Justia California Court of Appeals Opinion Summaries

Plaintiffs were 23 federally qualified health centers (FQHC’s) and rural health clinics (RHC’s) that served medically underserved populations (the Clinics). The dispute before the Court of Appeal centered on coverage for adult dental, chiropractic, and podiatric services the FQHC’s and RHC’s provided to Medi-Cal patients for a period between 2009 and 2013. Prior to July 1, 2009, the Department processed and paid claims for these services. In 2009, in a cost-cutting measure due to budget problems, the Legislature enacted Welfare and Institutions Code section 14131.101 to exclude coverage for these services (and others) “to the extent permitted by federal law.” After the Department stopped paying claims for these services, various FQHC’s and RHC’s challenged the validity of section 14131.10, claiming it conflicted with federal Medicaid law. In California Assn. of Rural Health Clinics v. Douglas, 738 F.3d 1007 (9th Cir. 2013), the Ninth Circuit held section 14131.10 was invalid to the extent it eliminated coverage for these services when provided by FQHC’s and RHC’s because the federal Medicaid Act imposed on participating states the obligation to cover these services by these providers. In response to CARHC, the Department announced it would reimburse FQHC’s and RHC’s for these services for dates of service only on or after September 26, 2013, the date of the Ninth Circuit’s mandate. Seeking reimbursement for services provided prior to September 26, 2103, the Clinics petitioned for a writ of mandate to compel the Department to accept, process, and pay claims for these services for the period July 1, 2009, to September 26, 2013. The trial court granted the petition in part and entered judgment for the Clinics. The Department appeals. Characterizing the Clinics’ writ petition as a suit for damages, it contended: (1) sovereign immunity barred the Clinics’ claims for retroactive payment; (2) the CARHC decision was retroactive because the Medicaid Act is spending clause legislation and its terms were not sufficiently clear as to the requirement to cover adult dental, chiropractic, and podiatric services provided by FQHC’s and RHC’s; and (3) retroactive relief violated the separation of powers doctrine because it forces the Legislature to appropriate money. The Court of Appeal disagreed with the Department’s characterization of the Clinics’ lawsuit. "Rather than a suit for damages, the lawsuit seeks an order to compel performance of a mandatory duty and did not result in a money judgment. Under well-settled California law, such a mandamus proceeding is not barred by sovereign immunity. The Department’s contentions based on spending clause legislation and separation of powers are new arguments raised for the first time on appeal. We exercise our discretion to consider only the spending clause argument. We reject it because the Department has not shown its obligations under Medicaid law, as determined by CARHC, came as a surprise. The separation of powers argument raises factual issues about appropriations that should have been presented in the trial court and we decline to consider this new argument." Accordingly, the Court affirmed the judgment. View "American Indian Health etc. v. Kent" on Justia Law

The Templos filed a complaint with two causes of action for personal injury and property damage against Lu for damages resulting from a car accident. The third cause of action named the state as the sole defendant and sought a declaratory judgment that California Code of Civil Procedure, section 631, 1 which requires litigants to pay a $150 nonrefundable jury fee, is unconstitutional as an improper “tax” because it was “not enacted by a two-thirds vote of the California Legislature [as required by] . . . Article XIII A Section 3 of the California Constitution.” They alleged the fee “does not provide plaintiffs with any benefit or service and is not even applied to the actual jury fees incurred during the course of a trial. In addition, the [fee] does not reasonably reflect the cost incurred, if any, by the State . . . to provide jury services to the plaintiffs.” The Judicial Council, not the state, administers and manages the nonrefundable jury fees. The trial court dismissed and the court of appeal affirmed. The Judicial Council, not the state as a whole, has the “direct institutional interest” necessary to defend the action. View "Templo v. State of California" on Justia Law

Plaintiff-appellant Michele Coyle sued defendan-respondent Historic Mission Inn Corporation (the Mission Inn) for negligence and premises liability. Coyle ate lunch with a friend on a patio at the Mission Inn. During lunch, a spider bit Coyle’s back. As a result of the spider bite, Coyle “was hospitalized with numbness and weakness in her extremities due to demyelination in [her] thoracic spine.” In the negligence and premises liability causes of action, Coyle alleged the Mission Inn “knew or should of known that spiders were prevalent in the outside patio area of its restaurants.” Coyle asserted the Mission Inn was aware or should have been aware of the risk the spiders posed to patrons. Coyle alleged the Mission Inn was negligent in failing to warn of the danger of the spiders, or in failing to take reasonable care to prevent spiders from coming into contact with patrons. Coyle sought compensatory damages. In its defense, Mission Inn asserted, “[A] hotel operator does not have an absolute duty to insure the safety of its guests, and this includes a duty to protect against spider bites.” The Mission Inn contended, it “did not owe [Coyle] a duty to protect her from the alleged black widow spider bite [because s]uch a duty would be unreasonable under the circumstances in this case” due to: (1) the Mission Inn following “pest control protocols that exceeded industry standards”; (2) the Mission Inn lacking any knowledge of black widow spiders on its dining patio; and (3) the costs of a duty outweighing the benefits of a duty. Further, the Mission Inn asserted it exercised reasonable care in this case because the Mission Inn “met and exceeded the industry standard of insect inspection and extermination.” The trial court granted the Mission Inn’s motion for summary judgment. The Court of Appeal concluded after review of the trial court record, that the evidence presented did not preclude a finding in favor of Coyle on damages. Therefore, the trial court erred by granting summary judgment. The matter was reversed and remanded for further proceedings. View "Coyle v. Historic Mission Inn Corp." on Justia Law

