Bacerra v. MacMillan

138 P.3d 749, 111 Haw. 117, 2006 Haw. LEXIS 367
CourtHawaii Supreme Court
DecidedJune 30, 2006
Docket26377
StatusPublished
Cited by5 cases

This text of 138 P.3d 749 (Bacerra v. MacMillan) is published on Counsel Stack Legal Research, covering Hawaii Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bacerra v. MacMillan, 138 P.3d 749, 111 Haw. 117, 2006 Haw. LEXIS 367 (haw 2006).

Opinion

Opinion of the Court by

MOON, C.J.

Lienor-appellant AFL Hotel & Restaurant Workers Health & Welfare Trust Fund, by its trustees [hereinafter, the Trust Fund], appeals from the January 5, 2004 order of the Circuit Court of the First Circuit, the Honorable Eden Elizabeth Hifo presiding, dismissing its “Notice of Lien” filed September 12, 2003 in an underlying medical malpractice action (the instant case) brought by plaintiffs-appellees Noly Bacerra (Mr. Baeer-ra) and Nely Bacerra, individually, and Sean Bacerra (Sean), a minor, through Nely Ba-cerra (Mrs. Bacerra), his mother and next friend [hereinafter, collectively, the Bacerras] against defendants-appellees James B. Mac-Millan, III, M.D. (Dr. MacMillan) and the Queen’s Medical Center (the QMC) [hereinafter, collectively, the defendants].

Based on the discussion below, we conclude that, because the Trust Fund failed to properly intervene in the instant ease, it is not a party to the case. Therefore, the Trust Fund lacks standing to appeal the circuit *118 court’s order dismissing the notice of lien. Accordingly, we are compelled to dismiss the instant appeal.

I. BACKGROUND

The Trust Fund provides medical coverage to thousands of hotel collective bargaining employees and their families, including the Bacerras. On July 2, 1999, Mrs. Bacerra went into labor and was admitted to the Queen’s Medical Hospital. As a result of a uterine rupture, the newborn, Sean, suffered severe brain damage due to lack of oxygen and developed spastic quadriplegia. The medical expenses incurred as a result of Sean’s extensive medical care and treatment were paid by: (1) the Trust Fund, pursuant to Mr. Baeerra’s employer-sponsored group health insurance policy issued by the Trust Fund; and (2) the State of Hawaii’s Department of Human Services (DHS), pursuant to an “Application for Medical Assistance” submitted on Sean’s behalf.

On December 17, 2001, the Bacerras filed a four-count medical malpractice complaint against the defendants, essentially alleging lack of informed consent and negligence. Ultimately, the Bacerras reached a settlement with Dr. MacMillan, as evinced by their “Petition for Approval of Good Faith Settlement” (the Petition), filed December 17, 2001. In the Petition, the Bacerras stated that the case against Dr. MacMillan had been “settled for a confidential amount, which amount w[ould] be provided under seal to the [circuit cjourt and to counsel.” On November 19, 2002, Dr. MacMillan filed his joinder in the Petition.

On December 5, 2002, DHS requested permission from the circuit court to intervene in the instant case (motion to intervene) to recover $326,288.74 in medical costs, paid by DHS through Medicaid, on behalf of Sean. Attached to its motion to intervene was a proposed Intervenor’s Complaint, wherein DHS asserted that: (1) the Bacerras were obligated to reimburse DHS for medical costs paid on behalf of Sean in the event Sean received any compensation for injuries and medical costs incurred as a result of the incident alleged in the complaint; and (2) DHS had a first lien on any judgment or settlement award in favor of Sean. On February 4, 2003, the circuit court granted DHS’s motion to intervene. 1

On February 11, 2003, the circuit court issued an “Order for Attendance of Persons/Entities at Further Settlement Conference,” mandating the Trust Fund’s attendance at a further settlement conference. 2 The order was the first notification to the Trust Fund that Sean’s condition may have been caused by a third-party against whom the Bacerras were pursuing an action to recover damages. As a result, the Trust Fund filed its notice of lien on September 12, 2003, asserting its right of reimbursement for payments made by the Trust Fund on behalf of Sean in the amount of $532,960.32. *119 However, unlike DHS, the Trust Fund did not file a motion to intervene as a party in the instant action.

On September 29, 2003, the Bacerras moved to dismiss or determine the Trust Fund’s notice of lien (motion to dismiss). Although the Bacerras did not dispute the fact that Sean had received $532,960.32 in medical benefits from the Trust Fund, they argued that the Trust Fund’s lien action was preempted by the Federal Employees Retirement Income Security Act of 1974, commonly known as ERISA, codified at 29 U.S.C. § 1001 et seq. The Bacerras maintained that, because the Trust Fund—an ERISA-fiduciary—was essentially seeking monetary compensation from the Bacerras— the plan-beneficiaries,—the relief being-sought was legal (and not equitable) in nature and was, therefore, preempted by federal law.

DHS and the QMC each filed memoranda regarding the Bacerras’ motion to dismiss, essentially supporting the motion. In the event the circuit court decided not to dismiss the notice of lien, DHS urged the court to determine that its Medicaid lien should “enjoy [ ] a first priority.” The QMC requested that the circuit court determine how much, if any, of the lien should be allowed. The Trust Fund opposed the motion, arguing that its state law claim for reimbursement did not come within the scope of ERISA and was, therefore, not preempted, and that its lien should be given priority over DHS’s lien because “ERISA preempts any state laws that interfere with an ERISA plan’s right of first recovery, including any state Medicaid program’s right of first recovery.” (Emphasis omitted.)

A hearing on the motion to dismiss was held on November 5, 2003. The circuit court, over the Trust Fund’s objection, “grant[ed] the motion[,] finding there [was] a preemption,” indicating also that it would “not now decidfe] which lien would have priority.” The written order granting the Bacerras’ motion to dismiss was filed on January 5, 2004. On February 4, 2004, the Trust Fund filed its Notice of Appeal.

II. STANDARD OF REVIEW

This court reviews a dismissal under Hawai'i Rules of Civil Procedure Rule (HRCP) 12(b)(6) and a determination of subject matter jurisdiction de novo. AFL Hotel & Rest. Workers Health & Welfare Trust Fund v. Bosque, 110 Hawai'i 318, 321, 132 P.3d 1229, 1232 (2006); Aames Funding Corp. v. Mores, 107 Hawai'i 95, 98, 110 P.3d 1042, 1045 (2005); Norris v. Hawaiian Airlines, Inc., 74 Haw. 235, 239, 842 P.2d 634, 637 (1992), aff'd, 512 U.S. 246, 114 S.Ct. 2239, 129 L.Ed.2d 203 (1994).

III. DISCUSSION

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Cite This Page — Counsel Stack

Bluebook (online)
138 P.3d 749, 111 Haw. 117, 2006 Haw. LEXIS 367, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bacerra-v-macmillan-haw-2006.