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  "name_abbreviation": "M.D.R. ex rel. M.R. v. State ex rel. Human Services Department",
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    "parties": [
      "M.D.R. and K.L.R., individually and as Next Friends of M.R., S.R., and J.R., minors, Plaintiffs-Appellants, v. STATE of New Mexico ex rel. HUMAN SERVICES DEPARTMENT, Defendant-Appellee."
    ],
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      {
        "text": "OPINION\nBLACK, Judge.\nPlaintiffs filed suit against the State of New Mexico, Department of Human Services (the Department), under the Tort Claims Act. NMSA 1978, \u00a7\u00a7 41-4-1 to -27 (Repl.Pamp.1989) (the Act). The district court dismissed the complaint on the basis of governmental immunity. While the complaint alleges deplorable conduct by the Department, the Act does not waive the State\u2019s immunity from tort liability under the circumstances of this case. We affirm.\nALLEGATIONS.\nPlaintiffs, foster parents licensed by the Department, allege that: a Department social worker placed a foster child in their home knowing the child had a history of sexual abuse of other children; the social worker did not inform Plaintiffs of this history; and the foster child sexually abused Plaintiffs\u2019 children repeatedly over a long period of time.\nINTERPRETATION OF THE ACT AND STANDARD OF REVIEW.\nIt is true that employees of the Department have \u201ca responsibility to oversee and supervise the safety and well-being of children entrusted to [the Department].\u201d Perkins v. Department of Human Servs., 106 N.M. 651, 656, 748 P.2d 24, 29 (Ct.App.1987). But it does not necessarily follow that the Department may be held liable under the Act for a breach of that duty. The Act declares that governmental entities and public employees shall only be liable within the limitations of its provisions. \u00a7 41-4-2(A). Governmental entities and public employees, while acting within the scope of their duties, are immune from tort liability except as waived by the Act. \u00a7 41-4-4(A); see also Tompkins v. Carlsbad Irrigation Dist., 96 N.M. 368, 630 P.2d 767 (Ct.App.1981). The right to sue and recover is therefore specifically limited to the rights, procedures, limitations, and conditions of the Act. Methola v. County of Eddy, 95 N.M. 329, 334, 622 P.2d 234, 239 (1980).\nThe dismissal of a complaint under SCRA 1986, 1-012(B)(6), is a legal determination. Johnson v. Francke, 105 N.M. 564, 734 P.2d 804 (Ct.App.1987). In reviewing such a dismissal we accept as true facts well pleaded and question only whether the plaintiff can legally prevail under such facts. Gomez v. Board of Educ., 85 N.M. 708, 516 P.2d 679 (1973). Plaintiffs rely on the exceptions to the Act contained in Sections 41-4-9 and 41-4-10. We consider each claim separately.\nTHE DEPARTMENT DID NOT PROVIDE HEALTH CARE SERVICES.\nPlaintiffs argue, \u201cTo provide a foster home for a child is to provide a service to protect the health and general well being of a child.\u201d We cannot agree that the placement of a child in a foster home is the provision of \u201chealth care services\u201d under Section 41-4-10, which provides:\nThe immunity granted pursuant to Subsection A of Section 41-4-4 NMSA 1978 does not apply to liability for damages resulting from bodily injury, wrongful death or property damage caused by the negligence of public employees licensed by the state or permitted by law to provide health care services while acting within the scope of their duties of providing health care services.\nIn determining the meaning of \u201chealth care services\u201d we must generally look to the ordinary, everyday meaning of such words. State ex rel. Reynolds v. Aamodt, 111 N.M. 4, 800 P.2d 1061 (1990). Ordinarily the term \u201chealth care services\u201d would relate to those services provided by physicians, hospitals, and related health care practitioners. For purposes of the Medical Malpractice Act, NMSA 1978, \u00a7\u00a7 41-5-1 to -28 (Repl.Pamp.1989), our legislature has defined the similar term \u201chealth care provider\u201d to mean \u201ca person, corporation, organization, facility or institution licensed or certified by this state to provide health care or professional services as a doctor of medicine, hospital, outpatient health care facility, doctor of osteopathy, chiropractor, podiatrist, nurse anesthetist or physician\u2019s assistant.\u201d \u00a7 41-5-3(A).