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Kassen v. Hatley
887 S.W.2d 4
Tex.
1994
Check Treatment

*1 Thе State claims we must venting make the dis the dissemination of the information urges tinction it between expres conduct and justifies to the alone the disclosure. A argues sion. It by citing 42 U.S.C. confidentiality may necessary order be 1981,1982 §§ may as “conduct” statutes that provide grant the least obtrusive means to enforced, legitimately Supreme be Court rights deferring disclosure while to First housing has likewise sanctioned the discrimi Tilton, Amendment concerns. nation conduct-prohibitive statutes as ones (construing S.W.2d at 956 Seattle Times Co. any contrary policy protect override Rhinehart, v. 467 U.S. 104 S.Ct. expression. content-based See R.A.V. v. (1984)). L.Ed.2d 17 justify It does not itself — U.S.-,-, St. Paul disclosure. 2538, 2546-47, 5.Ct. 120 L.Ed.2d 305 contempt judgment and commitment agree Supreme that the Court relies contrary applicable Gibson and other strongly on the conduct-based versus eon- precedent. federal We are bound to enforce distinction,6 disagree tent-based but we federal cases as to federal law when application Essentially State’s of it. conflict with a decision a lower Texas argues State the trial court could find a Const, VI, 2; court. U.S. art. cl. see also specific illegal activity connection with the in Eichelberger Eichelberger, v. proof Vidor from Knights of the Texas Klan hearing argu- Without oral discriminating race, activities on the basis of ment, majority grants of the court Lowe’s color, ethnicity If proof and creed. mere of petition for writ corpus of habeas and orders such prejudice justify bias and were to Tex.R.App.P. him discharged. 122. conduct, illegal privi- conclusion of the whole legе at issue meaningless. here would be

The State contends that up we must

hold the trial court order because that court

found privilege by Lowe waived the his “se

lective” disclosure of certain Klan members. Most of Lowe’s evidence of individual Klan KASSEN, R.N., County Hospi Lisa Dallas membership arose from his effort to show tal District Parkland Memorial d/b/a respecting State was not the First Hospital, Gurjeet Kalra, M.D., S. privilege by using Amendment the least ob University of Texas Southwestern trusive method to obtain the information it Dallas, Petitioners, Medical Center at sought. sought Thus Lowe to show that the specific State knew or should have known of v. Klan alleged members who were to have Judy HATLEY and William

participated suspect activity, Johnson, Respondents. sought should have first from them which No. D-4248. Klan participated members in the conduct. We find that the incidental disclosures of Supreme Court of Texas. individual significantly members werе not more extensive than Argued May the answers about indi appeared meetings repre viduals who Decided Nov. sented themselves as members in Gibson. Rehearing Overruled Dec. The Court in Gibson failed to find waiv er.

Finally, reject argu we the State’s confidentiality pre-

ment that a strict order expressly distinguished 6. The Court part R.A.V.on the such as racial bias form of the motive for expression ground i.e., conduct versus in Wisconsin providing en- statutes conduct — - Mitchell, -, U.S. 113 S.Ct. punishment hanced for so-called “hate crimes” (1993), punishment L.Ed.2d 436 which held that are constitutional. may for conduct be enhanced because factors *3 Dallas, Bemays, Cox,

Richard Thomas L. Aversano, Jr., Ldlum, Donna M. James An- Brocato, Austin, Jr., Morales, thony G. Dan petitioners. Horany, Girards, John James ‍‌​‌‌​‌‌‌‌‌‌​‌​‌​​​‌​​​​‌‌‌​​​‌‌​​​​‌​​​​​‌​‌​‌‌​‍E. R. David Weiner, Dallas, respondents. GONZALEZ, Justice, delivered the Court, opinion which HIGHTOWER, HECHT, and CORNYN Justices, SPECTOR, join.

In this case we decide doctor whether a employed by governmental enti- nurse ty were entitled to the defense individually sued for medical when malpractice. immu- We conclude that official nity conclu- question is a fact that was not sively part We thus affirm established. appeals of the of the court of which doctor reversed for the nurse, and remand proceed- causes to the trial court for further Parkland opinion. had mgs We also because she been consistent with allege other institutions before. conclude that failed several injury arising from a or use of Johnson to condition file that staff refer recommended tangible personal property. County We therefore rather admit her MHMR than Dallas institution, judgment of thе reverse the court presented herself to an when she County District Hospital as to Dallas symp- significantly had different unless she (Parkland) Hospital Parkland Memorial past. Kalra found toms those in the d/b/a University of Texas past conduct consistent with Johnson’s (Southwestern), Medical at Dallas Center behavior, inpatient did not admit her for court as and affirm the of the trial care.

