History
  • No items yet
midpage
Saxton v. Gem County
750 P.2d 950
Idaho
1988
Check Treatment

*1 Emmеtt, County Prosecuting Atty., Gem Ronald defendants-respondents. H. for SAXTON, Plaintiff-Appellant, Debra argued. Bjorkman, Falls, Bush, Anderson, Idaho for Pike & COUNTY; Dorothy Hartgrove, GEM Catastrophic Health Care amicus curiae Conrad, Norwood, and William W.M. Idaho Counties. Program of the Costs capacities as the Board of their official Hall, argued. Blake G. County, of Gem Commissioners Defendants-Respondents. BAKES, Justice.

No. 16636. Saxton, appeals appellant, Debra of Idaho. Supreme Court held that Gem court decision which district Feb. 1988. statutorily required County is not pay indigency statutes to Idaho’s medically incurred physicians’ bills emergen indigent patient in the context hospitalization. The facts show psy suffering an acute Debra Saxton Al episode and was admitted St. chotic Medical phonsus Regional Center emergency ward. After her release county as application filed an for Saxton January with Gem on sistance (1) application requested: pay 1985. The bill incurred for ment for hospital Alphonsus at St. for treatment 31, 1984, January ization from December (2) $4,266.89, 14,1985, in the amount of resulting physician’s bill payment of her hospitalization in the amount from the employ not an $955.00. privi Alphonsus, but has staff ee of St. attending physician leges and was Saxton’s during hospitalization. her Gem request application, denied the and Saxton heаring. represented herself ed a Saxton hearing held March 1985. pro se in a written decision County issued a Gem rea- denying appellant assistance for three (1) received “emer- appellant sons: had not Caldwell, Services, Inc., Legal Aid care; (2) for application gency” Saxton’s Thomas, plaintiff-appellant. Andrew C. Security might be a re- benefits Social argued. bills; (3) available to source obligated county County was not the Blanton, Gem Moffatt, Thomas, Barrett & had not resided Gem because Saxton Boise, Region- for amicus curiae St. Luke’s prior applica- to her County ‍‌​​‌​‌​‌​​‌‌‌​‌‌‌‌​‌​‌‌​​‌​​‌​‌​​​​‌​​​​​​‌‌‌​​‌‍for six months Alphonsus al Medical and St. Re- Center tion. gional Phillip Medical Center. S. Ober-

recht, argued. counsel, With the assistance of Saxton Crockett, French, rehearing April

Hopkins, Springer request & filed a Falls, Hoopes, rehearing was denied on request for amicus curiae The 1, 1985, University May aрpeal was taken to Utah School of Medicine. Goins, Larry argued. Idaho Admin- pursuant L. district court *2 930 Thus, only A to

