Galveston Independent School District v. Clear Lake Rehabilitation Hospital, L.L.C.

324 S.W.3d 802
CourtCourt of Appeals of Texas
DecidedNovember 24, 2010
Docket14-09-00950-CV
StatusPublished
Cited by23 cases

This text of 324 S.W.3d 802 (Galveston Independent School District v. Clear Lake Rehabilitation Hospital, L.L.C.) 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
Galveston Independent School District v. Clear Lake Rehabilitation Hospital, L.L.C., 324 S.W.3d 802 (Tex. Ct. App. 2010).

Opinion

OPINION

CHARLES W. SEYMORE, Justice.

Clear Lake Rehabilitation Hospital, L.L.C. (“Clear Lake”) filed suit against Galveston Independent School District (“GISD”), alleging breach of contract and violation of the federal Public Health Service Act (“PHSA”). GISD filed a plea to the trial court’s subject-matter jurisdiction over these claims, which was denied.

In four issues, GISD contends the trial court erred (1) to the extent it determined GISD’s act of providing medical coverage was a proprietary, instead of a governmental, function, (2) by implicitly finding a waiver of governmental immunity relative to Clear Lake’s breach-of-contract claim under Chapter 271 of the Local Government Code, (3) by implicitly finding GISD waived its governmental immunity by conduct, and (4) by failing to dismiss Clear Lake’s claim under the PHSA.

We reverse that portion of the trial court’s order denying GISD’s plea relative to Clear Lake’s breach-of-contract claim and remand for further proceedings consistent with this opinion. We also reverse that portion of the trial court’s order denying the jurisdictional challenge to Clear Lake’s PHSA claim and render judgment dismissing that claim for want of jurisdiction.

I. Background

In October 2006, Carlos Urroz, an employee with GISD, was placed on sick-leave pursuant to the Family and Medical Leave Act. On January 24, 2007, GISD sent Urroz a letter notifying him of the requirement to pay premiums “in order to keep coverage current.” GISD sent a second letter on February 6, warning Urroz that his medical benefits would cease unless his premiums were received. The same day, GISD instructed its third-party administrator, Houston TPA, Ltd. d/b/a/ Trisurant (“Trisurant”), “to pend claims effective 2/1/07 until premium is received.”

On February 8 and 9, Clear Lake contacted Trisurant to verify Urroz’s coverage. Trisurant verified Urroz’s coverage without advising that GISD had instructed *806 it to pend Urroz’s claims. Thereafter, Ur-roz was admitted to Clear Lake and received treatment for six weeks.

On February 22, GISD sent Urroz another warning letter. On March 13, GISD informed Urroz that his medical coverage had been cancelled, effective February 1, and that he must contact GISD “by April 2, 2007, in order to enroll in COBRA[.]” When Clear Lake did not receive payment for Urroz’s medical treatment, it demanded payment from GISD. GISD rejected Clear Lake’s demand, explaining that it had complied with COBRA requirements. Clear Lake alleges that GISD considered Urroz an active employee until April 13, 2007.

Clear Lake filed suit against GISD, Trisurant, and Urroz, alleging a variety of tort claims. GISD filed a plea to the jurisdiction asserting governmental immunity. Clear Lake amended its petition to allege only claims for breach of contract and violations of the PHSA against GISD. Thereafter, GISD supplemented its plea, and Clear Lake filed a response. The trial court denied GISD’s plea, and GISD timely filed this interlocutory appeal.

II. INTERLOCUTORY APPEAL AND Standard of Review

We have statutorily-conferred authority to review the trial court’s interlocutory order denying GISD’s plea to the jurisdiction. See Tex. Civ. Prac. & Rem.Code Ann. § 51.014(a)(8) (West 2008) (providing that a party may appeal an interlocutory order that “grants or denies a plea to the jurisdiction by a governmental unit_”). An appellate court must consider challenges to the trial court’s subject-matter jurisdiction on interlocutory appeal, regardless of whether such challenges were presented to or determined by the trial court. Tex. Dep’t of Transp. v. Olivares, 316 S.W.3d 89, 95 (Tex.App.-Houston [14th Dist.] 2010, no pet.) (citing Waco Indep. Sch. Dist. v. Gibson, 22 S.W.3d 849, 850-51 (Tex.2000)).

We review de novo the trial court’s ruling on a plea to the jurisdiction. Tex. Dep’t of Parks & Wildlife v. Miranda, 133 S.W.3d 217, 228 (Tex.2004). In a plea to the jurisdiction, a party may challenge either the pleadings or existence of jurisdictional facts. Id. at 226-27; see also Rebecca Simmons & Suzette Kinder Patton, Plea to the Jurisdiction: Defining the Undefined, 40 St. Mary’s L.J. 627, 651-52 (2009).

When a defendant challenges the plaintiffs pleadings, the court’s determination turns on whether the pleader has alleged facts sufficient to demonstrate subject-matter jurisdiction. Miranda, 133 S.W.3d at 226. To make this determination, courts should glean the pleader’s intent and construe the pleadings liberally in favor of jurisdiction. Id. If the pleadings do not contain facts sufficient to affirmatively demonstrate the trial court’s jurisdiction, but do not affirmatively demonstrate incurable defects in jurisdiction, the issue is one of pleading sufficiency and plaintiffs should be afforded an opportunity to amend. Id. at 226-27. If the pleadings affirmatively negate jurisdiction, a plea may be granted without allowing plaintiffs an opportunity to amend. Id. at 227. The opportunity to amend pleadings that are insufficient to establish, but do not affirmatively negate, jurisdiction arises after a court determines the pleadings are insufficient. White v. Robinson, 260 S.W.3d 463, 475-76 (Tex.App.-Houston [14th Dist.] 2008, pet. granted) (citing Tex. A & M Univ. Sys. v. Koseoglu, 233 S.W.3d 835, 839-40 (Tex.2007)).

When a defendant challenges the existence of jurisdictional facts, we consider relevant evidence submitted by the par *807 ties. Miranda, 133 S.W.3d at 227. We take as true all evidence favorable to the nonmovant and indulge every reasonable inference and resolve any doubts arising from such evidence in the nonmovant’s favor. Id. at 228. If the relevant evidence is undisputed or a fact question is not raised relative to the jurisdictional issue, the trial court rules on the plea to the jurisdiction as a matter of law. Id. If the evidence creates a fact question regarding jurisdiction, the trial court cannot grant the plea, and the issue will be resolved by the fact finder. Id. at 227-28.

When resolution of an issue requires interpretation of a statute, we review under a de novo standard. Mokkala v. Mead, 178 S.W.3d 66, 70 (Tex.App.-Houston [14th Dist.] 2005, pet. denied). In construing a statute, our objective is to determine and give effect to the legislature’s intent. See Nat’l Liab. & Fire Ins. Co. v. Allen, 15 S.W.3d 525, 527 (Tex.2000). If possible, we must ascertain that intent from the language the legislature selected and should not refer to extraneous matters for intent not expressed in the statute. Id.

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Bluebook (online)
324 S.W.3d 802, Counsel Stack Legal Research, https://law.counselstack.com/opinion/galveston-independent-school-district-v-clear-lake-rehabilitation-texapp-2010.