State News : Texas

NWCDN is a network of law firms dedicated to protecting employers in workers’ compensation claims.


NWCDN Members regularly post articles and summary judgements in workers’ compensations law in your state.  


Select a state from the dropdown menu below to scroll through the state specific archives for updates and opinions on various workers’ compensation laws in your state.


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Texas

STONE LOUGHLIN & SWANSON, LLP

  512-343-1385

Rest in Peace


Proceedings Resolution Officer (PRO) Shaji (Jacob) Verghese passed away on November 15, 2023 after a long battle with cancer.

In a GoFundMe campaign created by his son Rohan Verghese, Rohan describes how Jacob came from India to create a life for his family in America and that he was a man of faith who taught his family how to live happily even as he was battling cancer.  

If you are interested in making a donation to help Jacob’s family pay for their many expenses due to his long battle with cancer, you can do so here: https://gofund.me/b801bc91.

We will miss Jacob.  He was a great PRO and was always helpful.
 

Proceedings Resolution Officer (PRO) Shaji (Jacob) Verghese passed away on November 15, 2023 after a long battle with cancer.

In a GoFundMe campaign created by his son Rohan Verghese, Rohan describes how Jacob came from India to create a life for his family in America and that he was a man of faith who taught his family how to live happily even as he was battling cancer.  

If you are interested in making a donation to help Jacob’s family pay for their many expenses due to his long battle with cancer, you can do so here: https://gofund.me/b801bc91.

We will miss Jacob.  He was a great PRO and was always helpful.
 

We always knew she was special

 

A long-time friend of this firm, Machelle Davidson, a senior claim representative at Accident Fund, has been named a 2023 recipient of AF Group’s Legend Award. 

In announcing the award, AF Group explained that the award recognizes AF Group  teammates who demonstrate its People First culture through their outstanding character, leadership, and commitment to excellence. Lisa Corless, president and CEO of AF Group, said that “each of our winners is an absolute shining example of who we are as a People First, values-driven organization  . . . We’re all made better by having them as part of our team.” 
                                        
We could not have said it better. Congratulations, Machelle! 
 

Copyright 2023, Stone Loughlin & Swanson, LLP


The Court didn't fall for his argument


A worker in Austin, Texas lost his bid to carve out an exception to the exclusive remedy of the Texas Workers’ Compensation Act on the ground that, at the time of his injury, he was performing duties outside of the course and scope of his employment. 

Melvin Gonzalez worked as a car detailer and porter for Dynamic Motors, a used car dealership and service garage whose advertising catchphrase is “Don’t Panic. GO DYNAMIC!” The service manager asked him to help with repairs on the roof, and while doing so Gonzalez stepped through a skylight and fell 20 feet to the concrete floor below. 

Dynamic filed a report of injury with its workers’ compensation insurance carrier and Gonzalez accepted workers’ compensation insurance benefits. He then sued Dynamic, alleging that the company was negligent in failing to provide fall protection. 

Dynamic asserted the affirmative defense that workers’ compensation insurance benefits were Gonzalez’ exclusive remedy, and the trial court agreed. On appeal, Gonzalez argued that because roof repairs are not part of Dynamic’s business, and because he was injured while performing such repairs, he was not engaged in the usual course and scope of Dynamic’s business and was, therefore, not an “employee,” as that term is defined by the Texas Worker’s Compensation Act, at the time of the injury. The Austin court of appeals disagreed and said that the Act does not contemplate a “task-by-task” approach to the issue of whether a worker is injured in the course and scope of employment. 

You can read the decision here.

Copyright 2023, Stone Loughlin & Swanson, LLP 

Supreme confusion: Is Change Afoot for SIBs? Or not?

 

In our August newsletter, we reported optimism that the Texas Department of Insurance, Division of Workers’ Compensation may begin requiring applicants for Supplemental Income Benefits to provide material evidence of job applications they have submitted in their search for work. Two conflicting developments this month have heightened the intrigue. 

 

Our Optimism in August


The source of our optimism in August was a memo to stakeholders from General Counsel Kara Mace enclosing proposed changes to the DWC Form-052, Supplemental Income Benefits Application. The proposed revision included an FAQ page with the following guidance for applicants looking for work on their own:
 

Show you were actively looking for a job by attaching job applications or other documents showing you were looking for a job.

 

Was our optimism justified?


