State, Department of Public Welfare v. St. Joseph's Hospital of South Bend, Inc.

398 N.E.2d 1325, 73 Ind. Dec. 397, 1979 Ind. App. LEXIS 1518
CourtIndiana Court of Appeals
DecidedDecember 31, 1979
DocketNo. 3-178A20
StatusPublished
Cited by3 cases

This text of 398 N.E.2d 1325 (State, Department of Public Welfare v. St. Joseph's Hospital of South Bend, Inc.) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State, Department of Public Welfare v. St. Joseph's Hospital of South Bend, Inc., 398 N.E.2d 1325, 73 Ind. Dec. 397, 1979 Ind. App. LEXIS 1518 (Ind. Ct. App. 1979).

Opinion

MILLER, Presiding Judge.

This is an appeal from a judgment of the Superior Court of St. Joseph County, Indiana, setting aside a decision of the Appellant-Defendant, the Indiana State Department of Public Welfare (State Department), pursuant to Ind.Code 4 — 22—1—1 (1971), et seq., the Indiana Administrative Adjudication Act. The State Department had decreed that St. Joseph’s Hospital of South Bend, Indiana (St. Joseph’s), not St. Joseph County Department of Public Welfare (County Welfare), should bear the $544.80 hospital expense of patient, Larry Beason.

We remand with instructions.

The facts pertinent to this appeal are as follows: Larry Beason was admitted to St. Joseph’s on October 9, 1972 with a pelvic injury suffered when a car fell on him at Gateway Auto - Sales where he was employed as an independent contractor. He was unconscious when admitted and St. Joseph’s was unable to interview him concerning his financial situation. The next day a hospital representative conducted a financial interview and was informed by Beason that he had either hospitalization insurance or workmen’s compensation through Gateway Auto Sales. On October 11th, St. Joseph’s phoned Gateway to verify the insurance and was informed Beason was an independent contractor and not covered by hospitalization or workmen’s compensation. In order to collect its expenses from County Welfare for an indigent patient, St. Joseph’s immediately prepared and mailed a Department of Public Welfare Form 475 (DPW 475 — Hospital or Physician Report of Illness or Injury) pursuant to Ind.Code 12-5-2-11 to County Welfare timely notifying [1327]*1327it of Beason’s indigency. The form indicated that no insurance benefits were available. A County Welfare caseworker interviewed Beason on October 13th or 14th and Beason again indicated that there was “liability insurance” and that he would pursue the matter. Beason was discharged from St. Joseph’s on October 14, 1972. His bill amounted to $544.80.

On December 12, 1972, the hospital bill which had been mailed to Beason was returned to St. Joseph’s marked “Moved, No Forwarding Address.” St. Joseph’s phoned County Welfare on December 13th, and talked to a caseworker who could not remember the case. County Welfare wrote Beason on January 17, 1973 asking him to contact it with regard to the bill. When Beason failed to respond, County Welfare denied reimbursement to St. Joseph’s on May 24,1973 apparently on the ground that Beason had not cooperated by making an application for assistance. St. Joseph’s received the denial on June 6, 1973 and appealed the decision to the State Department pursuant to Ind.Code 12-5 — 2—2.2 Following a full hearing before a Hearing Officer held on February 12, 1975, the denial of reimbursement was sustained in the Findings of Fact and Conclusions entered on February 9, 1976. An appeal was then taken to the State Department, which also sustained the denial of reimbursement. St. Joseph’s appealed to the St. Joseph Superior Court under the judicial review sections of the Administrative Adjudication Act, Ind.Code 4-22-1-14 and 18. The State Department filed a Motion to Dismiss and Affirmative Defense alleging it was not an interested party in the action but only an administrative agency responsible for a part of the appeal process. The record does not reveal a ruling on the Motion to Dismiss. On April 19,1977, the Superior Court found the State Department’s decision to be unsupported by substantial evidence, contrary to law, arbitrary and capricious. The case was remanded with instructions for the State Department to order County Welfare to reimburse St. Joseph’s for its expenses incurred on behalf of Beason. The State Department now appeals to this Court presenting the following issues for review:

1. Was the State Department a real party in interest in this cause?
2. Did the trial court err by finding that eligibility of a person for hospital care reimbursement is not predicated on a patient’s application for such reimbursement from the county welfare department?
3. Did the trial court err by ordering the State Department to direct County Welfare to reimburse Saint Joseph’s rather than remanding to the State Department for further proceedings?

[1328]*1328ISSUE ONE

The State Department claims the provisions of Ind.Code 12-5-2-1 through 5 provide that reimbursement to a hospital be made from county resources and, therefore, the State Department acts only as a fact-finding tribunal and should not b.e a party to this action. We disagree. This same contention was made by the State Department in the recent case of Indiana Department of Public Welfare v. Anderson, (1976) Ind.App., 357 N.E.2d 267 which was an appeal from the State Department’s finding that the applicant did not have a permanent disability and was not entitled to disability payments from the Marion County Department of Public Welfare. In determining whether the action was properly brought against the State Department, Judge Sullivan, speaking for the Court, concluded as follows:

The State Department argues that since I.C. 12-1-7-36 directed that disability payments be made by the county department, the State Department is not the proper defendant. This argument ignores the explicit words of the statute which prescribes an appeal through the State Department:
“The state department may make such additional investigations as it may deem necessary and shall make such decisions relative to the granting of assistance and the amount of assistance to be granted to the applicant as in its opinion is justified and in conformity with the provisions of this act [12-1-1-1 — 12-1-12-17]. All decisions of the state department made in conformity with the terms of this act shall be binding upon the county department involved and shall be complied with by such county department, and shall have the same force and effect as decisions of the county department from which appeals are not taken.” I.C. 12-1-7-41 (Burns Code Ed.1973). (Emphasis supplied).
Since it is within the authority of the State Department to compel the county department to make payments, it was proper to name the State rather than the county department as the defendant in the judicial review action. Moreover, Anderson is appealing the State Department’s own independent determination that she is not disabled. Having exhausted her administrative remedies, she was seeking review of the “final order” of the Department. Downing v. Bd. of Zoning Appeals of Whitely Co. (1971) 149 Ind. App. 687, 274 N.E.2d 542. We find no error in Anderson’s designation of defendants.

Since the language of the statute construed in Indiana Department of Public Welfare v. Anderson, supra, is substantially the same as that found in Ind.Code 12-5-2-2 (see footnote 2) we find Judge Sullivan’s reasoning applicable to the case before us. In addition, this action was appealed to the Superior Court under the provisions of the Administrative Adjudication Act. This Act provides “[wjritten notice of the filing of such verified petition for review and a copy of said petition shall be personally served upon the agency and the attorney-general.” Ind.Code 4-22-1-14.

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Bluebook (online)
398 N.E.2d 1325, 73 Ind. Dec. 397, 1979 Ind. App. LEXIS 1518, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-department-of-public-welfare-v-st-josephs-hospital-of-south-bend-indctapp-1979.