Plaintiff-appellant Michele Coyle sued defendan-respondent Historic Mission Inn Corporation (the Mission Inn) for negligence and premises liability. Coyle ate lunch with a friend on a patio at the Mission Inn. During lunch, a spider bit Coyle’s back. As a result of the spider bite, Coyle “was hospitalized with numbness and weakness in her extremities due to demyelination in [her] thoracic spine.” In the negligence and premises liability causes of action, Coyle alleged the Mission Inn “knew or should of known that spiders were prevalent in the outside patio area of its restaurants.” Coyle asserted the Mission Inn was aware or should have been aware of the risk the spiders posed to patrons. Coyle alleged the Mission Inn was negligent in failing to warn of the danger of the spiders, or in failing to take reasonable care to prevent spiders from coming into contact with patrons. Coyle sought compensatory damages. In its defense, Mission Inn asserted, “[A] hotel operator does not have an absolute duty to insure the safety of its guests, and this includes a duty to protect against spider bites.” The Mission Inn contended, it “did not owe [Coyle] a duty to protect her from the alleged black widow spider bite [because s]uch a duty would be unreasonable under the circumstances in this case” due to: (1) the Mission Inn following “pest control protocols that exceeded industry standards”; (2) the Mission Inn lacking any knowledge of black widow spiders on its dining patio; and (3) the costs of a duty outweighing the benefits of a duty. Further, the Mission Inn asserted it exercised reasonable care in this case because the Mission Inn “met and exceeded the industry standard of insect inspection and extermination.” The trial court granted the Mission Inn’s motion for summary judgment. The Court of Appeal concluded after review of the trial court record, that the evidence presented did not preclude a finding in favor of Coyle on damages. Therefore, the trial court erred by granting summary judgment. The matter was reversed and remanded for further proceedings. View "Coyle v. Historic Mission Inn Corp." on Justia Law

Saint Francis surgical staff left a sponge in a patient during surgery. The Department of Public Health imposed a $50,000 fine for not having and assuring compliance with appropriate sponge-count policies. An ALJ found no basis for the fine, concluding that Saint Francis had adequate policies and procedures. The Department rejected the ALJ’s proposed decision and affirmed the fine. The decision, “effective immediately,” was served on Saint Francis by certified mail on December 16. On December 30, Saint Francis requested reconsideration. The Department answered without notifying Saint Francis that the request was invalid and denied it on January 14, 2016. Also on January 14, apparently not knowing that the request was denied, Saint Francis e-mailed a Department attorney that it intended to seek judicial review, indicating a proposed timeline. The Department attorney responded, “I believe you are correct.” Saint Francis filed its petition on January 26. The court dismissed the petition as not filed within 30 days (Government Code 11521). The court of appeal affirmed. The dismissal caused no grave injustice and applying estoppel would defeat the public policy of strictly construing the filing period for challenging an agency’s final decision. The Department made no affirmative representations to incite the mistake. The mistake was made in good faith and Saint Francis notified the Department of its intent to file a writ petition, but that is insufficient to toll the running of the 30-day period. View "Saint Francis Memorial Hospital v. California Department of Public.Health" on Justia Law

