Adam M. BOROWSKI, M.D., Brian D. Bull, M.D., and Hillcrest Family Health Center, Appellants v. Karen AYERS, Individually and as Representative of the Estate of Daryl Lynn Ayers, Deceased, and Ethan Ayers, Appellees
No. 10-15-00239-CV
Court of Appeals of Texas, Waco.
Delivered and filed October 12, 2016
501 S.W.3d 292
(Chief Justice Gray concurs in the judgment only.)
M. Raymond Hatcher II, Alan Robertson, Sloan Bagley Hatcher & Perry, Longview, TX, Morgan McPheeters, F. Leighton Durham, Kelly Durham & Pittard, LLP, Dallas, TX, for Appellees/Respondents.
Before Chief Justice Gray; Justice Davis, and Justice Scoggins
OPINION
REX D. DAVIS, Justice
On September 4, 2012, Appellees Karen Ayers, individually and as representative of the estate of Daryl Lynn Ayers, deceased, and Ethan Ayers filed a health care liability suit against Appellants Adam M. Borowski, M.D., Brian D. Bull, M.D., Hillcrest Family Health Center, and several other defendants. The Ayerses allege that Daryl died because Dr. Borowski, Dr. Bull, and other defendants failed to recognize and treat an aortic dissection between July 24 and July 26, 2010. The Ayerses assert that Hillcrest is vicariously liable for Dr. Bull‘s alleged negligence.
Dr. Borowski filed a traditional motion for summary judgment, contending that the Ayerses’ claims are barred by the statute of limitations. To support the motion, Dr. Borowski included as summary-judgment evidence his own affidavit and the affidavit of Nathan Forrest, D.O., one of the other defendants at the time.1 Dr. Forrest stated in his affidavit that shortly after June 7, 2012, he received a letter entitled “Notice of Claim,” advising that a health care liability claim may be asserted for negligence in the medical care provided to Daryl Ayers on or about July 24, 2010. The Notice of Claim letter, a copy of which was attached to Dr. Forrest‘s affidavit, was also addressed to Dr. Bull, Providence Health Center c/o its registered agent Mr. Kent Keahey, and Dennis M. Plante, M.D. Dr. Forrest also stated in his affidavit that a document entitled “Authorization Form for Release of Protected Health Information” accompanied the Notice of Claim letter. The authorization form, a copy of which was also attached to Dr. Forrest‘s affidavit, stated in relevant part:
Notes
B. The health information to be obtained, used, or disclosed extends to and includes the verbal as well as the written and is specifically described as follows:
2. The health information in the custody of the following physicians or health care providers who have examined, evaluated, or treated DARYL LYNN AYERS during a period commencing five years prior to the incident made the basis of the accompanying Notice of Health Care Claim.
ALL HEATH [sic] CARE PROVIDERS PROVIDING CARE/TREATMENT TO DARYL LYNN AYERS.
Dr. Borowski stated in his affidavit that he did not receive a Notice of Claim letter from the Ayerses or their attorney before suit was filed.
Based on this summary-judgment evidence, Dr. Borowski made the following argument: Because the authorization form did not list the name or current address of any physicians or health care providers who had treated Daryl during the five years before the alleged incident, it was “essentially rendered meaningless” and failed to comply with the requirements of
Dr. Bull and Hillcrest subsequently filed a traditional motion for summary judgment, asserting substantially the same argument. To support their motion, Dr. Bull and Hillcrest included as summary-judgment evidence the Ayerses’ original and first amended petitions and Dr. Bull‘s own affidavit. Dr. Bull stated in his affidavit that, after June 7, 2012, he received from the Ayerses’ counsel the “Notice of Claim” letter and “Authorization Form for Release of Protected Health Information,” copies of which were attached to his affidavit. Dr. Bull also stated that these were the first and only documents purporting to be a Notice of Claim involving his care of Daryl that he received from the Ayerses’ counsel or any other attorney.
