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Category: Daily News

Studies Show Continued Growth in National Healthcare Expenditures

Healthcare spending is still on the rise, according to a new analysis from the Health Care Cost Institute (HCCI). Median per person healthcare spending increased by 24 percent from 2017 through 2021, HCCI’s latest Healthy Marketplace Index shows.

But healthcare spending varied significantly depending on where people lived. For example, patients in metropolitan areas with the highest utilization rates paid nearly three times more for healthcare services that year compared to their neighbors in metropolitan areas with the lowest utilization rates.

Rising medical prices impacted healthcare spending, with overall spending growth reflecting a 9 percent increase in prices, on average, and 14 percent increase in service use, on average.

The American Medical Association (AMA) reports health spending in the U.S. increased by 2.7% in 2021 to $4.3 trillion or $12,914 per capita. This growth rate is substantially lower than 2020 (10.3% percent). This substantial deceleration in spending can be attributed to the decline in pandemic-related government expenditures offsetting increased utilization of medical goods and services that rebounded due to delayed care and pent-up demand from 2020.

Although physician services was the second largest category of health spending, prior to the pandemic, spending on physician services generally grew more slowly than spending in the other large categories of personal health care. Physician spending grew by an average of 3.8% per year between 2009 and 2019 while hospital services (4.5%) and clinical services (6.6%) had higher growth rates.

In 2020, spending on physician services grew 7.0%, a substantially higher growth rate compared to previous years. This acceleration was driven by spending on federal relief programs (classified as “other federal programs” in the following chart). Spending growth decreased to 5.1% in 2021 as the decline in pandemic-related government expenditures offset the rebound in utilization of medical goods and services.

A Health Affairs study from May 2022 found that vertical consolidation – for example, health systems buying physician practices – resulted in a 12 percent increase in primary care physician prices and a 6 percent increase in specialist prices. Research has also shown similar price increases when markets experience horizontal consolidation, which is when hospitals merge or acquire other hospitals.

Hospital markets tended to be less concentrated in larger metropolitan areas, such as San Franciso, New York City, and Philadelphia. Meanwhile, according to HCCI’s analysis, the most concentrated areas were metropolitan areas with populations of less than 350,000 in 2021. The most concentrated areas included Johnson City, Tennessee, Kingsport, Tennessee, and Wilmington, North Carolina.

HCCI notes that a potential factor in market consolidation is the degree to which patients from one metropolitan area seek care in a neighboring region.

Healthcare spending is only expected to rise, with the latest healthcare spending projections from federal actuaries estimating healthcare to account for nearly 20 percent of gross domestic product (GDP) by 2031.

HCCI’s Healthy Marketplace Index provides interactive reports in which readers can compare prices and hospital market concentration across metropolitan areas.

Lawyers Must Report Rogue Lawyers Under New State Bar Rule

The California Supreme Court has approved a new rule of professional conduct, rule 8.3 of the California Rules of Professional Conduct, that requires California attorneys to report any lawyer who commits a criminal act, engages in fraud, misappropriates funds or property, or engages in conduct involving “dishonesty, deceit, and reckless or intentional misrepresentations.”

The new “Rule 8.3 Reporting Professional Misconduct” will go into effect August 1, and reads as follows:

– – (a) A lawyer shall, without undue delay, inform the State Bar, or a tribunal* with jurisdiction to investigate or act upon such misconduct, when the lawyer knows* of credible evidence that another lawyer has committed a criminal act or has engaged in conduct involving dishonesty, fraud,* deceit, or reckless or intentional misrepresentation or misappropriation of funds or property that raises a substantial* question as to that lawyer’s honesty, trustworthiness, or fitness as a lawyer in other respects.

– – (b) Except as required by paragraph (a), a lawyer may, but is not required to, report to the State Bar a violation of these Rules or the State Bar Act.

– – (c) For purposes of this rule, “criminal act” as used in paragraph (a) excludes conduct that would be a criminal act in another state, United States territory, or foreign jurisdiction, but would not be a criminal act in California.

– – (d) This rule does not require or authorize disclosure of information gained by a lawyer while participating in a substance use or mental health program, or require disclosure of information protected by Business and Professions Code section 6068, subdivision (e) and rules 1.6 and 1.8.2; mediation confidentiality; the lawyer-client privilege; other applicable privileges; or by other rules or laws, including information that is confidential under Business and Professions Code section 6234.

