Westside Hospital v. Belshé

69 Cal. App. 4th 672, 81 Cal. Rptr. 2d 768, 99 Cal. Daily Op. Serv. 804, 99 Daily Journal DAR 981, 1999 Cal. App. LEXIS 63
CourtCalifornia Court of Appeal
DecidedJanuary 28, 1999
DocketNo. B112261
StatusPublished
Cited by2 cases

This text of 69 Cal. App. 4th 672 (Westside Hospital v. Belshé) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Westside Hospital v. Belshé, 69 Cal. App. 4th 672, 81 Cal. Rptr. 2d 768, 99 Cal. Daily Op. Serv. 804, 99 Daily Journal DAR 981, 1999 Cal. App. LEXIS 63 (Cal. Ct. App. 1999).

Opinion

[674]*674Opinion

GRIGNON, Acting P. J.

Westside Hospital appeals from a judgment denying its petition for writ of administrative mandate in favor of S. Kimberly Belshé, Director, State of California, Department of Health Services in this Medi-Cal reimbursement case. We conclude Hospital did not file its petition within the statute of limitations period provided in Welfare and Institutions Code section 14171, subdivision (j), six months from the issuance of the Director’s final decision.1 Therefore, we affirm.

Facts and Procedural Background

Hospital, a licensed inpatient acute care facility, is an institutional provider certified to participate in the Medi-Cal program. As a condition of participation in the Medi-Cal program, Hospital is required to file fiscal-year-end cost reports, setting forth costs incurred to provide services to Medi-Cal beneficiaries. The Department audited Hospital’s cost report for the fiscal year ending February 28, 1983, and computed Hospital’s “final settlement.”

On May 14, 1987, Hospital requested an administrative adjustment to the final settlement based on several issues. On December 21, 1988, the Department responded with a final settlement, which included adjustments for some, but not all, of the issues raised by Hospital. Hospital requested a formal administrative hearing on the disputed issues. A hearing was held before an administrative law judge. On March 11, 1993, the administrative law judge submitted a proposed decision denying Hospital’s administrative appeal. On March 23, 1993, the Director adopted the proposed decision of the administrative law judge as the final decision pursuant to section 14171. On March 30, 1993, the Department mailed a copy of the final decision to Hospital.

On September 24, 1993, Hospital filed a petition for writ of mandate (Code Civ. Proc., § 1085), writ of administrative mandate (Code Civ. Proc., § 1094.5), and declaratory relief (Code Civ. Proc., § 1060). On February 4, 1997, the Department demurred on the grounds that (1) the petition was filed after the expiration of the six-month statute of limitations contained in section 14171, subdivision (j), for relief under Code of Civil Procedure section 1094.5, and (2) the pleading did not state facts sufficient to constitute a cause of action under Code of Civil Procedure section 1085, 1094.5, or 1060. The trial court overruled the demurrer on the statute of limitations [675]*675ground, but sustained the demurrer with leave to amend on the ground that the verification was improper. On February 18, 1997, Hospital refiled its petition with a proper verification. On March 5, 1997, the trial court denied the petition on the merits. The trial court entered judgment denying the petition on April 3, 1997. Hospital filed a timely notice of appeal from the judgment. The Department filed a timely notice of cross-appeal from the judgment.

Discussion

I. Administrative Mandate

The Department contends Hospital’s petition for writ of administrative mandate was untimely under section 14171, subdivision (j), because it was filed more than six months after the date the Director issued the final decision. We agree. Although the trial court decided the petition on the merits, the statute of limitations issue is dispositive. Accordingly, we resolve the appeal on this basis.

The procedures for conducting administrative appeals and issuing decisions relating to final settlements for institutional providers are contained in section 141712 and California Code of Regulations, title 22, section [676]*67651044.3 An institutional provider may appeal a final settlement of the Department by filing a timely and specific written statement of disputed issues with the Department. The institutional provider may present any unresolved grievances or complaints at an impartial hearing before an administrative law judge, which must be conducted no later than 300 days after the filing of the statement of disputed issues. At the conclusion of the impartial hearing, the administrative law judge takes the matter under submission. The administrative law judge prepares and submits a proposed decision to the Director as soon as practical, in a form that may be adopted as the decision of the Director. The Department serves a copy of the proposed decision on each party. The Director may: (1) adopt the proposed decision; (2) reject the proposed decision and have a decision prepared based on the record, after allowing the parties the opportunity to present oral or written argument; or (3) refer the matter back to the administrative law judge to take additional evidence, after which the administrative law judge prepares a new proposed decision.

[677]*677The Director must adopt a final decision within 300 days after the record of the impartial hearing is closed, unless the Director intends to modify the proposed decision. In the event the Director chooses to modify a proposed decision under section 14171, subdivision (f), the Director must provide written notice to the parties on or before the 300th day following the closure of the record of the hearing and afford the parties an opportunity to present written or oral argument. On or before the 420th day following closure of the record of the hearing, the Director must issue a final decision.

The decision is effective upon adoption by the Director. Copies of the Director’s decision are mailed to the provider. The Director’s final decision is reviewable in accordance with Code of Civil Procedure section 1094.5 within six months of the “issuance” of the Director’s final decision.

The question presented in this appeal is whether the Director’s final decision is “issued” when it is “adopted” or when it is “mailed.”

“In interpreting a statute, we apply the usual rules of statutory construction. ‘We begin with the fundamentad rule that our primary task is to determine the lawmakers’ intent. [Citation.] ... To determine intent, “ ‘The court turns first to the words themselves for the answer.’ ” [Citations.] “If the language is clear and unambiguous there is no need for construction, nor is it necessary to resort to indicia of the intent of the Legislature (in the case of a statute) ....’” [Citation.] We give the language of the statute its ‘usual, ordinary import and accord significance, if possible, to every word, phrase and sentence in pursuance of the legislative purpose. A construction making some words surplusage is to be avoided. The words of the statute must be construed in context, keeping in mind the statutory purpose .... Both the legislative history of the statute and the wider historical circumstances of its enactment may be considered in ascertaining the legislative intent.’ [Citation.]” (Kane v. Hurley (1994) 30 Cal.App.4th 859, 862 [35 Cal.Rptr.2d 809].)

As a general rule, “issuance” of an administrative order means entry or filing, and not service or mailing, of an order. (Mario Saikhon, Inc. v. Agricultural Labor Relations Bd. (1983) 140 Cal.App.3d 581, 582-583 [189 Cal.Rptr. 632] [time to file a petition for review runs from “date of the issuance of the [Agricultural Labor Relations Board’s] order,” and therefore time to file is not extended by Code of Civil Procedure section 1013]; see also San Mateo Federation of Teachers v. Public Employment Relations Bd. [678]

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69 Cal. App. 4th 672, 81 Cal. Rptr. 2d 768, 99 Cal. Daily Op. Serv. 804, 99 Daily Journal DAR 981, 1999 Cal. App. LEXIS 63, Counsel Stack Legal Research, https://law.counselstack.com/opinion/westside-hospital-v-belshe-calctapp-1999.