to these defendants. angry. demanded Johnson became She *4 the of her medication and threatened return I. Facts of if to herself in front a car she did throw wrongful death action arose from the Kassen, pills. Kalra Lisa not receive the February suicide Ms. on of Pennie Johnson R.N., charge in the nurse Parkland emer- the Johnson, then had been a room, gency jointly to return the decided not nearly patient chronic health mental for ten though not associatеd medicine even doctors condition, years. diagnosed a Johnson’s as pre- had with Parkland or Southwestern disorder, personality antisocial borderline it. Kassen then told Johnson scribed by depression, pseudo was manifested sei- pills accept- if she would return the Johnson zures, others, tantrums, on temper attacks expense. ed a ride at Parkland’s taxi home behavior, manipulative drug and alcohol refused, stating that she did not abuse, gestures. Al- and suicidal threats and security a go want home. called Someone though spent teenage had much she of her out, officer to escort her but Johnson volun- institutions, in and adult life her doctors had tarily the alone her med- left without long-term decided that institutionalization committed suicide short ication. Johnson therapeutiс. They treating was not were her freeway stepping time into traffic. later outpatient as an at the forensic unit the County Judy Hatley Dallas parents, Mental Health and Mental Johnson’s Wil- (Dallas MHMR). System Johnson, County wrongful Retardation liam filed this death action Kalra, Parkland, Kassen, against and South- February 13, Shortly midnight before on western, alleging negli- that the defendants police officer discovered Johnson daughter’s Each gently caused their death.1 along a walking expressway. Dallas Because summary of these defendants moved for herself, threatening she was to harm judgment. Parkland and Southwestern ar- psychiatric emergency officer her to the took gued plaintiffs allege failed to a use room at Parkland. This was second her visit property required tangible personаl days. Complaining to Parkland in two Tort Act. Kalra under the Texas Claims depression, Johnson informed a Parkland immunity. of official relied on defense nurse taken that she had the medication argued she was not liable because Kassen day, possession seven times that exceed- 93.001(a)(2) Prac- Texas Civil Section ing dosage. prescribed After medical provides tice an affirma- and Remedies Code pills, taking staff witnessed her additional of suicide. tive defense cases they confiscated Johnson’s medication and placed it in nurses’ station. summary judgment granted court The trial specify- Gurjeet

