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

Case No. 03-12-00293-CV
Regular Panel Decision
Jul 12, 2013

Southwest Pharmacy Solutions, Inc. D/B/A American Pharmacies v. Texas Health and Human Services Commission and Thomas Suehs, Solely in His Official Capacity as Executive Commissioner of the Texas Health and Human Services Commission

Southwest Pharmacy Solutions, Inc. d/b/a American Pharmacies appealed a trial court's judgment granting a plea to the jurisdiction filed by the Texas Health and Human Services Commission (HHSC) and its Executive Commissioner. American Pharmacies challenged HHSC's rulemaking obligations and specific rules related to pharmacy benefits under the Texas Medicaid managed care (MMC) program. They argued that HHSC failed to regulate reimbursement rates for pharmacies and did not comply with statutory requirements for analyzing the economic impact on small businesses. The appellate court affirmed the trial court's judgment, concluding that HHSC was not obligated to set reimbursement rates under the MMC model and had substantially complied with the relevant government code regarding small business impact. The court also determined that American Pharmacies lacked a justiciable interest as their economic losses stemmed from legislative changes rather than the challenged rules.

Medicaid Managed CarePharmacy BenefitsReimbursement RatesAdministrative Procedure ActDeclaratory JudgmentPlea to the JurisdictionUltra ViresStatutory ConstructionSmall Business ImpactTexas Court of Appeals
References
37
Case No. 03-15-00348-CV
Regular Panel Decision

Todd Enright v. Asclepius Panacea, LLC Asclepius Panacea GP, LLC Daily Pharmacy, LLC Daily Pharmacy GP, LLC And Toth Enterprises II, P .A. D/B/A Victory Medical Center

Todd Enright appealed a district court's denial of his special appearance in a case brought by Asclepius Panacea, LLC et al. (VMC). The dispute originated from VMC's equity purchase of Texas pharmacies from QVL. Enright, acting for QVL, allegedly made fraudulent misrepresentations during negotiations concerning drug inventory and handling of insurance receipts. Post-acquisition, Enright reportedly controlled QVL's finances, directing payments and wrongfully withholding VMC's funds. VMC's claims against Enright include common law fraud, Texas Securities Act violations, tortious interference, conversion, money had and received, and a request for an accounting, asserting his actions establish sufficient minimum contacts with Texas for personal jurisdiction.

Personal JurisdictionFraudTexas Securities ActTortious InterferenceConversionEquitable AccountingSpecial AppearanceMinimum ContactsFiduciary Shield DoctrineAppellate Procedure
References
34
Case No. MISSING
Regular Panel Decision

Innoviant Pharmacy, Inc. v. Morganstern

Innoviant Pharmacy, Inc. sued its former sales executive, Max Morganstern, for unfair competition and breach of a non-compete agreement after he joined a competitor, Summit Pharmacy, Inc., and solicited Innoviant's customer referral sources. Innoviant sought a preliminary injunction to prevent Morganstern from contacting 114 key New York referral sources. The court found Innoviant unlikely to succeed on its breach of contract claim because the employment agreement was deemed unenforceable due to a later signed document. However, the court found Innoviant likely to succeed on its unfair competition claim, as Morganstern misappropriated a list of potential referral sources and business cards. Consequently, the court granted the preliminary injunction, restraining Morganstern from contacting the specified referral sources until February 24, 2006, conditioned on Innoviant posting a $100,000 security bond.

Preliminary InjunctionUnfair CompetitionBreach of ContractNon-compete ClauseTrade SecretsCustomer ListsConfidential InformationEmployment AgreementSales ExecutiveReferral Sources
References
50
Case No. 2021 NY Slip Op 03820 [195 AD3d 776]
Regular Panel Decision
Jun 16, 2021

21st Century Pharmacy v. American Intl. Group

21st Century Pharmacy appealed a Supreme Court order that dismissed its declaratory judgment action against American International Group (AIG) and the New York Workers' Compensation Board (WCB). The pharmacy sought a declaration that it could pursue payment for prescription bills in a plenary court proceeding, rather than solely through the WCB, and also sought a monetary judgment. The Supreme Court dismissed the complaint, asserting the WCB had exclusive subject matter jurisdiction. The Appellate Division, Second Department, reversed this decision, clarifying that while the WCB holds primary jurisdiction over Workers' Compensation Law applicability, it does not possess exclusive jurisdiction in a declaratory judgment action. The case was remitted to the Supreme Court for a determination on the merits of AIG's motion to dismiss.

Declaratory JudgmentSubject Matter JurisdictionWorkers' Compensation LawPrimary JurisdictionExclusive JurisdictionPrescription BillsAppellate ProcedureRemittalPharmacy RightsCourt Jurisdiction
References
8
Case No. ADJ2727301 (VNO 0483678) ADJ1089887 (VNO 0483679) ADJ3168287 (VNO 0487540)
Regular
Dec 13, 2011

ADOLFO SANDOVAL vs. NESTLE USA-PREPARED FOODS, SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

The Appeals Board vacated its prior order granting reconsideration and dismissed lien claimant Ronco Drugs' petition. This dismissal is because Ronco Drugs' petition for reconsideration of a November 13, 2008 order dismissing their lien was filed on April 11, 2011, which is significantly past the 25-day statutory deadline. The Board found the petition untimely, lacking jurisdiction to consider it, despite Ronco Drugs' claims of lack of notice. Consequently, the prior grant of reconsideration was improvidently made.

Workers' Compensation Appeals BoardLien ClaimantPetition for ReconsiderationOrder of DismissalDismissed with PrejudiceNotice of HearingUntimely PetitionLabor Code § 5903Jurisdictional Time LimitVacated Order
References
2
Case No. MISSING
Regular Panel Decision

Rivera v. Ndola Pharmacy Corp.