The new rule has a “Comment” section that follows the rule itself, with ten items of clarification about this new rule. For example, the last of the comments provides the following information:

– – Comment [10) Communications to the State Bar relating to lawyer misconduct are “privileged, and no lawsuit predicated thereon may be instituted against any person.” (Bus. & Prof. Code,§ 6094.) However, lawyers may be subject to criminal penalties for false and malicious reports or complaints filed with the State Bar or be subject to discipline or other penalties by offering false statements or false evidence to a tribunal.* (See rule 3.3(a); Bus. & Prof. Code,§§ 6043.5, subd. (a), 6068, subd. (d).)

The new rule follows several other directives from the court for the State Bar, including on noticing about attorney suspensions; updating its conflict of interest code for the Board of Trustees; and to develop new rules requiring candidates for the Board of Trustees and State Bar Court be screened for potential conflicts of interest.

Much of this new State Bar activity seems to be the aftermath of the scandal following investigations of the organizations mishandling of ethics complaints against attorneys for several decades, including many that were filed against now disgraced plaintiff personal injury lawyer Tom Girardi, once among the most successful and powerful plaintiff’s attorneys in the country.

A redacted version of the corruption probe was publicly released by the State Bar earlier this year. For years, Girardi faced accusations that he’d stolen money from clients and other lawyers. He was forced into bankruptcy in 2021, disbarred in 2022, and was finally indicted by two different federal grand juries, one in California and one in Illinois, on charges of embezzling more than $18 million of his clients’ money.

Nine Pending Congressional Bills Heat Up PBM Wars and Caustic TV Ads

House and Senate members from both parties have launched at least nine bills, parts of which may be packaged together this fall, that take aim at Pharmacy Benefit Managers (PBMs), companies that channel prescription drugs to patients. And NPR just published a primer to help decipher this recent activity.

Members from both parties talk indignantly about PBM behavior and have fired up bills to address it. The Senate Finance Committee, whose jurisdiction over Medicare and Medicaid gives it a lead role, has introduced a bill that would prohibit PBMs from collecting rebates and fees calculated as a percentage of a drug’s list price, to discourage PBMs from favoring expensive drugs.

The committee also plans legislation to require PBMs to pass along discounts directly to seniors, allow patients to use the pharmacy they prefer, and release more information about where their money ends up.

Sen. Bernie Sanders, who leads the Senate Health, Education, Labor and Pensions Committee, introduced a bill that bans spread pricing, while measures in the Senate and House would crack down on PBM practices seen as harming independent and rural pharmacies. Other measures require more transparency or limit patient waits for drug approvals.

PBMs, were created in the 1960s to help employers and insurers select and purchase medications for their health plans. The industry mushroomed as prescription drug spending grew about 200-fold between 1967 and 2021. In addition to negotiating discounts with manufacturers, PBMs set payment terms for the pharmacies that buy and dispense the drugs to patients. In effect, they are the dominant middlemen among drugmakers, drugstores, insurers, employers, and patients.

There are around 70 PBMs in the U.S. Through mergers, three of them – CVS Caremark, Optum Rx, and Express Scripts – have come to control 80% of the prescription drug market, and each brings in tens of billions of dollars in revenue annually. The PBMs control the drug pipeline from manufacturers to the pharmacy counter.

Their buying power allows them to obtain discounted drugs for health plans while setting prices and terms for sales at drugstores. The big three are part of massive conglomerates with important stakes in almost every sector of health care; each of them owns a powerful health insurer – Aetna, UnitedHealth, and Cigna, respectively – as well as pharmacies and medical providers.

Other sectors of health care are alarmed by the power of the PBMs and are appealing to the Biden administration and Congress to rein them in. Drugmakers are especially up in arms, but employers, pharmacies, doctors, and even patients chafe at PBM practices like “spread pricing,” in which the companies pocket money negotiated on behalf of health plans.

Non-PBM-affiliated pharmacists, from mom and pop stores to large chains like Kroger, say the PBMs squeeze their businesses by forcing them to sign opaque contracts that include clawbacks of money long after sales take place. PBMs often steer patients using expensive drugs to their affiliated pharmacies, cutting revenue to independents.

Doctors say PBMs act as gatekeepers for the insurers they represent, blocking or slowing coverage of necessary drugs.

