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Facts

  • Living Cross Ambulance Service, Inc. (Living Cross) has been the sole provider of ambulance services in Valencia County since 1987, operating under a permanent certificate from the Public Regulation Commission (PRC). Valencia County lacks a hospital, necessitating ambulance services to transport patients to Albuquerque hospitals, a journey that can take two hours or more. Living Cross has been at "zero status," meaning all ambulances are in use and unable to respond to new calls, for less than one percent of service requests. American Medical Response Ambulance Service, Inc. (AMR), the largest private ambulance company in America, petitioned the PRC for both temporary and permanent certificates to operate in Valencia County, alleging that Living Cross provided deficient service and that there was an urgent public need for additional ambulance services. AMR supported its petition with affidavits from local EMTs and fire department employees (paras 2-4).

Procedural History

  • [Not applicable or not found]

Parties' Submissions

  • Living Cross: Argued that it was not providing deficient service, noting its less than one percent rate of unavailability for ambulance service requests. It contended that this rate of unavailability was consistent with PRC regulations and did not demonstrate a public need for additional ambulance services. Living Cross also argued for the opportunity to remedy any service issues before another company entered the market, potentially driving it out of business. Additionally, Living Cross moved to disqualify AMR’s attorney due to a conflict of interest, as she had previously represented Living Cross in related matters (paras 5-6).
  • AMR and the PRC: Claimed there was a sufficient showing of public need for additional ambulance services in Valencia County. They argued that evidence of need for non-emergency service is not required and contended that any error in allowing Living Cross’s former attorney to represent AMR in the initial hearing was harmless. They also argued that Living Cross waived its objections to the attorney's participation (para 1).

Legal Issues

  • Whether the PRC acted arbitrarily and capriciously by granting AMR’s certificate for emergency and non-emergency ambulance service in Valencia County without evidence of need for non-emergency service and insufficient evidence of need for additional emergency service.
  • Whether the PRC abused its discretion by allowing Living Cross’s former attorney to represent AMR in an initial hearing before ruling on the motion to disqualify the attorney (para 1).

Disposition

  • The Supreme Court of New Mexico held that the PRC decision to allow the former Living Cross attorney to appear for AMR during the hearing for the temporary permit was contrary to law. The wholesale admission of the record from that hearing as evidence in the hearing for the permanent certificate was plain error, requiring reversal. The grant of temporary authority and the permanent certificate to AMR was vacated without prejudice to AMR’s right to file a new application (para 23).

Reasons

  • The Supreme Court found that the PRC erred by not staying the proceedings while determining whether AMR’s counsel was disqualified due to a conflict of interest. This failure was deemed egregious given a previous disqualification of the same attorney in a similar context. The Court emphasized the importance of loyalty to a client and the prohibition against representing clients where a conflict of interest exists. The Court also noted that the PRC failed to justify why the hearing was conducted on an emergency basis, which contributed to the procedural inadequacy. Despite Living Cross not objecting to the admission of evidence elicited by the disqualified attorney at the final hearing, the Court found that the PRC's actions seriously affected the fairness, integrity, or public reputation of the proceedings. Consequently, the Court reversed and vacated the PRC's decision, highlighting the absolute importance of addressing conflicts of interest immediately upon discovery (paras 12-22).
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