Lopez v. City of Albuquerque

884 P.2d 838, 118 N.M. 682
CourtNew Mexico Court of Appeals
DecidedAugust 31, 1994
Docket15246
StatusPublished
Cited by10 cases

This text of 884 P.2d 838 (Lopez v. City of Albuquerque) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lopez v. City of Albuquerque, 884 P.2d 838, 118 N.M. 682 (N.M. Ct. App. 1994).

Opinion

OPINION

PICKARD, Judge.

This case involves the extent to which an authorized health care provider in a workers’ compensation case may give testimony based on the records of an unauthorized health care provider. It also involves the fairness of allowing the authorized health care provider to rely on one set of unauthorized records while prohibiting access to another set of unauthorized records. We hold that the issues in this case are fact bound and, under the facts of this case, no error occurred.

This case arises out of a claim for benefits under the Workers’ Compensation Act, NMSA 1978, §§ 52-1-1 to -70 (Repl.Pamp.1991) (effective January 1, 1991). Worker was employed as a laborer for the City of Albuquerque. On April 24, 1991, Worker was shoveling dirt for the City when he felt a sudden pain in his left knee. Worker went to the City’s employee health center, which the City had selected as health care provider under the Act. See § 52-1 — 49(B) (providing that employer initially selects the health care provider or permits worker to do so). Worker was treated by Dr. Baca, and after several visits the doctor released Worker to work without restriction. Worker continued to experience pain in his left knee and sought treatment from Lovelace Medical Center. Lovelace had not been selected by the City as a health care provider under the Act, and Worker did not notify the City of the change. See § 52-1-49(0 (providing that worker may select another health care provider if employer has selected the first one and, inter alia, worker notifies employer of the change). The treating physician at Lovelace, Dr. McEnnerney, concluded that Worker suffered from osteochondritis dissecans, a condition wherein cartilage is partially detached from the underlying bone. This condition occasionally results in a piece of bone breaking off and falling into the knee joint, thereby causing pain in the knee. Dr. McEnnerney recommended arthroscopic surgery. Worker then brought the medical records prepared by Dr. McEnnerney to the City. By this time, Dr. Baca’s practice at the City’s health care center had been taken over by Dr. Gelinas. Wanting a second opinion, the City forwarded Dr. McEnnerney’s records to Dr. Gelinas, who then examined Worker.

Nine months later, Worker filed a claim for workers’ compensation, which was contested by the City. At a separate change of health care provider (HCP) proceeding, see § 52-1-49(E), filed after Worker’s claim, the City objected to Worker’s attempt to change his authorized health care provider from the City’s employee health center to Dr. McEnnerney at Lovelace. The workers’ compensation judge at this HCP hearing sustained the City’s objection and found that Dr. McEnnerney was not an authorized health care provider under the Act.

As part of discovery, Worker deposed Dr. Gelinas. Basing his opinion in large part upon Dr. McEnnerney’s records, Dr. Gelinas testified that he believed that Worker suffered from osteochondritis dissecans. Dr. Gelinas further testified that, to a reasonable degree of medical probability, this condition was a preexisting condition which was aggravated by Worker’s on-the-job injury.

After this deposition, but before the formal hearing, Worker underwent arthroscopic knee surgery at the Veteran’s Administration Medical Center. As with Lovelace, the VA Center was not an authorized health care provider under the Act.

Shortly before the formal hearing, the City filed a motion in limine to exclude Dr. McEnnerney’s records from evidence and to exclude the deposition of Dr. Gelinas to the extent that the doctor had relied on those records. Alternatively, if the records and deposition were to be admitted, the motion sought to allow the VA Center’s records of Worker’s operation into evidence because the City believed those records would rebut Dr. Gelinas’s opinion as to causation. The motion in limine was heard on the day of the formal hearing. The judge denied the motion, ruling that Dr. McEnnemey’s records and Dr. Gelinas’s record-based testimony were admissible pursuant to SCRA 1986, 11-703 and that the VA Center’s records were inadmissible because they were not records from an authorized health, care provider. The City then requested that the VA Center’s records be provided to Dr. Gelinas and that he be deposed again to determine if his opinion as to causation would change in light of those records. This request was also denied. During the formal hearing, the City once again attempted to gain admission of the VA Center’s records and made an offer of proof that they would rebut Dr. Gelinas’s testimony regarding causation. The judge denied this attempt as well. After the presentation of evidence, the judge concluded that Worker had established to a reasonable medical probability that his present impairment was caused by his on-the-job injury.

On appeal, the City argues that the formal hearing judge erred: (1) by admitting Dr. McEnnerney’s records and allowing Dr. Gelinas to base his testimony upon those records; and (2) alternatively, by refusing to admit the VA Center records, which allegedly would have rebutted Dr. Gelinas’s opinion. We address these issues as well as a request by Worker for attorney fees, and we affirm.

DISCUSSION

1. Dr. McEnnemey’s Records

The City first argues that the formal hearing judge erred both by admitting Dr. McEnnerney’s records into evidence and by allowing Dr. Gelinas to base his testimony on those records. The City relies on the facts that the HCP proceeding judge found Dr. McEnnerney not to be a health care provider authorized under the Act and that the Act only allows health care providers authorized by the Act to offer testimony at workers’ compensation hearings. See § 52-1-51(0 (“Only a health care provider who has treated the worker pursuant to Section 52-1-49 NMSA 1978 or the health care provider providing the independent medical examination pursuant to this section may offer testimony at any workers’ compensation hearing concerning the particular injury in question.”). The City is wrong on both accounts.

The formal hearing judge ruled that Dr. McEnnerney’s records “are admitted into evidence pursuant to Rule 11-703 of the Rules of Evidence, SCRA 1986.” It is clear from this ruling that the records were not admitted as substantive evidence in their own right, but instead that the judge allowed the opinion of Dr. Gelinas, a health care provider authorized to testify under Section 52-1-51(C), to be based on these records. In so doing, the judge correctly relied upon SCRA 11-703, which allows experts (in this case Dr. Gelinas) to base their testimony on otherwise inadmissible evidence (in this case Dr. McEnnerney’s records).

The City argues that SCRA 11-703 should not be applied in workers’ compensation hearings because that evidentiary issue is already addressed by Workers’ Compensation Administration Rule of Evidence 92.4.3E. See Workers’ Compensation Administration Rule 92.3.2 (Oct.1992) (state district court rules of evidence are applicable when evidentiary issues are not addressed by workers’ compensation administration rules). However, Rule 92.4.3E only addresses the procedures for admitting medical records, not the basis for expert opinion testimony; consequently, SCRA 11-703 is applicable in this case.

The City also argues that allowing such testimony contravenes the policies of the Act.

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Cite This Page — Counsel Stack

Bluebook (online)
884 P.2d 838, 118 N.M. 682, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lopez-v-city-of-albuquerque-nmctapp-1994.