For reprint rights or to purchase a copy of your Daily Journal photo, email jeremy@reprintpros.com for prices or call 949-702-5390.

To buy more copies, call 866-531-1492 or email subscribe@dailyjournal.com
This is the property of the Daily Journal Corporation and fully protected by copyright. It is made available only to Daily Journal subscribers for personal or collaborative purposes and may not be distributed, reproduced, modified, stored or transferred without written permission. Please click "Reprint" to order presentation-ready copies to distribute to clients or use in commercial marketing materials or for permission to post on a website. and copyright (showing year of publication) at the bottom.
Subscribe to the Daily Journal for access to Daily Appellate Reports, Verdicts, Judicial Profiles and more...
Daily appellate reports
Enewsletter Sign-up
    Filter by date
     to 
    Search by Case Name
    Search by Judge
    Search by Case Number
    Search by DJ Citation Number
    Search by Category
    Search by Court
Name Category Published
Rutledge v. Pharmaceutical Care Management Assn.
Arkansas Act 900 has neither an impermissible connection with, nor reference, to Employee Retirement Income Security Act of 1974 and is therefore not pre-empted. 		Health Care USSC Dec. 11, 2020
John Doe v. CVS Pharmacy
No healthcare-specific anti-discrimination standard exists under Affordable Care Act, permitting plaintiffs to borrow standards from other anti-discrimination statutes. 		Health Care 9th Dec. 10, 2020
Davita Inc. v. Amy's Kitchen Inc.
Employee benefit health plans with identical reimbursement rates regardless of underlying diagnoses or Medicare eligibility comport with Medicare as Secondary Payor provisions. 		Health Care 9th Nov. 27, 2020
Davita Inc. v. Virginia Mason Memorial Hospital
Congress did not intend payment by Medicare to be prerequisite to bringing private cause of action under Medicare as Secondary Payer provisions. 		Health Care 9th Nov. 27, 2020
Stone v. UnitedHealthcare Insurance Co.
Denial of coverage did not violate Parity Act because it was based solely on plan's exclusion of coverage for out-of-state treatment, which applied equally to mental and physical illnesses. 		Health Care 9th Nov. 10, 2020
Little Sisters of the Poor Saints Peter and Paul Home v. Pennsylvania
Under Affordable Care Act, government has statutory authority to provide exemptions from regulatory contraceptive requirements for employers with religious and conscientious objections. 		Health Care USSC Jul. 9, 2020
Maine Community Health Options v. United States
Congress did not repeal Government's obligation to pay insurers under Risk Corridors statute's formula. 		Health Care USSC Apr. 28, 2020
Amgen Inc. v. Health Care Services
Trial court abused its discretion in finding that pharmaceutical manufacturer's price increase notice was trade secret despite its disclosure to more than 170 registered purchasers. 		Health Care 2DCA/1 Apr. 13, 2020
Dignity Health v. Local Initiative Health Care Authority
Under Welfare and Institutions Code Section 14105.28, healthcare providers may only be reimbursed at state-set reimbursement rates after providing post-emergency stabilization treatment to Medi-Cal patients. 		Health Care 2DCA/1 Jan. 10, 2020
Tulare Pediatric Health v. State Dept. of Health Care
Under Medicaid program, state must pay counties and their clinics '100 percent' of cost for services to Medicaid beneficiaries; thus, state was required to pay 100 percent of amount clinic paid doctor. 		Health Care 2DCA/8 Oct. 18, 2019
Omlansky v. Save Mart Supermarkets
Plaintiff failed to allege 2009 statutory cap was in effect before his pleading and that it imposed a duty on defendant to incorporate it into its Medi-Cal billings. 		Health Care 3DCA Sep. 4, 2019
Missionary Guadalupanas of the Holy Spirit v. Rouillard
Department's interpretation of basic health care services to include abortions was the only legally tenable interpretation of statute; thus, Administrative Procedure Act rulemaking process was not applicable. 		Health Care 3DCA Aug. 8, 2019
Modification: Rivera v. Kent
The California Department of Health Care Services is not restricted to 45 days when making Medi-Cal eligibility determinations for applicants under Section 15926 under the Welfare & Institutions Code. 		Health Care 1DCA/4 Jul. 25, 2019