istrative Procedures Act. motion sub- the fee physician’s issue is be- evidence, pursuant mit additional to I.C. fore this Court. For the reasons enumerat- 67-5215(e), 9, 1985, July was filed on below, ed we reverse the district court granted the motion was and the matter indigency hold that Idaho’s medical stat- county to the remanded commission. require pay utes County Gem to the doc- tor’s bill. hearing A second was held before Gem 30, County on At December 1985. that appellant The claims that the doctor bills eight testimony time from Saxton and ex- chargeable are upon to Gem based hibits were offered on her behalf. On Jan- the indigency Idaho medical locat 14, 1986, uary application Saxton’s was chapters ed at 34 and 35 of Title 31 of the again However, once denied. this time In these legisla Cоde. sections the only one given reason was for the denial. ambiguously ture has somewhat codified Gem found that Saxton’s medical county’s duty medically the to care for response was “emergency not in to an indigent reading citizens. A careful the life-threatening” situation. directly fails physi statutes to answer the 29, 1986, January On the district court Thus, question. cians’ we fees must re briefs, along production ordered with the question by determining solve this what transcripts the and exhibits. After consid legislature promulgated intended as it record, ering briefs and the district modified the statutes. order to court issued a memorandum decision order intent, resolve the we must ing respondents pay to hospi Saxton’s review the historical of Ida Alphonsus. tal bill at St. The district indigency ho’s statutes. As (1) (of court: held “the affidavit physi stated, “Upon once this point Holmes cian) and medical records this case make page history logic.” is worth a volume of appellant’s abundantly sympto it clear that Eisner, New Trust Co. v. 256 U.S. York emergency matic behavior constituted 506, 41 65 963 S.Ct. at L.Ed. attention”; (2) required immediate (1921). rejected respondents’ argument original indigency The medical scheme state’s medical statutes do not enacted envisioned coun illness, provide for treatment of mental but providing ties of their indi for needs apply physical injury; to illness or gеnt (3) medically citizens rejected claim that Gem was poor means bill, farms houses and coun legally obligated physician’s to ty finding hospitals. physicians The counties hired authority payment pri “no physicians who indigen vate under the attended to the medical necessities payment only people. statutory statutes which authorize these The lan hospitals.” Appellant petition filed guage early days required of those rеhearing on of the physician’s the issue county employ pur for these granted. fees and petition was After poses. Section Rev.Stat. 1887. reviewing parties, briefs submitted changed, times and conditions the counties the district court issued a second memoran many and in discontinued the farms dum decision which court’s reaffirmed the began rely private hospi instances prior holding. county-operated hospitals. tals rather than pri cоunty physician replaced by The appealed Saxton has the district court pri physicians working vate these ruling obligated are Idaho counties con hospitals. changing vate meet the pay physicians’ bills incurred in legislature changed the ditions emergency hospitalization text of for a language of Section Rev.Stat. county applicant assistance who medical- employ required which had ly indigent. respondents ap- day present per pealed finding physician, district court language bill. missive 31-3402.1 liable Saxton’s attend, may employ physician to Employment physician. when "31-3402. board —The application for relief must emergency, mandatory language of the changes from county. When relief first be made to the permissive language of prior statute order, form of an granted, it is respon is at the crux of the today’s statute simply county, thе order is services are argument that doctors’ dents’ *3 promotion in our playing part of not covered. welfare, of the mon- takes some common argue Respondents specifically through taxa- it has collected ey which legislature the counties’ when the removed tion, purchases for the unfortunate employ county physi- mandatory duty to indigent that which he must have and cian the indicated its intent himself, i.e., gro- purchаse unable to medi- doctor bills were not covered ceries, fuel, hospital servic- However, his- indigency ‍‌​​‌​‌​‌​​‌‌‌​‌‌‌‌​‌​‌‌​​‌​​‌​‌​​​​‌​​​​​​‌‌‌​​‌‍cal statutes. es, I men- and in the other field have torical of medical tioned, services, legal where he has been support law in Idaho does not this conclu- appli- named an accused. It is a clear sion. parens patriae, the doctrine of cation of Hospital Idaho Falls Consolidated сontemplation of clearly within Bingham County Board of as well as most Constitution Comm’rs, 102 Idaho societies.” 102 Idaho at civilized Bistline, (1982), special in a concur (emphasis 642 P.2d at 561 rence, back summarized historical totality, indigen in Viewed their the Idaho ground today’s of statutes. Justice Bist hospital exclusively statutes are not re line wrote: provisions. They have histor imbursement history “A considered review of the ically indigents, covered all of the neеds of legislative scheme thus leads to the food, including clothing, housing and medi inescapable legisla- conclusion that hospital per not cal and services. We do ture in 1974 created the of ‘medical- class ceive the 1974 amendment I.C. ly indigent,’ and that this classification is 31-3402, changing mandatory re wholly independent separate from county employ quirement that a sick, and from the otherwise physician permissive requirement, indigent. or What is learned express legislative a clear intent that always the review is that it has been the medically indigent deprived of the emer Idaho, people speaking sense of the in gency services of a doctor. Viewed their through legisla- first their territorial perspective, medical indi historical Idaho’s tures, through