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DOI Seeks Limits on Insurance Ratemaking Intervenor’s Fees

In November 1988, California voters approved Proposition 103, which made changes in the regulation of automobile insurance, as well as the approval of premium rates for property and casualty lines of insurance in California. Proposition 103 also allows for public participation through consumer intervention. Any person who “represents the interests of consumers” and intends to raise any issue relevant to a rate proceeding is permitted to intervene.

Recognizing the importance of public participation, the Legislature also authorized the award of certain costs, expenses, and reasonable attorneys’ fees to an intervenor who makes a “substantial contribution” to a rate decision. Proposition 103 has allowed, from the time it was implemented in 1988, for any person to initiate or intervene in any proceeding before the Department and to challenge any action of the Insurance Commissioner.

However, citing abuses of this process primarily by an organization known as Consumer Watchdog, the California Insurance Commissioner has proposed and submitted for approval, the first overhaul of intervenor process in 35 years.

A broad coalition of insurance consumers, including home builders, farmers, affordable housing advocates, local governments, bankers, independent insurance agents and others, wrote that they were “in strong support of the California Department of Insurance’s proposed intervenor reforms.”

They claimed that “the intervenor process has been abused for financial gain – at the direct expense of consumers – while contributing to the growing insurance availability and affordability crisis.” They claim that “at the heart of this crisis is a broken rate approval process – made worse by a flawed intervenor process that Consumer Watchdog wrote into Proposition 103 for its own benefit.” And as an example they say “Despite contributing no measurable benefit, Consumer Watchdog – an organization with ZERO members and no accountability – has pocketed more than $22.5 million in intervenor fees by exploiting the intervenor program – the very program they wrote into law. These fees are ultimately paid for by consumers through higher premiums.’

A coalition of consumer, labor, senior, immigrant, low-income, and public advocates and concerned civic organizations on proposed regulations authored a letter in opposition to the proposed reforms. It claimed the reforms would result in “stifling consumer voices in the setting of insurance rates and regulations.”

However, it was the Insurance Commissioner who concluded in legal documents that “Significantly, Consumer Watchdog is the primary financial beneficiary of a process it created over thirty years ago, and a process that constitutes the largest source of funding for its organization.” The Commissioner went on to say “Consumer Watchdog, who has no members and is accountable to no one but itself, fails to acknowledge the role of the Department’s rate regulation branch in the rate application process, and wrongly contends to have saved consumers $6 billion in insurance premiums since 2002. The Department’s rate regulation branch analyzes all rate change requests to ensure that what is being requested by insurers is compliant under Proposition 103. If proposed rates are excessive, the Department then requires insurers to reduce the proposed rates to no greater than the maximum permitted rate under Proposition 103. The goal of inviting additional public participation is to bring in a unique perspective or additional value, and not to simply participate for participation’s sake.”

Following the rulemaking procedures that aired these points of view, the California Department of Insurance has submitted its Intervenor and Administrative Hearing Bureau Fairness and Accountability rulemaking package to the Office of Administrative Law (OAL) for final review – what is claims is “marking the most significant modernization of the intervenor system since Proposition 103 was enacted in 1988.

The reforms strengthen transparency, improve efficiency, and protect consumer dollars in the insurance rate review process. Once approved by OAL, the regulations will establish clear standards for intervenor compensation, expand public reporting, and reinforce the Department’s authority to ensure that every dollar in the rate review process serves the public interest.

“These reforms strengthen Proposition 103 by bringing long overdue transparency and accountability to every part of the rate review process,” said Commissioner Lara. “Californians deserve to know that every dollar in this system is protected, and I will not allow any organization — insurer or intervenor — to operate without clear guardrails.”

Key provisions of the regulations include:

– – Clarifying “substantial contribution” and reasonableness standards for an intervenor’s request for compensation
– – Defining the role of the Department’s Administrative Hearing Bureau (AHB) in settlement agreements and requests for compensation
– – Requiring regular status updates from AHB Administrative Law Judges every 30 days to all parties
– – Expanding public reporting by posting intervenor activity and statistics on the Department’s website
– – Improving public access to proceedings through required posting of AHB calendars, dockets, and documents

The Insurance Commissioner also addressed mischaracterizations raised by opponents during the rulemaking process. “Some groups have misrepresented these reforms as limiting consumer voices. That is simply false,” he said. “The right to intervene remains untouched. What changes is the expectation that compensation must be earned, documented, and aligned with the issues in the proceeding.”

The Office of Administrative Law has up to 30 working days to complete its review. Once approved, the regulations will be filed with the Secretary of State and take effect shortly thereafter.

