McGaw v. Huntington Hospital

89 A.D.2d 38, 454 N.Y.S.2d 539, 1982 N.Y. App. Div. LEXIS 17967
CourtAppellate Division of the Supreme Court of the State of New York
DecidedOctober 4, 1982
StatusPublished
Cited by4 cases

This text of 89 A.D.2d 38 (McGaw v. Huntington Hospital) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McGaw v. Huntington Hospital, 89 A.D.2d 38, 454 N.Y.S.2d 539, 1982 N.Y. App. Div. LEXIS 17967 (N.Y. Ct. App. 1982).

Opinion

OPINION OF THE COURT

Boyers, J.

The paramount issue on this appeal is whether, pursuant to section 2582 of the Public Health Law, the County of Suffolk (the county) is entitled to reimbursement from [39]*39plaintiffs for moneys it has expended to provide certain essential therapy services to the handicapped infant plaintiff. We hold that it is not.

Brian McGaw, the infant plaintiff, was born November 2,1971. Shortly thereafter, due to the medical malpractice of the defendants, who are not parties to this appeal, Brian sustained irreversible brain damage and, as a result, he is mentally retarded and physically handicapped. In 1979, this medical malpractice action, which had been instituted by Joseph McGaw, individually and on his son’s behalf, resulted in a settlement of $1,000,000 during the pendency of defendants’ appeal from a judgment entered upon a greater verdict in plaintiffs’ favor.

Following entry of the judgment reflecting the jury award and prior to the settlement, the county, which was not a party to the action, moved at Special Term for an order requiring that it be reimbursed out of the proceeds of any recovery by plaintiffs in their malpractice action, the sum of $33,697.97, representing payments the county had made to St. Charles Hospital, Port Jefferson, New York, for certain therapy services that that health care provider had furnished the infant plaintiff. Plaintiffs cross-moved for an “order and judgment” against the county in the sum of $12,804.01, representing direct payments made by the handicapped infant’s parents and their insurance carrier to St. Charles Hospital.

The county reduced its claim by $930, an amount representing direct payments made to St. Charles Hospital by plaintiffs, and opposed plaintiffs’ cross motion for restitution, maintaining that plaintiffs’ claim was time barred and, additionally, that Special Term lacked jurisdiction to entertain the matter in the form of a cross motion. Although plaintiffs did serve certain motion papers relating to this action on the Board of Education, Huntington Union Free School District, the school district did not appear and is not a party to this appeal.

Specifically, the county asserted that pursuant to title 5 of article 25 of the Public Health Law, it had paid for certain medical services furnished the infant plaintiff by St. Charles Hospital and, therefore, in accordance with the [40]*40provisions of subdivision 3 of section 2582 of the Public Health Law, the county Commissioner of Health was entitled to recover all or part of such expenditures from the person or persons legally responsible for the infant’s support.

The particular services at issue were provided the infant Brian McGaw during the period January 28,1973 through December 31, 1978, and comprised sessions of physical, occupational and speech therapy. Special Term initially directed a hearing to determine, inter alia, what portion of the moneys paid by the county were for medical services as defined by subdivision 2 of section 2581 of the Public Health Law; however, the parties subsequently stipulated that a factual hearing on this issue was not required, there being only a question of law as to the county’s right to be reimbursed.

Plaintiffs asserted that the therapy services rendered the infant were educational in nature rather than medical, and, as such,-by constitutional and statutory mandate, were the obligation of the county or local school district. Plaintiffs noted that certain of the expenses at issue were attributable to educational services rendered Brian as part of the program offered by the Board of Co-operative Educational Services (BOCES) facility located at St. Charles Hospital, in which Brian has been enrolled since the age of three years. Moreover, plaintiffs asserted that the county’s claims for reimbursement were time barred.

In its brief on appeal, the county concedes that under present law, the services at issue “should [have been] rendered by the Huntington School District at no cost to the parent”; however, the county’s position at Special Term and on appeal remains that the therapy services at issue were separate and distinct from those provided by the BOCES educational program funded by the Huntington School District, and constituted medical services in that they were furnished in response to annual applications for medical assistance made by the infant’s parents and provided for under the auspices of the Suffolk County Department of Health Services’ physically handicapped children’s program. The county additionally observed that had plaintiffs properly applied to the school district for funding, the [41]*41county would have been spared the expense it had incurred. While it did agree with plaintiffs’ position that any claims for reimbursement from the school district not made within the school year for which they were sought were time barred, the county argued that any failure to seek reimbursement could not be attributed to the county.

Special Term denied the county’s motion and granted plaintiff’s cross motion, concluding that “the expenses provided for the care of the child were educational or education related, not medical”. It is from the order entered upon this ruling that the county appeals.

Initially, it is clear that the funds at issue were expended by the county to pay for therapy services this handicapped infant received at St. Charles Hospital, and that those services were made available as a result of the plaintiff parent’s application for assistance to the Suffolk County Department of Health Services’ physically handicapped children’s program.

This program was established to comply with the mandate of title 5 of article 25 of the Public Health Law (Public Health Law, § 2580 et seq.), which reflects the Legislature’s implementation of this State’s enunciated policy “to provide medical service for the treatment and rehabilitation of physically handicapped children” (Public Health Law, § 2580).

In a more concrete fashion, the Legislature has imposed an affirmative duty upon the State Commissioner of Health to provide, within the limits of his appropriations, “such medical service for physically handicapped children as in the [commissioner’s] judgment * * * is needed” (Public Health Law, § 2582, subd 1; see Matter of Sawyer v Vanadzin, 67 Misc 2d 772), “medical service” being defined as “such diagnostic, therapeutic, and rehabilitative care by medical and paramedical personnel, including hospital and related care, and drugs, prostheses, appliances, equipment and devices as necessary” (Public Health Law, § 2581, subd 2).

On a local level, title 5 provides that any county Commissioner of Health “may issue authorizations for medical service[s] for physically handicapped children” and, if such [42]*42authorized services are provided, “the expenses thereof, when approved by [the local] health commissioner * * * shall be a charge upon the county” (Public Health Law, § 2582, subd 2). Additionally, the parents of applicants for financial assistance under a county handicapped children’s program may be required to contribute toward the expenses incurred, in that a county Health Commissioner is authorized to determine and order that persons charged with the legal duty to support a handicapped child contribute part or all of the cost of any authorized medical services furnished pursuant to the statute (Public Health Law, § 2582, subd 3).

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Bluebook (online)
89 A.D.2d 38, 454 N.Y.S.2d 539, 1982 N.Y. App. Div. LEXIS 17967, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcgaw-v-huntington-hospital-nyappdiv-1982.