Opinion

Texas Physical Therapy Association, Jerry Hurt, Jeanette Winfree & Wayne Sawyer v. Texas Workers' Compensation Commission

Court
Texas Court of Appeals, 3rd District (Austin)
Filed
Jan 20, 1993
Status
Published
Cited by
0 cases
Authority
More cited than 35.7%

The opinion

WORKERS

IN THE COURT OF APPEALS, THIRD DISTRICT OF TEXAS,

AT AUSTIN

NO. 3-92-340-CV

TEXAS PHYSICAL THERAPY ASSOCIATION,

JERRY HURT, JEANETTE WINFREE AND WAYNE SAWYER,

APPELLANTS

vs.

TEXAS WORKERS' COMPENSATION COMMISSION,

APPELLEE

FROM THE DISTRICT COURT OF TRAVIS COUNTY, 331ST JUDICIAL DISTRICT

NO. 91-10669, HONORABLE JOHN K. DIETZ, JUDGE PRESIDING

Following the adoption of an agency rule by the Texas Workers' Compensation

Commission (the "Commission"), the Texas Physical Therapy Association, Jerry Hurt, Jeanette

Winfree, and Wayne Sawyer (the "Appellants") petitioned the district court for declaratory and

injunctive relief. The district court issued an order denying the Appellants' request for temporary

injunction. We will affirm the district court's order.

BACKGROUND

On September 10, 1991, the Commission published in the Texas Register proposed

Rule 134.201 (1) (the "Rule"), entitled "Medical Fee Guideline for Medical Services and Equipment

Provided Under the Texas Workers' Compensation Act." 16 Tex. Reg. 4929 (1991). The

purpose of the Rule was the medical-cost containment of payments for medical services and

equipment incurred in treating injured employees under the workers' compensation law. The

Commission held a public hearing and received comments by parties interested in the Rule and

reported the adoption of Rule 134.201 by publishing an order in the Texas Register on November

29, 1991. 16 Tex. Reg. 6923 (1991). This order purported to include a summary of comments

received and reasons why the Commission disagreed with the comments. Rule 134.201 became

effective on December 11, 1991.

On April 6, 1992, the Appellants amended their previous pleadings regarding Rule

134.200 to allege that the Commission adopted Rule 134.201 in violation of the "reasoned

justification" requirement of section 5(c-1)(1) of the Administrative Procedure and Texas Register

Act ("APTRA") which states:

The agency order finally adopting a rule must include: (1) a reasoned justification

of the rule, including a summary of comments received from parties interested in

the rule and showing the names of any interested group or association offering

comment on the rule and whether they were for or against its adoption, and also

including a restatement of the rule's factual bases and the reasons why the agency

disagrees with party submissions and proposals . . . .

Tex. Rev. Civ. Stat. Ann. art. 6252-13a, § 5(c-1)(1) (West Supp. 1993). (2)

On June 10, 1992, the district court denied the Appellants' request for a temporary

injunction. In its order, the trial court found that the Commission made a good faith effort to

provide a rational basis for the Rule and that the adoption of the Rule was in substantial

compliance with the procedures set forth in APTRA. From this decision of the trial court, the

Appellants bring this appeal.

DISCUSSION

The appeal of an order denying a temporary injunction is an appeal from an

interlocutory order; accordingly, the merits of the underlying case are not presented for appellate

review. Davis v. Huey , 571 S.W.2d 859, 861 (Tex. 1978). Appellate review of an order denying

a temporary injunction is strictly limited to a determination of whether there has been a clear

abuse of discretion by the trial court in denying the interlocutory order. Id. at 861-62 ; Public

Util. Comm'n v. General Tel. Co. , 777 S.W.2d 827, 829 (Tex. App.--Austin 1989, writ dism'd).

At a hearing on a temporary injunction, the only issue before the district court is whether the

applicant is entitled to preservation of the status quo of the subject matter of the suit pending trial

on the merits. Davis , 571 S.W.2d at 862 ; Houston Belt & Terminal Ry. Co. v. Texas & N. O.

R.R. , 289 S.W.2d 217, 219 (Tex. 1956). The appellate court is not to substitute its judgment for

that of the trial court, but merely to determine whether the court's action was so arbitrary as to

exceed the bounds of reasonable discretion. Davis , 571 S.W.2d at 862 ; Texas Foundries, Inc.

v. International Moulders & Foundry Workers' Union , 248 S.W.2d 460, 463 (Tex. 1952). In

reviewing the order denying the temporary injunction, we must draw all legitimate inferences

from the evidence in a light most favorable to the trial court's judgment, even if we disapprove

of the reason given by the trial court for denying the temporary injunction. Hartwell's Office

World, Inc. v. Systex Corp. , 598 S.W.2d 636, 639 (Tex. Civ. App.--Houston [14th Dist.] 1980,

writ ref'd n.r.e.).