Zurich Claims $1.1M in Unpaid Staffing Company Comp Premiums

Zurich American Insurance Company has filed suit in the U.S. District Court for the Central District of California against two Ontario-based staffing companies — Managing Personnel Services, Inc. and Employee Force Provider, Inc. — alleging breach of contract for failure to pay over $1.1 million in workers’ compensation insurance premiums following post-policy audits.

The defendants, described in the complaint as a captive insurance provider and program, were issued two consecutive workers’ compensation policies by Zurich. The first policy (WC Agreement I) covered the period July 1, 2023 through July 1, 2024. The second (WC Agreement II) covered July 1, 2024 through July 1, 2025, but was canceled by Zurich effective June 9, 2025 for nonpayment of premium.

Managing Personnel Services, Inc. (MPS) was incorporated in California on February 11, 2015, and as of late 2024 maintained an active filing status with the California Secretary of State. The company describes its core mission as empowering employers by building workforces and assisting job seekers, specializing in outsourced employment and human resource services. It serves machine operators, clerical, general labor, and light industrial sectors.

Employee Force Provider, Inc. (EFP) was also founded in 2015 and is headquartered at 3400 Inland Empire Blvd., Suite 210, Ontario, California — the same street address listed in the complaint for both defendants. EFP describes itself as supporting companies ranging from small to Fortune 500 firms throughout the United States, offering on-site, direct hire, temp-to-hire, and temp services, with specialties in distribution/logistics, manufacturing/industrial, clerical, and IT/technical staffing.

The BBB profile for Employee Force Provider lists two CEOs: Walter Ladislao Ramirez and Jairo Mendoza Jr. Both companies operate in the same Inland Empire labor market, were founded in the same year, share the same street address, and appear to offer nearly identical services. The complaint itself specifically alleges that the two defendants are alter egos of one another and essentially extensions of each other.

Under both policies, initial premiums were based on estimated payroll exposure, subject to a “true-up” audit at the end of the policy period — a standard feature of workers’ comp policies for staffing and labor-intensive businesses. When actual payroll exposure exceeds the estimate, additional premium is owed; if lower, a refund is issued.

The audits here produced substantial additional premium obligations. In December 2024, the audit for WC Agreement I revealed an additional premium owed of $179,753. The defendants made a partial payment of $100,000 in May 2025, leaving a balance of $79,752. The post-cancellation audit for WC Agreement II, issued in August 2025, produced a demand of $1,059,255 — which the defendants did not pay at all.

In February 2026, Zurich issued a consolidated Statement of Account demanding $1,139,007, plus interest. When the defendants failed to respond, Zurich filed this single-count breach of contract action in federal court, invoking diversity jurisdiction based on the parties’ differing states of incorporation and the amount in controversy exceeding $75,000. Zurich seeks a judgment for the full $1,139,007, pre-judgment interest at the applicable statutory rate, and costs of suit. A bench trial has been requested.

This lawsuit is a reminder of the significant premium audit exposure that can arise in workers’ compensation programs serving staffing companies, particularly those operating under captive or loss-sensitive structures. The gap between estimated and audited payroll — particularly for WC Agreement II, where the audit produced a figure nearly six times the outstanding balance from WC Agreement I — underscores the importance of diligent mid-term payroll monitoring and timely premium collections. Carriers and program administrators would do well to review their audit enforcement procedures and premium security mechanisms before exposure of this magnitude accumulates.

Case filings are publicly available through PACER. The case docket does not contain any responsive pleading from any named defendants.

FEHA Standing Applies to Nursing Student on Clinical Rotations

Jessie Walton enrolled as a postsecondary nursing student at Victor Valley Community College District in 2017. Her coursework required her to complete clinical rotations at two local hospitals under the supervision of District faculty. Her supervisor during the spring 2018 rotations was Diego Garcia, the District’s nursing program director.

Walton alleged that Garcia subjected her to extensive verbal and physical sexual harassment, attempting to coerce her into a sexual relationship in exchange for better grades. When she rejected his advances, Garcia allegedly retaliated by giving her a failing grade and refusing to discuss it with her.

In June 2018, Walton sent a formal complaint letter to the District. The District placed Garcia on administrative leave and hired a third-party firm to investigate. In August 2018, the District denied Walton’s request for a grade correction. She withdrew from the program in September 2018 and eventually completed her nursing degree out of state. By November 2018, the third-party investigator issued a 79-page report confirming Garcia had engaged in “highly inappropriate behavior” and harassed at least one other female student. District HR recommended his removal from his tenured position, and Garcia never returned.