The trial court generally denied Appellants’ motions for summary judgment. Dr. Borowski filed a motion to amend the order denying summary judgment and for interlocutory appeal. The trial court signed an amended order, again denying Appellants’ motions for summary judgment but permitting an appeal from the interlocutory order. We initially granted Appellants’ joint petition for permission to appeal the amended order but then dismissed the appeal for want of jurisdiction. Borowski v. Ayers, 432 S.W.3d 344, 346, 348 (Tex. App.-Waco 2013, no pet.). We concluded that the trial court did not substantively rule on the controlling legal issue presented in the appeal and that the interlocutory order did not therefore involve a controlling question of law, a requirement of
4. Plaintiffs’ “Authorization Form for Release of Protected Health Information” meets the legal requirements of
Section 74.052 of the Texas Civil Practice & Remedies Code for the sole reason that: Plaintiffs’ Authorization tracked the statutory text of the statute, which, when coupled with their inclusion of the statement in Section B(2) of the Authorization form, “ALL HEALTH CARE PROVIDERS PROVIDING CARE/TREATMENT TO DARYL LYNN AYERS,” constituted substantial compliance withSection 74.05(c) [sic] of the Texas Civil Practice & Remedies Code . Utilization of that Authorization, combined with Plaintiffs’ compliance with the legal requirement ofSections 74.051 and74.052 of the Texas Civil Practice & Remedies Code to provide a notice of health care claim, utilizing the above described Authorization form, at least 60 days before the filing of Plaintiffs’ lawsuit, therefore constituted substantial compliance with the notice requirements of the statute.5. Because Plaintiffs substantially complied with the requirements to provide statutory notice of claim, as set forth in
Section 74.051(a) of the Texas Civil Practice & Remedies Code , the applicable statute of limitations inSection 74.251(a) of the Texas Civil Practice & Remedies Code was tolled by operation ofSection 74.051(c) of the Texas Civil Practice & Remedies Code , such that Plaintiffs timely filed their lawsuit on September 4, 2012.
The trial court also again permitted an appeal from the interlocutory order.
We granted Appellants’ petitions for permission to appeal this second amended order denying their motions for summary judgment. In their sole issue,3 Appellants contend that the Ayerses are not entitled to the benefit of
We review de novo a trial court‘s grant or denial of a traditional motion for summary judgment. See Creditwatch, Inc. v. Jackson, 157 S.W.3d 814, 816 n.7 (Tex. 2005). In reviewing a traditional summary judgment, we must consider whether reasonable and fair-minded jurors could differ in their conclusions in light of all of the evidence presented. See Goodyear Tire & Rubber Co. v. Mayes, 236 S.W.3d 754, 755 (Tex. 2007). The movant carries the burden of establishing that no material fact issue exists and that it is entitled to judg-
A health care liability claim has a two-year limitations period.
Subsection 74.051(c) states that the two-year limitations period is tolled for seventy-five days when notice is “given as provided” in chapter 74.
Any person or his authorized agent asserting a health care liability claim shall give written notice of such claim by certified mail, return receipt requested, to each physician or health care provider against whom such claim is being made at least 60 days before the filing of a suit in any court of this state based upon a health care liability claim. The notice must be accompanied by the authorization form for release of protected health information as required under Section 74.052.
(a) Notice of a health care claim under Section 74.051 must be accompanied by a medical authorization in the form specified by this section. Failure to provide this authorization along with the notice of health care claim shall abate all further proceedings against the physician
or health care provider receiving the notice until 60 days following receipt by the physician or health care provider of the required authorization.
....
(c) The medical authorization required by this section shall be in the following form ....
AUTHORIZATION FORM FOR RELEASE OF PROTECTED HEALTH INFORMATION
....
B. The health information to be obtained, used, or disclosed extends to and includes the verbal as well as the written and is specifically described as follows:
....
2. The health information in the custody of the following physicians or health care providers who have examined, evaluated, or treated ________ (patient) during a period commencing five years prior to the incident made the basis of the accompanying Notice of Health Care Claim. (Here list the name and current address of such physicians or health care providers, if applicable.)
“When construing a statute, we begin with its language.” State v. Shumake, 199 S.W.3d 279, 284 (Tex. 2006). “Our primary objective is to determine the Legislature‘s intent.” Id. When possible, we discern the legislative intent from the plain meaning of the words chosen. Id. “If the statute is clear and unambiguous, we must apply its words according to their common meaning without resort to rules of construction or extrinsic aids.” Id. We may also determine legislative intent by considering the objective of the law, the law‘s history, and the consequences of a particular construction. Id.; see
B. The health information to be obtained, used, or disclosed extends to and includes the verbal as well as the written and is specifically described as follows:
....
2. The health information in the custody of the following physicians or health care providers who have examined, evaluated, or treated ________ (patient) during a period commencing five years prior to the incident made the basis of the accompanying Notice of Health Care Claim. (Here list the name and current address of such physicians or health care providers, if applicable.)
