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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. 03-15-00285-CV
Regular Panel Decision
Jul 01, 2015

Volkswagen Group of America, Inc. And Audi of America, Inc. v. John Walker III, in His Official Capacity as Chairman of the Texas Department of Motor Vehicles Board The Honorable Michael J. O'Malley, the Honorable Penny A. Wilkov, in Their Official Capacities as Administrative Law Judges for the State Office

This case involves an appeal filed by Volkswagen Group of America, Inc. and Audi of America, Inc. (Appellants) against John Walker III, Chairman of the Texas Department of Motor Vehicles Board, and Administrative Law Judges Michael J. O'Malley and Penny A. Wilkov (Appellees). Appellants sought injunctive relief in district court to prevent Appellees from proceeding with an allegedly ultra vires remand of an administrative contested case after a Proposal for Decision (PFD) had been issued. The district court dismissed the lawsuit based on governmental immunity and failure to exhaust administrative remedies. Appellants argue that Appellees' actions, including ordering the remand and reopening evidence, exceeded their statutory authority under the Administrative Procedure Act and Texas Occupations Code, making governmental immunity inapplicable and exhaustion of remedies unnecessary.

Administrative LawUltra Vires ActsGovernmental ImmunityExhaustion of RemediesJudicial ReviewAgency AuthorityState Office of Administrative HearingsRemandContested CasesStatutory Interpretation
References
31
Case No. 15-25-00061-CV
Regular Panel Decision
Apr 02, 2025

Francisca Okonkwo, Administrative Law Judge, Texas Department of Insurance, Division of Workers' Compensation, in Her Official Capacity and Fort Bend County v. Joshua David Heiliger, Individually, and on Behalf of the Estate of Lauren Brittane Smith, and on Behalf of Death Benefits Beneficiaries Joshua David Heiliger and Emma Destiny Heiliger

Fort Bend County appeals a temporary injunction granted by a Harris County District Court, which prevents discovery of mental health records in an ongoing workers' compensation dispute. The underlying administrative case involves a claim for death benefits by Joshua Heiliger, whose spouse, Lauren Brittane Smith, was a paramedic. Heiliger asserts Smith's mental health condition and stress contributed to her death, thus placing her mental health at issue. The Division of Workers' Compensation's Administrative Law Judge (ALJ) issued a subpoena for Smith's mental health records from her psychiatrist, Dr. John Marcellus. Heiliger bypassed the administrative process by obtaining the injunction in District Court. Fort Bend County argues the District Court erred in interfering with the Division's exclusive jurisdiction and that Heiliger failed to exhaust administrative remedies or demonstrate irreparable injury, as Texas law provides a qualified privilege for mental health records with exceptions relevant to this case.

Workers' CompensationTemporary InjunctionDiscovery DisputeMental Health RecordsSubpoena EnforcementAdministrative Law JudgeExclusive JurisdictionExhaustion of Administrative RemediesQualified PrivilegePatient-Litigant Exception
References
53
Case No. 14-18-00274-CV
Regular Panel Decision
Mar 17, 2020

Dr. Louis Patino, D.C. Dr. Stephen Wilson, M.D. And Dr. Gary Craighead, D.C. v. Texas Department of Insurance-Division of Workers' Compensation Commissioner Cassandra J. Brown and Dr. Donald Patrick, in Their Official and Individual Capacities State Office of Administrative Hearings, Texas Chief Administrative Law Judge Cathleen Parsley in Her Official Capacity Tommy Broyles, in His Official Capacity The State of Texas And the Attorney General of the State of Texas

Three doctors, Patino, Wilson, and Craighead, appealed the dismissal of their claims against the Texas Department of Insurance-Division of Workers’ Compensation and other state entities. The doctors were excluded from the state's workers' compensation approved doctor list between 2004 and 2007, leading to administrative penalties and a subsequent lawsuit. The trial court dismissed their claims for lack of jurisdiction, asserting immunity. The appellate court affirmed the dismissal of claims challenging final agency orders due to unexhausted administrative remedies and collateral attack immunity. However, the court reversed the dismissal of the doctors' constitutional challenges to the Workers’ Compensation Act and ultra vires claims against the Commissioner, concluding these claims were properly pleaded and not barred by sovereign immunity.

