David S. Lopez and Richard Humphrey v. Francisco Sosa

Court of Appeals of Texas·Decided June 9, 2023·No. 05-22-00295-CV·Published

Opinion

Affirmed and Opinion Filed June 9, 2023

In The

Court of Appeals

Fifth District of Texas at Dallas No. 05-22-00295-CV

DAVID S. LOPEZ AND RICHARD HUMPHREY, Appellants V.

FRANCISCO SOSA, Appellee

On Appeal from the County Court at Law No. 5 Dallas County, Texas

Trial Court Cause No. CC-19-02681-E

MEMORANDUM OPINION

Before Justices Molberg, Partida-Kipness, and Carlyle Opinion by Justice Molberg Appellant David Lopez, in his official capacity as Chief Operating Officer of

Parkland Health & Hospital System, and appellant Richard Humphrey, in his official capacity as Chief Financial Officer of Parkland, appeal the trial court’s denial of their second amended pleas to the jurisdiction, no evidence motions for summary judgment, and Texas Medical Liability Act motion to dismiss. Because we conclude the trial court did not err in denying the pleas and motions, we affirm in this memorandum opinion. See TEX. R. APP. P. 47.4.

I. Background

In 2018, appellee Francisco Sosa was taken to Parkland’s emergency department following a car accident. Sosa was billed $53,233.81 for the treatment he received at Parkland and his insurer paid $31,877.03 of the invoice. In March 2019, Parkland filed a hospital lien pursuant to Chapter 55 of the Texas Property Code “upon any and all rights of action, suits, claims, counterclaims and demands of [Sosa] on account of personal injuries received.” The lien listed the “name of party or parties alleged to be liable for damages arising from the injury” as unknown. An affidavit attached to the lien stated the unpaid amount was $6,323.15.

Sosa originally brought suit in May 2019 against Parkland and its Chief Operating Officer, Lopez, for claims arising out of his visit to Parkland’s emergency department. Sosa alleged Lopez authorized Med-Data, Inc. to act as Parkland’s agent and authorized Parkland employees to provide information to Med-Data “for the purpose of filing hospital liens[.]” Sosa alleged a $6,323.15 hospital lien was filed against him by Parkland on or about March 4, 2019. Sosa argued Lopez “acted without legal or statutory authority by filing said lien,” as it was not in compliance with Chapter 55 of the property code in several respects, and accordingly, he sought a declaratory judgment that Parkland’s hospital lien was invalid.

Parkland and Lopez filed pleas to the jurisdiction and motions to dismiss for lack of subject matter jurisdiction, which were denied by the trial court. They appealed to this Court, and we reversed as to Parkland and dismissed Sosa’s claims

against the hospital but affirmed the denial of Lopez’s plea to the jurisdiction, finding Sosa properly pleaded ultra vires claims against Lopez. See Dallas Cnty. Hosp. Dist. v. Sosa (Sosa I), No. 05-19-01164-CV, 2020 WL 4581666, at *6 (Tex. App.—Dallas Aug. 10, 2020, pet. denied) (mem. op.).

On August 31, 2021, Sosa filed a second amended petition. He reiterated his claims against Lopez and made the same claims for the first time against Humphrey, Parkland’s Chief Financial Officer. Sosa alleged Humphrey and Lopez authorized Med-Data to act as Parkland’s agent “for purposes of collecting additional monies for services provided to” Sosa and they authorized Parkland employees to provide Sosa’s patient account information to Med-Data “for the purpose of the filing of a hospital lien, which was performed on or about March 12, 2019.” Sosa alleged Humphrey and Lopez, each in his official capacity, without legal or statutory authority, “authorized or permitted a hospital lien to be filed as Plaintiff was an insured patient;” “authorized or permitted the transfer of Plaintiff s account to MedData for the purpose of filing a hospital lien on behalf of Parkland, approximately six months after Parkland received payment from Plaintiff’s health insurer, Blue Cross Blue Shield;” “authorized or permitted the filing a hospital lien despite Plaintiff not having been admitted into Parkland;” “authorized or permitted a hospital lien in the sum of $53,233.81, to be filed, said lien amount greatly exceeded the usual and customary charges for the services Plaintiff received in contravention to the Texas Hospital Lien Statute;” “authorized or permitted the

acceptance of the amount paid by Plaintiff’s health insurer, $31,877.03, which exceeded the regular and reasonable rate customarily charged for services rendered to Plaintiff as permitted under the Texas Hospital Lien Statute;” and “the amount received by Parkland on Plaintiff’s behalf, $31,877.03, was more than 50% of Plaintiff‘s third-party settlement of $57,485.98.” Sosa sought a declaration that the hospital lien authorized by Humphrey and Lopez was invalid pursuant to §§ 55.002 and 55.004 of the property code.

On November 9, 2021, Lopez filed a second amended plea to the jurisdiction, arguing among other things that, following Lopez’s deposition, Sosa could not maintain a viable ultra vires claim against him. Humphrey filed a second amended plea to the jurisdiction, arguing that the discretionary decisions alleged by Sosa did not amount to an ultra vires claim. Lopez and Humphrey also, in the alternative, presented their jurisdictional challenges through no evidence motions for summary judgment. Additionally, Lopez and Humphrey jointly filed a motion to dismiss pursuant to § 74.351(a) of the civil practice and remedies code, arguing Sosa’s suit alleged health care liability claims requiring an expert report, which Sosa failed to serve on them. The trial court denied the two pleas to the jurisdiction, the no evidence motions for summary judgment, and the Chapter 74 motion to dismiss. This appeal followed.

II. Discussion

Lopez argues he had no role in the actions challenged by Sosa, and that his deposition, given subsequent to our prior opinion in this case, confirms he did not have authority over the actions that form the basis of Sosa’s claims. Lopez and Humphrey also argue Sosa’s allegations cannot support an ultra vires claim because they involve the exercise of discretion. They argue the filing of a hospital lien, determining how a patient account is handled, determining whether a patient was admitted to the hospital, and setting hospital charges are all discretionary actions. They further argue Sosa did not allege an ultra vires claim because it was a “practical impossibility” for a lien to have been filed in violation of Chapter 55 in the manner alleged by Sosa. Alternatively, Lopez and Humphrey argue the trial court erred in denying their motions for summary judgment because Sosa presented no evidence establishing subject matter jurisdiction. Finally, Lopez and Humphrey argue the trial court erred by denying their motion to dismiss under the Texas Medical Liability Act.

A. Pleas to the jurisdiction and no evidence summary judgment motions

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David S. Lopez and Richard Humphrey v. Francisco Sosa, (Tex. Ct. App. 2023).

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