When used in a statute, the term “must” creates or recognizes a condition precedent and the term “shall” imposes a duty, unless the context in which the term appears necessarily requires a different construction or unless a different construction is expressly provided by statute.
The Ayerses contend that such an interpretation is appropriate here. They argue that extending Carreras and interpreting sections
“Substantial compliance” means that one has performed the “essential requirements” of a statute. Harris County Appraisal Dist. v. Krupp Realty Ltd. P‘ship, 787 S.W.2d 513, 515 (Tex. App.-Houston [1st Dist.] 1990, no writ). If deviations from the performance required by statute do not seriously hinder the Legislature‘s purpose in imposing the requirement, then there has been substantial compliance. Id. The Ayerses argue that their authorization did not seriously hinder the Legislature‘s purpose in imposing the notice requirement because it (1) tracked the language of
The Ayerses rely on Mock v. Presbyterian Hosp. of Plano, 379 S.W.3d 391 (Tex. App.-Dallas 2012, pet. denied), and Rabatin v. Kidd, 281 S.W.3d 558 (Tex. App.-El Paso 2008, no pet.),6 to support their argument. In Mock, the plaintiffs gave the defendants notice of their health care liability claim and the authorization form prescribed by
A. I, ________ (name of patient or authorized representative), hereby authorize ________ (name of physician or other health care provider to whom the notice of health care claim is directed) to obtain and disclose (within the parameters set out below) the protected health information described below for the following specific purposes....
The plaintiffs in Mock argued that their claims were not time-barred because they successfully triggered the seventy-five-day tolling period. Id. at 394. The Dallas Court of Appeals agreed. Id. at 395. The court first distinguished Nicholson and Mitchell, discussed below, stating that the authorization form in this case tracked the statutory form completely and that the plaintiffs filled in all the blanks, albeit one of the blanks incorrectly. Id. The court then stated:
We conclude appellants’ medical authorization form correctly tracked the statutorily prescribed text. Although one blank was filled out incorrectly in what appears to have been an inadvertent mistake, the medical authorization form utilized complied with the statutory requirements, satisfied the legislative purpose, and triggered the tolling of the limitations period.
Id. at 395. The court further explained:
When a claimant provides the correct form with one blank filled out incorrectly, the claimant has demonstrated his intention to comply with the statute, and the error can be fixed quite easily. Any injury to the potential defendants from the delay is removed by the legislature‘s provision of an abatement of proceedings lasting until 60 days after a proper authorization is received: The abatement provides the opportunity for investigation and settlement that is potentially lacking when a claimant furnishes a medical authorization form with one blank incorrectly completed.
Id. at 395 n.3 (citations omitted).
In Rabatin v. Kidd, the plaintiffs sent a notice letter with an authorization form to one of the defendants, but the authorization form excluded the records of the doctors who had treated the patient within the five-year period before the treatment that was the basis of the claim and did not give the dates of treatment. 281 S.W.3d at 560. The plaintiffs subsequently sent notice letters with authorization forms to all of the defendants, but the authorization forms again excluded the records of the doctors who had treated the patient within the five years of the treatment that was the basis of the claim, did not give the dates of treatment, and did not provide who could access the records. Id. Counsel for one of the defendants was nevertheless able to use the subsequently sent authorization form to obtain the patient‘s records from the hospital where she had been admitted. Id.
