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

Case No. 03-17-00357-CV
Regular Panel Decision
Nov 21, 2017

George Allibone, M.D. v. Scott Freshour, in His Official Capacity as the Interim Executive Director of the Texas Medical Board Juanita Garner, Investigator of the Texas Medical Board And the Texas Medical Board

George Allibone, M.D., appealed the denial of his petition for a protective order against an administrative subpoena issued by the Texas Medical Board. The subpoena sought patient medical and billing records for an investigation into complaints against Allibone. He contended the trial court erred by failing to issue findings of fact and conclusions of law and by abusing its discretion in finding the subpoena reasonable and relevant. The appellate court found Allibone waived his complaint regarding missing findings. It also concluded the trial court did not abuse its discretion, citing the Board's need for complete records for investigation and Allibone's failure to prove the unconstitutionality of the statute requiring compliance. The trial court's order was affirmed.

Medical Board InvestigationAdministrative SubpoenaPhysician RecordsConstitutional RightsDue ProcessJudicial Review of Agency ActionAbuse of DiscretionFourth AmendmentTexas LawProfessional Licensing
References
50
Case No. 03-05-00032-CV
Regular Panel Decision
May 04, 2007

Board of Medical Examiners for the State of Texas and Donald W. Patrick, M.D., J.D., as Executive Director of the Board of Medical Examiners for the State of Texas v. Vivian Adaobi O. Nzedu, M.D.

The Texas State Board of Medical Examiners denied Dr. Vivian Nzedu's medical license application, citing her failure to pass the USMLE within the statutorily permitted attempts. The Board included an examination attempt made prior to the effective date of the 'three-attempts statute' (September 1, 1993). The trial court initially sided with Dr. Nzedu, ruling that pre-1993 attempts should not be counted. However, the appellate court reversed this decision, concluding that counting pre-statute examination attempts is not an unconstitutional retroactive application of the Medical Practice Act, as it merely draws upon antecedent facts and does not impair a vested right. The court deferred to the Board's reasonable interpretation of the statute. The case was remanded for a determination of attorneys' fees.

Medical LicensingUSMLEStatutory InterpretationRetroactivityVested RightsAdministrative LawTexas Medical Practice ActPhysician LicensureExamination RequirementsAppellate Review
References
24
Case No. 03-14-00774-CV
Regular Panel Decision
Aug 28, 2015

Texas State Board of Veterinary Medical Examiners, and Nicole Oria, in Her Official Capacity as Executive Director// Ellen Jefferson, D.V.M. v. Ellen Jefferson, D.V.M.// Texas State Board of Veterinary Medical Examiners, and Nicole Oria, in Her Official Capacity as Executive Director

This Amicus Curiae Brief is filed on behalf of Best Friends Animal Society, a national nonprofit animal welfare organization. It opposes the Texas Board of Veterinary Medical Examiners' (the 'Board') enforcement actions against Ellen Jefferson, D.V.M., alleging these actions illegally expand the Board's jurisdiction beyond statutory limits and usurp animal welfare responsibilities delegated to the Texas Board of Health and municipalities. The brief argues the Board's actions violate both unambiguous statutory language and the Board's own rules, attempting to regulate animal welfare instead of merely licensing veterinarians. Best Friends contends that if unchecked, the Board's overreach will debilitate no-kill shelters and lead to an exponential increase in animal euthanasia in Texas.

Veterinary Licensing ActAnimal WelfareTexas Board of Veterinary Medical ExaminersJurisdiction DisputeNo-Kill SheltersRegulatory OverreachStatutory InterpretationAmicus CuriaeProperty RightsTexas Occupations Code
References
59
Case No. 03-14-00396-CV
Regular Panel Decision
Jan 06, 2015

Texas Board of Chiropractic Examiners and Yvette Yarbrough, Executive Director v. Texas Medical Association