Finally, the pharmaceutical industry has lost a share of sales revenue to PBM middlemen in recent years – even while getting most of the bad publicity for high drug prices. (The median launch price for newly marketed brand-name drugs went from $2,100 to $180,000 a year between 2008 and 2021, yet net revenues for drug companies have stagnated in recent years.)

PBMs in some cases prefer high producer list prices, because the rebates that drugmakers pay the PBMs in exchange for favorable health plan coverage of their drugs often are calculated as a percentage of those list prices.

In recent months ominous ads about prescription drugs have flooded the TV airwaves. Perhaps by design, it’s not always clear who’s sponsoring the ads or why.

The Pharmaceutical Research and Manufacturers of America (PhRMA), the trade group for most of the big drug companies, is the top driver of the anti-PBM campaign. Some of the ads are sponsored by the PBM Accountability Project, a pop-up lobby, funded partly by the drug industry, that includes unions and patient advocates whose membership complains of restrictive PBM and insurance industry policies.

In one PhRMA ad, a smarmy guy in a suit snatches away a young woman’s prescription. The Pharmaceutical Care Management Association, the PBM trade group, has responded with its own ads, blaming drug companies for high prices and for “targeting your pharmacy benefits.” AHIP, the health insurance lobby, has piled on with its own campaign.

Meanwhile, several states have taken a pragmatic path to lower PBM-related costs, using high-tech auctions to get the best deals for their employee health care plans.

Top Court Says Employers Not Liable for COVID Spread to Family Members

On May 6, 2020, Robert Kuciemba began working for defendant Victory Woodworks, Inc. at a construction site in San Francisco. About two months later, without taking COVID-19 precautions required by the county’s health order, Victory transferred a group of workers to the San Francisco site from another location where they may have been exposed to the virus.

After being required to work in close contact with these new workers, Robert became infected with COVID and allegedly carried the virus home and transmitted it to his wife, Corby, either directly or through her contact with his clothing and personal effects. Corby was hospitalized for several weeks and, at one point, was kept alive on a respirator.

The Kuciembas sued Victory in superior court. Corby asserted claims for negligence, negligence per se, premises liability, and public nuisance. Robert asserted a claim for loss of consortium. Victory removed the case to federal court and moved to dismiss.

The federal district court granted a motion to dismiss without leave to amend. A timely appeal was filed in the 9th Circuit Court of Appeals.

After briefing concluded, the California Court of Appeal decided See’s Candies, Inc. v. Superior Court, 288 Cal. Rptr. 3d 66 (Cal. Ct. App. 2021). Faced with essentially identical facts to those here, the Court of Appeal largely agreed with the Kuciembas’  arguments, and held that the derivative injury rule does not bar claims brought by an employee’s spouse against an employer for injuries arising from a workplace COVID-19 infection.

The 9th Circuit Court of Appeals noted that See’s Candies – although instructive – does not eliminate the need for clear guidance from California’s highest court. “In addition, no controlling precedent resolves whether Victory owed Mrs. Kuciemba a duty of care.”

Thus the 9th Circuit panel certified to the Supreme Court of California the following questions: (1) If an employee contracts COVID-19 at the workplace and brings the virus home to a spouse, does the California Workers’ Compensation Act (WCA; Lab. Code, § 3200 et seq.) bar the spouse’s negligence claim against the employer? (2) Does an employer owe a duty of care under California law to prevent the spread of COVID-19 to employees’ household members?

And yesterday, the California Supreme Court answered both questions in the case of Kuciemba v. Victory Woodworks, Inc. –S274191 (July 2023).

The answer to the first question is no. Exclusivity provisions of the WCA do not bar a nonemployee’s recovery for injuries that are not legally dependent upon an injury suffered by the employee.

In general, workers’ compensation benefits provide the exclusive remedy for third party claims if the asserted claims are “collateral to or derivative of” the employee’s workplace injury. This aspect of workers’ compensation law is sometimes called the derivative injury doctrine.

However, a family member’s claim for her own independent injury, not legally dependent on the employee’s injury, is not barred, even if both injuries were caused by the same negligent conduct of the employer. “Determining the scope of workers’ compensation exclusivity can be analytically challenging.”

The answer to the second question, however, is also no. Although it is foreseeable that an employer’s negligence in permitting workplace spread of COVID-19 will cause members of employees’ households to contract the disease, recognizing a duty of care to nonemployees in this context would impose an intolerable burden on employers and society in contravention of public policy.

