496 P.3d 10
Or. Ct. App.2021Background
- Defendant assaulted neighbors M and J with a metal chain; both were transported by ambulance/air and received hospital treatment. Defendant pleaded guilty to second‑ and third‑degree assault.
- Trial court entered an amended supplemental judgment ordering $11,305.28 restitution ($8,105.28 medical; $3,200 attorney fees).
- CVSD (Crime Victim Services Division) paid J’s bills after reduction under the workers’ compensation fee schedule; CVSD also reimbursed M $300 for copays.
- Regence Blue Cross paid $3,346.26 for M’s ambulance, emergency, and follow‑up care, but its witness did not provide an itemized breakdown or connect charges to market rates.
- Victims retained private attorney Naumes (they had a preexisting civil/property dispute); Naumes performed services related to the criminal case (motion to quash subpoena, settlement negotiations, speaking at sentencing) and some property‑related work.
- On appeal the court affirmed restitution for J’s CVSD‑paid medical expenses and for attorney fees directly related to the criminal case, but reversed awards for M’s Blue Cross charges and CVSD’s $300 copay reimbursement and remanded for recalculation/resentencing.
Issues
| Issue | State's Argument | Fox's Argument | Held |
|---|---|---|---|
| Reasonableness & necessity of J’s medical expenses (CVSD payments) | CVSD testimony + workers’ comp fee schedule shows charges at or below market; injuries made ambulance/ER/CT/x‑ray and follow‑up obviously necessary | Witnesses were not medical professionals; medical bills alone insufficient to prove reasonableness or necessity | CVSD testimony and nature of injuries sufficient; J’s CVSD‑paid charges were reasonable and necessarily incurred (affirmed) |
| Reasonableness of M’s medical expenses (Blue Cross payments) | Blue Cross paid $3,346.26 for ambulance, emergency, follow‑up — payment by insurer shows reasonableness | No itemized breakdown or evidence linking amounts to market rates; bills alone insufficient | Insufficient evidence of market‑rate reasonableness; award for Blue Cross charges reversed |
| CVSD reimbursement of $300 copay to M | CVSD reimbursed copays | No evidence $300 was reasonable | $300 not established as reasonable; award reversed |
| Restitution for victims’ private attorney fees (Naumes) | Fees for services directly related to criminal case were reasonably foreseeable and necessarily incurred (motion to quash, negotiations, sentencing) | Fees not reasonably foreseeable because DA/victim advocates could assist; some services related to preexisting property dispute not tied to assaults | Fees for services directly related to criminal prosecution recoverable; fees for property‑dispute work (e.g., photographing defendant’s property) not recoverable; remand to recalculate |
Key Cases Cited
- State v. Aguirre‑Rodriguez, 367 Or 614 (explains statutory elements required for restitution)
- State v. Perdew, 304 Or App 524 (state must prove medical expenses reasonable and necessarily incurred)
- State v. Workman, 300 Or App 622 (CVSD witness testimony and workers’ compensation fee schedule can support reasonableness)
- State v. McClelland, 278 Or App 138 (medical bills alone are insufficient to prove reasonableness)
- State v. Dickinson, 298 Or App 679 (necessity is distinct from reasonableness; some obvious services may be proven by common sense)
- State v. Ramos, 358 Or 581 (attorney fees recoverable only if reasonably foreseeable)
- State v. Herfurth, 283 Or App 149 (attorney fees must be reasonably foreseeable, reasonable in amount, and necessarily incurred)
- State v. Campbell, 296 Or App 22 (payment by insurer or reduced schedule may be evidence of market rate)
- State v. Hilburn, 301 Or App 48 (insufficient evidence tying insurer payments to customary market rates defeats restitution claim)