The Texas Board of Chiropractic Examiners (TBCE) and its Executive Director, Yvette Yarbrough, are appealing a decision from the Third Court of Appeals in Austin, Texas. They have filed a motion for panel rehearing and/or en banc rehearing. The appellants argue that the Court's previous memorandum opinion contains three fundamental errors: misstating appellate issues, resolving subject-matter jurisdiction using a prohibited method, and misstating the administrative rule at issue. They contend that the Court misunderstood their challenge to the trial court's jurisdiction regarding the Texas Medical Association's (TMA) claim to invalidate a provision of the Scope of Practice Rule (22 Tex. Admin. Code § 75.17(d)(1)) concerning chiropractors' authority to "diagnose" diseases. TBCE asserts that this claim is a collateral attack on a prior judgment in TMA I where the same issue was litigated and decided in TBCE's favor. They argue that subject-matter jurisdiction should be decided on a claim-by-claim basis and that the Court erred in its interpretation of the administrative rule number. They are requesting an opportunity for oral argument due to the significance of the issues for chiropractic practice in Texas.

Workers' CompensationChiropractic Scope of PracticeMedical AssociationCollateral AttackSubject Matter JurisdictionAdministrative LawRule InvalidationTexas LawAppellate ProcedureMotion for Rehearing
References
6
Case No. 03-03-00436-CV
Regular Panel Decision
May 20, 2004

Texas Medical Association Texas AFL-CLO Patient Advocates of Texas Allen J. Meril, M.D. And L. E. Richey v. Texas Workers Compensation Commission Richard F. Reynolds, Executive Director And Texas Association of Business

The Texas Court of Appeals, Third District, at Austin, affirmed a district court's judgment upholding the validity of the 2002 medical fee guidelines promulgated by the Texas Workers' Compensation Commission. Appellants, including the Texas Medical Association and Texas AFL-CIO, challenged the guidelines on substantive grounds (unlawful delegation of power to CMS and arbitrary/capricious rulemaking) and procedural grounds (failure to consult the Medical Advisory Committee and inadequate reasoned justification/public notice). The appellate court found no unlawful delegation of power, that the Commission's decision was not arbitrary and capricious, and that the Commission substantially complied with the reasoned-justification requirement of the APA. The court also found no requirement to consult the Medical Advisory Committee for initial fee guidelines and that a new public notice and comment period was not required.

Workers' Compensation LawMedical ReimbursementFee GuidelinesAdministrative Procedure ActAgency RulemakingDelegation DoctrineArbitrary and CapriciousJudicial ReviewTexas LawHealth Policy
References
43
Case No. 18-1223
Regular Panel Decision
Jan 29, 2021

Texas Board of Chiropractic Examiners Patrick Fortner, in His Official Capacity as the Board's Executive Director And Texas Chiropractic Association v. Texas Medical Association

This decade-long case addresses the legal boundary between chiropractic and medical practices in Texas. The Texas Board of Chiropractic Examiners (the Board) issued rules defining the musculoskeletal system and subluxation complex to include nerves, and also authorized chiropractors to perform Vestibular-Ocular-Nystagmus Testing (VONT). The Texas Medical Association (TMA) challenged these rules, arguing they allowed chiropractors to engage in the unlicensed practice of medicine. The Supreme Court of Texas reversed the court of appeals' judgment, holding that the Board's rules are valid. The Court concluded that the rules, read in context with other referral requirements, appropriately clarify the scope of chiropractic practice without infringing upon medical neurology, and that VONT can be used by chiropractors for diagnostic purposes within their defined scope.

Chiropractic PracticeMedical RegulationScope of PracticeAdministrative LawAgency RulemakingTexas Supreme CourtMusculoskeletal SystemSubluxation ComplexVONT TestingStatutory Interpretation
References
31
Case No. 2-06-016-CV
Regular Panel Decision
Mar 15, 2007

Shioleno Industries, Inc. AND Columbia Medical Center of Arlington Subsidiary, L.P. and Columbia North Texas Subsidiary, GP, LLC D/B/A Medical Center of Arlington v. Columbia Medical Center of Arlington Subsidiary, L.P. and Columbia North Texas Subsidiary, GP, LLC D/B/A Medical Center of Arlington AND Shioleno Industries, Inc.