\nWe specifically considered the meaning of \u201chealth care services\u201d under the Act in Begay v. State, 104 N.M. 483, 723 P.2d 252 (Ct.App.1985), rev\u2019d on other grounds, 104 N.M. 375, 721 P.2d 1306, cert. denied, 479 U.S. 1020, 107 S.Ct. 677, 93 L.Ed.2d 727 (1986). In that case, relatives of the deceased brought suit against the New Mexico medical investigator for alleged negligence in performing an autopsy on the body. As in the instant case, the district court granted the defendants\u2019 motion to dismiss. This court affirmed, finding the medical investigator\u2019s performance of an autopsy was not a \u201chealth care service\u201d:\nSection 41-4-10 provides a waiver for damages caused by public employees providing health care services. No cases are cited to support the argument that the action complained of falls within this waiver, but logic would support the proposition that the decision to perform an autopsy does not involve health care. No health care services were provided to Mr. Nelson nor to any of his family members. To allow plaintiffs to sue under any of these exceptions would be to read into the Act language which is not there. The right to sue state defendants is limited to those rights and conditions expressly presented in the Act.\n104 N.M. at 487, 723 P.2d at 256.\nPlaintiffs maintain that our interpretation of health care is too narrow. They argue that, because the Department is charged with providing for the health, safety, and welfare of the children under its care, and the provision of a foster home is one of the ways it fulfills this duty, placement in a foster home constitutes health care.\nIn an analogous context, the Wyoming Supreme Court rejected the argument now pressed by Plaintiffs. In Troyer v. State, Department of Health & Social Services, 722 P.2d 158 (Wyo.1986), the Wyoming Division of Vocational Rehabilitation (the Division) agreed to help Troyer, who suffered from multiple sclerosis, select, install, and finance an elevator to his workshop. Because the initial bids exceeded the Division\u2019s budget, Troyer, at the Division\u2019s request, obtained a third bid, which was accepted. Id. at 159. The low bidder selected a winch displaying a warning which specifically cautioned that it was not to be used \u201cfor moving humans.\u201d This warning was cut off and the winch was used to construct the elevator. Id. While Troyer was sitting in his wheelchair in the elevator, the winch failed and the elevator fell. Troyer sued for the injuries he suffered, alleging a waiver of governmental immunity under the Wyoming tort claims statute for the \u201c \u2018negligence of health care providers who are employees of the governmental entity while acting within the scope of their duties.\u2019 \u201d Id. at 160 (quoting Wyo.Stat. Ann. \u00a7 1-39-110 (Cum.Supp.1985)). The district court granted the Division\u2019s motion to dismiss the complaint. The Wyoming Supreme Court affirmed, specifically rejecting Troyer\u2019s argument that because \u201cthe elevator combatted his feelings of uselessness and thereby became a crucial part of his health care program,\u201d the Division employees who helped select, install, and finance the elevator became \u201chealth care providers.\u201d Id. at 161. Rather, that court found that the Wyoming legislature, in partially waiving that state\u2019s sovereign immunity, clearly intended to limit \u201chealth care providers\u201d to those \u201cwho cure[] or prevente] impairments of the normal state of the body.\u201d Id. We find the Wyoming court\u2019s logic persuasive.\nTHE DEPARTMENT DID NOT OPERATE A HOSPITAL, INFIRMARY, MENTAL INSTITUTION, CLINIC, DISPENSARY, MEDICAL CARE HOME, OR LIKE FACILITY.\nPlaintiffs also argue that the placement of children in foster homes is the operation of a \u201clike facility\u201d under Section 41-4-9, which reads:\nThe immunity granted pursuant to Subsection A of Section 41-4-4 NMSA 1978 does not apply to liability for damages resulting from bodily injury, wrongful death or property damage caused by the negligence of public employees while acting within the scope of their duties in the operation of any hospital, infirmary, mental institution, clinic, dispensary, medical care home or like facilities.\nInitially, we note that the Department did not \u201coperate\u201d the foster home which, in fact, belongs to Plaintiffs. See Armijo v. Department of Health & Env\u2019t, 108 N.M. 616, 775 P.2d 1333 (Ct.App.1989) (department did not operate but only licensed transitional living unit); cf. Chee Owens v. Leavitts Freight Serv., Inc., 106 N.M. 512, 745 P.2d 1165 (Ct.App.1987) (design, planning, and enforcement of bus safety rules were not \u201coperation\u201d of motor vehicle under Section 41-4-5).\nSecondly, even if the Department \u201coperated\u201d the foster home (i.e., Plaintiffs\u2019 home), we do not think a foster home is \u201clike\u201d a hospital, infirmary, mental institution, clinic, dispensary, or medical care home. While this might seem obvious from the normal use of these phrases, we are further persuaded by the fact that the Arizona Court of Appeals rejected a similar contention in Sahf v. Lake Havasu City Ass\u2019n for the Retarded & Handicapped, 150 Ariz. 50, 721 P.2d 1177 (Ct.App.1986). In Sahf the plaintiff sued for personal injuries sustained by her son as a result of alleged negligent care at a group home. The Arizona Department of Economic Security contracted with a private organization to provide residential living services to developmentally disabled persons like the plaintiff\u2019s son. Id. 150 Ariz. at 56, 721 P.2d at 1183. The plaintiff argued that the longer statute of limitations under the Arizona Medical Malpractice Act, Ariz.Rev. Stat.Ann. \u00a7\u00a7 12-561 to -569 (1982), should apply because the provision of such residential services included general health and welfare functions and thus constituted \u201chealth care.