Articles Posted in Supreme Court of California

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The Medical Board of California did not violate patients’ right to privacy under Cal. Const. art. I, 1 when it obtained data from the Controlled Substance Utilization Review and Evaluation System (CURES), California’s prescription drug monitoring program, without a warrant or subpoena supported by good cause during the course of investigating the patients’ physician, Dr. Alwin Carl Lewis. The Supreme Court affirmed the judgment of the court of appeal, which determined that the Board’s actions did not involve a significant intrusion on a privacy interest protected by the state Constitution’s privacy provision and, even if there was an invasion of privacy, it was justified. The Supreme Court held that even assuming the Board’s actions constituted a serious intrusion on a legally protected privacy interest, its review of Lewis’s patients’ CURES records was justified by the state’s dual interest in protecting the public from the unlawful use and diversion of a particularly dangerous class of prescription drugs and protecting patients from negligent or incompetent physicians. View "Lewis v. Superior Court of Los Angeles County" on Justia Law

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If a patient who receives emergency medical services is an enrollee in a health care service plan, the plan is required to reimburse the emergency service provider for essential emergency medical services and care. Plans are statutorily permitted to delegate this financial responsibility to their contracting medical providers. Here the defendants - health care service plans - delegated their emergency services financial responsibility to their contractor medical providers, three individual practice associations (“IPAs”). The IPAs failed to reimburse the plaintiff noncontracting service providers for the emergency care that they provided to enrollees of the defendant health plans. When the IPAs went out of business, the plaintiff providers brought actions seeking reimbursement from the defendants. The Supreme Court held (1) a health care service plan may be liable to noncontracting emergency service providers for negligently delegating its financial responsibility to an IPA or other contracting medical provider group that it knew or should have known would not be able to pay for emergency service and care provided to the health plan’s enrollees; and (2) a health care service plan has a narrow continuing common law tort duty to protect noncontracting emergency service providers once it makes an initial delegation of its financial responsibility. View "Centinela Freeman Emergency Medical Associates v. Health Net of California" on Justia Law