Shioleno Industries, Inc. appealed a summary judgment granted in favor of Columbia Medical Center of Arlington Subsidiary, L.P. and Columbia North Texas Subsidiary, GP, LLC d/b/a Medical Center of Arlington (the Hospital). The case originated from the Hospital's alleged failure to disclose an employee's positive drug and alcohol test results to Shioleno after an on-the-job injury. Shioleno contended that this omission led to increased workers' compensation premiums and expenses in unemployment benefit disputes. The appellate court affirmed the trial court's judgment, ruling that Shioleno failed to provide a valid authorization for the disclosure of medical information. Consequently, the Hospital had no legal duty to disclose the results and could not be held liable for negligence, breach of contract, or Deceptive Trade Practices Act (DTPA) violations.

Summary JudgmentMedical RecordsDisclosure AuthorizationHealth & Safety CodeNegligenceBreach of ContractDTPADrug TestingAlcohol TestingEmployer Liability
References
13
Case No. 2024-20-8017
Regular Panel Decision
Mar 12, 2025

KING, SPENCER v. RENTOKIL NORTH AMERICA, INCORPORATED

Spencer King sustained a right knee injury while working for Rentokil North America, Incorporated. His authorized physician, Dr. Johnathan Bryant, recommended an autologous chondrocyte implantation (ACI) surgery for a cartilage defect after repairing a meniscus tear. This recommendation was initially denied by a utilization review physician, Dr. Eddie Sassoon. However, the Bureau's Medical Director subsequently overturned the denial and approved the procedure. Rentokil challenged the Medical Director's order, but the Court determined that Dr. Sassoon's denial was invalid because he was not licensed in Tennessee. Consequently, the Court ordered Rentokil to authorize the ACI surgery for Mr. King's right knee.

Knee InjuryMeniscus TearCartilage RepairACI SurgeryMedical Director ReviewUtilization Review InvalidityPhysician Licensing RequirementMedical Treatment DisputeExpedited OrderEmployer Authorization
References
1
Case No. 02-22-00072-CV
Regular Panel Decision
Jul 27, 2023

BioTE Medical, LLC v. John Carrozzella, MD, JCMD Medical Services, Inc., Dan Deneui, and Terri Deneui

This case addresses whether a contractual "residual benefit" clause, requiring a post-termination fee for using a competing treatment method, constitutes a covenant not to compete under Texas law. Appellant BioTE Medical, LLC, licensed a pellet-based bioidentical hormone replacement therapy (BHRT) method. Appellee JCMD Medical Services, Inc., a former customer, terminated its agreement and began using a competitor's BHRT without paying the residual-benefit fee. BioTE Medical sued JCMD for breach of contract. The trial court granted summary judgment to JCMD, finding the clause unenforceable either as a noncompete or a violation of public policy. The appellate court reversed, holding that the residual-benefit clause is not a covenant not to compete as it does not restrict JCMD from competing with BioTE Medical, but rather from using a competitor's product. The court also declined to invalidate the clause on uncodified public policy grounds, deferring to the Legislature's policy determinations.

Contract lawCovenants Not to Compete ActResidual benefit clausePublic policyBioidentical hormone replacement therapy (BHRT)Breach of contractSummary judgmentAppellate reviewTexas lawBusiness and Commerce Code
References
33
Case No. 03-10-00673-CV
Regular Panel Decision
Jul 06, 2012

Texas Board of Chiropractic Examiners, Glenn Parker, Executive Director, and Texas Chiropractic Association v. Texas Medical Association, Texas Medical Board, and the State of Texas

This case concerns an appeal by the Texas Board of Chiropractic Examiners (TBCE) and the Texas Chiropractic Association (TCA) challenging a district court's judgment. The district court invalidated portions of TBCE's administrative rule defining the scope of chiropractic practice, specifically regarding manipulation under anesthesia (MUA), needle electromyography (needle EMG), and certain diagnostic activities. The Court of Appeals affirmed the invalidation of rules permitting needle EMG and MUA, finding them to be "incisive" and "surgical" procedures respectively, and thus exceeding the statutory scope of chiropractic. However, the appellate court reversed the invalidation of rules allowing chiropractors to make certain diagnoses concerning the biomechanical condition of the spine or musculoskeletal system and subluxation complex, concluding these were within the statutory scope. The case was remanded for further proceedings regarding alternative constitutional challenges.

Chiropractic regulationMedical scope of practiceAdministrative rulesStatutory interpretationNeedle EMGManipulation Under AnesthesiaChiropractic diagnosisTexas lawHealth professional licensingJudicial review
References
98
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