People Ex Rel. Department of Public Health v. Wiley

843 N.E.2d 259, 218 Ill. 2d 207, 300 Ill. Dec. 1, 2006 Ill. LEXIS 7
CourtIllinois Supreme Court
DecidedJanuary 20, 2006
Docket98763
StatusPublished
Cited by39 cases

This text of 843 N.E.2d 259 (People Ex Rel. Department of Public Health v. Wiley) is published on Counsel Stack Legal Research, covering Illinois Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
People Ex Rel. Department of Public Health v. Wiley, 843 N.E.2d 259, 218 Ill. 2d 207, 300 Ill. Dec. 1, 2006 Ill. LEXIS 7 (Ill. 2006).

Opinion

JUSTICE McMORROW

delivered the judgment of the court, with opinion.

Chief Justice Thomas and Justices Freeman, Fitzgerald, Kilbride, Garman, and Karmeier concurred in the judgment and opinion.

OPINION

The Illinois Department of Public Health (Department) filed suit in the circuit court of Cook County against Thelma E. Wiley, M.D., alleging that Wiley violated scholarship contracts she entered into with the Department pursuant to the Family Practice Residency Act (110 ILCS 935/1 et seq. (West 2002)), and that the Department was entitled to treble damages under section 10 of the same statute (110 ILCS 935/10 (West 2002)). The circuit court granted summary judgment in favor of the Department. The appellate court affirmed. 348 Ill. App. 3d 809. For the reasons that follow, we affirm the judgment of the appellate court.

BACKGROUND

Enacted in 1977, the Family Practice Residency Act (Act) (110 ILCS 935/1 et seq. (West 2002)) states that its purpose is to

“establish a program in the Illinois Department of Public Health to upgrade primary health care services for all citizens of the State, by providing grants to family practice and preventive medicine residency programs, scholarships to medical students and a loan repayment program for physicians who will agree to practice in areas of the State demonstrating the greatest need for more professional medical care. The program shall encourage family practice physicians to locate in areas where health manpower shortages exist and to increase the total number of family practice physicians in the State.” 110 ILCS 935/2 (West 2002).

To further this purpose, section 4.03 of the Act (110 ILCS 935/4.03 (West 2002)) authorizes the Department to “establish a program of medical student scholarships and to award scholarships to eligible medical students.” An “ [eligible medical student” is defined, in part, as a person who “agrees to practice full-time in a Designated Shortage Area as a primary care physician one year for each year he or she is a scholarship recipient.” 110 ILCS 935/3.07(d) (West 2002). Thus, rather than awarding conventional scholarships, which do not have to be repaid, the Department awards “scholarship contracts,” whereby students agree to a service commitment in exchange for receiving funds for medical schooling.

In addition to authorizing the creation of scholarship contracts, the Act also includes a penalty provision for scholarship recipients who fail to fulfill their statutory service obligation. Section 10 of the Act states that if a scholarship recipient fails to fulfill the obligation of serving as a full-time primary care physician in a designated shortage area, then the recipient “shall pay to the Department a sum equal to 3 times the amount of the annual scholarship grant for each year the recipient fails to fulfill such obligation.” 110 ILCS 935/10 (West 2002).

In the case at bar, Wiley attended medical school from 1985 through 1989. During each of her four years of school, Wiley entered into a scholarship contract with the Department as authorized by the Act. The combined amount of the scholarships awarded to Wiley during the four years totaled $52,465.

Although the language in portions of the four contracts varies somewhat, the central obligation under the agreements is the same. Each contract states that, in exchange for receiving scholarship funds, Wiley agrees

“to serve as a full-time primary care physician in direct patient care in only the designated shortage areas in Illinois approved as a practice site(s).”

Each of the four contracts also contains the following provision regarding the starting date of Wiley’s term of service:

“Student’s service term shall begin within thirty (30) days of Student’s licensure to practice medicine, except that service may be deferred until completion of an approved residency program in primary care. In all cases where service is deferred, service shall begin within thirty (30) days after Student leaves residency program.”

In addition, each of the contracts states that the Act is fully incorporated into the terms of the agreements and that, if the student fails to fulfill the terms of the contract, the Department is entitled to three times the amount of the scholarship awarded. Finally, each contract states that, if the student is required to reimburse the Department monetarily, then “[pjayments shall begin within 30 days” from the date when the failure to perform occurs.

Wiley graduated from medical school in June of 1989. A month after her graduation, she began a three-year residency in internal medicine at the University of Illinois Medical Center at Chicago. The residency program was approved by the Department and thus, under the terms of her scholarship contracts, Wiley’s service obligation was deferred until 30 days after the completion of the residency, i.e., until the beginning of August 1992.

In January of 1990, the Department sent Wiley a copy of a directory, prepared by the Department, which listed designated shortage areas in which scholarship recipients could fulfill their service obligations. In a cover letter that accompanied the directory, the Department noted that Wiley could “receive Departmental approval of [her] selected practice location up to 18 months preceding the completion of [her] residency.”

In deposition testimony, Wiley stated that sometime near the end of her residency, she had “at least a couple” of phone conversations with Tom Yocum, the individual in charge of the scholarship program at the Department. 1 Wiley testified that, during these conversations, she told Yocum she was thinking about pursuing a postresidency fellowship at the University of Illinois at Chicago in gastroenterology, a subspeciality of internal medicine dealing with the digestive system. Wiley stated that Yo-cum told her the fellowship “wasn’t approved but he indicated that some agreement could be worked out as far as repaying the service.” Wiley understood this to mean that “during or after [her] fellowship, [she] would be able to work as a primary care or in the field of primary care to repay [her] service debt.” Wiley also testified that she did not actually apply for the fellowship until speaking with Yocum. According to Wiley, Yocum “indicated that possibly something could be worked out later on” and, after that, she applied for the fellowship. Wiley did not receive any document memorializing her conversations with Yocum. In September of 1991, Wiley signed an agreement with the University of Illinois at Chicago to do the postresidency fellowship.

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Bluebook (online)
843 N.E.2d 259, 218 Ill. 2d 207, 300 Ill. Dec. 1, 2006 Ill. LEXIS 7, Counsel Stack Legal Research, https://law.counselstack.com/opinion/people-ex-rel-department-of-public-health-v-wiley-ill-2006.