then their Constitutional gency phy statutes include the services of delegates, and since 1889 their interprеt sicians. To those statutes so as legislatures, that medical care and services, only hospital to cover but not necessities of life will not be denied to services, would, effect, physician deprive in those unfortunate few who would suffer meaningful medically indigent any perish and sometimes if the same were hardly Hospitals medical treatment. could provided by largess people not of the engage any in perform their function and acting through government, their which treatment, particularly the kind of treat very purpose.” taxes for that 102 Idaho contemplated by emergency ment medi at 642 P.2d at 560. being in physicians cal without Continuing: every step volved in of that medical treat is, argument statutory accept county’s “The scheme now and has ment. long that, indigents physi deprive been other than in cases of would not necessary, capable patiеnts county hospital, patients and able to such of the as are however, provided, attending physicians certify that the board of work and the must commissioners enter into contracts with charge person or lessee of groups physicians of licensed for medical at- patients hospital as are the names of such of the upon patients county hospital tendance or labor, any incapable of mаnual and when persons receiving other medical attendance at patient capable shall cer- becomes county expense. They may provide for the em- ployment, at some kind of manual added.) tify the fact." labor, services, any meaningful but hospitalization dans’ also persons in this state, services. and, in the of indigent per- case sons, provide thereof, payment for the Accordingly, we conclude that the emer- respective counties of this state shall gency indigent provided medical care chapters powers duties and as herein- and 35 Code, provided. Title includes reasonable after services, charges for doctor’s deter- possible legis- It is to misconstrue that factfinder, mined whether language. lative persons, employee hospi- doctor is a staff mandate was that their tal, independent practitioner. or an Our hospitalization provided were *4 interpretation entirely upon is based for; the counties of the were discernment of the intentions accordingly empowered obligated both reading foregoing the in statutes provided as in the chapter. Significantly, perspective. their historical “hospitalization” was to the word utilized appellant. Reversed. to Costs No attor- express being hospitalized, аnd “care” ney fees. express being by the word used to treated “Someone,” someone. of laws HUNTLEY, JJ., BISTLINE and the state of Idaho would have to be a SMITH, McFADDEN and JJ. Pro surgeon physician. Chapter licensed or 18 Tern.,' concur. of Title “Medical Practice Act.” BISTLINE, Justice, specially hospitals providing That in to addition concurring. hospitalization may provide also or My in opinion concurrence authored in surgical care is envisioned the set of premised is on Bakes the basis definitions 1974 legisla- fashioned that he has made a correct resolution of 31-3502(2). ture. I.C. In that circum- § presented, narrow issue I and also because it is stance obvious that use of agreement am in with view al his phrase hospitalization” “care and as used though legislative in thought changing in 31-3501 would be redundant § in “may” “shall” to not 31-3402 is § “care.” Where a does furnish clear, entirely enough is clear it when read surgeons superflu- or is not physicians, it regard with perspective. to historical The speak hospital- in terms both ous to of perspective year historical dates from the ization care. 1864 and the second session of territori argument ad The main theme of the Laws, legislature, p. al Sess. ch. catastrophic in vanced the amicus brief care, purpose protec which had for its “the specious illness wаs the rather contention tion and of the maintenance sick.” in “may,” word as used territory, through The counties of the their 31-3402, ought judicially Code § commissioners, delegated boards of were wor contorted into the word “shall.” That duty attending administering to the unfounded; ry there no need so is is aid, of such and were authorized raise argument indulge. The seeks to convince financing requisite for such aid both terminology us in the of the statute tax, per capita a a ear being county option, option has an special expendi marked fund with employ phy or employ whether to not to on tures therefrom to made order Amicus group physicians. sician or of the board. brief, p. 12. amending In That, law, however, chapter option. new The 35 was created. not the Sec- provides option tion 31-3501 thereof as follows: of the statute is otherwise. employing option рolicy. Declaration 31-3501. —In and, not, health, if (appointing) physician, safeguard public order to out, contracting welfare, much safety provide the alternative of and to suit- work, provisions for the in criminal defense able facilities and operation it had built and of I.C. once match. The balance shooting whole non-indigent pa brief) hospital, was as (not amicus out 31-3402 set it carry insurance to secure counsel. proved helpful to tients might have risks or to re [malpractice] against such They county commissioners] [the accept patients. such Henderson fuse to at some provide employment, 50 P.2d County, 56 Twin Falls labor, of such of kind of manual (1935). to work capable are and able patients as certi- must attending physicians and the years was for over To “care for” charge lessee of fy person in indigent sick providing the understood as county hospital the names of such attention, together medical/surgical with manual incapable as are patients necessary. hospitalization when labor, person becomes and when county- Henderson, county-funded certify the shall capable was involved. operated hospital (emphasis fact. I.C. re- indigent sick was duty to care for the my it that clear in view is Entirely affirmed, day. to this and continues will legislature was of a mind that there injured

