Dr. Louis Patino, D.C. Dr. Stephen Wilson, M.D. And Dr. Gary Craighead, D.C. v. Texas Department of Insurance-Division of Workers' Compensation Commissioner Cassandra J. Brown and Dr. Donald Patrick, in Their Official and Individual Capacities State Office of Administrative Hearings, Texas Chief Administrative Law Judge Cathleen Parsley in Her Official Capacity Tommy Broyles, in His Official Capacity The State of Texas And the Attorney General of the State of Texas

CourtCourt of Appeals of Texas
DecidedMarch 17, 2020
Docket14-18-00274-CV
StatusPublished

This text of Dr. Louis Patino, D.C. Dr. Stephen Wilson, M.D. And Dr. Gary Craighead, D.C. v. Texas Department of Insurance-Division of Workers' Compensation Commissioner Cassandra J. Brown and Dr. Donald Patrick, in Their Official and Individual Capacities State Office of Administrative Hearings, Texas Chief Administrative Law Judge Cathleen Parsley in Her Official Capacity Tommy Broyles, in His Official Capacity The State of Texas And the Attorney General of the State of Texas (Dr. Louis Patino, D.C. Dr. Stephen Wilson, M.D. And Dr. Gary Craighead, D.C. v. Texas Department of Insurance-Division of Workers' Compensation Commissioner Cassandra J. Brown and Dr. Donald Patrick, in Their Official and Individual Capacities State Office of Administrative Hearings, Texas Chief Administrative Law Judge Cathleen Parsley in Her Official Capacity Tommy Broyles, in His Official Capacity The State of Texas And the Attorney General of the State of Texas) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dr. Louis Patino, D.C. Dr. Stephen Wilson, M.D. And Dr. Gary Craighead, D.C. v. Texas Department of Insurance-Division of Workers' Compensation Commissioner Cassandra J. Brown and Dr. Donald Patrick, in Their Official and Individual Capacities State Office of Administrative Hearings, Texas Chief Administrative Law Judge Cathleen Parsley in Her Official Capacity Tommy Broyles, in His Official Capacity The State of Texas And the Attorney General of the State of Texas, (Tex. Ct. App. 2020).

Opinion

Affirmed in Part, Reversed and Remanded in Part, and Opinion filed March 17, 2020.

In The

Fourteenth Court of Appeals

NO. 14-18-00274-CV

DR. LOUIS PATINO, D.C.; DR. STEPHEN WILSON, M.D.; AND DR. GARY CRAIGHEAD, D.C., Appellants V.

TEXAS DEPARTMENT OF INSURANCE-DIVISION OF WORKERS’ COMPENSATION; COMMISSIONER RYAN BRANNAN AND DR. DONALD PATRICK, IN THEIR OFFICIAL AND INDIVIDUAL CAPACITIES; STATE OFFICE OF ADMINISTRATIVE HEARINGS, TEXAS; CHIEF ADMINISTRATIVE LAW JUDGE CATHLEEN PARSLEY, IN HER OFFICIAL CAPACITY; TOMMY BROYLES, IN HIS OFFICIAL CAPACITY; THE STATE OF TEXAS; AND THE ATTORNEY GENERAL OF THE STATE OF TEXAS, Appellees

On Appeal from the 126th District Court Travis County, Texas Trial Court Cause No. D-1-GN-12-002272

OPINION

Appellants Louis Patino, D.C.; Stephen Wilson, M.D.; and Gary Craighead, D.C. (the doctors) challenge the trial court’s dismissal of their claims for lack of jurisdiction against appellees Texas Department of Insurance-Division of Workers’ Compensation (the Division); Commissioner Ryan Brannan (the Commissioner) and Dr. Donald Patrick; State Office of Administrative Hearings, Texas; Chief Administrative Law Judge Cathleen Parsley; Administrative Law Judge Tommy Broyles; the State of Texas; and the Texas Attorney General.1 Concluding that the trial court properly dismissed the doctors’ claims challenging final agency orders but erred in dismissing the doctors’ constitutional and statutory interpretation challenges and ultra vires claims, we affirm in part and reverse and remand in part.

Background

The doctors were excluded from the State’s workers’ compensation system approved doctor list by final agency orders of the Workers’ Compensation Commission (the Commission) in 2004 and 2005 and by final agency order of the Division in 2007.2 Exclusion from the approved doctor list prevents the doctors from treating patients under the workers’ compensation system. Patino did not appeal. Wilson sought declaratory and injunctive relief in response to the 2005 order denying him admission to the approved doctor list. Wilson v. Tex. Workers’ Comp. Comm’n, No. 03-04-00627-CV, 2008 WL 5264875, at *1 (Tex. App.— Austin Dec. 17, 2008, no pet.) (mem. op.). Wilson argued that the Commission 1 The current commissioner has been substituted for his predecessor. See Tex. R. App. P. 7.2(a) (“When a public officer is a party in an official capacity to an appeal or original proceeding, and if that person ceases to hold office before the appeal or original proceeding is finally disposed of, the public officer’s successor is automatically substituted as a party if appropriate.”). This case was transferred to our court from the Third Court of Appeals; therefore, we must decide the case in accordance with its precedent if our decision would be otherwise inconsistent with its precedent. See Tex. R. App. P. 41.3. 2 Effective September 1, 2005, the Commission was abolished and reorganized under the Division. See Act of May 29, 2005, 79th Leg., R.S., ch. 265, § 8.001, 2005 Tex. Gen. Laws 469, 607-08.