Dr. for and Kalra without S. Kalra examined Johnson. time, third-year ing proceeded to trial grounds. At the he The case was resident Southwestern, After serving against Parkland and Kassen. psychiаtry at rota- chief, Park- psychiatric plaintiffs presented Park- their case tion in Parkland’s ward. verdicts. land on Johnson land and Kassen moved directed had a “difficult file” appeal. against parties 1. The settled their claim Dallas this County MHMR. It and two other defendants again immunity. immunity, right sovereign ereign Parkland relied on is not affected government Kassen the first time asserted official whether a has official immunity as a trial court defense. The See Tex.Civ.PRAC. & Rem.Code 104.008, 108.002, 108.003; granted §§ the directed rendered v. Washington verdicts and (Tex. Houston, nothing. take writ). App. no — Texarkana court of It The reversed. held: (1) Kalra and Kassen were not entitled to purpose immunity of official because did exer- functioning insulate (2) “governmental” discretion, and cise litigation, pro from the harassment not to рlaintiffs had stated a claim the Texas Erwin, erring officials. tect Westfall Tort Claims Act and South- Parkland 292, 295, 580, 583, U.S. 108 S.Ct. 98 L.Ed.2d by alleging Johnson’s western misuse of gov would suffer records medical and her medication. The officers, judg ernment who must exercise court also stated that jobs, ment and discretion were sub suicide, based the affirmative defense ject second-guessed lawsuits that civil 93.001(a)(2), & Tex.Civ.PeaC. Rem.Code (Seoond) their decisions. See Restatement improper have been the evi- b; § 895D Kooh, cmt. Charles H. of Torts did dence not establish that con- Johnson’s *5 Jr., Law Administrative and PraotiCe duct, apart from the Kalra or conduct of (1985). immunity § 10.71 Official increases Kassen, was the sole cause of death. All efficiency employees of applications defendants filed for writ of error spend defending need not time frivolous Court. with this As charges. Supreme Id. the United States noted, impor immunity Court has official is Immunity II. Official tant: A [Ojfficials government of to should be free We first determine Kalra whether exercise their duties unembarrassed and Kassen were entitled to the defense of damage respect fear of suits of acts law defense common done in the course of those duties —suits government personal protects officers from energies which consume time and liability performing discretionary duties gov- which would otherwise be devoted to good scope authority. faith within the of their ernmental service and the threat of which Chambers, City Lancaster v. 883 S.W.2d of fearless, might vig- appreciably inhibit the (Tex.1994) 650, (citing Campbell 653-54 v. orous, poli- and effective administration of Jones, 101, 425, 153 Tеx. 264 S.W.2d 427 government. cies of (1954)); Barner, Carpenter v. 797 S.W.2d Matteo, 564, 571, Barr v. 360 S.Ct. U.S. 79 denied); (Tex.App. 101 writ — Waco 1335, 1339, L.Ed.2d 3 1434 Resources, Dep’t v. Texas Russell Human of (Tex.App 746 513 S.W.2d . —Texarkana B denied); Story, writ see Baker v. (Tex.Civ.App. ground immunity, Antonio S.W.2d On the of official — San n.r.e.). distinguish prevailed summary writ ref'd offi on his Kalra motion for immunity, protects prevailed mo judgment cial which individual offi and Kassen on her liability, immunity, summary sovereign cials from from tion for directed verdict. For the protects governmental judgment proper, had to which entities to been Kalra Baker, liability. conclusively at 643. If a each element his S.W.2d establish of plaintiff right has a Montgomery Kennedy, of action defense. See v. (Tex.1984).2 Likewise, due to the state’s waiver sov- S.W.2d following guide deciding disputed 2. The standards a trial court in whether there is considering summary judgment motion: precluding judg- summary issue material fact ment, movant for has the evidence favorable to the non-movant showing genuine no burden that there is as true. will be taken is issue material fact and that it entitled to judgment as a matter of law. “[wjhere law are those conclusively her offi Ministerial acts Kassen had to establish prescribes the duties to be If and defines immunity cial defense. sufficient evidence precision and trial, performed with certain- presented at such was such that “reasonable nothing the exercise of ty differ the fact determina as leave minds could about judgment or ... but where jury,” Kalra and discretion tion be made then the exercise of act to be done involves Kassen were not entitled to as a judgment, it is to be Transportation Co. discretion matter оf law. Ins. ministerial”_ (Tex.1994) If Moriel, an ac- 10, 25 (quoting merely deemed 879 S.W.2d deliberation, Powers, Ratliff, tion decision Jr. and Jack Anoth involves William discretionary; judgment, is actions it er Look at “No Evidence” “Insufficient (1991)). Evidence,” require to orders or 69 Tex.L.Rev. which obedience duty actor performance to which the The elements of the defense of official choice, has are ministerial. no (1) performance of a discre (cita- Lancaster, City at 883 S.W.2d (2) (3) tionary good faith within function omitted). However, tions other courts have authority. scope the employee’s most involve some noted that duties measure Lancaster, second discretion, including purely ministerial third were un elements of defense See, Baker, e.g., at 645. duties. disputed; conclusively Kalra and Kassen es discretionary “probably act Labelling an plaintiffs only tablished them.3 The contend only complex more a shorthand notation for a one issue remains: were Kalra Kas- policy Keeton, su- decision.” Prosser performing “discretionary” sen functions that pra § at 1062. immunity? them official would entitle professionals Medical exercise considerable examining pa and discretion in C *6 tient, evaluating symptoms, prescribing primary The issue us is wheth before argue plaintiffs that such treatment. The distinguishes govern er Texas medical from by physicians government-employed actions in applying mental discretion the doctrine of functions, only