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Name Category Published
Fournier v. Sebelius
Medicare does not cover dental procedures performed on beneficiary who suffered from Sjogren’s Syndrome disease, which placed her at risk of heart infection. 		Health Care Jun. 3, 2013
Sebelius v. Cloer
Patient who developed complications from vaccine is entitled to attorney fees under National Childhood Vaccine Injury Act even if her petition was unsuccessful. 		Health Care May 21, 2013
Fox Insurance Co. Inc. v. Centers for Medicare and Medicaid Services
Medicare administrator properly terminates contract with insurance company that failed to provide critical medication, risking permanent damage to patients. 		Health Care May 15, 2013
Mendocino Community Health Clinic v. State Dept. of Health Care Services
California may limit payments to federally-qualified health centers for outpatient psychological services to two visits per month, per patient. 		Health Care May 3, 2013
Parra v. PacifiCare of Arizona Inc.
Medicare Advantage Organization may not sue family of man killed in car accident for reimbursement of medical expenses under Medicare Act. 		Health Care Apr. 22, 2013
North East Medical Services Inc. v. California Dept. of Health Care Services
California does not need to reimburse health care clinics for allegedly incorrect payment calculations for Medicaid pharmacy services provided to dual-eligible Medicare beneficiaries. 		Health Care Apr. 5, 2013
Bedoe v. County of San Diego
County is entitled to return of payments to In-Home Supportive Services provider, who informally subcontracted provision of services to his sister. 		Health Care Apr. 4, 2013
Sonoma County Association of Retired Employees v. Sonoma County
Retirement association’s lawsuit against county involving alleged promise to provide retirees’ health care benefits in perpetuity is revived. 		Health Care Feb. 26, 2013
Requa v. The Regents of the University of California
Retirees may pursue their claim against Regents of University of California based on elimination of their University-sponsored group health insurance benefits. 		Health Care Jan. 31, 2013
Sebelius v. Auburn Regional Medical Center
Medicare providers may not appeal undercalculated reimbursement determinations more than a decade after receiving notices regarding determinations. 		Health Care Jan. 22, 2013
Hanna v. Dental Board of California
Dentist who pleaded no contest to committing Medi-Cal fraud may have her license revoked because fraud was related to her fitness to practice her profession. 		Health Care Jan. 8, 2013
Hobby Lobby Stores Inc. v. Sebelius
Christian-themed bookstore and arts and crafts chainstore may not prevent enforcement of health care law, which requires mandatory contraception coverage. 		Health Care Dec. 30, 2012
Opinion of Harris (11-302)
Court should hear proposed action regarding whether dietary services director of medical center may concurrently serve as director of health care district. 		Health Care Dec. 23, 2012
Managed Pharmacy Care v. Sebelius
California Dept. of Health Care Services may reduce reimbursement rates for Medi-Cal providers after approval by Secretary of Dept. of Health and Human Services. 		Health Care Dec. 13, 2012
Harbor Regional Center v. Office of Administrative Hearings (Hannah G.)
Disability service center must give pay increase to temporary in-home caregiver of disabled child, while permanent caregiver takes maternity leave. 		Health Care Oct. 23, 2012
Pomona Valley Hospital Medical Center v. Superior Court (Cabana)
Hospital does not need to give patient records of communications between review board and manufacturer of investigational medical device. 		Health Care Oct. 3, 2012
Lee v. Board of Registered Nursing
Board of Registered Nursing may revoke registered nurse’s license after she refused to take a mental fitness examination. 		Health Care Sep. 28, 2012
Pomona Valley Hospital Medical Center v. Superior Court (Cabana)
Hospital does not need to give patient records of communications between review board and manufacturer of investigational medical device. 		Health Care Sep. 25, 2012
Palomar Medical Center v. Sebelius
Medical center cannot appeal initial decision to reopen Medicare patient's claim because such decisions are final. 		Health Care Sep. 12, 2012
Shuts v. Covenant Holdco LLC
Resident in understaffed nursing home may sue facility despite absence of language in administrative regulations because patient's rights cannot be waived. 		Health Care Aug. 16, 2012
International Rehabilitative Sciences Inc. v. Sebelius
Medicare Appeals Council properly denies coverage claims for medical device used to treat osteoarthritis where its decision was not arbitrary or unsupported. 		Health Care Jul. 31, 2012
Back v. Sebelius
Medicare hospice beneficiaries may administratively appeal hospice provider’s refusal to provide drug and thus, claim seeking such administrative process is moot. 		Health Care Jul. 6, 2012
National Federation of Independent Business v. Sebelius
Patient Protection and Affordable Care Act's individual mandate, which required individuals to maintain health insurance coverage, is constitutional under Taxing Clause. 		Health Care Jun. 29, 2012
M.R. v. Dreyfus
Preliminary relief is appropriate where plaintiffs showed likelihood of irreparable injury due to reduced access to personal care services placing them at risk of institutionalization. 		Health Care Jun. 19, 2012
Managed Pharmacy Care v. Sebelius
Restrictions on Medi-Cal reimbursement rate reductions improperly contravene authority of Secretary of Dept. of Health and Human Services. 		Health Care May 29, 2012
People v. Guiamelon
Federal Medicaid anti-kickback statute does not preempt California’s anti-kickback statute where they shared consistent purpose of providing patient access to care. 		Health Care Apr. 24, 2012
California Association for Health Services at Home v. State Dept. of Health Care Services
Although Dept. of Health Care Services is not required to consider provider costs in reviewing Medi-Cal reimbursement rates, review did not show rates were sufficient to enlist enough providers. 		Health Care Mar. 27, 2012
California Society of Anesthesiologists v. Superior Court (Brown)
Governor does not abuse discretion in opting California out of federal law requiring physician supervision over nurse anesthetists to receive Medicare reimbursements. 		Health Care Mar. 18, 2012
Nesson v. Northern Inyo County Local Hospital District
Lawsuit arising from challenge to hospital peer review activities constitutes official proceeding, which is subject to anti-SLAPP motion to strike. 		Health Care Mar. 7, 2012
Douglas v. Independent Living Center of Southern California Inc.
Ninth Circuit must reconsider whether California’s amendments to Medicaid program violates Supremacy Clause in light of agency’s approval of amendments. 		Health Care Feb. 23, 2012
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