Bustamonte v. Flores

134 Cal. Rptr. 2d 683, 109 Cal. App. 4th 332
CourtCalifornia Court of Appeal
DecidedAugust 20, 2003
DocketB156613
StatusPublished

This text of 134 Cal. Rptr. 2d 683 (Bustamonte v. Flores) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bustamonte v. Flores, 134 Cal. Rptr. 2d 683, 109 Cal. App. 4th 332 (Cal. Ct. App. 2003).

Opinion

134 Cal.Rptr.2d 683 (2003)
109 Cal.App.4th 332

Jonathan D. Arrieta BUSTAMONTE, a Minor, etc., Plaintiff and Appellant,
v.
Carlos FLORES, Defendant and Appellant, Diana M. Bonta; as Director, etc., Claimant and Respondent.

No. B156613.

Court of Appeal, Second District, Division Three.

May 30, 2003.
Review Granted August 20, 2003.

*684 Thon, Beck, Vanni, Phillipi & Nutt and Brian C. Nutt, Pasadena, for Plaintiff and Appellant.

Horvitz & Levy, Encino, S. Thomas Todd, Poway, Holly R. Paul, Encino, Jorje Chica; Bonne Bridges, Mueller, O'Keefe & Nichols and Ted O'Leary, for Defendant and Appellant Carlos Flores.

Bill Loekyer, Attorney General, John H. Sanders, Supervising Deputy Attorney General, Karen Ackerson-Brazille, Deputy Attorney General, for Respondent Director of the State Department of Health Services.

Certified for Partial Publication.[*].

KLEIN, P.J.

Defendant and appellant Carlos Flores, M.D. (Dr. Flores) appeals a judgment in favor of plaintiff and respondent Jonathan D. Arrieta Bustamonte, by and through his guardian ad litem Roque Arrieta (Jonathan or plaintiff) following a jury trial of a wrongful death action.

Jonathan also appeals, seeking review of a postjudgment order denying his motion to extinguish a Medi-Cal lien by lien claimant and respondent Director of the State Department of Health Services (the Department).

We affirm the judgment but reverse the postjudgment order, concluding the Medi-Cal lien on Jonathan's recovery is improper. Welfare and Institutions Code section 14124.72 provides in relevant part at subdivision (c): "When an action or claim is brought by persons entitled to bring such actions or assert such claims against a third party who may be liable for causing the death of a beneficiary, any settlement, judgment or award obtained is subject to the director's right to recover from that party the reasonable value of the benefits provided to the beneficiary under the Medi-Cal program...." (Italics added.) Jonathan was not a person entitled to bring an action or assert a claim to recover decedent's medical expenses. The person who was so entitled was the decedent's personal representative. (Code Civ. Proa, §§ 377.30, 377.34.) The Department's lien on Jonathan's recovery is predicated on the assumption that Jonathan had the right and therefore the obligation to sue for decedent's medical expenses. Because the right to sue for decedent's medical expenses rested in the personal representative, not in Jonathan, the judgment which Jonathan obtained is not subject to the Department's right to recover Medi-Cal benefits it paid on behalf of decedent's care.

FACTUAL AND PROCEDURAL BACKGROUND

*685 1. Facts.[1]

Dr. Flores failed to diagnose preeclampsia in Jonathan's mother, Avelina Bustamonte (decedent), ultimately causing her death. Preeclampsia is not rare. It is one of the most common causes of maternal death in the United States.

Decedent first saw Dr. Flores on March 23, 1999, when she was 32 weeks pregnant, with an expected delivery date of May 13. Dr. Flores again saw decedent on May 4, 11 and 13.

As of May 4, 1999, decedent had protein in her urine. By definition, she had proteinuria, which is 1+ protein or greater. As of May 11, 1999, her protein had risen to 2 +. Immediately following each of those office visits, blood pressure studies were conducted on decedent. All of these blood pressure readings were abnormal. By May 11, 1999, decedent had preeclampsia, and Dr. Flores should have realized it on account of the 2+ proteinuria finding. Once preeclampsia is diagnosed, delivery of the baby is essential to protect the health of the mother.

On May 13, 1999, decedent arrived at the hospital with elevated blood pressure. Immediately prior to delivery, decedent suffered an intercerebral hemorrhage. She spent five months in a coma and died on October 29,1999, at age 32.

Delivery of the child on May 4 or 11 would have saved decedent's life.

2. Proceedings.

On September 28, 2000, Jonathan filed suit against Dr. Flores and Granada Hills Community Hospital (the hospital). The operative first amended complaint, filed February 2, 2001, pled a single cause of action against Dr. Flores and the hospital for wrongful death.[2]

The matter came to trial on November 1, 2001. The witnesses included Jonathan's medical expert, Dr. Asrat, who opined Dr. Flores should have figured out by May 11, 1999 that decedent had preeclampsia due to the finding of proteinuria of 2 + , the baby should have been delivered immediately at that juncture, and the failure to do so was a substantial factor in decedent's death.

The jury found in favor of Jonathan, based upon a finding of professional negligence on the part of Dr. Flores, which negligence resulted in the death of decedent. The jury awarded Jonathan $22,000 for past loss of household services, $130,000 for future loss of household services, and $225,000 for loss of love, companionship, comfort, affection, society, solace or moral support.

Dr. Flores moved for a new trial on various grounds, including the failure of the trial court to properly instruct the jury as to how to proceed following the seating of two alternate jurors, and the trial court's permitting Jonathan's expert, Dr. Asrat, to testify that his partner, Dr. Nageotte, agreed with his conclusion concerning when the baby should have been delivered.

The trial court denied Dr. Flores's motion for new trial. Dr. Flores filed a timely notice of appeal from the judgment.

*686 3. Proceedings relating to the Medi-Cal lien.

On July 24, 2001, about three months before the action came to trial, the Department filed a notice of Medi-Cal lien, claiming a lien of $118,274 upon the proceeds of any judgment or settlement, to recover the amount expended by the State for Medi-Cal benefits provided to decedent.

On December 14, 2001, after obtaining the verdict against Dr. Flores, Jonathan filed a motion to extinguish the lien, arguing that because his action did not include a claim for medical expenses, and no monies were awarded for medical expenses, the lien was invalid.

In response, the Department argued it is entitled to have its lien satisfied from any judgment or settlement proceeds obtained by the plaintiff.

On January 28, 2002, the motion was heard, argued and denied.

Jonathan filed a timely notice of appeal from the postjudgment order denying his motion to extinguish the lien.

CONTENTIONS

Dr. Flores contends the trial court committed prejudicial error (1) in replacing two jurors with alternates without instructing the jury to disregard its past deliberations and begin anew, and (2) in allowing Dr. Asrat, plaintiffs medical expert, to give hearsay testimony that Dr. Nageotte agreed with his opinion that Dr. Flores violated the standard of care.

Jonathan contends the trial court erred in denying his motion to extinguish the Med-Cal lien because no claim was made in the wrongful death action, and no monies were awarded, for medical expenses relating to decedent's care and treatment.

DISCUSSION

1.-2.[**]

3. The trial court erred in denying Jonathan's motion to extinguish the Medi-Cal lien; Jonathan did not have the right and therefore did not have the obligation to pursue a claim against Dr. Flores for decedent's medical expenses.

a. Proceedings.

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Bluebook (online)
134 Cal. Rptr. 2d 683, 109 Cal. App. 4th 332, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bustamonte-v-flores-calctapp-2003.