not and nurses are medical government-employed ‍‌​‌‌​‌‌‌‌‌‌​‌​‌​​​‌​​​​‌‌‌​​​‌‌​​​​‌​​​​​‌​‌​‌‌​‍official to governmental plaintiffs functions. The thus personnel. Ordinarily, medical official immu and Kassen were not conclude Kalra nity any by extends to action or decision immunity, relying upon Armenda entitled to “discretionary.” state that is See Dist., County Hosp. rez Tarrant 781 Lancaster, 883 S.W.2d at 653-54. of (Tex.App. S.W.2d 305-06 Worth — Fort Discretionary protection, functions receive denied). writ but do not. ministerial duties See id. This admittedly problematic. plaintiffs public distinction is in Armendarez sued a See The City Mesquite, Travis v. doctors in con- 830 S.W.2d and three individual (Tex.1992) (cit J., concurring) The (Cornyn, nection with the birth their son. ing court ruled that the doctors did the Law of Armendarez ProsseR and Keeton (W. Page immunity, though they at 1062 et al. not even Keeton have Torts 1984)). eds., entity. explained governmental 5th have for a Id. at ed. the worked the distinction 306. The court conceded that doctors as follows: Similarly, Every good be in faith. the evidence estab- reasonable inference must in- dulged any good favor in faith. in non-movant lished that Kassen acted Kassen doubts resolved in its favor. that she believed that Johnson’s suicide testified Co., Management Property only Nixon v. Mr. genuine, real threats were not 548-49 danger was from abuse her medi- Johnson Kassen also offered to return the medi- cation. good 3. Kalra determined in faith that Johnson go in a taxi at cation if Johnson would home did not meet criteria for admission Park- expense. argue did The not Parkland's land. He made this decision after he evaluated good act in faith. that Kassen failed to in read the recommendation established, plaintiffs did and the inpa- The record patient difficult file not to admit her as challenge, not Kalra and Kassen acted with- tient. did not сontrovert evi- scope employment. argued dence never that Kalra failed act their discretion, Bluemink, exercised found that but See Henderson v. F.2d (D.C.Cir.1974) uniquely duties (noting were “not different from 403 n. 21 that when engaged those same giving compulsory, duties is medical care a court private unique may sector or no function where evaluate acts of medical discretion under care). government Also, being is exercised.” Id. The a different standard of state- that, employed court reasoned personnel because official immuni- often poli- medical ty’s fearless, purpose protect vigor- is to “the cy-making responsibilities or administrative ous, and govern- effective administration of not private-sector providers. shared At ment,” immunity protect times, employees government should doctors and nurses must only when performing governmental are pool decide how to a scarce allocate of state Barr, functions. (quoting Id. at among possible recipients. 360 resources Be- 1339); circumstances, U.S. at Washing- good S.Ct. at see cause of these faith ton, performance 874 S.W.2d at governmental responsibilities 796-97. subject should not to second-guessing be Armendarez n unsatisfactory We find litigation the courtroom. Such would result distinction activities between in a drain already on state resources that are uniquely governmental and those that are discourage scarce. It qualified would further not. There are activities few that are entering practice individuals from medical uniquely governmental. Guillory v. Port sector. Government medical facil- Auth., (Tex.) Houston already hard-pressed ities are to attract can- (rejecting sovereign immunity the view that government’s typically didates because of only protects political “unique subdivision’s private lower salaries than in the sector. — ly functions), denied, governmental” cert. hand, On the once a other -, U.S. S.Ct. L.Ed.2d 43 begins provider pa- health-care to treat a official immunity doctrine of is a tient, duty patient owed to care is nullity protection only near if its extends to duty no different from of care owed government employees exercising “uniquely professional. medical If a doctor or governmental” functions. See id. We con perform procedure nurse does not medical Armendarez, clude that which ruled that offi with the level of and skill of an care ordinari- immunity protects only cial “uniquely gov ly prudent provider, health-care functions, discretionary ernmental” ambig injured as a result should suffer without uous. appro Armendarez does state the *7 compensation sole for the reason that priate doctors, determining method for government doctor or employee. nurse is a nurses, government employees or other have Jane, 43, See James v. 221 Va. 282 S.E.2d official immunity. 864, country 870 across Courts However, we must still decide which dis- adopted strategies have three basic to bal- cretionary performed acts state-employed goals. ance these conflicting We believe the personnel medical to official are entitled im- approach approach. third is the better munity. imposes Government service con- responsibilities group straints and The health-care first of courts will not extend providers private practitioners immunity that do not official medical treatment example, government have. For state-employed personnel, health care- because treatment providers choosing pa- is in less latitude ministerial nature and does not involve private-sector counterparts. reject tients than their approach discretion.4 We See, e.g., employed Davis v. Knud-Hansen no different Memorial doctor was than one 179, (3d Cir.1980) Hosp., denied, (ruling 635 F.2d against any physician), appeal 186 147 Ill.2d government immunity that a 627, had no 150, doctor from (1992); 606 180 Ill.Dec. N.E.2d 1227 negligence "essentially in the course ministeri- 1048, Hosp., Ill.App.3d Watson v. St. Annes 68 25 treаtment); Kelly, al” medical Jackson v. 557 411, 415-16, 885, Ill.Dec. (1979) 386 N.E.2d 889-90 735, (10th Cir.1977) (concluding F.2d 739 that immunity (recognizing "discretionaiy” physician immunity an Air Force had no official acts, defining "governmen that