“These and other policy considerations lead us to conclude that employers do not owe a tort-based duty to nonemployees to prevent the spread of COVID-19.”

Money Launderer Convicted in Multi-Million Dollar Premium Fraud Scheme

In January 2022, Robert Foster, of Morgan Hill, a retired San Jose Police officer with a side security business was convicted of $1.13 million in insurance fraud, $18 million in money laundering to cover it up, tax evasion, and worker exploitation.

Foster pleaded no contest to a series of felony fraud charges and will be sentenced to three years in county jail and two years of mandatory supervision. Foster will repay $1.13 million to Everest National Insurance and the Employment Development Department.

Foster owns Atlas Private Security (now Genesis Private Security) with his wife, Mikaila Foster, who also pleaded no contest to a variety of related fraud charges

In one instance, an “off-the-books” security guard suffered severe injuries during a crash while driving an Atlas security vehicle. Robert Foster responded to the guard’s $1 million medical bill by telling the insurance company that the guard was not an Atlas employee. Investigators found records showing that the guard was driving an Atlas vehicle and wearing an Atlas uniform at the time of the collision.

The probe also uncovered that the Fosters allegedly hid millions of dollars of payroll through a complex subcontractor masking scheme. Employees were paid by a different security company, which had no knowledge of the employees’ hours, wages, or schedules. Instead, the other company simply moved money from the Fosters’ firm to the employees so that the Fosters could avoid paying their fair share of taxes, workers’ compensation insurance, and overtime wages.

And this month, a 52-year-old San Jose man has pleaded no contest to felony insurance fraud after he used his company to hide payroll for the security company run by the Fosters.

Nam Le operated Defense Protection Group to launder millions of dollars in payroll for Atlas Private Security. For operating an under-the-table subcontractor scheme, Le was paid $0.50 to $1 per hour of payroll he helped hide.

Le will be sentenced next year for the fraud charges and faces prison if he fails to pay more than $100,000 in restitution.

After the Department of Labor questioned Le about the subcontractor scheme, he met with Robert Foster, and Richard McDiarmid, 62, Vice President of Operations for Atlas and former Emeryville police officer, at the Matrix Casino and asked to leave the conspiracy. Instead, the trio decided to expand the scam.

In all, Le helped launder approximately $18 million for Atlas Security. He is ordered to pay approximately $109,000 in restitution and penalties, including $60,000 back to the State of California Department of Insurance. If all restitution is paid by sentencing, he will serve six years of formal probation and one year in county jail. If he has not paid all restitution by sentencing, he will be sentenced to four years in state prison.

The six-month investigation was spearheaded by the Santa Clara County District Attorney’s Bureau of Investigation in collaboration with the California Department of Insurance, Employment Development Department, CA Department of Justice Division of Medi-Cal Fraud and Elder Abuse, and United States Department of Labor. This case paralleled the formation of the DA’s Workforce Exploitation Task Force.

Stay of Litigation Mandated During Appeal of Denial of Arbitration Motion

Coinbase operates an online platform on which users can buy and sell cryptocurrencies and government-issued currencies. When creating a Coinbase account, individuals agree to the terms in Coinbase’s User Agreement that contains an arbitration provision, which directs that disputes arising under the agreement be resolved through binding arbitration.

Abraham Bielski filed a putative class action on behalf of Coinbase users in the U. S. District Court for the Northern District of California. alleging that Coinbase failed to replace funds fraudulently taken from the users’ accounts.

Because Coinbase’s User Agreement provides for dispute resolution through binding arbitration, Coinbase filed a motion to compel arbitration. The District Court denied the motion.

Coinbase then filed an interlocutory appeal to the Ninth Circuit under the Federal Arbitration Act, 9 U. S. C. §16(a), which authorizes an interlocutory appeal from the denial of a motion to compel arbitration. Coinbase also moved to stay District Court proceedings pending resolution of the arbitrability issue on appeal. The District Court declined to stay its proceedings. After receiving Coinbase’s motion for a stay, the Ninth Circuit likewise declined to stay the District Court’s proceedings.

The Ninth Circuit followed its precedent, under which an appeal from the denial of a motion to compel arbitration does not automatically stay district court proceedings. See Britton v. Co-op Banking Group, 916 F. 2d 1405, 1412 (1990).