The Rabatin plaintiffs argued that the foregoing was sufficient to toll the statute of limitations. Id. at 561. The El Paso Court of Appeals agreed. Id. at 562. The court stated in this pre-Carreras case that
On the other hand, Appellants contend that, because the Ayerses failed to list any of the names and addresses of Daryl‘s treating physicians or health care providers during the five years before the incident made the basis of this suit, the authorization was essentially “meaningless.” Appellants assert that, without a claimant providing the identity of a patient‘s treating physicians or health care providers for the five years before the incident made the basis of the notice of health care claim, the defendant does not know from whom or from where to obtain the protected health information. Appellants claim that, absent the information, the defendant is therefore deprived of the opportunity to explore the patient‘s past medical history for purposes of evaluating (and potentially settling) the claim and that the authorization form does not therefore substantially comply with sections
Appellants rely on several cases from two other sister courts to support their argument. In Nicholson v. Shinn, No. 01-07-00973-CV, 2009 WL 3152111 (Tex. App.-Houston [1st Dist.] Oct. 1, 2009, no pet.) (mem. op.), the plaintiff sent the defendant a notice letter, but it was not accompanied by an authorization form. Id. at *4. The plaintiff subsequently sent the defendant a “medical authorization release form” but neglected to include information on the patient‘s physicians for the previous five years. Id. at *4-5. The plaintiff then served the defendant‘s insurance carrier with the authorization form prescribed by
The Nicholson plaintiff argued that she substantially complied with the statute and that that was sufficient to toll the statute of limitations, but the First Court of Appeals disagreed. Id. at *5-6. The court first concluded in this pre-Carreras case that the initial notice letter was “clearly defective because it violate[d] a mandatory provision,” i.e.,
In Mitchell v. Methodist Hosp., 376 S.W.3d 833 (Tex. App.-Houston [1st Dist.] 2012, pet. denied), the plaintiffs provided the defendants with notice of their health care liability claims, but, instead of providing the authorization form prescribed by
The Mitchell plaintiffs argued that substantial compliance with the notice requirement was sufficient to toll limitations and that the HIPAA form substantially complied with
The First Court of Appeals was unpersuaded by the fact that the defendants were able to provide the plaintiffs with copies of the protected health information in their own files. Id. The court explained that, for tolling to apply, the authorization form must provide authorization to retrieve the patient‘s medical records from other medical providers so that the defendants can evaluate the strength of the plaintiffs’ claim with the legislative goal of encouraging settlement. Id. The court also rejected an argument by the plaintiffs that, even if their authorization form was defective, the defendants waived any statutory right that they could have asserted by failing to object to the form and to request abatement of the lawsuit. Id. at 838-39. More specifically, the plaintiffs contended that abatement—not the dismissal of their health care liability claim on summary judgment—was the defendants’ only remedy. Id. at 838. The court explained that the supreme court in Carreras rejected this interpretation of
[T]he abatement has a use in situations in which the tolling provision is not at issue. If notice is provided without an authorization well within the statute of limitations, and the case could be filed sixty days later and still fall within the limitations period, the defendant‘s statu-
tory remedy is to halt proceedings until an authorization form is received.
Carreras, 339 S.W.3d at 73-74. The Mitchell court therefore concluded that the abatement provision had no application because the plaintiffs’ suit could not have been abated and still filed within the limitations period. Mitchell, 376 S.W.3d at 839.
In Brannan v. Toland, No. 01-13-00051-CV, 2013 WL 4004472 (Tex. App.-Houston [1st Dist.] Aug. 6, 2013, pet. denied) (mem. op.), the plaintiffs sent the defendants a notice of health care liability claim, but, rather than providing the authorization form prescribed by
Finally, in Myles v. St. Luke‘s Episcopal Hosp., 468 S.W.3d 207 (Tex. App.-Houston [14th Dist.] 2015, pet. denied), the plaintiff sent the defendant a notice of health care liability claim along with the authorization form prescribed by
After considering the foregoing arguments and authorities, and the record before us, we conclude that the Ayerses’ authorization form did not substantially comply with sections
The Ayerses attempt to distinguish Nicholson, Mitchell, Brannan, and Myles. The Ayerses assert that, unlike the plaintiffs in Nicholson and Myles, they did not leave any of the fields in their authorization form completely blank and Appellants were not “discouraged” by the error in the authorization form because, as in Rabatin, they could actually use the authorization form to obtain the health information that they needed. Additionally, the Ayerses assert that, unlike the plaintiffs in Mitchell and Brannan who used a HIPAA-compliant general medical records release form, they provided an authorization form that tracked the exact language of
But although the Ayerses’ authorization form and the authorization forms in Nicholson, Mitchell, Brannan, and Myles are not identically noncompliant with the authorization form prescribed by
The supreme court stated in Carreras that the purpose of
By omitting from the authorization form the list of the patient‘s treating physicians for the previous five years, the authorization form fails to identify where the protected health information might be located. This seriously hinders potential defendants from exploring the patient‘s past medical history for the statute‘s purposes. See Myles, 468 S.W.3d at 210-11; Mitchell, 376 S.W.3d at 838; Nicholson, 2009 WL 3152111, at *6. And the purpose of the notice requirement and the pre-suit negotiation period triggered by the notice requirement are not fulfilled if potential de-
Also, the Ayerses’ reliance on Rabatin is misplaced. The Rabatin court, in concluding that the authorization form was sufficient to toll the statute of limitations, reasoned that the notice letter and improperly filled-out authorization form gave fair warning of a claim and an opportunity to abate the proceedings for negotiations and evaluation of the claim, thereby carrying out the Legislature‘s intent. Rabatin, 281 S.W.3d at 562. Rabatin, however, was decided before Carreras. The supreme court in Carreras explained:
[T]he abatement has a use in situations in which the tolling provision is not at issue. If notice is provided without an authorization well within the statute of limitations, and the case could be filed sixty days later and still fall within the limitations period, the defendant‘s statutory remedy is to halt proceedings until an authorization form is received.