are them as acts prenatal governmen- since involved treatment no character," excluding tal in thus medical discretion); Ogena, Ill.App.3d tal 230 Kiersch v. O’Bannon, care); 770 Gould v. 222 335, 340, 172 Ill.Dec. 595 N.E.2d 701 (Ky.1989) university hospital (ruling physi- that (finding malpractice against that a action a state- subject them to public’s that could protection much. immunity official too it curtails duties, example, police liability. For a government-em- individual performing their personnel pursue suspect. exercise considera- ployed might medical officer decide not to a performing However, judgment and deliberation Travis, ble at 102-03. See 830 S.W.2d apрroach is their medical duties. better liability cannot avoid doctor claimants to use the common law of to allow un- through physicians are inaction because discretion, but malpractice to review medical ordinary treat care to duty der a to exercise governmental through protect discretion Thus, necessary to immunity is not patients. Spencer See v. General official practice of medicine. encourage the careful (D.C.Cir.1969) Hosp., F.2d Henderson, 402-03; 511 F.2d at Womble J., concurring). (Wright, Hosp., River 618 So.2d Singing v. (Miss.1993). gov- that group The second of courts holds 1263-64 personnel immune from ernment medical are courts, group of with The third liability arising from exercise dis- tort gov agree, distinguishes between which we governmental and medical cretion both These and mediсal discretion. ernmental reject this approach because decisions.5 We government-employed medi courts hold that immunity broadly. applies official too it professionals not immune from tort cal are policy immunity Such blanket official liability negligent arising from the exercise promote purposes, not the doctrine’s does govern hold medical discretion.7 We compensation malpractice and denies vic- not ment-employed personnel medical reducing tims. state’s interest liability from tort if the character immune insuring personnel its medical cost the discretion exercise medical justify malpractice denying does actions governmental. state-employed A doctor patients right negli- to assert claims for immunity has official from claims nurse James, gent treatment.6 See 282 S.E.2d at governmental arising the exercise of out of Furthermore, the exercise of medical discretion, liability is not immune from but require protec- discretion does not the same arising of medical discre from exercise governmental tion as the exercise discre- immunity, at the character of tion. Courts should look tion. Without some might officials in each instance. hesitate take actions discretion exercised 7.See, Henderson, care, immunity solely e.g., at & n. 24 cians had no for medical 511 F.2d Rossi, function); Kelley liability ministerial (finding v. Mass. doctors immune from were (1985) (stating 481 N.E.2d capacity n. due to decisions an administrative physician's emergency decisions); that a room treatment of strictly Wom but not due to medical discretionary did ble, a child not involve functions to (referring prin to the 618 So.2d 1262-65 immunity). confer ciple protect does not majority exercise of medical discretion See, Arnold, e.g., v. Smith 564 So.2d Bowers, rule); Cooper ( 1990) (holding psychiatrist immune Ala. (concluding (Mo.Ct.App.1986) prison that a doc liability regard to the care of a suicidal *8 discontinuing immunity an tor for did not have facility); patient in a state mental health Canon did not medication because the conduct inmate’s Thumudo, 430 Mich. 422 N.W.2d ”) (cita governing’ "partak[e] of the ‘essence of (1988) (finding psychiatrist state-employed 699 Charity omitted); Comley tion v.Emanuel Lutheran liability for decision not to immune from his ., Or.App. P.2d 35 582 Bd involuntarily commit a man who later shot his doctor, (1978) (holding negligently that who mother). child, premature was not since treated a immune public his decisions did not involve treatment Wright Spencer, Judge In remarked: Co., concerns); policy Castle 132 Wis.2d Protic v. 119, policy that [T]he ... bald conclusion "it is (1986) (ruling that an N.W.2d 122 better that an individual should sustain an making diagnosis psychiatric was not injury public an than that should suffer negligence, liability his for immune from both the inconvenience” runs counter to tradi- governmental con decisions did cerns); involve principle tort tional vis-a-vis innocent County, Scarpaci v. 96 Wis.2d Milwaukee wrongdoer pay, and victim the should modern (1980) (finding no N.W.2d concepts tort of risk distribution and cost allo- medical, opposed govern immunity for the cation. Devon, mental, autop performing an (quoting discretion used in v. Men 425 F.2d Russell (1788)). sy). Eng.Rep. approach is not the they governmental same as the Ar- exercised discretion. We “uniquely governmental” mendarez ’s test рart affirm that of the of the court employee’s which focused on a state function. summary which judg- reversed the immunity Official does not turn on whether a ment for Kalra and the directed verdict for employee’s health-care discretion was Kassen, proceedings and remand for further uniquely governmental or medical. The fo- on the issue. upon cus must remain the facts of the indi- vidual ease underlying policies pro- and the III. Other Defenses immunity. moted official anticipate A difficult government-employed cases which Kalra and Southwestern contend personnel medical will have duties and re- in their favor was sponsibilities private-sec- that coincide with 93.001(a)(2) proper under Section of the Tex cases, providers. tor governmen- such if as Civil Practice and Rеmedies Code. That tal factors and concerns colored the doctor’s section states: discretion, policy or nurse’s considerations It is an affirmative defense to a civil action may still immunity. call for official Such damages personal injury or death necessarily decisions balancing involve a plaintiff, at the time the cause of rights individual and the interest.8 arose, action committing was ... or at- suicide, tempting plain- to commit and the

