                                 IN THE
                         TENTH COURT OF APPEALS

                                No. 10-13-00077-CV

ADAM M. BOROWSKI, M.D.,
BRIAN BULL, M.D. AND
HILLCREST FAMILY HEALTH CENTER,
                                                           Appellants
v.

KAREN AYERS, INDIVIDUALLY AND
AS REPRESENTATIVE OF THE ESTATE
OF DARYL LYNN AYERS, DECEASED,
AND ETHAN AYERS,
                                                           Appellees



                          From the 414th District Court
                            McLennan County, Texas
                           Trial Court No. 2012-3325-5


                                    OPINION


      On September 4, 2012, Appellees Karen Ayers, individually and as representative

of the estate of Daryl Lynn Ayers, deceased, and Ethan Ayers filed a healthcare liability

suit against Appellants Adam M. Borowski, M.D., Brian Bull, M.D., Hillcrest Family

Health Center, and several other defendants. The Ayerses claimed that Daryl died
because Dr. Borowski, Dr. Bull, Hillcrest, and the other defendants failed to recognize

and treat an aortic dissection between July 24 and July 26, 2010.

       Dr. Borowski filed a traditional motion for summary judgment, contending that

the Ayerses’ claims are barred by the statute of limitations. Dr. Borowski argued as

follows: On June 7, 2012, before filing suit, the Ayerses sent a letter entitled “NOTICE

OF CLAIM” to Dr. Bull and several of the other defendants along with an

“AUTHORIZATION          FORM       FOR     RELEASE      OF     PROTECTED        HEALTH

INFORMATION.” The authorization stated in relevant part:

       B.      The health information to be obtained, used, or disclosed extends to
       and includes the verbal as well as the written and is specifically described
       as follows:

               …

              2.      The health information in the custody of the following
       physicians or health care providers who have examined, evaluated, or
       treated DARYL LYNN AYERS during a period commencing five years
       prior to the incident made the basis of the accompanying Notice of Health
       Care Claim.

               ALL  HEATH   [sic] CARE   PROVIDERS                   PROVIDING
               CARE/TREATMENT TO DARYL LYNN AYERS.

The authorization did not list the name and current address of any physicians who had

treated Daryl during the five years before the alleged incident, thus, according to Dr.

Borowski, rendering the authorization meaningless and failing to comply with the

requirements of Civil Practice and Remedies Code section 74.052.           Dr. Borowski

contended that, because the authorization failed to comply with the statute, the Ayerses

did not provide the proper statutory presuit notice to any of the defendants as required


Borowski v. Ayers                                                                     Page 2
by Civil Practice and Remedies Code section 74.051. Dr. Borowski asserted that the

Ayerses were therefore not entitled to the 75-day tolling benefit of the notice and that

the Ayerses’ claims, which were not brought until approximately 42 days after the two-

year limitations period expired, were thus barred by the statute of limitations. Dr. Bull

and Hillcrest subsequently filed a traditional motion for summary judgment, asserting

substantially the same argument.

       The Ayerses’ summary-judgment response asserted that this case is not

analogous to the Texas Supreme Court’s decision in Carreras v. Marroquin, 339 S.W.3d

68, 74 (Tex. 2011), in which the court held that notice provided without any

authorization form is insufficient to toll limitations. The Ayerses argued that although

improperly completed, their notice was in fact accompanied by an authorization that

otherwise exactly mirrored the language of section 74.052. The Ayerses further claimed

that they were entitled to the 75-day tolling benefit of the notice because: (1) the

authorization tracked verbatim the language prescribed by section 74.052; the blanks in

the form were simply completed incorrectly; (2) the Ayerses served their notice and

authorization directly on the health-care providers, not their attorneys or insurance

carriers; and (3) the authorization actually permitted several of the defendants to obtain

protected health information from other health care providers and, therefore, the

authorization, although technically deficient, fulfilled the Legislature’s goals in enacting

the statute. The Ayerses additionally argued that Dr. Bull’s and Hillcrest’s counsel sent

to the Ayerses’ counsel a letter that acknowledged using the Ayerses’ authorization to

obtain Daryl’s records from providers outside of the Hillcrest system and that Dr. Bull

Borowski v. Ayers                                                                     Page 3
and Hillcrest should therefore be estopped from asserting that they were somehow

prejudiced by the Ayerses’ authorization or that the Legislature’s goals were thwarted.