By contrast, however, most other Courts of Appeals to address the question have held that a district court must stay its proceedings while the interlocutory appeal on the question of arbitrability is ongoing. E.g., Bradford-Scott Data Corp. v. Physician Computer Network, Inc., 128 F. 3d 504, 506 (CA7 1997).

To resolve that disagreement among the Courts of Appeals, the Supreme Court of the United States granted certiorari. 598 U. S. ___ (2022), and ruled in favor of Coinbase when it held that a district court must stay its proceedings while an interlocutory appeal on the question of arbitrability is ongoing in the case of Coinbase Inc., v Bielski – 22-105_5536 (June 2023).

Section 16(a) does not say whether district court proceedings must be stayed pending resolution of an interlocutory appeal.

But the Opinion noted that “Congress enacted the provision against a clear background principle prescribed by this Court’s precedents: An appeal, including an interlocutory appeal, ‘divests the district court of its control over those aspects of the case involved in the appeal. Griggs v. Provident Consumer Discount Co., 459 U. S. 56, 58.”

The Griggs principle resolves this case.Because the question on appeal is whether the case belongs in arbitration or instead in the district court, the entire case is essentially ‘involved in the appeal,’ id., at 58, and Griggs dictates that the district court stay its proceedings while the interlocutory appeal on arbitrability is ongoing. Most courts of appeals to address this question, as well as leading treatises, agree with that conclusion.”

Congress’s longstanding practice reflects the Griggs rule. Given Griggs, when Congress wants to authorize an interlocutory appeal and to automatically stay the district court proceedings during that appeal, Congress ordinarily need not say anything about a stay.”

“By contrast, when Congress wants to authorize an interlocutory appeal, but not to automatically stay district court proceedings pending that appeal, Congress typically says so. Since the creation of the modern courts of appeals system in 1891, Congress has enacted multiple statutory ‘nonstay’ provisions.

Telehealth Utilization Showed Slight Decrease in April

National telehealth utilization decreased 5.4 percent in April 2023, from 5.6 percent of medical claim lines in March to 5.3 percent in April, according to FAIR Health’s Monthly Telehealth Regional Tracker. The decrease followed an increase in March 2023.

In April, telehealth utilization also decreased in all four US census regions – the Midwest (4.7 percent), Northeast (6.3 percent), South (6.8 percent) and West (6.4 percent). The data represent the privately insured population, including Medicare Advantage and excluding Medicare Fee-for-Service and Medicaid.

Mental health conditions, the top-ranking telehealth diagnosis nationally and in every region, rose from 67.4 percent of telehealth claim lines nationally in March 2023 to 68.4 percent in April – the fourth straight month of national increases.

The percentage of telehealth claim lines for the second-place diagnosis, acute respiratory diseases and infections, decreased nationally in April, falling from 3.2 percent in March to 2.7 percent in April. This was the fourth consecutive national monthly decrease for this diagnosis.

Nationally, in April, developmental disorders switched positions with joint/soft tissue diseases and issues in the rankings; developmental disorders rose to third place while joint/soft tissue diseases and issues dropped to fourth place.

In April 2023, among the national top five diagnoses via asynchronous telehealth, mental health conditions switched positions with urinary tract infections in the rankings; claims for mental health conditions climbed to third place while those for urinary tract infections fell to fourth place.

In April, the percentage of asynchronous telehealth claim lines rose for hypertension nationally and in every region. Nationally, the percentage rose significantly from 9.7 percent in March to 12.5 percent in April. Hypertension rose from second to first place in the West and from fourth to second place in the South. It maintained its position nationally (second place) and in the other regions – second place in the Northeast and first in the Midwest.

In April, sleep disorders climbed in the rankings of asynchronous telehealth diagnoses from fifth to fourth place in the Northeast and from fourth to second place in the West. Diabetes mellitus rose in the rankings in three regions: from fifth to third place in the Midwest, from fourth to third place in the Northeast and from fifth to fourth place in the West.

In April 2023, utilization of audio-only telehealth services decreased in rural and urban areas nationally and in every region except the West, where it fell in rural areas but rose in urban areas.