D tiff’s in committing attempting conduct case, present In the Kalra and Kas- to commit suicide was the sole cause of the sen did not admit Johnson to Parkland be damages sustained; however, provided, cause her difficult file indicated hos attempted the suicide or suicide was pitalization therapeutic was not for her. caused in whole or in part on failure Only appeal on argue did Kalra and Kassen part comply defendant that the need to allocate scarce state standard, applicable legal then such among potential patients resources also influ attempted suicide or suicide shall not be a enced their decision. Because Kalra’s sum defense. mary judgment motion and Kassen’s directed added). govern verdict motion did not (emphasis state that this Id. Kalra and Southwest- figured mental concern decision not ern had no they defense under this section if Johnson, to admit we cannot it comply care, consider failed to with the standard of appeal. Corp., See Stiles v. Resolution Trust and their failure was a cause of Johnson’s If support there was suicide. To their motion for sum- no basis mary for Kalra’s and judgment, Kassen’s decision not Kalra and Southwestern except therapeutic to admit presented deposition testimony consid of Dr. erations, Butler, Roger then their exercise of discretion was who testified that Kalra met only, medical appropriate were not entitled to treating standard of care We conclude that Kassen Johnson. The controverted this ev- prove conclusively and Kalra failed to deposition idence with testimony of Dr. immunity applies 8. Official imposition liability to executive officials the extent to which the personnel gov- and to lower level who exercise impair employee’s free exercise of ernmental discretion. See Restatement discretion, of Torts 895D cmt. d We decline to (Second) responsibility the extent to which financial attempt precisely to define when a employee, will fall on the *9 employee’s "governmental” acts involve discre- 5. the likelihood that harm will result to the tion, but recommend that courts consider the acts, employee if the following factors: type 6. the nature and seriousness of the of importance the nature and of the function may produced, harm that be and employee performing, availability injured party the to the other of passing judgment the extent to which on the remedies and forms of relief. by employee exercise of discretion the will § See id. 895D cmt. f. passing judgment amount to on the conduct of agen- a coordinate branch of or an thereof, cy gave Litman, or omission Kalra unit whose act who concluded that emmental Robert to claim. rise the discharging negligent was The her medication. the without says conclusively es- the record Kalra testimony Butler Litman a of and raised employee the he was an of tablished that of fact on genuine issue material whether time of County at the John- Dallas MHMR applicable and met the Kalra subsequent Southwestern visit Parkland and sui- son’s Therefore, summary legal of care. Therefore, County standard Dallas since cide. 93.001(a)(2) judgment on Section based plaintiffs prior with MHMR settled the improper. trial, have been Evans v. against See the action Section 101.106 bars of (5th Cir.1993) Marlin, However, 986 F.2d did him as a matter of law. Kalra (denying summary un- judgment ground for defendants include this in his motion not summаry 93.001 judgment. der Tex.Civ.PRAC. Rem.Code We thus cannot consid- & Stiles, jail at 26. question appeal. the whether a inmate’s it on of fact er suicide). ‍‌​‌‌​‌‌‌‌‌‌​‌​‌​​​‌​​​​‌‌‌​​​‌‌​​​​‌​​​​​‌​‌​‌‌​‍of conduct was the sole cause his remand, proper- Kalra Kassen Upon if defenses,