Plaintiff Siew Lian Rivera brought an action alleging violations of the Fair Labor Standards Act (FLSA), New York Labor Law, Human Rights Law, Administrative Code, and common law claims against Ndola Pharmacy Corp. and several individuals. Defendants moved for partial summary judgment on the FLSA and Labor Law claims and to dismiss state law claims for lack of subject matter jurisdiction. The court denied partial summary judgment, finding Rivera's testimony sufficient for overtime claims despite credibility questions. Supplemental jurisdiction was retained for the sexual harassment claim against N. Patel due to its connection to wage allegations, but other state law claims were dismissed without prejudice for lacking a common nucleus of operative fact with the federal claim. Additionally, certain motions related to amending the answer regarding the plaintiff's standing due to bankruptcy were granted in part and denied in part.

FLSAOvertime CompensationWage ClaimsSexual HarassmentHostile Work EnvironmentSummary JudgmentSupplemental JurisdictionBankruptcy EstateCredibility of WitnessEmployment Law
References
46
Case No. MISSING
Regular Panel Decision

Lamarr-Arruz v. CVS Pharmacy, Inc.

This case involves claims of a hostile work environment and retaliation brought by Zaire Lamarr-Arruz and Mominna Ansoralli against CVS Pharmacy, Inc. Plaintiffs allege racial profiling of customers and a barrage of racial slurs by supervisors and managers, violating 42 U.S.C. §1981, NYSHRL, and NYCHRL. Lamarr-Arruz also filed a retaliation claim, alleging delayed return from medical leave and termination due to his complaints. CVS sought summary judgment, denying the allegations and arguing the lack of supervisory responsibility for some alleged harassers and the availability of their anti-harassment policy. The court denied CVS's motions for summary judgment, finding genuine disputes of material fact regarding the existence of a hostile work environment for Ansoralli, the imputation of hostile conduct to CVS, and Lamarr-Arruz's retaliation claim, including the pretextual nature of his termination reasons.

Hostile Work EnvironmentRacial DiscriminationRetaliationSummary JudgmentEmployment LawCivil Rights Act of 1991New York Human Rights LawNew York City Human Rights LawEmployer LiabilitySupervisory Liability
References
60
Case No. MISSING
Regular Panel Decision
Jan 02, 1996

Isnardi v. Genovese Drug Stores, Inc.

Thomas Isnardi was injured on September 13, 1993, after falling from a scaffold while performing demolition work on premises owned by Genovese Drug Stores, Inc. He sued Genovese and the general contractor, Robbins & Cowan, Inc., alleging a violation of Labor Law § 240 (1) for failure to provide adequate scaffolding. Robbins & Cowan, Inc. then filed a third-party action against Joe Demasco, Isnardi's employer. The Supreme Court granted Isnardi summary judgment on liability. However, the appellate court reversed this decision, denying the plaintiff's motion, as there was a factual dispute regarding whether Isnardi was a recalcitrant worker who refused to use a provided safe "pipe" scaffold, opting instead for an allegedly less stable "Baker" scaffold.

Personal InjuryScaffold FallDemolition WorkRecalcitrant Worker DefenseSummary JudgmentLabor LawConstruction AccidentThird-Party ActionIndemnificationAppellate Reversal
References
4
Case No. MISSING
Regular Panel Decision

Bernard v. Commerce Drug Co., Inc.

Plaintiff Peter S. Bernard brought claims against Commerce Drug Company and Del Laboratories, Inc. for trademark violations under the Lanham Act and state law concerning the product 'Arthriticare.' Defendants moved for partial summary judgment on trademark infringement and judgment on the pleadings for fraudulent trademark registration, while plaintiff cross-moved for partial summary judgment. The court found plaintiff's 'Arthriticare' mark to be descriptive and lacking secondary meaning, thus granting defendants' motion for summary judgment on the trademark infringement claim. The claim for fraudulent trademark registration was dismissed as defendants' mark was not registered. All remaining state and common law claims were dismissed due to the absence of federal claims and diversity jurisdiction.

Trademark InfringementLanham ActSummary JudgmentJudgment on PleadingsDescriptive TrademarkSecondary MeaningFraudulent RegistrationPendent JurisdictionDiversity JurisdictionUnregistered Mark
References
14
Case No. MISSING
Regular Panel Decision

Halsey Drug Co. v. Drug, Chemical, Cosmetic, Plastics & Affiliated Industries Warehouse Employees, Local 815

Plaintiff Halsey Drug Co., Inc. (Halsey) filed an action against Defendant Drug, Chemical, Cosmetic, Plastic and Affiliated Industries Warehouse Employees, Local 815 (Local 815) under the Federal Declaratory Judgment Act and the Labor Management Relations Act. Halsey sought a declaration from the court regarding the arbitrability of certain issues related to a collective bargaining agreement (CBA) after closing its Brooklyn facility and moving some operations to Congers, New York. Local 815 demanded that Halsey apply the CBA to the new Congers facility and offer employment to laid-off Brooklyn employees, subsequently filing for arbitration. Halsey argued that the claims arose after the CBA's expiration and should be handled by the National Labor Relations Board, not arbitration. The court, applying established labor law precedents regarding arbitrability, denied Halsey's motion for summary judgment and granted Local 815's motion, ruling that the dispute is arbitrable because the underlying facts arose before the CBA's expiration and involve contract interpretation.

ArbitrationCollective Bargaining AgreementLabor DisputeSummary JudgmentContract InterpretationUnion RepresentationFederal Declaratory Judgment ActLabor Management Relations ActPost-expiration ClaimsArbitrability
References
11
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