\u201d Id. 150 Ariz. at 56-57, 721 P.2d at 1183-84. By providing health care services, the plaintiff argued, the private group home became a \u201clicensed health care institution.\u201d Id. 150 Ariz. at 57, 721 P.2d at 1184. In affirming summary judgment for the state, the Arizona Court of Appeals rejected this logic, saying:\n[The Arizona Department of Health Services] apparently recognizes that while some definitions of \u201chealth related services\u201d are broad enough to encompass services provided for mentally retarded citizens in residential living institutions, the facilities themselves were not to be regarded as \u201chealth care institutions\u201d for purposes of licensing requirements\nsjc * * >}: # #\n* * * The fact thac occupants of a residence may from time to time become the victim [sic] of illness or accident does not convert that residence into a \u201chealth care institution\u201d within either the meaning of the Medical Malpractice Act or the Licensing Act.\nId. 150 Ariz. at 58, 721 P.2d at 1185.\nCONCLUSION.\nPlaintiffs appear to recognize the difficulties the statutory language poses for their arguments on appeal. They rely on the supreme court\u2019s decision in Miller v. New Mexico Department of Transportation, 106 N.M. 253, 741 P.2d 1374 (1987), and ask this court to read the relevant statutes in a manner \u201cthat facilitates their operation and the achievement of their goals.\u201d Id. at 255, 741 P.2d at 1376. We have tried to do so. In the end, however, we have to find the legislature\u2019s goals in the words the legislature chose or in the natural inferences from those words.\nThe waivers of immunity in Sections 41-4-9 and 41-4-10 do not allow suit based on allegations that a known child abuser was placed in a foster home by the Department. Plaintiffs maintain that finding the Department immune from suit would effectively deny these children any remedy. Their argument is forceful. However, it is not the function of the court of appeals to legislate. State ex rel. Rodriguez v. American Legion Post Post No. 99, 106 N.M. 784, 750 P.2d 1110 (Ct.App.1987), cert. denied, 107 N.M. 16, 751 P.2d 700 (1988). Correction of whatever inequity exists in such a situation is best left to the legislature. Varos v. Union Oil Co., 101 N.M. 713, 688 P.2d 31 (Ct.App.1984).\nWe affirm.\nIT IS SO ORDERED.\nHARTZ, J., concurs.\nMINZNER, J., specially concurs.",
        "type": "majority",
        "author": "BLACK, Judge."
      },
      {
        "text": "MINZNER, Judge,\nspecially concurring.\nI concur in the majority\u2019s opinion, except that portion in which they discuss the applicability of NMSA 1978, Section 41-4-9 (Repl.Pamp.1989). I agree with the majority that the phrase \u201cnegligence of public employees while acting within,the scope of their duties in the operation of any hospital ... or like facilities\u201d does not waive immunity on these facts, because the foster home was not a facility like the other institutions the section specifically lists. I am not persuaded that it was similar in function or risk of liability to the group of institutions within the ordinary meaning of the words used in Section 41-4-9. I conclude that applying the waiver of liability provided in Section 41-4-9 to Plaintiffs\u2019 complaint would not be a result the state should reasonably have anticipated in providing coverage. I think, however, that the discussion of the term \u201coperation\u201d and its applicability on these facts merits more discussion than the majority opinion contains.\nThe placement of a child in foster care within a private home involves the state in the lives of its citizens in a unique way. For example, regulations (not cited by Plaintiffs nor relied upon in their briefs) impose an obligation on the Human Services Department (Department) to advise foster parents of all relevant information concerning the child to be placed, accept liability for any property damage a child in foster care does to the foster home, and permit the foster parents to refuse a particular placement. See N.M. Human Servs. Dep\u2019t Substitute Care for Children\u2014Procedures (SSD Procedures) PR 5.2.6.1.1; 5.3.5(D); 5.2.7.5 (1987). The regulations specifically provide that \u201c[fjoster parents or other providers do not make independent plans for children in their care,\u201d PR 5.2.7.2, that \u201c[t]he Department shall determine the most suitable arrangements for the child and plan for the child\u2019s protection, growth, development and education,\u201d PR 5.3.1, and allude to the agency\u2019s liability and that of the foster family if a foster child was placed in an unlicensed home or a home at licensing capacity and \u201csomething untoward happened to a child.