University of Utah Hospital & Medical Center v. Twin Falls County

842 P.2d 689, 122 Idaho 1010, 1992 Ida. LEXIS 172
CourtIdaho Supreme Court
DecidedNovember 30, 1992
Docket18735
StatusPublished
Cited by20 cases

This text of 842 P.2d 689 (University of Utah Hospital & Medical Center v. Twin Falls County) is published on Counsel Stack Legal Research, covering Idaho Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
University of Utah Hospital & Medical Center v. Twin Falls County, 842 P.2d 689, 122 Idaho 1010, 1992 Ida. LEXIS 172 (Idaho 1992).

Opinions

BISTLINE, Justice.

We must determine whether the district court properly allowed an appeal from the continuance of an administrative hearing, absent issuance of findings of fact and conclusions of law by the Board of Commissioners of Twin Falls County (“the Board”). If the appeal was proper, then we must also determine whether the possibility of prospective benefits from other governmental agencies constitutes “available resources,” thus relieving a county of the obligation to pay an indigency claim in part or in full. The University of Utah Hospital and Medical Center (“the Hospital”) also claims entitlement to prejudgment interest on the indigency claim, plus costs and attorney fees for the appeal to the district court. Additionally, each party requests costs and attorney fees on the appeal to this Court.

Hyrum Morrison was injured in a motorcycle accident in Elko, Nevada, and was flown to the University of Utah Hospital where he received treatment and rehabilitation services from July 14 through July 29, 1988. He incurred medical charges in excess of $20,000 during his stay. Morrison applied for various types of government assistance to cover such charges, including federal supplemental social security income (“SSI”) and state medicaid (“medicaid”) [1012]*1012benefits.1 All of the claims were initially denied, and Morrison administratively appealed each denial. As of the date that this appeal was filed, there apparently had been no final decision on any of the aforesaid benefits which he sought. Because Morrison had no medical insurance, the Hospital applied to Twin Falls County for medical indigency assistance pursuant to I.C. § 31-3504.

On September 27, 1988, the County denied the Hospital’s application in part due to the possibility that the SSI and medicaid benefits may become available in the future. The Hospital then requested an appeal hearing before the Board as a vehicle for presenting evidence of Morrison’s medical indigency. After the hearing, the Board notified the Hospital via letter that the case would “be held in continuance until a decision has been made by SSI.” R. at 20.

Thirty days later, the Hospital filed a notice of appeal in the district court. The Hospital also filed a petition for declaratory relief from the Board’s decision to continue the case. The petition was summarily dismissed. By order of the district court on May 3, 1989, the appeal was stayed for 120 days to allow a pre-litigation panel2 to review the Board’s findings, specifically to determine whether pending claims for SSI and medicaid benefits were “available resources” in determining medical indigency. The panel’s answer was “that if Workmen’s Compensation and SSI are not available, Mr. Morrison should be considered medically indigent. If available, however, they are a prior resource.” R. at 149. The panel’s determination was filed in the district court on August 16, 1989; the May 3rd stay of appeal was lifted, and the Hospital proceeded to appeal the Board’s “continuance,” otherwise put, the Board’s decision to stay the case indefinitely, to the district court.

Judge Hurlbutt of the district court ruled that (1) the Hospital properly appealed this case because the Board’s letter regarding a “stay” of proceedings constituted a denial of the Hospital’s application, (2) pending SSI and medicaid applications are not “available resources” under I.C. § 31-3502(1) to be considered by the County in determining medical indigency, (3) the Hospital was entitled to prejudgment interest, and (4) no costs or attorney fees were to be awarded for the Hospital's appeal to the district court.

The County filed an unsuccessful petition for rehearing with the district court. On May 25, 1989, an appeal was taken to this Court from the district court’s initial decision on appeal. On September 27, 1990, this Court granted the joint motion of the County and the Hospital to suspend the appeal until April 1, 1991, pending implementation and funding of House Bill No. 582, the purpose of which was to transfer fiscal responsibility for medical indigency care from the counties to the state of Idaho. Prior to April 1,1991, the Idaho Legislature voted against funding the bill, thus leaving medical indigency responsibility with the counties. Accordingly, this appeal was reactivated.

I.

THE APPEAL TO THE DISTRICT COURT WAS PROPERLY TAKEN

Idaho Code § 31-3505 provides that the Board’s decision on a medical indigency application shall be subject to judicial review “in substantially the manner provided in the administrative procedures act, chapter 52, title 67, Idaho Code,” which is as follows:

A person who has exhausted all administrative remedies available within the agency and who is aggrieved by a final decision in a contested case of an agency ... is entitled to judicial review under this act____ A preliminary, procedural, or intermediate agency action or ruling is immediately reviewable if re[1013]*1013view of the final agency decision would not provide an adequate remedy.

I.C. § 67-5215(a) (emphasis added). Also, Idaho Code § 67-5215(g) authorizes us to reverse or modify administrative “findings, inferences, conclusions or decisions” that are “in violation of ... statutory provisions,” “made upon unlawful procedure,” or “affected by other error of law.” The County contends that the Hospital’s appeal was improperly taken to the district court, based upon its contention that the Board did not make formal findings of fact or conclusions of law, and hence no “final decision” existed which was subject to judicial review.

We find, as did the district court, that by its letter of January 27, 1989, the County improperly continued Morrison’s case for an indefinite period of time. Thus in our view, the present situation is a “preliminary, procedural, or intermediate agency action” and it becomes immediately reviewable. See I.C. § 67-5215(a). The Board’s decision to continue the case was the functional equivalent of a stay order of undetermined duration, and while not an express denial of the Hospital’s application, leaves the Hospital unremunerated for its substantial expenditures in providing medical care to Hyrum Morrison, for an indefinite and potentially lengthy time period.

The only limit the County placed on the duration of its continuance order was until “a decision has been made by SSI.” The County presumably was referring to a final appellate decision because at the time the letter was written, Morrison’s initial application for SSI benefits had already been denied. The United States Supreme Court has held that a “stay is immoderate and hence unlawful unless so framed in its inception that its force will be spent within reasonable limits____” Landis v. North American Co., 299 U.S. 248, 257, 57 S.Ct. 163, 167, 81 L.Ed. 153 (1936). As the Hospital points out, “the indefinite stay order entered by the County could conceivably continue through decision by a federal administrative law judge, a federal district court, the 9th Circuit Court of Appeals and the United States Supreme Court.”

The County’s continuance of the case pending receipt of a decision potentially years down the road was patently unreasonable.

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Cite This Page — Counsel Stack

Bluebook (online)
842 P.2d 689, 122 Idaho 1010, 1992 Ida. LEXIS 172, Counsel Stack Legal Research, https://law.counselstack.com/opinion/university-of-utah-hospital-medical-center-v-twin-falls-county-idaho-1992.