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    Name Category Published
    Omlansky v. Save Mart Supermarkets
    Plaintiff failed to allege 2009 statutory cap was in effect before his pleading and that it imposed a duty on defendant to incorporate it into its Medi-Cal billings.     		Health Care 3DCA Sep. 4, 2019
    Missionary Guadalupanas of the Holy Spirit v. Rouillard
    Department's interpretation of basic health care services to include abortions was the only legally tenable interpretation of statute; thus, Administrative Procedure Act rulemaking process was not applicable.     		Health Care 3DCA Aug. 8, 2019
    Modification: Rivera v. Kent
    The California Department of Health Care Services is not restricted to 45 days when making Medi-Cal eligibility determinations for applicants under Section 15926 under the Welfare & Institutions Code.     		Health Care 1DCA/4 Jul. 25, 2019
    Rivera v. Kent
    The California Department of Health Care Services is not restricted to 45 days when making Medi-Cal eligibility determinations for applicants under Section 15926 under the Welfare & Institutions Code.     		Health Care 1DCA/4 Jul. 1, 2019
    Lomeli v. State Dept. of Health Care Services
    Collateral estoppel did not bar government's lien on plaintiff's settlement with tortfeasors; court's approval of settlement was not a decision for purposes of collateral estoppel.     		Health Care 2DCA/8 Jun. 27, 2019
    Azar v. Allina Health Services
    Because government has not identified lawful excuse for neglecting statutory notice-and-comment obligations, its policy that dramatically reduced payments to hospitals serving low-income patients was vacated.     		Health Care USSC Jun. 4, 2019
    Grafilo v. Wolfsohn
    A Department of Consumer Affairs subpoena issued during a Medical Board investigation seeking production of patients' medical records must be supported by good cause justifying invasion of patient privacy.     		Health Care 2DCA/1 Apr. 4, 2019
    Morris v. California Physicians' Service
    The Medical Loss Ratio provision in the Affordable Care Act makes no distinction between in-network and out-of-network providers; thus, district court's dismissal was proper.     		Health Care 9th Mar. 19, 2019
    Amended Opinion: U.S. ex rel. Silingo v. Wellpoint
    Dismissal of reverse false claim affirmed were appellant fails to defend claim in response to motion to dismiss.     		Health Care 9th Sep. 12, 2018
    Santa Rosa Memorial Hospital v. Kent
    Medicaid Act precludes private enforcement of 42 U.S.C. Section 1396a(a)(30)(A).     		Health Care 1DCA/3 Aug. 2, 2018
    U.S. ex rel. Silingo v. Wellpoint
    Dismissal of reverse false claim affirmed were appellant fails to defend claim in response to motion to dismiss.     		Health Care 9th Jul. 10, 2018
    American Indian Health v. Kent
    State Department of Health Care Services not shielded by sovereign immunity as to mandamus suit over healthcare coverage denials.     		Health Care 3DCA Jun. 21, 2018
    Danny P. v. Catholic Health Initiatives
    The Parity Act requires that benefits in a health care plan that provides for both medical and mental health or substance use disorder benefits must not impose more restrictions on the mental benefits than it imposes on the medical benefits.     		Health Care 9th Jun. 7, 2018
    Alexander v. Scripps Memorial Hospital La Jolla
    Hospital Appropriate Care Committee did not violate Probate Code 4731(a) by approving Do Not Resuscitate order in conflict with patient's wishes, as Committee and patient did not meet statutory definition of physician-patient relationship.     		Health Care 4DCA/1 May 16, 2018
    Hutcheson v. Eskaton Fountainwood Lodge
    On rehearing, panel again finds that attorney-in-fact exceeds authority under power of attorney to admit principal to residential care facility, thus precluding facility from enforcing arbitration agreement contained in admission agreement.     		Health Care 3DCA Nov. 29, 2017
    King v. Blue Cross and Blue Shield of Illinois
    Plaintiff unsuccessful in arguing that ERISA, as amended by the ACA, banned lifetime benefit maximums for certain retiree-only plans but wins reversal of summary judgment in defendants’ favor.     		Health Care 9th Sep. 11, 2017
    Hoag Memorial Hospital Presbyterian v. Price
    Secretary of Health and Human Services errs in approving state plan amendment to Medicaid program without first requiring compliance with statute.     		Health Care 9th Aug. 8, 2017
    Hutcheson v. Eskaton Fountainwood Lodge
    Attorney-in-fact exceeds authority under power of attorney to admit principal to residential care facility, thus precluding facility from enforcing arbitration agreement contained in admission agreement.     		Health Care Jun. 14, 2017
    Sanjiv Goel M.D. Inc. v. Regal Medical Group Inc.
    Cardiologist unsuccessful in challenging legal standard used by trial court in calculating reasonable value of his medical services.     		Health Care May 25, 2017
    Coventry Health Care of Missouri Inc. v. Nevils
    State law barring subrogation and reimbursement preempted by Federal Employees Health Benefits Act's preemption provision.     		Health Care Apr. 19, 2017
    DB Healthcare v Blue Cross Shield
    Health care providers lack statutory standing to file suit under Employee Retirement Income Security Act, as providers are not 'beneficiaries' under Section 502 of Act.     		Health Care Mar. 23, 2017
    Swoben v. Unitedhealthcare
    Allegation of abuse of Medicare Advantage enrollee reporting system in proposed fourth amended complaint constitutes cognizable legal theory, meriting consideration in district court.     		Health Care Dec. 18, 2016
    Centinela Freeman Emergency Medical Associates v. Health Net of California
    Health care plans which knowingly assigned enrollees to insolvent individual practice associations owe duty of care to emergency physicians who treated patients, never received payment.     		Health Care Nov. 14, 2016
    Humboldt County Adult Protective Services v. Superior Court (Magney)
    Attorney fees request under Health Care Decisions Law erroneously denied where county had no reasonable cause to invoke the Law.     		Health Care Oct. 25, 2016
    Moran v. Prime Healthcare Management Inc.
    'Self-pay patient' sufficiently alleges facts supporting conclusion he has standing to claim amount hospital bills such patients is unconscionable, winning reversal of dismissal.     		Health Care Oct. 5, 2016
    Morris Silver M.D. Inc. v. International Longshore and Warehouse Union – Pacific Maritime Association Welfare Plan
    Third-party medical provider's contract and quasi-contract claims against ERISA-regulated employee welfare benefit plan not preempted, resulting in reversal of dismissal.     		Health Care Aug. 23, 2016
    St. John of God Retirement & Care Center v. Dept. of Health Care Services (Woods)
    Care agency required to readmit resident upon first availability of open bed under 42 Fed. Code of Regulations Section 483.12 despite hospital transfer order from contracted physician.     		Health Care Aug. 17, 2016
    Roberts v. United Healthcare Services Inc.
    Medicare Advantage Program plan enrollee's claims against health plan provider properly dismissed due to federal preemption.     		Health Care Aug. 5, 2016
    Zubik v. Burwell
    Cases challenging federal regulation requiring petitioners provide contraceptive coverage unless they submit form objecting on religious grounds vacated and remanded in light of parties' supplemental briefing.     		Health Care May 17, 2016
    Mission Hospital Regional Medical Center v. Burwell
    Hospitals have no power to alter legal obligations with Medicare under their provider agreements by attempting to circumvent continuity of obligations through assets-only purchase.     		Health Care Apr. 12, 2016
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