Plaintiff-respondent Dawn Turnbull sued defendants-appellants the Lucerne Valley Unified School District (LVUSD), Tom Courtney, Suzette Davis, John Buchanan, and Keri Gasper. Turnbull brought causes of action for: (1) disclosing her private medical information; (2) invading her privacy; (3) interfering with her constitutional rights; (4) violating her civil rights; and (5) conspiring to deprive her of her right of privacy or right of free speech. Davis was the superintendent of LVUSD. Turnbull and Courtney were members of the LVUSD board. Although not explicit, it was inferred from the complaint that Buchanan was also a member of the LVUSD board. Gasper was an LVUSD volunteer. Turnbull opposed Davis’s alleged misappropriation of LVUSD funds. In retaliation for Turnbull’s opposition, Davis: (1) obtained confidential medical information about Turnbull from Turnbull’s employer; (2) generated false reports from the California Longitudinal Pupil Achievement Data System (CALPADS), concerning school lunch program eligibility; and (3) on July 8, 2015, falsely told LVUSD board members that evidence strongly suggested Turnbull illegally accessed CALPADS. Shortly after a LVUSD board meeting, Courtney and Buchanan, as private citizens, called Turnbull’s employer to report Turnbull’s allegedly unlawful access of CALPADS. Turnbull had legally accessed CALPADS to obtain a report concerning her stepchild. Courtney used his position as a LVUSD board member to obtain access to Turnbull’s private medical information. Courtney, as a private citizen, caused Turnbull’s private medical information to be published on social media or gave the information to people who published it on social media. Courtney intended to intimidate Turnbull to stop her from opposing Davis’s acts of misappropriation. Gasper received Turnbull’s private medical information from Courtney, Davis, or Buchanan. Gasper published the information on social media. LVUSD, Courtney, and Davis brought an anti-SLAPP motion, which the trial court denied. LVUSD, Courtney, and Davis contended the trial court erred by denying their motion. The Court of Appeals affirmed the order denying the anti-SLAPP motion; defendants failed to establish that the allegations in the complaint arose from protected activities. View "Turnbull v. Lucerne Valley Unified School Dist." on Justia Law

C.T. and D.A. appealed a juvenile court order terminating C.T.'s parental rights to her minor daughter, C.A., and earlier orders finding the Indian Child Welfare Act (ICWA) did not apply to C.A.'s presumed father, D.A., or C.A.'s biological father, D.R. The Court of Appeal rejected these challenges and affirmed the orders. View "In re C.A." on Justia Law

Nationwide, its principal and sole shareholder, and Loan Payment (collectively, petitioners) operate a debt payment service that claims to reduce the amount of interest owed by accelerating debt repayment via an extra annual payment. The California Department of Business Oversight and the District Attorneys of four counties (the People) challenged petitioners’ business practices, seeking civil penalties under Business and Professions Code sections 17200 and 17500, and Financial Code section 12105(d), plus injunctive relief, restitution, disgorgement, the voiding of petitioners’ allegedly unlawful contracts, costs and attorney fees. Petitioners demanded a jury trial, which the People successfully moved to strike. The California Supreme Court transferred the matter back to the court of appeals, with directions to issue an order to show cause why petitioners do not have a right to a jury trial. The court of appeal then partially granted the petitioners’ request, concluding the “gist” of the statutory causes of action asserted against them are legal, giving rise to a right to jury trial. The court held that that right to jury trial extends only to the issue of liability; the amount of statutory penalties, and whether any equitable relief is appropriate, is properly determined by the trial court. View "Nationwide Biweekly Administration, Inc. v. Superior Court" on Justia Law

Plaintiff Adrian Camacho appealed after the trial court granted summary judgment in favor of defendant Target Corporation (Target) on Camacho's causes of action for discrimination based on sexual orientation, harassment causing a hostile work environment, failure to prevent harassment and discrimination, retaliation, constructive termination in violation of public policy, intentional infliction of emotional distress, negligent infliction of emotional distress, negligent hiring, supervision, and retention, and a violation of the Bane Act (Civ. Code sec. 52.1). The trial court concluded that language included in an addendum to a preprinted compromise and release form utilized to settle Camacho's workers' compensation action against Target constituted a broad release of any and all potential claims that Camacho may have had against Target, including claims falling outside the workers' compensation system. After reviewing the relevant language in the addendum and considering that language in the context of the entire settlement agreement, the Court of Appeal concluded that the trial court erred in determining that the language at issue contained in the addendum to the settlement agreement executed by the parties in Camacho's workers' compensation case constituted a general release of all of Camacho's civil claims. The Court therefore reversed the judgment and remanded for further proceedings. View "Camacho v. Target Corp." on Justia Law

James Zenovic, doing business as James Zenovic Construction (Zenovic), appealed an order denying his petition to compel arbitration in an action filed by Von Becelaere Ventures, LLC (VBV). The trial court determined Zenovic waived his right to compel arbitration by filing a separate complaint in Orange County to foreclose on a mechanics lien without complying with provisions in Code of Civil Procedure section 1281.51 to preserve his arbitration rights. Zenovic contended the court misread and misapplied section 1281.5, which he contended should only have applied to the mechanics lien action and should not have operated to preclude arbitration of the separate action filed by VBV. The Court of Appeal disagreed: "section 1281.5 'means what it says: A party who files an action to enforce a mechanic's lien, but who does not at the same time request that the action be stayed pending arbitration, waives any right to arbitration.'" The Court, therefore, affirmed the order. View "Von Becelaere Ventures, LLC v. Zenovic" on Justia Law