\u201d PR 5.3.3.10; cf. SSD Procedures PR 5.3.24.2.3 (1989) (placement in an untrained, unlicensed foster home might result in a lawsuit \u201cif anything happened to the child in care\u201d).\nThis regulatory scheme differs from that under review in Armijo v. Department of Health & Environment, 108 N.M. 616, 775 P.2d 1333 (Ct.App.1989). In that case, we held that the Department of Health and Environment (HED) did not operate a transitional living unit within the meaning of Section 41-4-9. In that case, the plaintiff contended that HED operated the facility because of the extensive regulatory scheme. We noted that the allegations were claims of malpractice and failure to warn and were based on HED\u2019s failure to \u201cstep into the clinical decision-making process\u201d of the facility. Id. at 618, 775 P.2d at 1335. We held that HSD \u201cdid not regulate what is alleged to have caused plaintiff\u2019s injuries.\u201d Id. In this case, the regulations adopted by the Department do regulate what is alleged to have caused the injuries alleged in the complaint. Thus, I think Armijo is distinguishable.\nHowever, the question is whether the Department\u2019s employees can be said to have been \u201cacting within the scope of their duties in the operation of any hospital * * * or like facilities.\u201d \u00a7 41-4-9. I agree with the majority that on these facts the foster home was not a facility like a hospital. Thus, the damages alleged did not result from the negligence of its employees while acting within the scope of their duties in operating such a facility. The damages resulted from negligence in a different context, difficult to equate with the management of a health care facility because the Department\u2019s responsibilities are both broad and shared.\nIn Romero v. State, 112 N.M. 291, 814 P.2d 1019 (Ct.App.), rev\u2019d on other grounds, 112 N.M. 332, 815 P.2d 628 (1991), we indicated that \u201c \u2018duties in the operation\u2019 does not encompass a duty to supervise the operation through regulation.\u201d Id. at 299, 814 P.2d at 1027. In overruling this court\u2019s opinion, the Supreme Court indicated that the Highway Department\u2019s own statutory responsibilities were within the meaning of \u201cmaintenance,\u201d stating that \u201c \u2018the greater supervisory responsibilities contemplated by [statute] included more than issuing regulations. Those responsibilities could have included supervising the county\u2019s actual day-to-day maintenance of the roadway.\u2019 \u201d See Caillouette v. Hercules, Inc., 113 N.M. 492, 499, 827 P.2d 1306, 1313 (Ct.App.1992) (quoting Romero v. State, 112 N.M. at 334, 815 P.2d at 630) (distinguishing Romero on the basis of the language quoted).\nThere is no comparable statutory scheme relevant to this case. The regulations appear to divide responsibility between foster parents and the Department for placement. Other decisions appear to be reserved by the Department. The placement decision in itself is not analogous to supervision of actual day-to-day operation, which under Romero might be equated with operation. On the other hand, unlike Chee Owens v. Leavitts Freight Serv., Inc., 106 N.M. 512, 745 P.2d 1165 (Ct.App.1987), the Department for some purposes was \u201cdriving the bus.\u201d However, Plaintiffs have relied on the placement decision in framing their appellate argument.\nUnder these circumstances, I conclude that Plaintiffs\u2019 claim is not supported by the language of Section 41-4-9. Cf. Sahf v. Lake Havasu City Ass\u2019n for the Retarded & Handicapped, 150 Ariz. 50, 721 P.2d 1177 (Ct.App.1986) (private group home not a \u201chealth care institution\u201d). Therefore, I join the majority in holding that Section 41-4-9 does not support Plaintiffs\u2019 claim, and thus in affirming the district court\u2019s decision dismissing Plaintiffs\u2019 complaint with prejudice.",
        "type": "concurrence",
        "author": "MINZNER, Judge,"
      }
    ],
    "attorneys": [
      "Edward L. Hand, John F. Schaber, P.A., Deming, for plaintiffs-appellants.",
      "David McNeill, Jr., Thomas A. Sandenaw, Jr., Weinbrenner, Richards, Paulowsky, Sandenaw & Ramirez, P.A., Las Cruces, for defendant-appellee."
    ],
    "corrections": "",
    "head_matter": "836 P.2d 106\nM.D.R. and K.L.R., individually and as Next Friends of M.R., S.R., and J.R., minors, Plaintiffs-Appellants, v. STATE of New Mexico ex rel. HUMAN SERVICES DEPARTMENT, Defendant-Appellee.\nNo. 12679.\nCourt of Appeals of New Mexico.\nJuly 10, 1992.\nEdward L. Hand, John F. Schaber, P.A., Deming, for plaintiffs-appellants.\nDavid McNeill, Jr., Thomas A. Sandenaw, Jr., Weinbrenner, Richards, Paulowsky, Sandenaw & Ramirez, P.A., Las Cruces, for defendant-appellee."
  },
  "file_name": "0187-01",
  "first_page_order": 221,
  "last_page_order": 226
}