The Ayerses further noted that notice to one defendant is sufficient to toll the statute of

limitations as to all the defendants.

       The trial court generally denied Dr. Borowski’s, Dr. Bull’s, and Hillcrest’s

motions for summary judgment. Subsequently, Dr. Borowski filed a motion to amend

the order denying summary judgment and for interlocutory appeal. The trial court

signed an amended order again denying Dr. Borowski’s, Dr. Bull’s, and Hillcrest’s

motions for summary judgment without explanation but stated in the order that it was

(1) finding that the order denying Dr. Borowski’s, Dr. Bull’s, and Hillcrest’s motions for

summary judgment involves a controlling issue of law as to which there is a substantial

ground for difference of opinion; (2) finding that an immediate appeal from the order

may materially advance the ultimate termination of this litigation; and (3) permitting

Dr. Borowski, Dr. Bull, and Hillcrest to pursue an interlocutory appeal of the order

denying their motions for summary judgment under Civil Practice and Remedies Code

section 51.014(d). The trial court set out the following controlling question of law:

       whether Plaintiffs’ failure to list the names and addresses of the
       Decedent’s health care providers for the five years prior to the
       Defendants’ alleged negligence complied with the requirements specified
       by Tex. Civ. Prac. & Rem. Code § 74.052 (concerning the authorization for
       the release of medical records which is required to accompany Plaintiffs’
       Tex. Civ. Prac. & Rem. Code § 74.051 notice of health care claim) and
       whether that failure … prevents the Plaintiffs from relying on the
       limitations tolling provision in Tex. Civ. Prac. & Rem. Code § 74.051(c).

We granted Dr. Borowski’s, Dr. Bull’s, and Hillcrest’s joint petition to appeal this


Borowski v. Ayers                                                                       Page 4
interlocutory order.

         We must first address the Ayerses’ motion to dismiss this appeal for want of

jurisdiction. The Ayerses contend that section 51.014(d) only confers jurisdiction on the

appellate court if the trial court squarely ruled on the controlling issue of law and that

the trial court’s mere denial of the motions for summary judgment in this case without

stating the basis for that denial was not a ruling on the controlling issue of law. The

Ayerses thus argue that any ruling from this Court would be an impermissible advisory

opinion.

         An appeal may be taken only from a final judgment, unless a statute specially

authorizes an interlocutory appeal. See Lehmann v. Har-Con Corp., 39 S.W.3d 191, 195

(Tex. 2001).     Furthermore, we strictly construe statutes authorizing interlocutory

appeals because they are a narrow exception to the general rule that interlocutory

orders are not immediately appealable. CMH Homes v. Perez, 340 S.W.3d 444, 447 (Tex.

2011).    An order denying a summary judgment motion is therefore generally not

appealable because it is an interlocutory order and not a final judgment. Humphreys v.

Caldwell, 888 S.W.2d 469, 470 (Tex. 1994). Section 51.014(d) provides, however:

              On a party’s motion or on its own initiative, a trial court in a civil
         action may, by written order, permit an appeal from an order that is not
         otherwise appealable if:

           (1) the order to be appealed involves a controlling question of law as to
         which there is a substantial ground for difference of opinion; and

             (2) an immediate appeal from the order may materially advance the
         ultimate termination of the litigation.