In December 2018, Walton’s attorney sent the District a detailed 13-page letter outlining Garcia’s misconduct and Walton’s estimated damages, warning of potential litigation. After failed mediation, Walton filed suit asserting five claims under the Fair Employment and Housing Act (FEHA) for sex discrimination, sexual harassment, failure to prevent, retaliation, and injunctive relief; Civil Code violations; Education Code violations; and negligence.

The District moved for summary judgment, arguing Walton lacked FEHA standing, failed to comply with the Government Claims Act, and could not show deliberate indifference under Education Code section 66270.

At the hearing, the trial court excluded Walton’s attorney’s declaration because it lacked a penalty-of-perjury subscription and omitted the place of execution — a technical deficiency counsel acknowledged on the spot as an oversight. Less than an hour after the hearing, counsel filed a corrected declaration curing both defects. The court ignored the corrected filing and sustained the objection. Without the declaration, key opposition evidence — including deposition excerpts showing the District had prior knowledge of Garcia’s harassment of other students — was stripped from the record.

The trial court then granted summary judgment for the District on all claims, finding: (1) Walton lacked FEHA standing because she was a student, not an unpaid intern; (2) the December 2018 attorney letter did not satisfy Government Claims Act notice requirements; and (3) the District’s investigation demonstrated it was not deliberately indifferent to Walton’s complaints.

The Court of Appeal reversed summary judgment on all claims except Walton’s Civil Code cause of action, which she did not contest on appeal in the published case of Walton v. Victor Valley Community College District Case No. G064668 (April 2026). The District was granted summary adjudication on that single claim only.

On the excluded declaration, the court held the trial court abused its discretion by refusing to allow a cure of a plainly technical defect. The court emphasized that granting summary judgment based on a curable procedural default deprives a party of a decision on the merits. Here, counsel was present in the courtroom, offered to fix the error immediately, and in fact filed a corrected declaration within the hour. The District identified no prejudice from allowing the cure.

On FEHA standing, the court rejected the notion that “student” and “unpaid intern” are mutually exclusive categories. The Legislature’s 2015 amendment to FEHA explicitly extended protections to unpaid interns, and the legislative history of Assembly Bill No. 1443 (2013–2014 Regular Session) specifically identified nursing clinical rotations as the type of internship the amendment was designed to cover. California Code of Regulations, title 2, section 11008(m) further defines an unpaid intern as “any individual (often a student or trainee)” working without pay in a limited-duration program. Walton therefore had standing.

On Government Claims Act notice, the court found Walton’s attorney’s detailed December 2018 letter substantially satisfied the statutory requirements. The court reiterated that a claim is sufficient if it discloses enough information for the public entity to investigate and potentially settle. The District could not even identify which required element the letter allegedly omitted. A claimant’s subjective intent in labeling a letter a confidential settlement communication is irrelevant — what matters is whether the letter disclosed a claim that, if unresolved, would result in litigation. It did.

On deliberate indifference, the court found triable issues of material fact precluding summary judgment. While the District pointed to its investigation as proof of responsiveness, the court noted the investigation concluded only after Walton had already been forced out of the program — it conferred no benefit on her. A reasonable jury could find deliberate indifference from the District’s refusal to address her grade while she was still enrolled. The excluded deposition evidence — showing the District had prior complaints about Garcia harassing other students — reinforced that a genuine factual dispute existed.

On negligence, the court rejected the District’s reliance on Thomas v. Regents of University of California (2023) 97 Cal.App.5th 587, which held that colleges have no duty to protect students from purely nonphysical harassment. Because Walton alleged unwanted physical touching, Thomas was inapplicable, and her negligence claim survived.

Former Teacher Pleads Guilty in $51 Million Medicare Fraud Scheme

Former teacher Jeanett Valenzuela Ayub pleaded guilty in federal court admitting that she conspired with others to launder millions of dollars of health care fraud proceeds.

In total, Valenzuela admitted that she and her co-conspirators billed Medicare nearly $51 million for bogus prescriptions and were paid approximately $20 million, ultimately laundering at least $14 million dollars of Medicare proceeds and paying $3.7 million in unlawful kickbacks.

On April 7, the Department of Justice announced the creation of the National Fraud Enforcement Division. The core mission of the Fraud Division is to zealously investigate and prosecute those who steal or fraudulently misuse taxpayer dollars.  Department of Justice efforts to combat fraud support President Trump’s Task Force to Eliminate Fraud, a whole-of-government effort chaired by Vice President J.D. Vance to eliminate fraud, waste, and abuse within Federal benefit programs

According to her plea agreement, Valenzuela and co-conspirators owned and operated multiple durable medical equipment (DME) companies, which sold orthotics – including back, wrist, and knee braces – to Medicare beneficiaries.

