Patient Advocates of Texas and Allen J. Meril, M.D. v. Texas Workers Compensation Commission Leonard Riley, Executive Director And State of Texas
This case concerns a challenge brought by Patient Advocates of Texas and Allen J. Meril, M.D., against the Texas Workers' Compensation Commission and the State of Texas. The challenge targeted the validity and enforcement of Commission rules, specifically the Medical Fee Guideline (Rule 134.201) and the Dispute and Audit Rules (Rules 133.300-.305). Advocates contended that the Guideline was procedurally and substantively invalid, and that the Dispute and Audit Rules improperly delegated auditing powers to private insurance carriers and imposed an unlawful statute of limitations. The appellate court affirmed the Guideline's fee caps and the one-year statute of limitations but reversed the trial court's judgment, declaring the delegation of auditing powers to private insurance carriers invalid.