State v. Haltom Medical Investors, L.L.C.

153 S.W.3d 664, 2004 Tex. App. LEXIS 11126, 2004 WL 2830633
CourtCourt of Appeals of Texas
DecidedDecember 9, 2004
Docket2-04-013-CV
StatusPublished
Cited by5 cases

This text of 153 S.W.3d 664 (State v. Haltom Medical Investors, L.L.C.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State v. Haltom Medical Investors, L.L.C., 153 S.W.3d 664, 2004 Tex. App. LEXIS 11126, 2004 WL 2830633 (Tex. Ct. App. 2004).

Opinion

OPINION

DIXON W. HOLMAN, Justice.

The State of Texas, Appellant, appeals from an order granting Appellee Haltom Medical Investors, L.L.C. d/b/a Haltom Convalescent Center’s plea to the jurisdiction and dismissing the State’s case with prejudice. In two issues, the State claims that 1) the trial court erred by failing to recognize that section 2.60(b) of House Bill 2292 is a specific savings clause and incorrectly applied the general savings clause, and 2) the Texas Department of Human Services’ (DHS) assessment of both federal and state civil penalties was made under the prior version of section 242.070 of the health and safety code before the new amendment took effect on September 1, 2003, and the savings clause directly impacts those penalties assessed prior to September 1, 2003. We disagree, and therefore, affirm the trial court’s judgment.

BACKGROUND

DHS is the state agency that regulates nursing facilities by ensuring minimum standards of care regarding health, safety, and comfort of the nursing home residents. 1 There are several ways that DHS regulates these facilities: it requires the facilities obtain a license; conducts inspections, surveys, and investigations of the facilities; and enforces rules and minimum standard regulations. 2 After DHS completes its inspection, a regional enforcement team meets to determine if it believes that a violation has occurred and what penalties, if any, should be recommended. DHS enforces its regulations through administrative penalties, 3 federal civil money penalties, and state civil penalties. 4 It is not the regional team, but DHS state office staff or the Centers for Medicare and Medicaid Services (CMS) that impose the penalties against a facility. If the facility does not agree with the recommendation, it has the right to appeal. 5

The three types of penalties are assessed differently. Administrative penalties are assessed by the DHS commissioner or the commissioner’s designee only after “the person charged with the violation consents to the administrative penalty recommended by the department, does not timely respond to a notice sent under Subsection (c) or (e), or fails to correct the violation to the department’s satisfaction.” 6 Federal civil money penalties are based on an alleged certification or Medicare/Medicaid violation. The regional enforcement team then makes its recommendation to CMS, which either accepts, rejects, or modifies the recommendation. It is CMS that notifies a nursing facility that a specific penalty has been recommended to be imposed. Haltom contends that only after the nursing facility has either consented to the penalty or all appeal rights have been exhausted can a federal civil money penalty be assessed. Based on an alleged licensure violation, the DHS regional enforcement team can recommend state civil penalties. If the *667 regional director agrees that a state civil penalty should be sought, the nursing facility is notified that DHS is recommending referral to the Attorney General’s Office for imposition of civil penalties. 7

This case focuses on state civil penalties. In 2002, with residents residing in the facility, Haltom decided to renovate. In July 2002, DHS inspected the facility and found numerous violations. Specifically, the violations included numerous safety system devices that were inadequate such as sprinkler system coverage, fire escape pathways, fire barriers, and exposed construction materials, which posed health and safety hazards for the residents. DHS made a recommendation to CMS that a $3,050 per-day federal civil money penalty be imposed on Haltom for the violations. CMS agreed with the findings and the penalty recommended by DHS. Thereafter, Haltom waived its right to appeal, and CMS sent notification to Haltom of the acceptance of its waiver of appeal rights. The federal civil money penalty in the amount of $28,350 was reduced to $18,427.50 and paid by Haltom. On January 14, 2003 DHS referred this matter to the Office of the Attorney General of Texas (OAG). The letter sent to the OAG stated “Please file suit for civil penalties and any other relief which may be appropriate.” On September 17, 2003 the State of Texas filed suit on behalf of DHS seeking state civil penalties against Haltom under chapter 242 of the Texas Health and Safety Code. Haltom filed a plea to the jurisdiction, which the court granted and the court dismissed the State’s suit with prejudice. Thereafter, the State filed this appeal.

In this case, we are presented with two overriding issues, the proper interpretation of the term “assess” found in section 242.070 of the Texas Health and Safety Code, and whether or not the State “assessed” civil penalties before or after September 1, 2003.

Section 242.070 of the Texas Health and Safety Code 8

Before we address the issues presented in this case, a brief overview of the pertinent statute is necessary. In 2003, the Texas Legislature amended section 242.070 of the Texas Health and Safety Code by enacting Texas House Bill 2292. 9 Prior to the legislative change, section 242.070 read:

The department may not assess more than one monetary penalty under this chapter for a violation arising out of the same act or failure to act, except as provided by Section 242.0665(c). This section does not prohibit the department from assessing a monetary penalty under this chapter and a monetary penalty under Chapter 32, Human Resources Code, for the same act or failure to act. 10

After the legislative change, section 242.070 now reads:

The department may not assess more than one monetary penalty under this chapter and Chapter 32, Human Resources Code, for a violation arising out of the same act or failure to act, except as provided by Section 242.0665(c). The department may assess the greater of a *668 monetary penalty under this chapter or a monetary penalty under Chapter 32, Human Resources Code, for the same act or failure to act. 11

House Bill 2292 contained the above amendment and the following provision: “The change in law made by this section to Section 242.070, Health and Safety Code, applies only to a penalty assessed on or after the effective date of this section.” 12

Prior to the statutory change, DHS was authorized to assess up to two monetary penalties against a nursing facility that was in violation of the regulations; however, after the amendment DHS can only assess one monetary penalty against a nursing facility for each violation arising out of the same act.

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Bluebook (online)
153 S.W.3d 664, 2004 Tex. App. LEXIS 11126, 2004 WL 2830633, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-haltom-medical-investors-llc-texapp-2004.