Mount Diablo Medical Center v. Health Net of California, Inc.

124 Cal. Rptr. 2d 607, 101 Cal. App. 4th 711, 2002 Daily Journal DAR 9961, 2002 Cal. Daily Op. Serv. 7972, 2002 Cal. App. LEXIS 4568
CourtCalifornia Court of Appeal
DecidedAugust 28, 2002
DocketA096018
StatusPublished
Cited by44 cases

This text of 124 Cal. Rptr. 2d 607 (Mount Diablo Medical Center v. Health Net of California, Inc.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mount Diablo Medical Center v. Health Net of California, Inc., 124 Cal. Rptr. 2d 607, 101 Cal. App. 4th 711, 2002 Daily Journal DAR 9961, 2002 Cal. Daily Op. Serv. 7972, 2002 Cal. App. LEXIS 4568 (Cal. Ct. App. 2002).

Opinion

Opinion

POLLAK, J.

We confront what one commentator has characterized as “the thorny question of contract construction raised by the generic choice-of-law clause” in an agreement calling for the resolution of disputes by arbitration. 1 Appellant Health Net of California, Inc. (Health Net) appeals from the denial of its petition to compel arbitration of the claims of respondent Mount Diablo Medical Center (Mt. Diablo) and to stay the litigation in which Mt. Diablo asserts those claims. The trial court denied the petition under Code of Civil Procedure section 1281.2, subdivision (c) (hereafter section 1281.2(c)), finding that the arbitration would create a risk of rulings that conflict with rulings in pending litigation involving third parties. Health Net contends the clause choosing California law in the contract between the parties does not evince an intention to render their agreement to arbitrate subject to the terms of the California Code of Civil Procedure, so that section 1281.2(c) has been preempted by the Federal Arbitration Act, 9 United States Code section 1 et seq. (FAA), and that the federal statute requires that the arbitration agreement be enforced despite the potential for conflicting results. The trial court read the choice-of-law provision more broadly and therefore rejected this contention. We interpret the authorities on the subject to require the court to look first to the language of the contract to determine what portions of state law the parties intended to incorporate, and then, if any ambiguity exists, to determine whether the provision in question conflicts with the objectives of the FAA. Under this approach, we conclude that the parties intended to incorporate California procedural law governing the enforcement of their agreement to arbitrate, and that these provisions are not preempted. Therefore we affirm.

Factual and Procedural Background

The relevant facts are not controverted. Mt. Diablo is an acute care hospital located in Concord, California. As of June 1, 1995, it entered into a *715 “fee-for-service” agreement, entitled the “Health Net Per Diem Hospital Agreement for Mt. Diablo Medical Center” (Health Net/Mt. Diablo Agreement), with Health Net, a health care service plan, 2 under which Health Net agreed to pay Mt. Diablo specified fees for providing health care services to plan members. 3 As contemplated by the Health Net/Mt. Diablo Agreement, effective January 1, 1998, Health Net entered into a “third party payor capitation agreement” with Alta Bates Medical Center (Alta Bates) (the Health Net/Alta Bates Agreement), under which Alta Bates agreed to be responsible for providing medical services to Health Net plan members on the basis of capitated or prepaid rates, as distinguished from fee-for-service rates, with the understanding that Alta Bates would subcontract its obligations to individual providers or hospitals such as Mt. Diablo. Alta Bates in turn had a preexisting “Hospital Participation Agreement” with Mt. Diablo, under which Mt. Diablo agreed to provide covered services at the capitated rates to Health Net members who selected the Alta Bates network of providers. As of May 1, 1999, Mt. Diablo purported to terminate its Hospital Participation Agreement with Alta Bates.

The underlying controversy relates to who is responsible and in what amounts for services that Mt. Diablo rendered to Health Net members after the termination of the Hospital Participation Agreement. Mt. Diablo’s complaint asserts several causes of action against Health Net and Alta Bates, and also against East Bay Medical Network (EBMN), which is the processing agent for Alta Bates, and against PacifiCare of California (PacifiCare), another health care service plan with which Mt. Diablo and Alta Bates had contractual arrangements similar to those with Health Net and with which a similar controversy exists. The complaint alleges, among other things, that Health Net breached the Health Net/Mt. Diablo Agreement by failing to pay Mt. Diablo at the fee-for-services rate for hospital services rendered Health Net members between May 1 and December 31, 1999, and it also alleges that Alta Bates and EBMN breached an oral agreement to pay these same amounts to Mt. Diablo. The complaint alleges breach of implied contract, open book account, quantum meruit, and unjust enrichment claims against all of the defendants.

The Health Net/Mt. Diablo Agreement contains a broad arbitration agreement, which unquestionably encompasses the present controversy between *716 these two parties. 4 The agreement also contains a separate provision concerning choice of law, which reads in relevant part: “The validity, construction, interpretation and enforcement of this Agreement shall be governed by the laws of the State of California.” The Health Net/Alta Bates Agreement and the Hospital Participation Agreement also contain arbitration provisions, but no party other than Health Net has attempted to resolve any aspect of the present controversy through arbitration, nor has any attempt been made to arbitrate Mt. Diablo’s similar claim against PacifiCare.

After being served with Mt. Diablo’s complaint, Health Net filed a petition to compel arbitration of the dispute. Mt. Diablo opposed the petition on the ground that its claim against Health Net overlapped its claims against Alta Bates and EBMN, and that the court should exercise its discretion under section 1281.2(c) to refuse to compel arbitration because of the potential for inconsistent rulings if the controversy were adjudicated in multiple forums. Mt. Diablo argued that because its agreement with Health Net provided for the application of California law, section 1281.2(c) rather than the FAA, which gives the court no discretion to deny arbitration on this ground, applies. (Volt Info. Sciences v. Leland Stanford Jr. U. (1989) 489 U.S. 468 [109 S.Ct. 1248, 103 L.Ed.2d 488] (Volt).) The trial court denied the petition on this basis, ruling that “(a) the Supreme Court’s decision in [Volt] is controlling; (b) the parties to the arbitration agreement expressed a clear intent to incorporate the California Rules of Arbitration (Code of Civil Procedure section 1281, et. seq.) into their agreement through a general California choice-of-law clause; and (c) allowing arbitration to proceed would create a risk of conflicting rulings as described in . . . section 1281.2(c).”

Health Net has timely appealed the denial, as it may do under Code of Civil Procedure section 1294, subdivision (a). On appeal, it does not dispute the manner in which the trial court exercised its discretion under section 1281.2(c), but it contends that the choice-of-law provision in the Health Net/Mt. Diablo Agreement should not be interpreted to call for the application of section 1281.2(c). Therefore, it argues, the FAA has preempted this *717 provision of California law and the court was required to enforce the arbitration provision.

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124 Cal. Rptr. 2d 607, 101 Cal. App. 4th 711, 2002 Daily Journal DAR 9961, 2002 Cal. Daily Op. Serv. 7972, 2002 Cal. App. LEXIS 4568, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mount-diablo-medical-center-v-health-net-of-california-inc-calctapp-2002.