Carreras, 339 S.W.3d at 73-74. Therefore, as explained in Mitchell, the abatement provision has no application in this case because the Ayerses’ suit could not have been abated and still filed within the limitations period. See Mitchell, 376 S.W.3d at 839.
In addition to attempting to distinguish Nicholson, Mitchell, Brannan, and Myles, the Ayerses also complain that their authorization form substantially complied with sections
The Myles court, however, rejected a similar argument. See Myles, 468 S.W.3d at 210-11. Furthermore, “substantial compliance” does not permit a party to ignore statutory requirements. Methodist Hosps. of Dallas v. Mid-Century Ins. Co. of Tex., 259 S.W.3d 358, 360 (Tex. App.-Dallas 2008, no pet.). The courts possess no legislative powers; therefore, the courts cannot excuse plaintiffs’ noncompliance with statutory requirements merely because defendants, despite plaintiffs’ noncompliance, are able to accomplish some of the Legislature‘s purpose in imposing the statutory requirements. Although we may hold statutory language that appears to impose a mandatory duty to be only directory when that interpretation is most consistent with the Legislature‘s intent, a party must still have performed the essential requirements of the statute for the party to have substantially complied with it. See, e.g., Conn, Sherrod & Co. v. Tri-Elec. Supply Co., 535 S.W.2d 31, 34-35 (Tex. Civ. App.-Tyler 1976, writ ref‘d n.r.e.) (holding that liberal interpretation and substantial compliance did not allow courts to alter meaning of statutory language and that timely filing of affidavit without correct jurat was not substantial compliance as required to perfect materialman‘s lien). And, as discussed above, we conclude that an essential requirement of sections
The Ayerses’ reliance on Mock is also misplaced. In Mock, the plaintiffs filled out one blank incorrectly—an “inadvertent mistake“—in an authorization form that otherwise complied with the form prescribed by
The Ayerses assert in a footnote that Appellants did not conclusively prove that the Ayerses were required to identify any health care providers because they did not present any evidence that Daryl had any health care providers in the five years preceding his death. The Ayerses point out that the authorization form prescribed by
In light of the foregoing, we conclude that the Ayerses’ authorization form did not substantially comply with sections
The Ayerses contend that Dr. Bull‘s and Hillcrest‘s motion for summary judgment should nevertheless have been denied because a fact issue exists as to whether Dr. Bull and Hillcrest should be estopped from asserting the statute of limitations. We need not address this issue. The trial court did not deny their summary judgment motion on this ground, and
We reverse the trial court‘s order denying Appellants’ motions for summary judgment and remand the cause to the trial
IN RE Mike HICKS
No. 10-16-00332-CV
Court of Appeals of Texas, Waco.
Opinion delivered and filed October 13, 2016
William C. Bosworth, Jr., Cleburne, TX, for Appellees/Respondents.
Lee Brown, The Brown Law Firm, Dallas, TX, Scotty MacLean III, MacLean Law Firm, Fort Worth, TX, for Real Parties in Interest.
Before Chief Justice Gray, Justice Davis, and Justice Scoggins
OPINION
TOM GRAY, Chief Justice
Relator, Mike Hicks, has filed “Relator‘s Motion for Emergency Relief and Request for Stay.” The motion, purportedly filed pursuant to
The Relator‘s motion is premature. The filing of original proceedings in the appellate courts is governed by Section Three of the Texas Rules of Appellate Procedure.
52.1. Commencement
An original appellate proceeding seeking extraordinary relief—such as a writ of habeas corpus, mandamus, prohibition, injunction, or quo warranto—is commenced by filing a petition with the clerk of the appropriate appellate court. The petition must be captioned “In re [name of relator].’
“The relator may file a motion to stay any underlying proceedings or for any other temporary relief pending the court‘s action on the petition.”
While we are not prepared to hold that in no circumstance would we consider a motion for emergency relief and requesting a stay of a trial court proceeding or order without a pending petition for writ of mandamus, we do not believe this proceeding evidences the extraordinary circumstances that would justify such an action