The Appellants contend in five points of error that the district court erred in

denying a temporary injunction because the Commission did not "substantially comply" with the

requirements of APTRA, section 5(c-1)(1) in enacting the Rule in question. Specifically, the

Appellants contend that some eighteen comments which they tendered to the Commission during

the rulemaking process were either not addressed by the Commission or were summarily dealt

with by the Commission.

In Methodist Hospitals of Dallas v. Texas Industrial Accident Board , 798 S.W.2d

651 (Tex. App.--Austin 1990, writ dism'd w.o.j.), this Court identified the three elements that

"reasoned justification" must include: "(1) a summary of comments received from parties

interested in the rule, with their names and whether they were for or against its adoption; (2) a

restatement of the rule's factual bases; and (3) the reasons why the agency disagrees with party

submissions and proposals." Id. at 657 . Tex. Rev. Civ. Stat. Ann. art. 6252-13a, § 5(c-1)(1)

(West Supp. 1993). In the present case, the Appellants attack only the Commission's failure to

comply with the third element; they allege that the agency failed to respond properly to their

submissions and proposals.

We note that of the Appellants' eighteen comments, some dealt specifically with

the substance of the Rule while others could be characterized only as a collateral attack on the

Rule.

In the area of substantive comments, the Appellants discuss technical issues

involved in computing costs and setting fee guidelines. In these comments, the Appellants

complain that the guidelines set some fees near or below cost and that the guidelines would

actually increase costs for some physical therapy services. The Appellants maintain that the

Commission failed to respond properly to these comments in the final order. Specifically, they

state that the Commission either entirely "omitted a response, mischaracterized a response, or

responded in a conclusionary manner" to these comments.

The collateral attack on the Rule includes comments that contend the Rule benefits

chiropractors at the expense of other health care providers. One comment contends that the Rule

was influenced by illegal and improper behavior of a state senator who served on the Legislative

Oversight Committee. In these comments, the Appellants contend that the senator had met with

the Commission's medical director and a group of chiropractors to discuss the fee guidelines prior

to the Rule's adoption. Another comment alleges illegal and improper behavior by Nancy Kozak,

the former Director of the Commission's Medical Review Division, in the adoption of the Rule.

The Appellants produced evidence that Kozak obtained her position through false resumes and that

she conducted a meeting in which the Appellants were intentionally excluded and in which certain

parts of the Rule were discussed. The Commission did not respond in any manner to the

comments that collaterally attacked the Rule on grounds of alleged fraud and improper conduct.

In this appeal, the sole issue we must decide is whether the trial court abused its

discretion in determining that the Commission substantially complied with section 5(c-1)(1) of

APTRA. Our review of the record shows that, in denying the request for a temporary injunction,

the district court carefully reviewed the Methodist Hospitals decision; pages 6923 to 6936 of the

Texas Register, which include the Rule and comments thereto; and section 5(c-1)(1) of APTRA.

In Methodist Hospitals , this Court stated that "substantial compliance with [section 5(c-1)(1) of

APTRA] is a question of law to be determined solely from the face of the . . . order finally

adopting [the Rule]." 798 S.W.2d at 659 . From our review of the record, the comments, and

the Rule, we agree with the district court that the Commission's rulemaking actions were not in

"perfect compliance," but we cannot conclude that the trial court abused its discretion in finding

those actions to be in "substantial compliance" with APTRA, section 5(c-1)(1). Accordingly, we

overrule all of the Appellants' points of error. Our holding implies no decision regarding the

merits of the cause underlying this appeal.

CONCLUSION

We affirm the order of the district court denying the temporary injunction.

Mack Kidd, Justice

[Before Chief Justice Carroll, Justices Jones and Kidd]

Affirmed

Filed: January 20, 1993

[Do Not Publish]

1. The Appellants initially requested a temporary injunction against the

implementation, enforcement, and administration of section 134.200 of the Texas

Administrative Code, a rule previously adopted by the Commission. The district court

issued a temporary injunction order. The Commission, on September 19, 1991, filed its

notice of appeal of the temporary injunction order. On December 11, 1991, this Court

concluded that the Commission did not properly perfect its appeal and dismissed the case.

Texas Workers' Compensation Comm'n v. Texas Physical Therapy Ass'n , No. 3-91-439-CV

(Tex. App.--Austin Dec. 11, 1991, no writ) (not designated for publication). The Commission

proposed Rule 134.201 as a substitute to the enjoined rule.

2. At the hearing on April 29, 1992, the district court judge agreed with the

Commission that the adoption of the substitute rule mooted the previous injunction. In

response, the Appellants, having previously amended their pleadings, sought an

injunction against the new rule.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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