For April 2023, the Telehealth Cost Corner spotlighted the cost of CPT®3 99213, established patient office or other outpatient visit, 20-29 minutes. Nationally, the median charge amount for this service when rendered via telehealth was $167.77, and the median allowed amount was $89.70

Cal/OSHA May Amend Citations Before, During and After ALJ Hearings

Martin Mariano, an employee of L & S Framing Inc., was working on a residential house under construction when he fell from the unprotected second floor stairwell onto the concrete ground floor below, sustaining serious injuries.

Ronald Aruejo, a senior safety engineer for the Cal/OSHA, issued plaintiff L & S Framing Inc., three general citations and one serious accident-related citation. Only the serious accident-related citation is at issue in this appeal.

The subsequent citation itself set forth the following: “[T]he employer did not provide the exposed sides of a stairway with temporary railings and toe board as prescribed in Section 1620. As a result, an employee was seriously injured when he fell from the exposed side of the stairway and landed approximately 11 feet below onto a concrete floor.” The citation cited section 1626, subdivision (a)(5), which is a section that does not exist. Plaintiff appealed the citation.

A hearing before an ALJ followed. The hearing occurred over four days, November 14 and 15, 2017, and September 5 and 6, 2018. On the first day of the hearing, the ALJ granted the Cal/OSHA’s request to amend the citation to refer to section 1626, subdivision (b)(5) which provides that “Unprotected sides and edges of stairway landings shall be provided with railings.” rather than nonexistent subdivision (a)(5), which according to Ronald Aruejo was a typographical error.

During the trial much of the testimony involved describing the correct characterization of the stairway within the meaning of various subsections of section 1626. At one pont the ALJ denied the Division’s mid-hearing request to amend the citation to allege a violation of section 1632, subdivision (b)(1) which requires that “Floor, roof and skylight openings shall be guarded by either temporary railings and toeboards or by covers.” And later denied the Division’s post-hearing motion to amend to allege violation of section 1626, subdivision (a)(2), which provides that ” Railings and toeboards meeting the requirements of Article 16 of these safety orders shall be installed around stairwells” and concluded the Division failed to prove the alleged violation of section 1626, subdivision (b)(5).

The Division filed a petition for reconsideration with the California Occupational Safety and Health Appeals Board which concluded the ALJ improperly denied the two requests to amend and upheld the citation based on violation of both section 1632, subdivision (b)(1) and 1626, subdivision (a)(2).

L & S Framing Inc.,filed a petition for a writ of mandate in the trial court and the trial court denied the petition. L & S Framing Inc., then filed an appeal with th California Court of Appeal which affirmed the trial court in the unpublished case of L & S Framing Inc., v Cal/SOSHA – C096386 (June 2023).

On appeal the employer asserts the trial court erred in permitting the Appeals Board to amend the citation, and asserts the Appeals Board ultimately found a violation based on two regulations that were not correctly pled.

In rejecting this assertion, the Court of Appeal noted that the Labor Code provides that the “rules of practice and procedure adopted by the appeals board shall be consistent with,” among other things, Government Code section 11507. which provides, in part: “At any time before the matter is submitted for decision, the agency may file, or permit the filing of, an amended or supplemental accusation . . . .” Thus, Government Code section 11507 contemplates amendments to accusations, and, pursuant to Labor Code section 6603, the rules of practice adopted by the Appeals Board shall be consistent with that provision.

Section 371.2, a rule of practice and procedure adopted by the appeals board, expressly addresses amendments of a citation or appeal. Among other things, it provides that a “request for an amendment that does not cause prejudice to any party may be made by a party or the Appeals Board at any time.”

“[A]mendments to pleadings in the administrative hearing context are liberally allowed.” (Calstrip Steel Corporation (Cal. OSHA, June 30, 2017, Nos. 12-R3D6-1998, 1999) 2017 CA OSHA App.Bd. Lexis 66 at p. *15.)

The employer also argued the issue of “did the location from which Mariano fell constitute a stairwell within the meaning of section 1626, subdivision (a)(2) and/or a floor opening within the meaning of section 1632, subdivision (b)(1).” Or is 1716.2, subdivision (f) the applicable regulation. That regulation requires fall protection “around all unprotected sides or edges” for work performed on floors that will later be enclosed by framed exterior walls, but only when the work is performed more than 15 feet above the floor level below. The fall here was less than 11 feet to the concrete floor below.

The Appeals Board concluded that, when plaintiff’s workers removed the railing, they “create[ed] a hole or empty space from which people or things could fall through.” The Appeals Board continued: “Mariano fell through the opening, which was unguarded and unprotected contrary to section 1632, subdivision (b)(1)’s mandate.”