ly foregoing raise the trial the B may along them court consider argue Kalra Southwestern also appropriate was be Sovereign Immunity IV. cause Johnson’s suicide was foreseeable govern- Parkland and Southwestern However, as a of law. matter the defen entitled to the defense mental entities judgment summary dants’ evidence did sovereign immunity. must determine conclusively negate plaintiffs’ allegation the Tort Act’s limited the Texas Claims whether that Kalra was aware of the seriousness of sovereign immunity the allowed waiver (At Johnson's suicide trial threats. the bring against these plaintiffs claim defendants, against the other Parkland petitioners. The Tort Claims Act Texas Kassen, evidence conflicted whether John sovereign immunity waives for: foreseeable.) son’s was suicide Litman testi by personal injury and death ... a caused psychiatrist fied that a reasonable under sim tangible personal condition or use recognized ilar circumstances should property if governmental real the unit genuine. as Consequently, Johnson’s threats would, private person, be were it liable

whether her suicide was foreseeable was according to Texas law. claimant genuine fact that precluded issue material summary 101.021(2). judgment. Tex.Civ.Prac. & Rem.Code is whether Johnson’s suicide was

issue by tangible caused a condition or use C property such that Parkland and finally argues that Kalra the sum be liable for Johnson’s Southwestern would mary judgment favor be af his should private persons. death were firmed 101.106 of the Texas under Section on the condition or use of relied Civil Practice and Remedies Code. That following medical rec- property: Johnson’s provides: section file, ords, emergency the difficult manual, procedures room confiscated A in an action or settlement medication.9 chapter claim [Governmental Liability Tort bars action on a mo- prevailed Claims] for Because Southwestern subject solely at involving summary the same matter aimed tion gov- plaintiffs’ pleadings,10 we look to those claimant tangible property support of their 9. Plaintiffs’ Fifth Amended Petition listed items cation argument under the Texas Tort Claims Act. tangible property Parkland Although did used. not include pursued should have this attack 10. Southwestern list, they fairly plead medication Johnson’s by special exception rather than motion petition. a use of the medication elsewhere *10 summary judgment. Dep’t See Texas Correc- pleading medi- suffices for them name the (Tex.1974). Herring, 9-10 tions v. 513 S.W.2d pleadings they to determine whether drugs stated a conclude that the non-use available 101.021(2). cause of action under Section As during emergency medical treatment is not a Parkland, prevailed which on a motion for tangible personal property use of trig verdict, directed we must determine whether gers sovereign immunity. waiver of plaintiffs presented sup- some evidence Dist., Floyd Willacy County Hosp. porting their claim. Since the evidence at (Tex.App.—Corpus corresponded trial allegations with the plead n.r.e.). Christi writ ref'd plaintiffs, inquiry is the same for case, plaintiffs this claim that In both concerning defendants the condition or Kalra’s and provide Kassen’s failure to property. use of medication hospital when Johnson left the recently We held that information sequence caused her to commit suicide. This medical records tangible personal is not allege of events injury arising does not an property meaning within the of the Texas from the “use” of the medication. It states a University Tort Claims Act. Texas Medi property claim for non-use of that does not York, cal Branch v. 871 S.W.2d trigger sovereign immunity waiver of York, we concluded that the the Texas Tort Compare Claims Act. sovereign state did not waive immunity by its Quinn Ctr., v. Memorial Medical 764 S.W.2d using, misusing, using or not information in a (Tex.App.—Corpus Christi no medical record. Id. reasoning of York writ) (finding hospital pharmacy’s dispens records, extends to Johnson’s medical ing drug tangible of a use of file, difficult emergency and the room Act). property within the Texas Tort Claims procedures Use, misuse, manual. or non-use Accordingly, we hold that Parkland and by agents these items of Parkland and prevail Southwestern were entitled to support did not a claim under of sovereign immunity. defense the Texas Tort Claims Act. reasons, foregoing For the we affirm that Regarding medication, Johnson’s we also part appeals’ judgment of the court of which plaintiffs conclude that did not state a reversed the for Kalra cause of action under the Texas Tort Claims Kassen, and the directed vеrdict for Act. The did not claim that a remand their causes to the trial court for condition of the medication caused Johnson’s proceedings further opin- consistent with this death, but that prescription drugs use ion. We reverse the of the court They point caused her death. to Parkland’s Parkland, as to Southwestern and agents and Southwestern’s allowing Johnson and affirm the of the trial court as leave the returning without to these defendants. medication as tangible personal the “use” of property that caused her suicide. PHILLIPS, C.J., I, II, joins in Parts We have never held that a non-use III of opinion. the Court’s property support can a claim under the 101.021, Texas Tort Claims Act. Section GAMMAGE, J., joins in I Parts and III of requires

which property’s condition or opinion. the Court’s injury, use to support cause the does not ENOCH, J., sitting. interpretation. See LeLeaux v. Hamshire- Dist., Indep. Fannett Sch. 835 S.W.2d PHILLIPS, Justice, Chief concurs and (Tex.1992) (stating that put “use” means “to dissents. service; bring or into action employ or apply given purpose”) I, to a (quoting join II, I parts Mount III of the Court’s Indep. Pleasant Sch. opinion. Dist. v. Estate Lind Because Dr. Kalra and Nurse Kas- (Tex.1989)). burg, sen did not establish that exercised However, Duke, present plaint. because the did not See San Jacinto River Auth. v. Tex.R.App.P. objection request an to the (Tex.1990) trial court or (citing S.W.2d 52(a)). opportunity petition to amend their in the wake summary judgment, they of the waived com- *11 posses- remained in Johnson’s treatment of would have governmental discretion sion, Johnson, agree I the claims not theirs. Pennie that them be remanded for further should join I thе Accordingly, Court’s however, join, in part I not proceedings. do ap- judgment of the court affirming the opinion. I that of the Court’s believe IV I peals Kalra and Kassen. Because as to arising alleged injury from respondents judgment of the court affirm the would also tangible by personal property Park- use of Hospital and as to Parkland Hospital land and Southwestern Medical Center, I Medical dissent I would therefore also remand the Center. judgment. of the the remainder Court’s against those defendants for further claims proceedings. dissents, GAMMAGE, Justice, and concurs DOGGETT, joined by Justice. agree

