Heisler v. Hines Motor Co.

937 P.2d 45, 282 Mont. 270, 54 St.Rep. 345, 54 State Rptr. 345, 1997 Mont. LEXIS 71
CourtMontana Supreme Court
DecidedApril 24, 1997
Docket95-485
StatusPublished
Cited by37 cases

This text of 937 P.2d 45 (Heisler v. Hines Motor Co.) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Heisler v. Hines Motor Co., 937 P.2d 45, 282 Mont. 270, 54 St.Rep. 345, 54 State Rptr. 345, 1997 Mont. LEXIS 71 (Mo. 1997).

Opinions

JUSTICE HUNT

delivered the Opinion of the Court.

Appellant Michael E. Heisler (Heisler) appeals the decision of the Workers’ Compensation Court denying his motion for summary judg[273]*273ment on the issue of whether he was constitutionally entitled to change his treating physician without the prior approval of the State Compensation Insurance Fund (State Fund). We reverse and remand.

ISSUE

The dispositive issue presented on appeal is whether the Workers’ Compensation Court erred in denying Heisler’s motion for summary judgment on the question of whether he was constitutionally entitled to change his treating physician without the prior approval of the State Fund.

FACTS

The facts in this case are not in dispute. On June 28,1993, Heisler was injured in a work-related auto accident while employed by Hines Motor Supply Company of Great Falls. Hines Motor Supply Company was insured by the State Fund for purposes of workers’ compensation. Immediately after the accident, Heisler sought treatment at the emergency room at Columbus Hospital. Heisler also went to a convenient care clinic on July 10, 12, and 14, 1993, for treatment of his injury. On July 12,1993, Heisler submitted a claim for compensation to the State Fund in which he named a Dr. Richard A. Nelson as his treating physician.

The State Fund believed that Heisler’s initial visits to a given doctor at the convenient care clinic constituted a choice of treating physician. The State Fund therefore contended that Heisler was attempting to change his existing choice of treating physician from the initial doctor to Dr. Nelson. Under ARM 24.29.1511, an injured claimant cannot change treating physicians without the prior approval of the State Fund. Since Heisler had not obtained its prior approval, the State Fund refused to pay any of the charges Heisler incurred from his visits to Dr. Nelson. Heisler then instituted this suit to compel payment of Dr. Nelson’s expenses.

In the Workers’ Compensation Court, and now on appeal, Heisler contended that he was statutorily entitled to full freedom to choose his own physician pursuant to § 33-22-111, MCA (1991). He further contended that this statute must take precedence over the conflicting administrative rule, thereby allowing him to change his treating physician without the State Fund’s approval. For its part, the State Fund contended that the administrative rule was clear and Unequivocal and, pursuant to its terms, the Fund had no duty to pay for treatment from an unauthorized treating physician.

[274]*274Based on his interpretation of the apparent conflict of laws, Heisler moved for summary judgment. The Workers’ Compensation Court denied the motion, concluding that § 33-22-111, MCA (1991), did not conflict with ARM 24.29.1511 and, farther, did not apply in Heisler’s case. Heisler then moved that a final judgment be entered on that basis. The Workers’ Compensation Court granted the motion and entered a final judgment. Heisler appeals the denial of his motion for summary judgment.

STANDARD OF REVIEW

This Court’s standard of review of a grant or denial of summary judgment is the same as that used by the trial court in ruling upon the motion for summary judgment. Malek v. Hankins (1996), 275 Mont. 97, 98, 911 P.2d 1127, 1128 (citing Motarie v. Northern Montana Joint Refuse Disposal Dist. (1995), 274 Mont. 239, 907 P.2d 154). Summary judgment is proper only when there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. Rule 56(c), M.R.Civ.P.; Malek, 911 P.2d at 1128.

DISCUSSION

Before addressingthe merits of the case, we must dispose of certain collateral matters.

First, the State Fund takes exception to Heisler’s citation to excerpts from certain depositions in his brief. Relying on Johnson v. Killingsworth (1995), 271 Mont. 1, 894 P.2d 272, the State Fund contends that, in appealing this case, the parties must limit themselves to the “uncontested facts” contained in the pretrial order, which included no reference to the depositions in question. Johnson does not stand for the proposition advanced, however.