Thus the Court of Appeal concluded the Appeals Board’s construction and interpretation of section 1632, subdivision (b)(1) comports with the plain meaning of the terms used in that provision. In the particular context of workplace health and safety here at issue, our high court has reviewed the statutory structure and – noting that the relevant provisions “speak in the broadest possible terms” – has concluded that “the terms of the legislation are to be given a liberal interpretation for the purpose of achieving a safe working environment.”

Public Entity Defendant Allowed Credit for Comp Benefits Paid Before Trial

Daquan Jones brought a tort action against the City of Firebaugh for personal injuries caused by a dangerous condition of public property. and Hiller Aircraft Corporation, among others.

On July 2, 2018, Jones and Cheatham were operating an 80-foot-long “sleeper berth: tractor trailer” when they arrived at the loading dock of Red Rooster, a tomato packing operation located near the intersection of M Street and 12th Street. After picking up tomatoes, Jones needed to move his vehicle to accommodate other drivers.

After leaving the tomato packing facility he was driving on M Street when the road unexpectedly terminated in front of the private property of Hiller Aircraft Corporation. Unable to turn around due in large part to concrete barricades on the road, Jones and his codriver John Cheatham entered Hiller’s property.

Hiller’s general manager Steven Palm refused to let Jones and Cheatham leave until they paid $50. Thereafter, Jones and Palm got into a physical altercation. While being restrained by Palm on the ground, Jones was run over by Cheatham, who was driving the trailer tractor off the property. Jones’s “whole left side” was then crushed by the trailer’s right rear tires while being restrained on the ground by Palm.

As of April 8, 2021, four days before trial commenced, workers’ compensation insurance payments in the amount of $1,253,884.43 were paid to Jones by his workers’ compensation insurer, QBE Americas, Inc. However, the workers’ compensation claim remained open, and the amount of the lien continued to grow as more payments are made for additional medical care..

Trial commenced April 12, 2021. On May 4, 2021, the jury returned a special verdict in favor of Jones. The court adjudged City and Hiller Aircraft Corporation jointly and severally liable for $5,743,907.51 in economic damages and City severally liable for $750,000 in noneconomic damages.

Postverdict, on July 9, 2021, City moved for reduction of judgment pursuant to Government Code section 985 identifying QBE Americas, Inc., a “private workers’ compensation insurer,” as the “sole collateral source.”

The trial court denied the motion for a reduction of the judgment, “as the City has not provided sufficient evidence of the amounts paid by the collateral source or what plaintiff owes under the lien.”

The Court of Appeal reversed and remanded in the unpublished case of Jones v City of Firebaugh -F083759 (June 2023);

Government Code Section 985, subdivision (b), provides that a public entity may bring a posttrial motion to reduce a judgment against it by the amount a collateral source has paid, or is obligated to pay, for services or benefits provided to plaintiff prior to the commencement of trial. (Ibid.; Garcia v. County of Sacramento (2002) 103 Cal.App.4th 67, 72-73.)

A collateral source payment’ includes monetary payments paid or obligated to be paid for services or benefits that were provided’ on behalf of the plaintiff by “private medical programs, health maintenance organizations, state disability, unemployment insurance, private disability insurance, or other [similar] sources of compensation . . . .” (§ 985, subds. (a)(1)(B), (f)(2).)

The trial court concluded “it [wa]s not possible” “to make a reasoned calculation of the amount of any reduction” because (1) the workers’ compensation claim “has not been closed” and “is not likely to be closed in the foreseeable future because of plaintiff’s ongoing medical needs”; (2) “since the workers’ compensation claim remains open, the amount of the lien will continue to grow as more payments are made”; and (3) “the total amount of the lien has not yet been determined.” The court expressed concern “an order under section 985 would have the effect of terminating the lienholder’s right to seek compensation for future payments.”

However the Court of Appeal noted that the language of section 985 limits the inquiry to payments made “prior to the commencement of trial.”

The trial court’s order evinces the mistaken belief that a motion under section 985 reaches payments made for services or benefits provided after the commencement of trial. Since it applied the wrong legal standard, we find an abuse of discretion.”

The post judgment order was reversed. On remand, “the trial court shall reconsider the motion for reduction in judgment pursuant to section 985 in accordance with the proper legal standard.”