Physician ExclusionAdministrative LawJudicial ReviewSovereign ImmunityUltra Vires ClaimsConstitutional ChallengeDue Process RightsProfessional LicensingGovernment RegulationTexas Labor Code
References
24
Case No. 15-24-00116-CV
Regular Panel Decision
Feb 12, 2025

Arnulfo Cortez, Jr.; Homero R. Balderas, Brian D. Nipper, Mark F. Van Rosendael and Bryan K. Hugghins v. Texas Commission on Law Enforcement; Gregory Stevens in His Capacity as Executive Director of the Texas Commission on Law Enforcement; And John Beauchamp, in His Official Capacity as Counsel for Texas Commission on Law Enforcement; And T.J. Vineyard, in His Official Capacity as Major for the Texas Commission on Law Enforcement

Appellants have neither identified a waiver of the Appellees’ sovereign immunity nor pled a cause of action to confer subject matter jurisdiction on the Court. Sovereign immunity protects state agencies and officers unless there is a clear waiver. Appellants' claims for judicial review under the Administrative Procedure Act (APA) are barred as administrative remedies were not exhausted, and they are not aggrieved by a final contested case decision. Similarly, claims under the Uniform Declaratory Judgments Act (UDJA) fail to waive sovereign immunity and seek impermissible relief challenging an unripe agency order. Appellants' ultra vires claims and mandamus requests are also barred because Appellees acted within their statutory authority in taking disciplinary actions and issuing a warning, and no ministerial duty to grant SOAH hearings for all Appellants exists. Therefore, the trial court properly granted Appellees’ plea to the jurisdiction.

Sovereign ImmunitySubject Matter JurisdictionAdministrative Procedure Act (APA)Uniform Declaratory Judgments Act (UDJA)Ultra Vires ClaimsMandamus ReliefPeace Officer LicensureLaw Enforcement DisciplineTexas Courts of AppealsJudicial Review
References
38
Case No. 04-12-00681-CV
Regular Panel Decision
Jul 24, 2013

the Texas State Office of Administrative Hearings v. Carol Birch, Charles Homer, Ann Landeros and Carol Wood

This is an interlocutory appeal concerning the denial of a plea to the jurisdiction filed by the Texas State Office of Administrative Hearings (SOAH) in a wrongful termination case. Former Administrative Law Judges (ALJs) Carol Birch, Charles Homer, Ann Landeros, and Carol Wood sued SOAH, alleging employment discrimination and retaliation under the Texas Commission on Human Rights Act (TCHRA) and common law wrongful termination. The SOAH appealed the trial court's denial of its pleas to the jurisdiction, arguing the ALJs failed to provide prima facie evidence for their claims, thus negating sovereign immunity waiver. The appellate court affirmed the denial of SOAH's plea for Wood's and Birch's age and gender discrimination claims, and Birch's retaliation claim for seeking accommodation due to sufficient evidence. However, the court reversed and rendered judgment dismissing all claims by Landeros and Homer, Wood's retaliation claim, Birch's disability discrimination claim, and Birch's retaliation claim related to speaking out against disparate treatment, due to insufficient evidence.

Employment DiscriminationRetaliationSovereign ImmunityPlea to the JurisdictionConstructive DischargeAdverse Employment ActionTexas Labor CodeTCHRAAdministrative Law Judges (ALJs)Age Discrimination
References
52
Case No. 05-17-00423-CV
Regular Panel Decision
Dec 31, 2018

Linda Dickens and Dickens Law, LLC v. Jason C. Webster, P.C. D/B/A the Webster Law Firm and Jason Webster

This case concerns a dispute between two lawyers, Linda Dickens and Jason C. Webster, over an alleged contingency fee sharing agreement in a wrongful death case. Webster sought a declaration that the agreement was unenforceable under Texas law, while Dickens counterclaimed for tortious interference and breach of contract, arguing Kansas law should apply. The trial court dismissed Dickens’s tortious interference claim under the TCPA and granted summary judgment to Webster. On appeal, the court reversed the dismissal of Dickens's tortious interference claim, finding sufficient evidence, but affirmed that Texas law applies and the fee sharing agreement is unenforceable due to a lack of written client consent as required by Texas Disciplinary Rules. The case is remanded for further proceedings on the tortious interference claim.

Fee Sharing AgreementTortious InterferenceTexas Citizens Participation ActCommercial Speech ExemptionChoice of LawProfessional Conduct RulesContingency FeesLegal EthicsSummary JudgmentAppellate Review
References
40
Case No. MISSING
Regular Panel Decision

Arroyo v. Westlb Administration, Inc.