In Johnson, this Court declined to consider certain evidence offered on appeal which was not contained in the District Court record. In so doing, this Court stated that “[i]t is axiomatic that this Court will not consider evidence not contained in the record on appeal. Moreover, a party’s reference to evidence does not incorporate that evidence into the record.” Johnson, 894 P.2d at 273 (citations omitted). Johnson does not address whether this Court’s consideration of the facts in a given case must be limited to the scope of the pretrial order; it merely states that this Court will not consider evidence which is not part of the record. In the case at bar, the depositions referenced are part of the record transmitted from the Workers’ Compensation Court on appeal.

[275]*275The State Fund presents no relevant authority to support its argument that this Court’s review of the facts presented in the trial court must be limited to the uncontested facts in a pretrial order. A pretrial order serves to "prevent surprise, simplify the issues, and permit counsel to prepare their case for trial on the basis of the pretrial order.” King v. Zimmerman (1994), 266 Mont. 54, 66, 878 P.2d 895, 903 (citing Zimmerman v. Robertson (1993), 259 Mont. 105, 111, 854 P.2d 338, 342). It lists such facts as are uncontested, and if a party admits to a fact by allowing its inclusion as uncontested in a pretrial order, the party will not be allowed to raise that particular factual issue on appeal. Whitehawk v. Clark (1989), 238 Mont. 14, 19, 776 P.2d 484, 487 (citing Morse v. Cremer (1982), 200 Mont. 71, 647 P.2d 358). The pretrial order, however, includes only such facts as are uncontested; it does not preclude a party from attempting to prove additional facts which remain in dispute. Nor does the pretrial order in and of itself limit the scope of this Court’s review. On appeal, this Court may consider any evidence which is part of the record, Johnson, 894 P.2d at 273, even if it was not included in a pretrial order. Accordingly, if the depositions in question will facilitate our review we will consider them, just as we are free to consider the entirety of the record presented on appeal.

Second, the State Fund argues that this Court should decline to review the Workers’ Compensation Court’s decision in this case because the matter is moot. This suit was filed to recover certain expenses incurred by Dr. Nelson, which the State Fund refused to pay because Heisler had not obtained the Fund’s prior approval before switching treating physicians. The State Fund notes that it has since authorized Dr. Nelson to be Heisler’s treating physician and paid all the medical bills at issue. It therefore contends that the issue presented is moot.

As the State Fund correctly notes, an issue is moot when it no longer presents a justiciable controversy, due to the occurrence of a given event or the passage of time.

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

Related

S. Hensley v. State Fund
Montana Supreme Court, 2020
Goble v. Montana State Fund
2014 MT 99 (Montana Supreme Court, 2014)
Kirk White v. State Fund
2013 MT 187 (Montana Supreme Court, 2013)
Caldwell v. MacO Workers' Compensation Trust
2011 MT 162 (Montana Supreme Court, 2011)
Walters v. FLATHEAD CONCRETE PRODUCTS, INC.
2011 MT 45 (Montana Supreme Court, 2011)
Satterlee v. Lumberman's Mutual Casualty Co.
2009 MT 368 (Montana Supreme Court, 2009)
Satterlee v. LUMBERMAN'S MUT. CAS. CO.
2009 MT 368 (Montana Supreme Court, 2009)
Hernandez v. Board of County Commissioners
2008 MT 251 (Montana Supreme Court, 2008)
Hernandez v. BOARD OF COUNTY COM'RS
2008 MT 251 (Montana Supreme Court, 2008)
Bean v. State
2008 MT 67 (Montana Supreme Court, 2008)
In Re the Mental Health of D.V.
2007 MT 351 (Montana Supreme Court, 2007)
Havre Daily News, LLC v. City of Havre
2006 MT 215 (Montana Supreme Court, 2006)
Parenting of D.D. K.K. D.D.G.
2005 MT 14N (Montana Supreme Court, 2005)
Montana-Dakota Utilities Co. v. City of Billings
2003 MT 332 (Montana Supreme Court, 2003)
Powder River County v. State
2002 MT 259 (Montana Supreme Court, 2002)
State v. Price
2002 MT 229 (Montana Supreme Court, 2002)
In Re the Mental Health of K.G.F.
2001 MT 140 (Montana Supreme Court, 2001)
Powell v. State Compensation Insurance Fund
2000 MT 321 (Montana Supreme Court, 2000)
Royal Insurance v. Roadarmel
2000 MT 259 (Montana Supreme Court, 2000)

Cite This Page — Counsel Stack

Bluebook (online)
937 P.2d 45, 282 Mont. 270, 54 St.Rep. 345, 54 State Rptr. 345, 1997 Mont. LEXIS 71, Counsel Stack Legal Research, https://law.counselstack.com/opinion/heisler-v-hines-motor-co-mont-1997.