2 acted without authority in promulgating rules that allowed it to terminate the prior approved doctor list and exclude him from a new approved doctor list. Id. The trial court granted summary judgment in favor of the Commission, and the Third Court of Appeals affirmed. Id. Craighead also sought injunctive relief from the decision to exclude him from the approved doctor list. The trial court concluded, among other things, that Craighead failed to show a “property right to provide health care services in Texas’ statutory workers’ compensation system or that a constitutionally protected liberty interest [was] at issue” and denied Craighead’s application for injunctive relief.

The Division subsequently initiated administrative proceedings against Patino and Craighead in the State Office of Administrative Hearings (SOAH), alleging that Patino and Craighead improperly provided care to or received remuneration from workers’ compensation claimants after being denied admission to the approved doctor list. The doctors filed this lawsuit in July 2012, seeking to enjoin the administrative proceedings from going forward. The trial court denied injunctive relief.

Administrative law judges for the SOAH assessed administrative penalties against Patino and Craighead of $55,000 and $45,000, respectively. The doctors then amended their pleadings in this lawsuit to seek judicial review of the SOAH administrative law judges’ orders.3 Appellees filed pleas to the jurisdiction, which the trial court granted, dismissing all defendants and all claims for want of jurisdiction. The doctors then filed a motion for new trial, which the trial court denied. This appeal followed.

3 The doctors sued the Division, the Commissioner, an employee of the Division, SOAH, two administrative law judges, the State, and the attorney general.

3 Discussion

The doctors challenge the trial court’s dismissal of their claims for want of jurisdiction, contending that (1) they can challenge the 2004, 2005, and 2007 final agency orders as void, (2) they can challenge the SOAH administrative law judges’ final orders assessing penalties, (3) their constitutional challenges to the Workers’ Compensation Act and to the Division’s interpretation of the Act were timely and could be brought in the trial court, (4) they were entitled to bring a declaratory judgment action to determine their rights under the statute, and (5) they are entitled to injunctive relief to prevent “continued wrongs from occurring,” “any proven unlawful acts,” and “yet to be proven unconstitutional acts.”4 Appellees contend the trial court lacked jurisdiction over this action because (1) the doctors may not collaterally attack final agency decisions, (2) Patino and Craighead did not wait for the administrative orders to become final before filing suit, and (3) Wilson has no administrative actions to appeal.

We review a plea challenging the trial court’s jurisdiction de novo. State v. Holland, 221 S.W.3d 639, 642 (Tex. 2007). We first look to the pleadings to determine if the pleader has alleged facts that affirmatively demonstrate the court’s jurisdiction to hear the cause. Tex. Dep’t of Parks & Wildlife v. Miranda, 133 S.W.3d 217, 226 (Tex. 2004). We construe the pleadings liberally in favor of the

4 The Workers’ Compensation Act establishes a “comprehensive scheme whereby employees who are covered by workers’ compensation insurance and incur ‘compensable’ injuries are provided the exclusive remedy of ‘workers’ compensation benefits,’” including “medical benefits” (i.e., “all health care reasonably required by the nature of the injury as and when needed”), to be paid by the insurance carrier that covers each worker. Vista Med. Ctr. Hosp. v. Tex. Mut. Ins. Co., 416 S.W.3d 11, 15 (Tex. App.—Austin 2013, no pet.) (citing Tex. Lab. Code §§ 401.011(10), (31), 406.031, 408.001, 408.021). In turn, the Act “gives a health care provider who provides medical benefits . . . the right to reimbursement from the workers’ compensation carrier that covers the employee.” Id. (citing Tex. Lab. Code § 408.027(a)). The Act is codified in chapters 401 through 506 of the Labor Code. See Tex. Labor Code §§ 401.001-506.002.

4 plaintiff, look to the pleader’s intent, and accept as true the factual allegations in the pleadings. Id.

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

Related

Greene v. McElroy
360 U.S. 474 (Supreme Court, 1959)
Washington v. Glucksberg
521 U.S. 702 (Supreme Court, 1997)
Texas Department of Parks & Wildlife v. Miranda
133 S.W.3d 217 (Texas Supreme Court, 2004)
Thomas v. Long
207 S.W.3d 334 (Texas Supreme Court, 2006)
State v. Holland
221 S.W.3d 639 (Texas Supreme Court, 2007)
The City of El Paso v. Lilli M. Heinrich
284 S.W.3d 366 (Texas Supreme Court, 2009)
Texas Lottery Commission v. First State Bank of DeQueen
325 S.W.3d 628 (Texas Supreme Court, 2010)
Andrade v. NAACP of Austin
345 S.W.3d 1 (Texas Supreme Court, 2011)
Jolly v. State
856 S.W.2d 859 (Court of Appeals of Texas, 1993)
Texas Education Agency v. Leeper
893 S.W.2d 432 (Texas Supreme Court, 1995)
Lee v. Texas Workers' Compensation Commission
272 S.W.3d 806 (Court of Appeals of Texas, 2008)
Foster v. Teacher Retirement System
273 S.W.3d 883 (Court of Appeals of Texas, 2008)
Vista Medical Center Hospital v. Texas Mutual Insurance Company
416 S.W.3d 11 (Court of Appeals of Texas, 2013)

Cite This Page — Counsel Stack

Bluebook (online)
Dr. Louis Patino, D.C. Dr. Stephen Wilson, M.D. And Dr. Gary Craighead, D.C. v. Texas Department of Insurance-Division of Workers' Compensation Commissioner Cassandra J. Brown and Dr. Donald Patrick, in Their Official and Individual Capacities State Office of Administrative Hearings, Texas Chief Administrative Law Judge Cathleen Parsley in Her Official Capacity Tommy Broyles, in His Official Capacity The State of Texas And the Attorney General of the State of Texas, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dr-louis-patino-dc-dr-stephen-wilson-md-and-dr-gary-craighead-texapp-2020.