I the Court that have with tangible per- not stated a claim of misuse of of the I concur in the court property the Act sonal Tort Claims the trial court the the extent it remands to regarding either Pennie Johnson’s medical involving the and nurse. I con- cause doctor records, the the difficult file or emer- majority opinion cur the that official with gency procedures room manual. See Univer- not as a matter of was established sity Medical Branch at Galveston v. Texas law, ‍‌​‌‌​‌‌‌‌‌‌​‌​‌​​​‌​​​​‌‌‌​​​‌‌​​​​‌​​​​​‌​‌​‌‌​‍disagree though I with the standard the York, conclude, I S.W.2d view, my non-governmen- adopts. court however, plaintiffs’ allegations relating that all, is in the decision at tal discretion involved a to Johnson’s medication do state such the should not be able to claim claim. special agree I that the suicide further prescription There can little doubt that be law, is not established as a matter of defense drugs tangible property. Al- (2), 93.001(a)(1), defined,

though statutorily “tangible not per- & Rem.Code Tex.Civ.PRAC. special that and with the conclusiоn other property something sonal refers to that has a as a defenses were not raised or established concrete, corporeal, and palpable existence.” matter of law. York, 871 178. Unlike medical records, which are useful because me- join Phillips’ I conclusion Chief Justice information, intangible utility morialize concurring dissenting opinion that in his and prescription drug physical proper- a tangible is a use of confiscation of medication drug of the ties itself. majori- property. I am incredulous tangible ty physical call a it “non-use” adequate- I further conclude that prescribed property medication confiscate medication, ly pled use of Johnson’s caus- physicians from the owner for whom other injury, allegation ing by their that Parklаnd’s prescribed, knowingly it then and was agents negligently al- Southwestern’s consciously from her. As the withhold it hospital leave lowed Johnson to without admits, expert majority was medi- even there returning previously her confiscated medi- negligent testimony cal to dis- it was I agree cation. Court that “non- charge her from the without of property use” is insufficient to state a medication, proxi- such could action Act, claim under Tort Claims mately caused her death. prescribe par- failure or administer a all we drug support Although ticular “use” of the medication is waiver case, however, sovereign immunity. really conclude Tort must address to case, I provide applies in this does not involve the mere failure to Claims Act believe Phillips’ necessary dissenting portion it of Chief Justice medicine. Rather concerns First, medicine, opinion prescribed actual falls short two instances. confiscation elsewhere, now already although had in I understand we are bound which Johnson misuse, I its hold- possession. York what view as erroneous This states a claim nonuse, merely ing, If I use of Johnson’s medi- pills. of the defen- still believe the medication, patient file state really it cal and difficult do dants had “not used” the records *12 tangible personal proper- claim misuse of

ty. University Texas Medical Branch v. (Tex.1994) York, J., Second,

(Gammage, dissenting). prop- York,

erly distinguishing I hold that a property

“non-use” of in all instances

insufficient to state a claim the Tort before, Act. I explained

Claims As have necessary property

non-use some item of property supplied safe the make use of has

properly been held at 181-82. actionable. Id. opinion reconciling

Today’s prior makes our difficult, impossi- all

decisions the more if not join holding Because I

ble. cannot the Tort Claims Act not reach does facts, respectfully I

these dissent.

Regina HOLT, Appellee, H. Texas, Appellant.

The STATE of

No. 599-93. Texas, Appeals

Court Criminal

En Banc.

June Swander, Worth, appel- H. Fort

Steven lee. Curry, Ayers,
Tim D.A. & Susan Warren Attys., Spencer Hardy, Leslie & Asst. Dist. Worth, Huttash, Atty., Fort ‍‌​‌‌​‌‌‌‌‌‌​‌​‌​​​‌​​​​‌‌‌​​​‌‌​​​​‌​​​​​‌​‌​‌‌​‍Robert State’s Austin, for the State.

Case Details

Case Name: Kassen v. Hatley
Court Name: Texas Supreme Court
Date Published: Dec 22, 1994
Citation: 887 S.W.2d 4
Docket Number: D-4248
Court Abbreviation: Tex.
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