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Vista Medical Center Hospital v. Texas Department of Insurance

Court of Appeals of Texas, Third District, Austin

January 3, 2014

Vista Medical Center Hospital, Appellant
v.
Texas Department of Insurance, Division of Workers' Compensation; and Texas Mutual Insurance Company, Appellees Vista Medical Center Hospital and Vista Hospital of Dallas, LLP, Appellants
v.
Texas Department of Insurance, Division of Workers' Compensation; and Texas Mutual Insurance Company, Appellees

FROM THE DISTRICT COURT OF TRAVIS COUNTY, 261ST JUDICIAL DISTRICT NOS. D-1-GN-08-002596 & D-1-GN-07-004216, D-1-GN-07-004382 HONORABLE STEPHEN YELENOSKY, JUDGE PRESIDING

Before Chief Justice Jones, Justices Pemberton and Field

MEMORANDUM OPINION

Bob Pemberton, Justice

These three causes arise from workers' compensation "stop-loss" disputes that each yielded a district court judgment reversing a final administrative order that had awarded Vista Medical Center Hospital or Vista Hospital of Dallas, LLP (collectively, "Vista") additional reimbursement, remanding Vista's reimbursement claims to the Division of Workers' Compensation, and awarding Texas Mutual Insurance Company recoupment, under a "money-had-and-received" theory, of the additional reimbursement that the carrier had paid Vista in the interim. Vista has perfected an appeal from each judgment, contending principally that the district court lacked subject-matter jurisdiction to award the monetary relief because the claims implicated the Division's exclusive jurisdiction over medical-fee disputes. As all parties acknowledge, our recent decision in Vista Medical Center Hospital v. Texas Mutual Insurance Co., ___S.W.3d ___, Nos. 03-11-00641-CV through 03-11-00643-CV, and Nos. 03-11-00742-CV through 03-11-00785-CV, 2013 WL 5477490 (Tex. App.—Austin Sept. 27, 2013, no pet.), addressed the identical issues and controls our disposition here. Accordingly, we reverse ...


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