Care Providers would not qualify for immunity under subsection (a), the General Assembly clearly included them when drafting subsections (b) and (c). PRMC qualifies as a "facility" under § 10-618(b), as it is a "public or private clinic, hospital, or other institution that provides or purports to provide treatment or other services for individuals who have mental disorders." HG § 10-101(e)(1). Stroop and Murphy qualify as agents or employees of a facility, pursuant to § 10-618(c). In light of this statutory scheme, Plaintiffs' narrow reading is incomplete and incorrect.
The plain, unambiguous language of HG § 10-618 and CJP § 5-623 extends immunity to health care institutions and their agents who evaluate an individual as part of the involuntary admission process.
We next consider whether the General Assembly intended to provide immunity to
Again we turn to the text of HG § 10-618 and CJP § 5-623, which shield institutions and their agents who "act[] in compliance with the provisions of" Subtitle 6, Part III of the Health-General Article.
That the General Assembly referred to all of Part III, including these restrictions on admittance, when establishing the prerequisites to qualifying for immunity, demonstrates its intent that the immunity extend beyond a decision to admit. As Judge Robert A. Zarnoch wrote for the Court of Special Appeals, "a health care provider acts in compliance with Part III when a good faith evaluation leads to commitment, but it also acts in compliance with Part III when the conclusion of a good faith evaluation is that a less restrictive form of intervention than commitment is warranted." Williams, 213 Md.App. at 655, 75 A.3d at 365. Taken together, Part III's provisions reveal that HG § 10-618 must extend beyond circumstances in which an individual is involuntarily admitted. In either case, the health care provider receives immunity pursuant to § 10-618.
It is of no consequence that the statutory captions do not specifically refer to instances in which the decision is not to admit an individual. As the Court of Special Appeals recognized below, "[i]n the Code Revision process, a `part' is an informal unit of statutory organization [and] [i]ts headings, captions, or labels are not deemed part of the law." Williams, 213 Md.App. at 652 n. 5, 75 A.3d at 364 n. 5 (citing Chapter 21 of the Acts of 1982, § 4). As a general rule,
Md.Code (2014), § 1-208 of the General Provisions Article;
The enacting legislation for Part III includes nothing to overcome the presumption against interpreting captions as titles or inferring legislative intent from them. Indeed, the General Assembly expressly rejected the notion advanced by Plaintiffs: "AND BE IT FURTHER ENACTED, That the Revisor's Notes and catchlines contained in this Act are not law and may not be considered to have been enacted as a part of this Act." Chapter 21 of the Acts of 1982, § 4, at 1090. Ignoring the section captions, as we must, the statutory scheme to which, HG § 10-618 belongs leads us to the conclusion that the immunity provision applies both when an individual is involuntarily admitted and when the decision is made not to admit him.
Cloaking health care providers in immunity both when they decide in favor of and when they decide against admittance amounts to sound public policy, consistent with the General Assembly's intent. That the General Assembly mandated a multi-step process before an individual's involuntary admission, see HG §§ 10-615-617, including a detailed list of admission limitations, see HG § 10-617, suggests legislative concern that individuals may be wrongfully admitted.
In 1969, a year before the General Assembly adopted in Senate Bill 210 much of the substance of what is now HG § 10-617, the Maryland Commission to Prepare Substantive Changes, as Necessary, in the Mental Health Laws of the State of Maryland, issued a report to Governor Marvin Mandel, in which the Commission stated:
Report to the Governor, Commission to Prepare Substantive Changes, As Necessary, in the Mental Health Laws of the
Two years before adoption of the immunity provisions at issue here, the General Assembly's newly-formed Joint Oversight Committee on Deinstitutionalization published its first report. In its words, the Committee was created
First Report of the Joint Oversight Committee on Deinstitutionalization, at 1 (Dec. 1980). The Court of Special Appeals observed that the General Assembly considered "several bills aimed at protecting the rights of mentally ill individuals" in the same year it passed the immunity bill. Williams, 213 Md.App. at 657, 75 A.3d at 367 (citing SB 676 (1982) and HB 1429 (1982)). The intermediate appellate court also quoted the testimony of a representative of the Mental Health Association of Maryland, Inc. regarding these bills:
Id. at 658, 75 A.3d at 367 (quoting Testimony on SB 676 and HB 1429, Mar. 9-10, 1982). Without question, the changing attitudes about mental illness drove the General Assembly to enact legislation aimed at preventing excessive institutionalization and protecting the civil rights of patients.
If the General Assembly's intention was to protect individuals from undue deprivation of liberty, it would make little sense to give health care providers an incentive to err on the side of involuntary admittance in order to receive statutory immunity and avoid liability. Instead, the statutory scheme protects the discretion, of health care providers tasked with deciding whether
Id. We agree. The immunity conferred by HG § 10-618 and CJP § 5-623 protects the discretion of health care providers, which in turn safeguards the liberties of those subject to evaluation and possible involuntary admission.
In conclusion, we hold that the immunity provided and described in HG § 10-618 and CJP § 5-623 extends to health care providers who evaluate an individual and decide in good faith not to involuntarily admit him. The plain language of the text, the General Assembly's intent, and sound public policy compel this interpretation. Accordingly, we affirm the judgment of the Court of Special Appeals.
Md.Code (1957, 2011 Repl.Vol.), Article 1, § 18.