Ricardo Arroyo, a Hispanic male, sued WestLB Administration, Inc. and West-deutsche Landesbank for racial discrimination and unlawful termination under Title VII, the New York State Human Rights Law, and the New York City Human Rights Law. He also alleged negligent infliction of emotional distress and negligent retention of an employee. Arroyo claimed he was subjected to racial slurs and threats from a coworker, Neil Williamson, over a period of two years, leading to his constructive discharge. The Bank moved for summary judgment. The Court found that the alleged incidents, though offensive, were isolated and sporadic, not severe or pervasive enough to create a hostile work environment under Title VII. Consequently, the claims for hostile work environment and constructive discharge were dismissed. The claims for negligent infliction of emotional distress and negligent retention were also dismissed as barred by the Workers’ Compensation Law.

Racial DiscriminationHostile Work EnvironmentUnlawful TerminationSummary JudgmentTitle VIIConstructive DischargeNegligent Infliction of Emotional DistressNegligent RetentionWorkers' Compensation Law ExclusivityFederal Rules of Civil Procedure Rule 56
References
25
Case No. MISSING
Regular Panel Decision

Law v. Barnhart

Plaintiff Sherdic Law challenged the Commissioner of Social Security’s denial of Social Security Income disability benefits, alleging disability due to various impairments including chronic leg pain, lower back pain, hepatitis C, and hyperthyroidism. The Administrative Law Judge (ALJ) denied Law's claim, finding he could perform sedentary work. U.S. District Judge Mukasey vacated the SSA's decision and remanded the case for further proceedings. The court found that the ALJ failed to adequately develop the administrative record regarding Law’s chronic leg pain, specifically omitting to obtain and review his EMG report despite objective medical evidence and Law’s testimony. This failure resulted in Law not receiving a full and fair hearing.

Social Security IncomeDisability BenefitsChronic Leg PainHerniated DiscHepatitis CHyperthyroidismHypertensionLumbar SpineAdministrative Law JudgeRemand
References
23
Case No. 15-24-00097-CV, D-1-GN-24-003462
Regular Panel Decision
Apr 18, 2025

Randal Law v. Texas Department of Insurance – Division of Workers' Compensation Subsequent Injury Fund, Jeff Nelson, Kara MacE, and Blaise Gerstenlauer

The appellant, Randal Law, challenges the Texas Department of Insurance – Division of Workers’ Compensation – Subsequent Injury Fund (TDI-DWC-SIF) regarding the implementation of a new rule, 28 TAC §131.5. Mr. Law, a recipient of Lifetime Income Benefits (LIBs) for a catastrophic injury, argues that the TDI-DWC-SIF acted ultra vires by imposing a monthly verification requirement for LIBs, which he claims directly conflicts with Texas Labor Code §§ 408.161(a) and 408.201. He asserts that these statutes mandate LIBs payments until death and exempt benefits from other actions or claims, leaving no discretion for administrative interference. The appellant contends that the new rule unlawfully transforms legislative intent, imposes an undue burden on injured workers, and has caused him significant financial hardship. He seeks to reverse the district court's decision on jurisdiction and for the appellate court to rule in favor of the plaintiff's jurisdiction and address the questions of law.

Lifetime Income Benefits (LIBs)Ultra ViresSovereign Immunity ExceptionAdministrative Rule ChallengeStatutory ConstructionTexas Labor LawAppellate JurisdictionState Agency DiscretionInjured Employee RightsDue Process Violation
References
5
Case No. 2017 NY Slip Op 04184 [150 AD3d 1589]
Regular Panel Decision
May 25, 2017

New York State Workers' Compensation Board v. Program Risk Management, Inc.

The New York State Workers' Compensation Board, acting as administrator and successor to the Community Residence Insurance Savings Plan, initiated legal action against various entities and individuals after the trust became severely underfunded. Defendants include Program Risk Management, Inc. (administrator), PRM Claims Services, Inc. (claims administrator), individual officers of PRM, the Board of Trustees, and Thomas Gosdeck (trust counsel). The plaintiff sought damages for claims such as breach of contract, breach of fiduciary duty, and legal malpractice. The Supreme Court's order partially dismissed some claims and denied others. On cross-appeal, the Appellate Division, Third Department, modified the Supreme Court's order, notably reversing the dismissal of several breach of fiduciary duty claims and common-law indemnification against PRMCS, while affirming denials of motions to dismiss breach of contract, legal malpractice, and unjust enrichment claims. The court's decision was influenced by recent rulings in State of N.Y. Workers' Compensation Bd. v Wang.

Workers' Compensation LawGroup Self-Insured TrustBreach of ContractBreach of Fiduciary DutyLegal MalpracticeUnjust EnrichmentStatute of LimitationsEquitable EstoppelAlter Ego LiabilityCommon-Law Indemnification
References
20
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