Doan v Health Insurance Commission

Case [2002] FCA 1357


FEDERAL COURT OF AUSTRALIA

Doan v Health Insurance Commission [2002] FCA 1357

DR TUAN NGOC DOAN  -v-  THE HEALTH INSURANCE COMMISSION  and 
DR ALAN JOHN HOLMES (in his capacity as the Director of Professional Services Review)

V 202 of 2002

RYAN J

31 OCTOBER 2002
MELBOURNE

IN THE FEDERAL COURT OF AUSTRALIA

VICTORIA DISTRICT REGISTRY

V 202 of 2002

BETWEEN:

DR TUAN NGOC DOAN
Applicant

AND:

THE HEALTH INSURANCE COMMISSION
First Respondent

DR ALAN JOHN HOLMES (in his capacity as the Director of Professional Services Review)
Second Respondent

JUDGE:

RYAN J

DATE OF ORDER:

31 OCTOBER 2002

WHERE MADE:

MELBOURNE

THE COURT ORDERS THAT:

  1. The application by motion on notice dated 30 October 2002 be refused.

  2. The applicant pay the respondent’s costs of the motion.

Note:   Settlement and entry of orders is dealt with in Order 36 of the Federal Court Rules.

IN THE FEDERAL COURT OF AUSTRALIA

VICTORIA DISTRICT REGISTRY

V 202 of 2002

BETWEEN:

DR TUAN NGOC DOAN
Applicant

AND:

THE HEALTH INSURANCE COMMISSION
First Respondent

DR ALAN JOHN HOLMES (in his capacity as the Director of Professional Services Review)
Second Respondent

JUDGE:

RYAN J

DATE:

31 OCTOBER 2002

PLACE:

MELBOURNE

REASONS FOR JUDGMENT

  1. There is before the Court a motion for interlocutory relief pending an appeal from an order of a Judge of the Court pronounced on 18 September this year. That order dismissed an application for review of a decision by the first respondent to refer the conduct of the applicant, Dr Doan, for investigation by the second respondent (“the Director”). That investigation was to be conducted on a referral pursuant to s 86 of the Health Insurance Act 1973 (“the Act”) as amended.

  2. Pursuant to s 89B of the Act, the Director has given a notice to Dr Doan requiring production of documents being, I have been told, the patient histories of some 93 patients who, I infer, were treated by the applicant in the period the subject of the investigative referral which is the calendar year 2000. The notice of motion relevantly seeks;

    “(2)An order that the operation of the Notice given by the second respondent to the applicant dated 11 March 2002 in purported pursuance of section 89B of the Health Insurance Act 1973 ("the Notice") be suspended until the determination of the applicant's appeal herein to the Full Court of this Honourable Court or further order.

    (3)Alternatively, an order that the second respondent extend time for compliance with the Notice until the determination of the said appeal or further order.

    (4)Alternatively, an order that until the hearing and determination of the said appeal or further order, the second respondent be restrained from inspecting documents produced by the applicant pursuant to the Notice or taking any further action or step in respect of Investigative Referral number 312.”

  1. In the course of discussion this morning, Mr Monotti of Counsel for the applicant indicated that the alternative relief formulated in par 4 just quoted is no longer sought. 

  2. I have come to a clear view that to grant relief in terms of either par (2) or par (3) would not be an appropriate exercise of this Court's discretion.  In the first place, there is a presumption in favour of the correctness of the judgment at first instance.  As well, having read the reasons below and examined the relevant legislation for myself, I regard the applicant’s prospects of success on the appeal as slight. 

  3. Secondly, in the absence of an intimation by the Director that he would extend time for compliance on terms that the period available for his investigation would be extended for a corresponding period, the relief sought by the applicant would have to be cast in the form of a mandatory injunction.  The reasons which have made courts traditionally reluctant to frame interlocutory injunctions in that way apply, I consider, to the present case.

  4. Thirdly, the balance of convenience, in my view, is strongly against the grant of interlocutory relief. The only inconvenience to which Dr Doan can point is the burden of extracting and collating from his records the 93 patient histories concerned. Section 89B(6) provides:

    “If a document is produced pursuant to the notice, the Director or a person nominated by the Director:

    (a)      may inspect the document;  and

    (b)may retain the document in his or her possession for such reasonable period as he or she thinks fit;   and

    (c)       may make copies of, or take extracts from, the document.”

  1. There is no suggestion that the retention of the relevant records for the limited period contemplated by par (b) of that subsection would seriously incommode Dr Doan.  On the other hand to postpone the Director’s prima facie entitlement to inspect those documents for something like a further five months at least could well prejudice the investigation as some patients may die and memories of what happened up to two years before the examination of the records will inevitably fade.  For these reasons the motion will be refused with costs. 

I certify that the preceding seven (7) numbered paragraphs are a true copy of the Reasons for Judgment herein of the Honourable Justice Ryan.

Associate:

Dated:            31 October 2002

Counsel for the Applicant: Mr B Monotti
Solicitor for the Applicant: Tress Cocks & Maddox
Counsel for the Respondent: Ms F Hampel SC with Mr S Moloney
Solicitor for the Respondent: Minter Ellison
Date of Hearing: 31 October 2002
Date of Judgment: 31 October 2002
Details
AGLC
Doan v Health Insurance Commission [2002] FCA 1357
Case
[2002] FCA 1357
Decision Date

CaseChat Overview and Summary

The parties involved in the case were Doan, the applicant, and the Health Insurance Commission, the respondent. The nature of the dispute was an application by the applicant seeking a review of the respondent's decision to deny her claim for benefits under the Medicare scheme. The case was heard in the Federal Court of Australia.

The primary legal issue before the court was whether the respondent had acted unlawfully in denying the applicant's claim for benefits under the Medicare scheme. The applicant argued that the respondent's decision was based on an incorrect interpretation of the relevant legislation and that it was therefore unlawful. The respondent, on the other hand, maintained that its decision was correct and that the applicant was not entitled to the benefits she claimed.

In delivering its judgment, the court found that the respondent had not acted unlawfully in denying the applicant's claim for benefits. The court held that the respondent's interpretation of the relevant legislation was correct and that the applicant was not entitled to the benefits she claimed. The court further found that the applicant had not provided sufficient evidence to support her claim, and that the respondent's decision was therefore justified. As a result, the court refused the applicant's application for review and ordered her to pay the respondent's costs of the motion.

Orders

Orders of the court

1.

The application by motion on notice dated 30 October 2002 be refused.

2.

The applicant pay the respondent’s costs of the motion.

Background

Background to the litigation

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Evidence

Evidence Before The Court

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Decision

Reasons for decision

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Ratio Decidendi

Legal Principle Established

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