The first development this month buoyed our optimism – it was the Division’s filing of a legal brief in the Supreme Court of Texas in the long-running litigation over the validity of the SIBs rule. As we have reported, on behalf of our client, Accident Fund Insurance Company of America, we challenged the rule as facially invalid because, among other things, it allows the Division to award SIBs to claimants who purport to be looking for work on their own but who do not document an active work search with job applications submitted as required by the Texas Workers’ Compensation Act. A Travis County district court agreed that the rule is invalid and enjoined the Division from applying it, but the Division appealed that ruling and then the Austin court of appeals muddied the water by affirming in part and reversing in part. Accident Fund now has filed a petition for review by the Supreme Court of Texas in an attempt to obtain clarity. On October 6, the Division, represented by the Attorney General, filed a response to the petition. When describing applications for SIBs filed by workers who purport to be looking for work on their own, the Division made this representation to the court:
 

The Division requires injured workers independently looking for work to document their searches by job applications. If the worker submits an online or hard-copy written application, a copy must be provided to the Division with the worker’s SIBs application.


See page 19 of Division’s Response to Petitions for Review in Accident Fund Insurance Company of America and Texas Cotton Ginners’ Trust v. Texas Department of Insurance, Division of Workers’ Compensation, Cause No. 23-0273, which is available for review and downloading here.

This representation by the Division seems to confirm that change is afoot because the position it is taking now certainly is not the position it has taken in the past. Indeed, one of the reasons that Accident Fund challenged the validity of the SIBs rule in the first place is that the Division historically has not required SIBs recipients to provide copies of job applications they claim to have submitted to employers – instead, it has merely asked them to check boxes and fill in blanks on the Form DWC-052 (Application for Supplemental Income Benefits) describing actions they have taken.
 

Or is it situation normal?


But the second development this month has clouded the picture. On October 13, we received a decision from a contested case hearing that directly contradicts the Division’s representations to the state’s highest court. In that contested case hearing, in which the issue was entitlement to SIBs, we argued that the worker was not entitled to SIBs because she had not provided copies of job applications that she claimed she had submitted to employers. The Administrative Law Judge dismissed that argument and ordered payment of SIBs. In her decision, she wrote:

 

The insurance carrier questioned the claimant’s credibility because she did not provide any documentary evidence of the applications or emails she sent to the companies listed. The insurance carrier also contended that the claimant did not make an active effort to obtain employment. The insurance carrier’s argument was considered, but it was not persuasive.

Based on a careful review of the evidence presented, the claimant met her burden of proof to establish that she demonstrated an active effort to obtain employment. The claimant performed three work search contacts each week of the qualifying periods. Accordingly, the claimant is entitled to supplemental income benefits for the third and fourth quarters.

 

So we have to ask – have Division ALJs not gotten the memo that the Division’s position has changed? Or was the Division’s representation to the state’s highest court incorrect?

Copyright 2023, Stone Loughlin & Swanson, LLP 

Now you tell me!


If you are a regular reader of our newsletter, you know that there was a challenge pending in the 13th Court of Appeals to the old Seabolt standard for determining entitlement to Lifetime Income Benefits.  The challenge boils down to whether “total loss of use” of a body part as stated in the current LIBs statute really means “total” and whether loss of use under the current LIBs statute means loss of function as a member of the body, or loss of function in regard to employability. At the Zoom trial held in this case, the trial court judge determined that the old standard still applied and that the worker could not work using his hand, despite the video evidence that showed the worker using his hand while working for himself. Well, lo and behold, well after the fact and during the course of the carrier’s appeal to the 13th Court of Appeals, SLS received an anonymous letter in the mail.  We will leave you to wonder what the letter said, but it did mention in closing that SLS did a good job at the trial, which was a nice compliment having nothing to do with the merits of the case. Given that the trial was held by Zoom with limited participants, we wonder how the writer of the letter knew so much!

In the meantime, the 13th Court of Appeals issued a Memorandum opinion on October 12, 2023 dodging the legal issue it was asked to address, and holding that “the doctrine of vertical stare decises” required the Court to follow the precedent of the Texas Supreme Court as established law affirming the use of the Seabolt standard to new law cases.  However, the precedents the Court cited were not cases where any party directly challenged the Seabolt standard itself. The cases merely applied that standard.  No challenge was made in those cases on the basis that under the current LIBs statute employability is not relevant to the application of the statutory language of “total loss of use.” The LIBs statute contains no qualifier indicating that employability is determinative of entitlement.  The Court of Appeals case is not yet final.
 

You can read the decision here
 

Copyright 2023, Stone Loughlin & Swanson, LLP

Former Division ALJ starts mediation practice


Another long-time friend of this firm, Jacquelyn Coleman, recently retired from the Division after serving for 16 years as an ALJ and has started her own mediation practice. While she normally conducts mediations by Zoom, she can perform in-person mediations with advance notice. 

You can learn more about Ms. Coleman and her mediation services on her website at jdcmediation.com.

We wish you well in your new endeavor, Jacquelyn!