always to the sick or be available ‍‌​​‌​‌​‌​​‌‌‌​‌‌‌‌​‌​‌‌​​‌​​‌​‌​​​​‌​​​​​​‌‌‌​​‌‍J., Tern, SMITH, Pro concurs. *5 option or the other as indigent, under one 31-3402, attending provided by I.C. § (or import, surgeon). Of like requires there be an attend-

§ call is re-

ing physician judgmental whose

quired county patient for a to be order county hospital.

dismissed from 31-3402, as modified from Code § DEVELOPMENT COMPA- FAIRWAY time, by time to antedates Idaho statehood NY, Plaintiff-Appellant, years. greater age seven Of is I.C. 31-3401, 1864, and, which dates back to language found in similar to that Leslie, COUNTY, Idaho; Lyle BANNOCK presently provides that Assessor; County Cro- Vivian Bannock can out the commissioners contract Treasurer; zier, County Tom Bannock care, protection, and maintenance of Katsilometes, Carolyn Meline sick, medically indigent, or otherwise indi- Shiozawa, George gent county. Commissioners, Defendants-Respon- that, entirely It seems clear as Justice dents. detailed, Bakes has there nevеr was a time No. 16734. Idaho, territory and since 1864 when as a state, Supreme Court of Idaho. then as a did not look out for the disadvantaged, impov- welfare its Feb. erished, and its sick. long ago took note as 1935 this Court having

of the Idaho imposed that the law so wrote

done duty to care for county. sick and It pay-

added that taxes be levied for imposed obligations.

ment of such It add- under the law it could fulfill its

ed also that contract,” going

duty “directly byor on to building operating hospi-

explain that “optional discretionary”

tal was county. county, option Another

Peterson, Moss, Olsen, Carr, Meacham & Falls, plaintiff-appellant. Ste- Hall, phen argued. D. Storm, Erich N. Deputy ‍‌​​‌​‌​‌​​‌‌‌​‌‌‌‌​‌​‌‌​​‌​​‌​‌​​​​‌​​​​​​‌‌‌​​‌‍Atty., Pros. Po- catello, for defendants-respondents. HUNTLEY, Justice.

Fairway Development Company appeals grant summary trial court’s judg- ment to Bannock County, the Bannock County Commissioners, Assessor and Trea- (hereinafter “Bannock”), surer after cross- summary motions for judgment were filed parties. both Fairway had filed com- plaint for review decisions the Board Appeals Tax the Bannock Commissioners, sitting as a Board of Equalization, upheld the Bannock Assessor’s tax evaluation plaintiff’s property. real 1977, Fairway Development

Since Com- pany operated has fifty-six owned and apartment complex unit known as “Fair- *6 Pocatello, way Estates” in In Idaho. Octo- 1978, ber Fairway filed a Declaration of Fairway Condominium for and Estates has attempted since to sell the units as condo- miniums, continuing while rent un- apartments. sold units as After the decla- ration, Fairway improved common ar- Fairway among eas of by, Estates other things, adding pool carports. date, fifty-six nine of the units have been sold as condominiums. Condominium,

