Group Hospital Service, Inc. v. Armstrong

240 S.W.2d 418, 1951 Tex. App. LEXIS 2098
CourtCourt of Appeals of Texas
DecidedMarch 26, 1951
Docket6143
StatusPublished
Cited by3 cases

This text of 240 S.W.2d 418 (Group Hospital Service, Inc. v. Armstrong) 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
Group Hospital Service, Inc. v. Armstrong, 240 S.W.2d 418, 1951 Tex. App. LEXIS 2098 (Tex. Ct. App. 1951).

Opinion

MARTIN, Justice.

Appellant, Group Hospital Service, Incorporated, issued to appellee, Mel Armstrong, a membership agreement under which appellant stipulated to furnish certain hospitalization benefits to appellee and to his wife. The hospitals in which this hospitalization service was to be furnished were defined as “Member Hospitals” and “Non-Member Hospitals.” Under the Membership Agreement, as provided by Section 8, Article 4590a, Vernon’s Ann. Civ.St., the Member Hospitals guaranteed the benefits of the certificates of membership issued by the corporation. Appellee’s membership, agreement provided that a Non-Member Hospital must be registered with the American Medical Association. As a condition to registration with the American Medical Association,, a hospital was required to meet a number of rules designed to raise the standard of service to the patients in the hospital. One of the rules of the American Medical Association as to the medical staff of a registered hospital provided, “osteopaths, chiropractors, and other non-medical practitioners may not be permitted to use the facilities of hospitals desiring to conform to these standards.”

On the 4th day of July, 1949, Mel Armstrong held Policy No. 469962 with Group Hospital Service, Incorporated, which entitled him and his wife to the benefits as agreed upon therein. On this date, appel-lee’s " wife suffered some type of stroke which was defined by the physicians as cerebral .hemorrhage. After some discussion by appellee and his wife, Mrs. Armstrong was carried to an Osteopathic Hospital and was there treated by Dr. Lester J. Vick. Dr. Vick studied at Kirksville College of Osteopathy and held a license to practice medicine in Texas. Dr. Vick was a licensed osteopath but did not hold an M. D. degree.

Upon completion of hospitalization in the Osteopathic Hospital, the expense of such hospitalization and treatment was submitted in a claim to the appellant, Group Hospital Service, Incorporated. " It is conceded that the Osteopathic Hospital was not registered with the American Medical Association and that Dr. Vick was not permitted to practice in hospitals registered with the American Medical Association. The appellant denied liability under the hospitalization agreement by reason of the provision in the membership agreement that the corporation was ' only liable for services in Member Hospitals and Non-Member Hospitals as defined in the membership agreement, and that the Osteopathic Hospital was neither a Member nor a Non-Member Hospital.

Appellee sued appellant, alleging that the Osteopathic Hospital where his wife was treated was a Member Hospital .within the terms of his agreement and that appellant was liable for the full benefits as provided for in the Membership Agreement. In the alternative, appellee alleged that the Osteopathic Hospital was within the terms of a Non-Member Hospital and that the corporation was liable under the policy as to *420 services in a Non-Member Hospital. In arriving at a decision on the issue here, it must he borne in mind, as stated by the appellee, that this is not a suit between appellant and doctors of osteopathy, but is a suit by a member of the Hospitalization Group seeking to recover benefits and indemnities due him under the terms of a contract.

The trial court held that the Osteopathic Hospital was not within the terms of a Member Hospital and denied liability under this phase of the contract. Neither appellant nor appellee questioned this ruling of the trial court. The court further held that the definition of a Non-Member Hospital, under the facts and circumstances of this case, resulted in the defendant corporation controlling, or attempting to control, the relations existing between the plaintiff and his or his wife’s physician, thus restricting the right of the plaintiff and his wife to obtain the services of a licensed doctor of medicine of their choice and was consequently in violation of Section 5, Article 4590a, supra. The trial court permitted a recovery of the benefits provided for as to Non-Member Hospital care in the amount of $195.

Appellant perfected an appeal asserting five points of error were committed in the cause. Appellee countered with five points as sustaining the trial court’s ruling. Appellant and appellee conceded that the appeal concerns chiefly, if not solely, the construction and interpretation of Article 4590a. This statement of the parties to this cause is correct and the appeal could be further narrowed to the sole question of whether the contract between appellant and appellee in stipulating that Non-Member Hospitals were required to be registered with the American Medical Association violated the provisions of Section 5, Article 4590a. Other sections of the Article shed some light on an interpretation of Section 5 and are therefore discussed herein.

As stated by the parties herein, the authorities cited in the case are of little assistance in arriving at a correct solution of the cause in that they involve either the legality of a hospital excluding osteopaths as in Harris v. Thomas, Tex.Civ.App., 217 S.W. 1068, cited by both appellant and appellee, or the proposition of illegal practice of medicine by a corporation, as found in People ex rel. State Board of Medical Examiners v. Pacific Health Corporation, Inc., 12 Cal.2d 156, 82 P.2d 429, 119 A.L.R. 1284, as cited by the appellant. The validity of Article 4590a, supra, as to that section prohibiting the corporation from restricting the right of the patient to obtain the services of any licensed doctor of medicine is not put in issue, so we have solely the question of whether the membership agreement is in violation of the provisions of Section 5, Article 4590a.

It must first be recognized in the light of Harris v. Thomas, supra, and Hayman v. City of Galveston, 273 U.S. 414, 47 S.Ct. 363, 71 L.Ed. 714, that a hospital has the power to enact rules governing the admission of physicians to practice therein and to prescribe the necessary qualifications for such physicians. Therefore, the hospital rules excluding appellee’s physician were valid and within the powers held by such hospitals under the rulings of the courts of the State of Texas. These valid rules of the hospital were the sole bar to appellee calling in her physician at any of the Member or Non-Member Hospitals as defined by the agreement of the parties. The appellant had nothing whatever to do with the making of the rules of the hospitals chosen as either Member or Non-Member Hospitals nor with the enforcement of such rules.

Let us further examine Article 4590a as to determining whether appellant was violating Section 5 thereof, or any section of the Article, or was in fact complying with the same. Examining Article 4590a, as to its specific provisions, we find in Section 2 the following: “Such corporations when organized shall be authorized to accept applicants, who may become members of said corporations furnishing group hospital service muter a contract, which shall entitle each member to such hospital care for such,period of time as is provided therein”.

Can it be said that this section does not give the right to the parties to contract as to the provisions for such hospital care ? *421

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

Related

Opinion No.
Texas Attorney General Reports, 1983
Baltimore County Hospital, Inc. v. Maryland Hospital Service, Inc.
200 A.2d 39 (Court of Appeals of Maryland, 1964)
Baltimore Co. Hosp. v. Md. Hosp.
200 A.2d 39 (Court of Appeals of Maryland, 1964)

Cite This Page — Counsel Stack

Bluebook (online)
240 S.W.2d 418, 1951 Tex. App. LEXIS 2098, Counsel Stack Legal Research, https://law.counselstack.com/opinion/group-hospital-service-inc-v-armstrong-texapp-1951.