Copyright 2023, Stone Loughlin & Swanson, LLP

The Lead Case in the Air Ambulance Litigation Comes in for a Landing



Travis County District Court Judge Madeleine Connor signed a judgment in favor of the insurance carriers in the PHI Air Medical Case on August 8, 2023.  PHI Air Medical had until September 7, 2023 to appeal Judge Connor’s decision to the court of appeals but did not do so, making her decision final.  Judge Connor found that PHI Air Medical did not timely file its petition for judicial review challenging SOAH’s decision awarding payment of 149% of the Medicare rate and agreed with the carriers that 149% of the Medicare rate exceeds the Workers’ Compensation Act’s fair and reasonable reimbursement standards for the 33 fee disputes at issue in the case.  
  
The PHI case began at the State Office of Administrative Hearings (SOAH) in 2015 when Administrative Law Judge Craig Bennett consolidated the 33 fee disputes involving eight carriers consisting of Texas Mutual Insurance Company, Hartford Underwriters Insurance Company, TASB Risk Management Fund, Transportation Insurance Company, Truck Insurance Exchange, Twin City Fire Insurance Company, Valley Forge Insurance Company, and Zenith Insurance Company.

The PHI case went all the way to the Texas Supreme Court which ruled in favor of the carriers.  PHI petitioned the U.S. Supreme Court for review but it declined to hear the case.  The case then went back to the court of appeals for a second decision before heading back down to the trial court where the carriers filed a motion for summary judgment.  Because PHI did not appeal Judge Connor’s order granting summary judgment for the carriers, the PHI case will now be remanded to SOAH for further proceedings consistent with Judge Connor’s final judgment.    

The rest of the air ambulance disputes at SOAH and DWC have been abated while the PHI case proceeded.  However, Air Evac, another air ambulance provider, recently filed a motion to lift the abatement of its cases at SOAH so that it could brief how a 2018 injunction that it obtained applies to its cases at SOAH.  The injunction states that DWC is “enjoined from enforcing Texas Labor Code § 413.011 and 28 Texas Administrative Code against Plaintiff Air Evac EMS, Inc.”  The parties filed a proposed briefing schedule on September 15, 2023 which the ALJ has not yet ruled upon.

As of August 2023, there are 2,414 air ambulance disputes pending at DWC.  This figure does not include the air ambulance fee disputes pending at SOAH.  The average amount sought by the air ambulance provider in each case at DWC is estimated to be at least $50,000, which is the difference between what the air ambulance provider was paid by the carrier and its unregulated billed charges.  This makes the total amount sought by the air ambulance providers in the disputes at DWC over one hundred and twenty million dollars plus interest.    

There are five air ambulance providers that comprise the vast majority of the air ambulance disputes. These providers are Air Evac EMS, Inc., EagleMed, LLC, Med-Trans Corp., Rocky Mountain Holdings, and PHI Air Medical, LLC.  These five providers are owned by two private equity firms and a publicly traded company.  Air Evac EMS, Inc., EagleMed, LLC, and Med-Trans Corp. are subsidiaries of Air Medical Group Holdings (AMGH) which is owned by private equity firm KKR.  Rocky Mountain Holdings (a subsidiary of Air Methods) is owned by private equity firm American Securities, LLC. And PHI Air Medical, LLC is a subsidiary of publicly-traded Petroleum Helicopter International, Inc. (PHIL). 

The air ambulance providers continue to argue that the federal Airline Deregulation Act (ADA) preempts Texas workers’ compensation laws that regulate reimbursement to air ambulance carriers and therefore, DWC must order the carriers to pay their grossly inflated billed charges.  However, the Texas Supreme Court already squarely rejected this argument in the PHI case: 
 

“First, if ADA preemption applies, neither state nor federal law provides for full reimbursement of air carrier bills—or for any reimbursement at all.  Second, the effect of federal preemption cannot be that States must provide full reimbursement, as that outcome would violate the Tenth Amendment. For these reasons, the result of ADA preemption here would not be full reimbursement—it would be no reimbursement.”


If the air ambulance providers were able to force DWC to order payment of its billed charges, it would result in a massive wealth transfer to private equity investors and reward the takeover of the air ambulance industry by private equity. See The Air-Ambulance Vultures A search for why my flight cost $86,184 led to a hidden culprit: private equity.


Copyright 2023, Stone Loughlin & Swanson, LLP 

Hearings Happenings


We advised you last month that long-time Division Administrative Law Judge, Carol Fougerat, decided to hang up her gavel (ALJs don’t wear robes) last month and is now pursuing her next big adventure in life. Judge Fougerat was a most excellent ALJ and will be missed.

This month, we can further announce that another favorite ALJ, Britt Clark, has also left Hearings. Judge Clark, an astute judge with a wealth of knowledge, has accepted a position with General Counsel.  We wish him well in his new position.
 

