Carpenter v. Twin Falls County

691 P.2d 1190, 107 Idaho 575, 1984 Ida. LEXIS 564
CourtIdaho Supreme Court
DecidedNovember 7, 1984
Docket14389
StatusPublished
Cited by51 cases

This text of 691 P.2d 1190 (Carpenter v. Twin Falls County) is published on Counsel Stack Legal Research, covering Idaho Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carpenter v. Twin Falls County, 691 P.2d 1190, 107 Idaho 575, 1984 Ida. LEXIS 564 (Idaho 1984).

Opinions

BISTLINE, Justice.

Elva Carpenter was hospitalized at St. Alphonsus Hospital in Boise with a terminal illness on April 21, 1980. Upon her death on May 4, 1980, a total hospital bill of $10,614.09 was rendered by the hospital to her surviving husband, Clarence Carpenter. While Mrs. Carpenter was in the hospital, Mr. Carpenter, using a county-printed form which he obtained from a county secretary, partially completed an “Application for County Assistance.” Carpenter would later testify that on or about May 8, 1980, he personally delivered the application, which was neither signed nor sworn to, to Merle Leonard, then Chairman of the Board of County Commissioners; that he had not signed it because he knew his signature had to be “notarized” by someone; that Mr. Leonard stated that the application was “all right.” Tr., pp. 10, 12. Mr. Leonard would later testify that he did not recall ever suggesting to Mr. Carpenter that the application was all right even though it was not signed, but that he just took the application. Tr., p. 32.

By letter of May 27, 1980, the Commissioners advised Mr. Carpenter that the application was incomplete and did not meet the requirements of I.C. § 31-3404. The letter suggested that additional data be supplied concerning the treatment involved and the dates and costs thereof. The letter concluded with the statement “we can do nothing but consider that no formal written application ... has been filed.” The letter, which was addressed to Elva Carpenter at the residence specified in the application— 519 Wiseman Street, Hansen, Idaho — was returned undelivered. A second letter sent to Clarence and Elva Carpenter, Route 1, Kimberly, Idaho, was also returned undelivered. This letter was from attorney Lloyd J. Webb, informing the Carpenters that the County Commissioners had directed him to inform them that the incomplete application was rejected. A second paragraph added: “Under the law, you have a right to hearing before the Board of County Commissioners to review this denial. If you wish a hearing, please advise either me or the County Commissioners in writing within the next 20 days so that we can schedule the appropriate procedures.” A third letter of rejection was sent to Carpenter at Route No. 12, Box 199, Gooding, Idaho, and that letter was ultimately delivered.

Prior to the delivery of the third letter, the Commissioners received a certified letter from counsel for the Hospital, dated August 19, 1980, requesting a redetermination hearing.1 Enclosed with the letter was an itemized statement for the services that had been rendered. A hearing was duly scheduled for November 21, 1980.

At the hearing and prior to the taking of any testimony, three exhibits were stipulated into evidence; these included the application, the hospital records of services and charges, and a bankruptcy court notice which declared that Mr. Carpenter had filed a petition for bankruptcy on July 21, 1980. There ensued a colloquy between counsel for the Hospital and independent counsel representing the Commissioners. [578]*578When asked why the Commissioners initially denied the Carpenter application, counsel for the County responded: “I suppose the answer, counsel, to your question has to be because we simply felt we lacked information upon which to act. ... [T]he denial was merely to avoid getting caught in a trap of letting the application sit without action____” Tr., p. 7. (I.C. § 31-3505 provides that “[i]f the board of county commissioners fails to act upon an application within sixty (60) days from the receipt of said application, it shall notify the applicant in writing, or upon its failure to give notice within said time, the application shall be deemed approved____”)

The first letter from the Commissioners suggests that the information to which counsel appears to have been referring was data concerning the treatment received by Mrs. Carpenter, the dates and cost thereof.2 The county’s application form, however, provided no place for the insertion of such information. The form utilized is captioned APPLICATION FOR COUNTY MEDICAL INDIGENT ASSISTANCE. Paragraph 2 of the form is structured so that the form can be used in emergency and non-emergency situations. Basically it is a statement that the applicant is without assets or without average monthly income from which he or she could reasonably be expected to pay necessary hospitalization costs. Paragraph 5 provides a financial statement to be filled out. Mr. Carpenter did so, including therein with his statement of Total Monthly Expenses that his wife “is presently in intensive care in Boise, had extensive surgery — with several Drs. Also estimate 3 weeks yet in intensive care — will be considerable skin grafts done.” This information, although not requested by the county’s form, appears to be in compliance with all of the various provisions of I.C. § 31-3504.3

As is discussed infra, an application for certification of medical indigency status is made to the clerk of the Board of County Commissioners, and not in the first instance to the Board. The clerk has the further duty to investigate the claim of indigency, or cause it to be investigated, and thereafter report his findings to the Board — who will then approve or deny the application. Where the application precedes medical or hospital treatment, initially the only question before the clerk, and in the Board, is determination of the asserted status. In emergency situations the person claiming or on whose behalf claim of medical indigency is made is obligated to make application for the status determination only — leaving for later, presumably at the termination of services, the validity of the monetary claim which will be submitted to the Commissioners for their action.

The legislature has required a timely application for certification as to medical indigency status, but has not required the same alacrity regarding the submission of claims. For instance, I.C. § 31-3509 provides that “Hospitals making claims for the hospitalization of medically indigent persons shall make all reasonable efforts to determine liability for the account so incurred from any available insurance or other sources ... prior to submitting the bill to the county for payment.” I.C. § 31-3508 refers to a bill “submitted for payment pursuant to section 31-3405, Idaho Code,” but I.C. § 31-3405 merely provides [579]*579that “the bill for such hospitalization or expenditure shall be presented to the board of county commissioners, duly verified under oath,” without specifying who has the obligation to present the bill or at what time.

The statutory scheme as written and scattered haphazardly in the various sections is confusing. At least one thing is clear however, and that is that there is no requirement that the indigent applicant include the hospital bill with his application. This makes sense; if the application is for non-emergency assistance, there will be no bill at the time the application is filed, and the same situation will also occur in some cases in which the application is for emergency medical benefits because of the time restrictions on the filing of an application. Under the circumstances, it appears that it would be clearly inappropriate for county commissioners to deny an application for medical indigency assistance on the sole ground that information regarding the medical bill had not been submitted, without ever notifying an indigent applicant that he or she was expected to provide such information.

We hold that the application clearly complied with the requirements of I.C. § 31-3504.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Saint Alphonsus Regional Medical Center v. Ada County
204 P.3d 502 (Idaho Supreme Court, 2009)
Harris v. Carter
189 P.3d 484 (Idaho Court of Appeals, 2008)
State v. Culbreth
193 P.3d 869 (Idaho Court of Appeals, 2008)
IHC Hospitals, Inc. v. Teton County
75 P.3d 1198 (Idaho Supreme Court, 2003)
State v. Nunes
958 P.2d 34 (Idaho Court of Appeals, 1998)
State v. Henninger
945 P.2d 864 (Idaho Court of Appeals, 1997)
University of Utah Hospital v. Board of Commissioners
915 P.2d 1387 (Idaho Court of Appeals, 1996)
Sioux Valley Hospital Ass'n v. Lake County
533 N.W.2d 161 (South Dakota Supreme Court, 1995)
State v. Martinez
891 P.2d 1061 (Idaho Court of Appeals, 1995)

Cite This Page — Counsel Stack

Bluebook (online)
691 P.2d 1190, 107 Idaho 575, 1984 Ida. LEXIS 564, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carpenter-v-twin-falls-county-idaho-1984.