Since the Declaration of appraised Bannock has unit in each Fairway condominium, using Estates as (which the market data looks method open units). current market sales of similar result, appraised As a value increased $8,749 approximately per unit to be $28,700 $30,350 unit; per tween average increase of 337%. Since Fairway property has tax on Fair way contending protest, Estates under County’s Bannock assessment unconstitu tionally and in 63-2021 violation of I.C. § provides: 1. Idaho Code ap- § 63-202 county according recognized within his praisal regulations pertaining techniques Rules and forth as set market val- methods commission; duty provided, the ac- reg- assessors. —... rules and [t]he state ue— major promulgated by ulations sion shall value for consider- the state tax shall be commis- use tual and functional require determining value for assess- each assessor market to find market when ation ment purposes property purposes____ assessment all tax, collected shall be levied and use” of and functional ignores the “actual laws, prescribe general which shall each Fairway the units. contends just regulations as shall secure overpayment to the overas year its due $14,000 property, per unit. for taxation of all approximately valuation sessment is leg- provided, that the personal: real and received September this Court exemptions from may allow such islature argument in this case briefs and heard oral time as shall seem from time to taxation trial 12 certification of the under I.A.R. existing ex- and all necessary just, ‍‌​​‌​‌​‌​​‌‌‌​‌‌‌‌​‌​‌‌​​‌​​‌​‌​​​​‌​​​​​​‌‌‌​​‌‍par- Fairway’s court’s denial of motion by the laws of the emptions provided appeal judgment. summary tial changed by until territory, shall continue pro- further remanded dismissed provided fur- legislaturе of the state: P.2d ceedings, ther, duplicate taxation granted remand, court the trial Since during the same purpose the same County. to Bannock summary judgment year, prohibited. required to deter- By appeal, this we are re- provisions Simply put, the constitutional mine whether the valuation scheme used proportional quire that taxation must County, valuing Fairway Estates among the “same class” uniform condominiums, entirely comprisеd of ei- Idaho’s Condominium those to taxed. unconstitutionally violates ID. ther Act, seq., et Property CONST, VII, guaran- art and which §§ establishing unequivocal expressions tains taxation, proportional tee uniform and as a distinct the estate of “condominium” controverts the mandate of I.C. § classification. properties be as- which mandates Purpose poli- 55-1502. I.C. § —Public sessed in accordance with their “actual and cy. Whereas, avаilability of more — use.” We that the classifi- functional hold construction, adequate financing for land Fairway cation of Estates as condominiums improvement, development and and busi- proper and nonviolative of our constitu- expansion advanta- ness is beneficial and issue, tion and affirm on that but remand geous appropri- for a determination of whether an interest, and, Idaho and in the method, employs ate assessment one whereas, the condominium estate is a *7 analysis giving “major consideration” to concept holding property, which con- use,” property’s “actual and functional cept should be clarified in the state of was used. permit Idaho to and facilitate con- struction and of condomin- I. projects, together iums and condominium Fairway’s first contention is that same; financing CONST, VII, guaran 2 and art ID. §§ Now, therefore, the condominium es- taxation, teeing proportional uniform and property hereby tate in declared been violated. Those constitutional property be a estate in provisions provide: lawful public policy sistent with the of the state provided by 2. Revenue to be taxa- added). of Idaho. provide such tion.—The shall needful, by levying revenue as filing Fairway’s of a Declaration of Con- valuation, every person so that triggеred Fairway dominium for Estates corporation proportion shall a tax in the new classification of its —a his, her, property, to the value of or its adjust- discrete classification which renders except as in other- this article hereinafter ed assessment on the basis of the altered provided____ wise constitutionally classification valid. Exemp- 5. Taxes to be uniform — II. taxes shall be uniform tions.—All subjects Fairway’s same class of second within More troubling limits, contention, namely, County’s authority levying territorial purposes____ (Emphasis value for assessment

Case Details

Case Name: Saxton v. Gem County
Court Name: Idaho Supreme Court
Date Published: Feb 18, 1988
Citation: 750 P.2d 950
Docket Number: 16636
Court Abbreviation: Idaho
AI-generated responses must be verified and are not legal advice.
Log In