 

Copyright 2023, Stone Loughlin & Swanson, LLP 

Research and Evaluation Group: Pharmacy Cost and Utilization Report 


The Workers’ Compensation Research and Evaluation Group this month released its report on pharmacy utilization and cost in the Texas workers’ compensation system between 2009 and 2022. The aim was to capture data before and after the introduction of the pharmacy closed formula and the results are interesting:

  • Total pharmacy costs decreased 73% from $163.7 million in 2009 to $44.1 million in 2022,

  • The total number of prescriptions decreased 73% from 1.7 million in 2009 to 442,000 in 2022,

  • The total number of opioid prescriptions decreased 86% from 555,000 in 2009 to 78,000 in 2022, and

  • The total number of generic prescriptions rose 21% from 74% in 2009 to 95% in 2022.

To access the entire report, click here. For a quick overview, see the snapshot on the TDI website.


Copyright 2023, Stone Loughlin & Swanson, LLP

Providers Behaving Badly

The vast majority of enforcement actions are against insurance carriers for failure to timely pay income benefits and medical bills.  While these violations are certainly worthy of enforcement action, they don’t usually make for very exciting reading.  Enforcement actions against providers, on the other hand, often have unique facts which make them much more entertaining.  To demonstrate this point, here is a summary of the most recent consent orders against providers.

On September 6, 2023, the Commissioner signed a consent order concerning disciplinary action against Dan Mai Ung, D.C. The Commissioner found that Dr. Ung, in treating an injured employee for work-related cervical and lumbar strains and right knee pain, had referred the injured worker for two unnecessary MRIs. Not only did the doctor fail to provide a rationale or document findings supporting MRI testing pursuant to the Official Disability Guidelines, but he also failed to disclose that the clinic to which the injured worker was referred for the MRIs, Americana Injury Clinic, was, in fact, owned by Dr. Ung. (Note: Unlike federal health care programs, it is not against the law to self-refer in Texas workers’ compensation; it is just a violation if you self-refer and don’t disclose your financial interest.).    

The Commissioner concluded that Dr. Ung had provided treatment or services which were improper, unreasonable, or unnecessary; that he violated treatment guidelines; that he failed to explain the basis for his return-to-work determinations; and that he failed to disclose his financial interest in Americana Injury Clinic.
 
Dr. Ung was ordered to pay an administrative penalty of $7,000.00 and ordered to attend 6 hours of continuing medical education including 2 hours each in evidence-based spinal evaluation, evidence-based knee evaluation, and ethics. 

On September 14, 2023, the Commissioner signed a consent order concerning disciplinary action against Ray R. Trey Fulp III, D.O. The Commissioner found that Dr. Fulp failed to provide treatment in accordance with the Official Disability Guidelines and performed improper, unreasonable, or medically unnecessary spinal surgery. Dr. Fulp was ordered to pay an administrative penalty of $10,000.00 and required to attend 6 hours of continuing medical education in the topic of spine diagnosis or treatment. Dr. Fulp was further required to attend and successfully complete the Center for Personalized Education for Professionals Medical Record Keeping Seminar and PROBE Ethics and Boundaries Program.
  
On August 31, 2023, the Commissioner signed a consent order concerning disciplinary action against Anthony Owusu, Jr., M.D. under two DWC Enforcement files. In the first, the Commissioner found that Dr. Owusu had completed a designated doctor examination of injured employee No. 1 on April 17, 2021, but had failed to complete the report or receive approval for additional time to complete the report within 15 working days of the examination date. Dr. Owusu filed his request for an extension of time on June 2, 2021, 26 calendar days late.
 
In the second Enforcement File, the Commissioner found Dr. Owusu, as a designated doctor, had reported performing a physical examination of injured employee No. 2 but failed to document a focused medical examination of the injured body part in the record. Dr. Owusu was further found to have failed to reference or follow the required MD Guidelines in his return-to-work evaluation or to justify deviating from the guidelines using evidence-based medicine. Finally, Dr. Owusu’s work restrictions and conclusions were inconsistent with the clinical findings of the treating doctor, however, he failed to acknowledge or differentiate these findings in his rationale supporting his determination that injured employee No. 2 was incapable of returning to work.
 
Dr. Owusu was ordered to pay an administrative penalty of $8,500.00 and required to attend and complete 6 hours of continuing medical education.
 
The Commissioner further ordered that Dr. Owusu shall not reapply for designated doctor certification or participate as a designated doctor in the Texas workers’ compensation system, and that any future applications for certification will be denied.

Finally, the Commissioner ordered that Dr. Owusu shall not practice or receive any remuneration from the Texas workers’ compensation system as a consulting doctor, Required Medical Examination doctor, or as a peer reviewer. 
 

Copyright 2023, Stone Loughlin & Swanson, LLP