Rivera v. Kent
The California Department of Health Care Services is not restricted to 45 days when making Medi-Cal eligibility determinations for applicants under Section 15926 under the Welfare & Institutions Code. 		Health Care 1DCA/4 Jul. 1, 2019
Lomeli v. State Dept. of Health Care Services
Collateral estoppel did not bar government's lien on plaintiff's settlement with tortfeasors; court's approval of settlement was not a decision for purposes of collateral estoppel. 		Health Care 2DCA/8 Jun. 27, 2019
Azar v. Allina Health Services
Because government has not identified lawful excuse for neglecting statutory notice-and-comment obligations, its policy that dramatically reduced payments to hospitals serving low-income patients was vacated. 		Health Care USSC Jun. 4, 2019
Grafilo v. Wolfsohn
A Department of Consumer Affairs subpoena issued during a Medical Board investigation seeking production of patients' medical records must be supported by good cause justifying invasion of patient privacy. 		Health Care 2DCA/1 Apr. 4, 2019
Morris v. California Physicians' Service
The Medical Loss Ratio provision in the Affordable Care Act makes no distinction between in-network and out-of-network providers; thus, district court's dismissal was proper. 		Health Care 9th Mar. 19, 2019
Amended Opinion: U.S. ex rel. Silingo v. Wellpoint
Dismissal of reverse false claim affirmed were appellant fails to defend claim in response to motion to dismiss. 		Health Care 9th Sep. 12, 2018
Santa Rosa Memorial Hospital v. Kent
Medicaid Act precludes private enforcement of 42 U.S.C. Section 1396a(a)(30)(A). 		Health Care 1DCA/3 Aug. 2, 2018
U.S. ex rel. Silingo v. Wellpoint
Dismissal of reverse false claim affirmed were appellant fails to defend claim in response to motion to dismiss. 		Health Care 9th Jul. 10, 2018
American Indian Health v. Kent
State Department of Health Care Services not shielded by sovereign immunity as to mandamus suit over healthcare coverage denials. 		Health Care 3DCA Jun. 21, 2018
Danny P. v. Catholic Health Initiatives
The Parity Act requires that benefits in a health care plan that provides for both medical and mental health or substance use disorder benefits must not impose more restrictions on the mental benefits than it imposes on the medical benefits. 		Health Care 9th Jun. 7, 2018
Alexander v. Scripps Memorial Hospital La Jolla
Hospital Appropriate Care Committee did not violate Probate Code 4731(a) by approving Do Not Resuscitate order in conflict with patient's wishes, as Committee and patient did not meet statutory definition of physician-patient relationship. 		Health Care 4DCA/1 May 16, 2018
Hutcheson v. Eskaton Fountainwood Lodge
On rehearing, panel again finds that attorney-in-fact exceeds authority under power of attorney to admit principal to residential care facility, thus precluding facility from enforcing arbitration agreement contained in admission agreement. 		Health Care 3DCA Nov. 29, 2017
King v. Blue Cross and Blue Shield of Illinois
Plaintiff unsuccessful in arguing that ERISA, as amended by the ACA, banned lifetime benefit maximums for certain retiree-only plans but wins reversal of summary judgment in defendants’ favor. 		Health Care 9th Sep. 11, 2017
Hoag Memorial Hospital Presbyterian v. Price
Secretary of Health and Human Services errs in approving state plan amendment to Medicaid program without first requiring compliance with statute. 		Health Care 9th Aug. 8, 2017
Hutcheson v. Eskaton Fountainwood Lodge
Attorney-in-fact exceeds authority under power of attorney to admit principal to residential care facility, thus precluding facility from enforcing arbitration agreement contained in admission agreement. 		Health Care Jun. 14, 2017
Sanjiv Goel M.D. Inc. v. Regal Medical Group Inc.
Cardiologist unsuccessful in challenging legal standard used by trial court in calculating reasonable value of his medical services. 		Health Care May 25, 2017
Coventry Health Care of Missouri Inc. v. Nevils
State law barring subrogation and reimbursement preempted by Federal Employees Health Benefits Act's preemption provision. 		Health Care Apr. 19, 2017
By using our website, you agree to our use of cookies in accordance with our cookie policy. You can learn more about how we use cookies by reviewing our Privacy Policy here.