Group Health Plan, Inc. v. State Board of Registration for Healing Arts

787 S.W.2d 745, 1990 Mo. App. LEXIS 3, 1990 WL 178
CourtMissouri Court of Appeals
DecidedJanuary 2, 1990
Docket56642
StatusPublished
Cited by7 cases

This text of 787 S.W.2d 745 (Group Health Plan, Inc. v. State Board of Registration for Healing Arts) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Group Health Plan, Inc. v. State Board of Registration for Healing Arts, 787 S.W.2d 745, 1990 Mo. App. LEXIS 3, 1990 WL 178 (Mo. Ct. App. 1990).

Opinion

CRANDALL, Judge.

Plaintiffs, Group Health Plan, Inc. et al., appeal from the trial court’s order dismissing their two-count petition for declaratory judgment, injunction and damages. We affirm in part and reverse and remand in part.

Initially we note the multiple parties as described in plaintiffs’ petition. The named plaintiffs are Group Health Plan, Inc. (G.H. P.), a corporation and a federally qualified health maintenance organization, with its principal offices in St. Louis County, Missouri; Margarethe Hagemann, M.D., et al., duly licensed physicians employed by and on the staff of G.H.P. (G.H.P. physicians); Mary Beckemeier, R.N., et al., duly licensed registered nurses employed by and on the staff of G.H.P. (G.H.P. nurses); and Timothy J. Murphy, R.Ph., a duly licensed pharmacist employed by and on the staff of G.H.P. (G.H.P. pharmacist).

The named defendants are the State Board of Registration for the Healing Arts (Board of Healing Arts), a Missouri agency, and its individual members; the Board of Pharmacy, a Missouri agency, and its individual members; and the Missouri Department of Health — Bureau of Narcotics and Dangerous Drugs (Bureau), a Missouri agency, and its director, Robert G. Harmon.

Our review of the trial court’s dismissal requires an examination of the pleadings, allowing them their broadest intendment, treating all facts alleged as true, construing allegations as favorable to plaintiffs and determining whether the petition invokes principles of substantive law upon which relief can be granted. Rosatone v. GTE Sprint Communications, 761 S.W.2d 670, 671 (Mo.App.1988). The facts on appeal are gleaned from plaintiffs' petition.

G.H.P., its physicians and nurses have staff policies and operational procedures (hereinafter collectively referred to as “protocols”). Pursuant to the protocols, G.H.P. nurses are allowed to examine and assess certain G.H.P. members without the presence of a physician. G.H.P. physicians supply a G.H.P. nurse with pre-signed prescriptions for “routine medications” which she is allowed to fill out. G.H.P. physicians also consult with and authorize another G.H.P. nurse to provide prescriptions under the physician’s name per his own name. A G.H.P. pharmacist then fills the prescription.

Board of Healing Arts threatened to bring actions, “civil and/or criminal and/or administrative,” against each of the G.H.P. physicians, claiming the implementation of the protocols involved the unauthorized practice of medicine. Board of Pharmacy also threatened actions against G.H.P. pharmacist. Finally, Bureau and its director threatened to seek an investigative warrant to search G.H.P.’s premises and to bring actions against all the named plaintiffs.

Plaintiffs filed their two-count petition. Count I asked for a declaratory judgment that plaintiffs’ actions, as described above, are consistent with Missouri and federal law and that the defendants’ actions deprived plaintiffs of equal protection of the law as guaranteed by the Fourteenth Amendment to the United States Constitution; and (2) an injunction permanently re *748 straining defendants from proceeding with complaints or charges against plaintiffs for violation of Chapters 195, 334, and 338, RSMo (1986). 1 Count II prayed for damages and attorneys’ fees for violation of 42 U.S.C. Section 1983.

The trial court sustained defendants’ motion to dismiss Count I of plaintiffs’ petition on the following grounds:

(1) the court lacked jurisdiction under State ex rel. Missouri State Board of Registration for the Healing Arts v. Hartenbach et al., 768 S.W.2d 657 (Mo.App.1989); Schierding v. Missouri Dental Board, 705 S.W.2d 484 (Mo.App.1985); and State ex rel. State Board of Registration for the Healing Arts v. Elliott, 387 S.W.2d 489 (Mo.1965); (2) plaintiffs G.H.P., G.H.P. nurses, and G.H.P. pharmacist lack standing to request relief against the Board of Healing Arts; (3) plaintiffs G.H.P., G.H.P. physicians and G.H.P. nurses lack standing to request relief against the Board of Pharmacy; and (4) all plaintiffs lack standing to request relief against the Bureau and its director.

The trial court also sustained defendants’ motion to dismiss Count II of plaintiffs’ petition for failure to state a claim upon which relief could be granted.

We first consider the issue of jurisdiction as it relates to Count I. The issue, more precisely defined, is whether there was subject-matter jurisdiction. Subject-matter jurisdiction involves the nature of the cause of action or the relief sought and exists only when the tribunal has the right to proceed to determine the controversy at issue or grant the relief requested. State Tax Commission v. Administrative Hearing Commission, 641 S.W.2d 69, 72 (Mo. banc 1982); In re Marriage of Neal, 699 S.W.2d 92, 94 (Mo.App.1985).

In its order, the trial court cited Harten-bach, Schierding and Elliott as authority to dismiss for lack of jurisdiction. In each of those cases, contested administrative proceedings were commenced before suit, and the plaintiff was attempting to bring a separate court action to stop the administrative proceeding. Under those circumstances it is clear that the charges brought against a plaintiff should be resolved first in the administrative proceeding, and, until that resolution occurs, the circuit court generally lacks jurisdiction over the subject matter. Hartenbach, at 659. The reason for this rule is to prevent “premature interference with agency processes, so that the agency may function efficiently and so that it may have an opportunity to correct its own errors, to afford the parties and the courts the benefit of its experience and expertise, and to compile a record which is adequate for judicial review_” Id., citing Weinberger v. Salfi, 422 U.S. 749, 95 S.Ct. 2457, 45 L.Ed.2d 522 (1975).

Defendants concede that there were no administrative proceedings against plaintiffs pending at the time of the filing of plaintiffs’ petition. Defendants argue, however, that because the filing of charges against some of the plaintiffs was imminent, the rationale of Hartenbach et al. is applicable and mandates dismissal of plaintiffs’ petition. They argue that otherwise the issue of jurisdiction would be resolved by whether a plaintiff wins the race to the courthouse. We disagree.

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

Related

Missouri Ass'n of Nurse Anesthetists v. State Board of Registration
343 S.W.3d 348 (Supreme Court of Missouri, 2011)
Edwards v. Gerstein
237 S.W.3d 580 (Supreme Court of Missouri, 2007)
Garcia-Huerta v. Garcia
108 S.W.3d 684 (Missouri Court of Appeals, 2003)
Cook v. Cook
97 S.W.3d 482 (Missouri Court of Appeals, 2002)
Farm Bureau Town & Country Insurance Co. v. Angoff
909 S.W.2d 348 (Supreme Court of Missouri, 1995)

Cite This Page — Counsel Stack

Bluebook (online)
787 S.W.2d 745, 1990 Mo. App. LEXIS 3, 1990 WL 178, Counsel Stack Legal Research, https://law.counselstack.com/opinion/group-health-plan-inc-v-state-board-of-registration-for-healing-arts-moctapp-1990.