SCOTUS Defines Employer’s Obligation to Accommodate Religious Beliefs

Gerald Groff is an Evangelical Christian who believes for religious reasons that Sunday should be devoted to worship and rest.

In 2012, Groff took a mail delivery job with the United States Postal Service. Groff’s position generally did not involve Sunday work, but that changed after USPS agreed to begin facilitating Sunday deliveries for Amazon. To avoid the requirement to work Sundays on a rotating basis, Groff transferred to a rural USPS station that did not make Sunday deliveries.

After Amazon deliveries began at that station as well, Groff remained unwilling to work Sundays, and USPS redistributed Groff’s Sunday deliveries to other USPS staff. Groff received “progressive discipline” for failing to work on Sundays, and he eventually resigned.

Groff sued under Title VII of the Civil Rights Act of 1964, asserting that USPS could have accommodated his Sunday Sabbath practice without undue hardship on the conduct of USPS’s business. 42 U. S. C. §2000e(j).

The District Court granted summary judgment in favor USPS. The Third Circuit affirmed based on this Court’s decision in Trans World Airlines, Inc. v. Hardison, 432 U. S. 63, which it construed to mean “that requiring an employer ‘to bear more than a de minimis cost’ to provide a religious accommodation is an undue hardship.” 35 F. 4th 162, 174, n. 18 (quoting 432 U. S., at 84). The Third Circuit found the de minimis cost standard met here, concluding that exempting Groff from Sunday work had “imposed on his coworkers, disrupted the workplace and workflow, and diminished employee morale.”

The United States Supreme Court reversed in the case of Groff v DeJoy Postmaster General, – No. 22-174 (June 2023).

SCOTUS began it’s Opinion by noting “This case presents the Court’s first opportunity in nearly 50 years to explain the contours of Hardison. The background of that decision helps to explain the Court’s disposition of this case.”

Title VII of the Civil Rights Act of 1964 made it unlawful for covered employers “to fail or refuse to hire or to discharge any individual, or otherwise to discriminate against any individual with respect to his compensation, terms, conditions, or privileges [of] employment,because of such individual’s . . . religion.

As originally enacted, Title VII did not spell out what it meant by discrimination “because of . . . religion.” Subsequent regulations issued by the EEOC obligated employers “to make reasonable accommodations to the religious needs of employees” whenever doing so would not create “undue hardship on the conduct of the employer’s business.” 29 CFR §1605.1 (1968).

Hardison concerned an employment dispute that arose prior to the 1972 amendments to Title VII. In 1967, Trans World Airlines hired Larry Hardison to work in a department that operated “24 hours per day, 365 days per year” and played an “essential role” for TWA by providing parts needed to repair and maintain aircraft. Hardison later underwent a religious conversion and began missing work to observe the Sabbath. Attempts at accommodation failed, and TWA discharged Hardison for insubordination.

Hardison sued TWA and his union, and the Eighth Circuit sided with Hardison. The Eighth Circuit found that reasonable accommodations were available to TWA.

Applying this interpretation of Title VII and disagreeing with the Eighth Circuit’s evaluation of the factual record, the Court identified no way in which TWA, without violating seniority rights, could have feasibly accommodated Hardison’s request for an exemption from work on his Sabbath.

However, the parties in Hardison had not focused on determining when increased costs amount to “undue hardship” under Title VII separately from the seniority issue. But the Court’s opinion in Hardison contained this oft-quoted sentence: “To require TWA to bear more than a de minimis cost in order to give Hardison Saturdays off is an undue hardship.” Subsequently, “lower courts have latched on to ‘de minimis’ as the governing standard.”

Returning to the Groff case, SCOTUS concluded “that showing “more than a de minimis cost,” as that phrase is used in common parlance, does not suffice to establish “undue hardship” under Title VII. Hardison cannot be reduced to that one phrase. In describing an employer’s “undue hardship” defense, Hardison referred repeatedly to “substantial” burdens, and that formulation better explains the decision. The Court understands Hardison to mean that “undue hardship” is shown when a burden is substantial in the overall context of an employer’s business. This fact-specific inquiry comports with both Hardison and the meaning of “undue hardship” in ordinary speech.

Hence “Title VII requires an employer that denies a religious accommodation to show that the burden of granting an accommodation would result in substantial increased costs in relation to the conduct of its particular business.”