TEX. CIV. PRAC. & REM. CODE ANN. § 51.014(d) (West Supp. 2013). The legislature’s

Borowski v. Ayers                                                                      Page 5
institution of this procedure authorizing a trial court to permit an immediate appeal of

an interlocutory order is nevertheless premised on the trial court having first made a

substantive ruling on the controlling legal issue being appealed. See Bank of N.Y. Mellon

v. Guzman, 390 S.W.3d 593, 597-98 (Tex. App.—Dallas 2012, no pet.); Colonial County

Mut. Ins. Co. v. Amaya, 372 S.W.3d 308, 310-11 (Tex. App.—Dallas 2012, no pet.); Gulley

v. State Farm Lloyds, 350 S.W.3d 204, 207-08 (Tex. App.—San Antonio 2011, no pet.); see

also Corp. of President of Church of Jesus Christ of Latter-Day Saints v. Doe, No. 13-13-00463-

CV, 2013 WL 5593441, at *2 (Tex. App.—Corpus Christi Oct. 10, 2013, no pet. h.) (mem.

op.). In other words, the interlocutory order cannot “involve[] a controlling question of

law” until the trial court has made a substantive ruling on the controlling legal issue in

the order. See TEX. CIV. PRAC. & REM. CODE ANN. § 51.014(d); see also Corp. of President of

Church of Jesus Christ of Latter-Day Saints, 2013 WL 5593441, at *2.

       In this case, the trial court did not substantively rule on the controlling legal

issue presented in this permissive appeal. Therefore, the order to be appealed does not

involve a controlling question of law, and section 51.014(d) does not authorize an

interlocutory appeal. See TEX. CIV. PRAC. & REM. CODE ANN. § 51.014(d).

       As stated above, in its amended order, the trial court denied Dr. Borowski’s, Dr.

Bull’s, and Hillcrest’s motions for summary judgment without explanation. The trial

court then set out in the amended order the following “controlling question of law as to

which there is a substantial ground for difference of opinion”:

       whether Plaintiffs’ failure to list the names and addresses of the
       Decedent’s health care providers for the five years prior to the
       Defendants’ alleged negligence complied with the requirements specified

Borowski v. Ayers                                                                        Page 6
       by Tex. Civ. Prac. & Rem. Code § 74.052 (concerning the authorization for
       the release of medical records which is required to accompany Plaintiffs’
       Tex. Civ. Prac. & Rem. Code § 74.051 notice of health care claim) and
       whether that failure … prevents the Plaintiffs from relying on the
       limitations tolling provision in Tex. Civ. Prac. & Rem. Code § 74.051(c).

       This “controlling question” is really two “questions,” and based on these

“questions,” the trial court could have denied Dr. Borowski’s, Dr. Bull’s, and Hillcrest’s

motions for summary judgment for either of the following reasons: (1) although the

Ayerses failed to list the names and addresses of Daryl’s healthcare providers for the

five years before Dr. Borowski’s, Dr. Bull’s, and Hillcrest’s alleged negligence, the

Ayerses nevertheless complied with the requirements specified by section 74.052; or (2)

the Ayerses’ failure to list the names and addresses of Daryl’s healthcare providers for

the five years before Dr. Borowski’s, Dr. Bull’s, and Hillcrest’s alleged negligence did

not comply with the requirements specified by section 74.052, yet that failure did not

prevent the Ayerses from relying on the limitations tolling provision in section

74.051(c). Moreover, if the trial court denied Dr. Borowski’s, Dr. Bull’s, and Hillcrest’s

motions for summary judgment for the second reason, it could have concluded that the

Ayerses raised a genuine issue of material fact in support of their estoppel argument.

See TEX. CIV. PRAC. & REM. CODE ANN. § 74.051(c) (West 2011); Diamond Prods. Int’l, Inc.

v. Handsel, 142 S.W.3d 491, 494 (Tex. App.—Houston [14th Dist.] 2004, no pet.) (“The

statute does not contemplate permissive appeals of summary judgments where the facts

are in dispute.”).

       For these reasons, we grant the Ayerses’ motion to dismiss and dismiss this

appeal for want of jurisdiction. See Bank of N.Y. Mellon, 390 S.W.3d at 598 (dismissing

Borowski v. Ayers                                                                   Page 7
for want of jurisdiction) (citing Amaya, 372 S.W.3d at 311).




                                                 REX D. DAVIS
                                                 Justice

Before Chief Justice Gray,
       Justice Davis, and
       Justice Scoggins
Appeal dismissed; motion granted
Opinion delivered and filed December 5, 2013
[CV06]




Borowski v. Ayers                                               Page 8
