People v. Superior Court CA4/2

California Court of Appeal·Decided August 2, 2023·No. E080532·Unpublished

Opinion

Filed 8/2/23 P. v. Superior Court CA4/2

NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA FOURTH APPELLATE DISTRICT DIVISION TWO

THE PEOPLE, Petitioner, E080532 v. (Super.Ct.No. RIF1803209)

THE SUPERIOR COURT OF OPINION RIVERSIDE COUNTY,

Respondent;

EVELYN PATRICIA RIVERA, Real Party in Interest.

ORIGINAL PROCEEDINGS; petition for writ of mandate from an order of the Superior Court of Riverside County. Sean P. Crandell, Judge. Petition denied.

Michael Hestrin, District Attorney and Sophia Choi, Deputy District Attorney, for Petitioner.

No appearance by Respondent.

Rajan R. Maline for Real Party in Interest.

In July 2018, prosecutors charged real party in interest Evelyn Rivera with two felony insurance fraud counts based on her filing a single false workers’ compensation claim in August 2016 for a shoulder injury she had suffered a year earlier. In March 2019, the court held a preliminary hearing and found probable cause to proceed on the felony charges. Prosecutors filed an information alleging the same two felony counts— violations of Insurance Code section 1871.4, subdivision (a)(1) and Penal Code section 550, subdivision (a)(1) (section 550(a)(1)). Rivera pled not guilty in April 2019.

Two and a half years later, the case was still unresolved, and Rivera asked the court to reduce both counts to misdemeanors under Penal Code section 17, subdivision (b) (section 17(b)) and place her on pretrial diversion under Penal Code section 1001.95. In October 2021, respondent, the Superior Court of Riverside County, denied the request, but indicated that the counts would be reduced to misdemeanors provided Rivera paid $20,000 in restitution.

However, litigation over that issue extended the case further. Prosecutors pointed out section 550(a)(1) is a straight felony, not subject to reduction under section 17(b) and argued the court didn’t have jurisdiction to reduce the Insurance Code count under section 17(b) after a preliminary hearing but before a guilty plea or conviction. Rivera then moved to set aside the count for violating section 550(a)(1) on the ground the conduct had to be charged under the more specific provision proscribing health care fraud, Penal Code section 550, subdivision (a)(6) (section 550(a)(6)).

In November 2022, the court agreed with Rivera concerning the section 550(a)(1)

charge and set aside that count. In December 2022, Rivera paid $20,000 in restitution, which covered mainly attorney fees the county incurred by hiring an outside law firm. The court ordered the Insurance Code count reduced to a misdemeanor under section 17(b) and then placed Rivera on pretrial diversion under Penal Code section 1001.95, which would have resolved the case so long as she complied with the conditions that she perform 20 hours of community service and attend a life skills class.

However, the People filed a petition for a writ of mandate seeking our intervention. They argue first the trial judge erred by determining they couldn’t prosecute Rivera for workers’ compensation fraud under section 550(a)(1). They also argue the trial judge acted without jurisdiction under section 17(b) because that statute gives a trial judge discretion to reduce a charge to a misdemeanor only before holding a defendant over on felony charges or after a guilty plea or conviction, but not otherwise. They ask us to direct the trial court to vacate the order setting aside the section 550(a)(1) count and the order reducing the Insurance Code count to a misdemeanor.

The case is procedurally complicated because the People have a right to appeal the section 550(a)(1) ruling and have filed a notice of appeal raising the same issues. However, the Legislature has provided no right to appeal the section 17(b) ruling. Though we agree with the People on the scope of the trial court’s discretion under section 17(b), we deny the petition for a writ of mandate because the need for review does not outweigh the risk of harassment of the accused. This prosecution has been going for over

five years, the accused has already paid a substantial amount in restitution and has reached a resolution in the trial court that would be reopened by issuing a writ. There’s a reason the Legislature didn’t provide for appeal of section 17(b) orders in criminal cases, and we conclude allowing an extraordinary writ here would go against that policy.

To avoid piecemeal prosecution and expedite the case, we will also take up the People’s arguments over the order setting aside the section 550(a)(1) insurance fraud count. We agree with Rivera and the trial court that the People were required to prosecute this workers’ compensation fraud case under the more specific section 550(a)(6). We therefore deny the People’s petition for a writ of mandate as to that order. We will dismiss the related appeal as moot by separate order.

I

FACTS

On August 17, 2015, Evelyn Rivera went to see a doctor at Kaiser Permanente Hospital because she had injured her left shoulder. She told the doctor her shoulder had begun hurting after stretching it four or five days earlier. In February 2016, she had surgery on her shoulder to repair a torn rotator cuff.

About a year after the initial appointment, Rivera submitted a workers’

compensation claim for an injury to the same shoulder. One doctor examined her on October 19, 2016, and another examined her in August 2017. Both doctors reported Rivera said she had injured her shoulder at work in August 2015 when she was moving 25-pound boxes near a recycling bin. The second doctor reviewed Rivera’s prior medical

records and concluded he did not believe her injury was work related. Her workers’ compensation claim was later rejected, but the County of Riverside was billed for her visits to the two doctors.

In July 2018, the Riverside County District Attorney’s Office filed a complaint charging Rivera with two felony counts of insurance fraud under Insurance Code section 1871.4, subdivision (a)(1) (count 1) and Penal Code section 550, subdivision (a)(1) (count 2). Rivera was arraigned in Riverside County Superior Court on September 21, 2018, pled not guilty, and waived her right to a preliminary hearing within 60 days.

On March 15, 2019, Riverside County Superior Court Judge Bambi J. Moyer held a preliminary hearing. Kurtis Lackman, a workers’ compensation investigator, testified about his investigation into Rivera’s case. Lackman said he began his investigation after the district attorney’s office received a referral from the county, which had already undertaken an investigation. He interviewed the doctors who examined Rivera after she made her workers’ compensation claim. He also interviewed Rivera. His testimony supported the facts set out above. After his testimony, the judge determined “it does appear that the offenses that are currently charged in Counts 1 and 2 have been committed. There’s sufficient cause to believe the defendant guilty of those particular offenses, so I will order that she be held to answer to same.”

Five days later, the People filed an information with the same charges. Riverside County Superior Court Judge David A. Gunn held an arraignment hearing on April 23,

2019. Rivera pled not guilty, and the judge set a trial readiness conference for June 7, 2019.

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