Valenzuela admitted that in operating the DME companies, she and co-conspirators paid unlawful kickback payments to sham marketing companies who provided bogus prescriptions for DME. The prescriptions were signed by physicians who had no legitimate doctor-patient relationship with the beneficiary; had not conducted a legitimate medical evaluation of the beneficiary; and had not impartially determined that the beneficiary actually needed the DME.

When agents interviewed Medicare beneficiaries during its investigation, the Medicare beneficiaries confirmed that they never spoke with a doctor, were never examined by a doctor related to the prescribed DME, and were not familiar with the prescribing doctor; never used nor even opened the packages containing the DME; and many of the Medicare beneficiaries still had the DME in their original unopened packages.

Valenzuela further admitted that she used DME companies to submit fraudulent claims to Medicare. Once Valenzuela’s or her co-conspirator’s DME companies were suspended from billing Medicare, Valenzuela conspired to put DME companies in the names of nominee owners while she and her co-conspirators maintained control of the companies and the monies received from Medicare.

Among Valenzuela’s co-conspirators was her brother, Fernando Valenzuela Ayub, who previously pleaded guilty to the same offense and is pending sentencing. When her brother was arrested on December 9, 2024, for his involvement in this conspiracy, Valenzuela absconded to Tijuana. Ultimately, Valenzuela was detained in August 2025 in the Dominican Republic after she left Mexico and traveled with family for a vacation.

After being detained in the Dominican Republic, Valenzuela was removed to the United States through Miami, Florida, where she was then arrested by U.S. Marshals and ultimately transported to San Diego to face the pending charges against her.

Valenzuela is scheduled to be sentenced on July 24, 2026, at 9 a.m.

The case is being prosecuted by Assistant U.S. Attorney Blanca Quintero of the Southern District of California.  Former Assistant U.S. Attorney Valerie Chu contributed significantly to the case.

April 20, 2026 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: 132a Reversed Because WCAB Systematically Ignored Evidence. Reconsideration Denied in SCIF Commutation Significant Panel Decision. New York Federal Court Extends FEHA Reach in High Profile Case. Med Examiner Steals Necklace While Investigating Death of Worker. Podiatrist Sentenced for $3.2 Million Healthcare Fraud. Former UCLA Doctor Sentenced to More Than a Decade in Prison. The Doctor’s Office Diagnostic Suite: In-Office Needle Arthroscopy.

The Doctor’s Office Diagnostic Suite: In-Office Needle Arthroscopy

A technology that has been gaining significant traction in orthopedic practice offers a faster and more accurate alternative. In-office needle arthroscopy — sometimes called in-office diagnostic arthroscopy, or IONA — allows orthopedic surgeons to directly visualize the interior of a joint during a routine office visit, using nothing more than local anesthesia and a needle-sized camera.
The leading device in this space is the mi-eye system, now in its third generation, manufactured by Trice Medical. The mi-eye 3 is an FDA-cleared, single-use needlescope measuring just 2.3 millimeters in diameter — roughly the width of a standard blood-draw needle. It integrates a high-resolution image sensor, LED illumination, and a camera into a single handheld instrument, paired with a portable tablet for real-time visualization. The most recent iteration introduced a 25-degree angled lens, a feature long standard in traditional operating-room arthroscopes, which significantly expands the surgeon’s field of view. According to Trice Medical, early data suggests the angled camera can capture over sixteen times more visual information than a zero-degree scope.

The clinical workflow is straightforward. The physician numbs the tissue around the joint with a local anesthetic, inserts the needlescope through a standard portal site, and injects a small amount of saline to distend the joint for visibility. Within seconds, the surgeon can visualize cartilage surfaces, meniscal tissue, ligaments, and other structures directly, capturing both still images and video for the medical record. The entire procedure typically takes only minutes, and patients generally resume normal activity within 24 hours. No general anesthesia is required, no operating room is needed, and no hospital facility fee is generated. Physicians who have integrated the procedure into their practices report that it can be performed the same day as the presenting office visit, often while the patient is still in the exam room.

The clinical evidence supporting needle arthroscopy’s diagnostic performance is compelling. In a prospective, multicenter study comparing the mi-eye device to both MRI and traditional surgical arthroscopy as a reference standard, the needle arthroscope correctly identified all pathologies in over 91% of patients, compared to roughly 61% for MRI. The device proved more sensitive than MRI in detecting meniscal tears — 92.6% versus 77.8% — and substantially more specific, at 100% versus 41.7%. Those specificity numbers are particularly significant in a workers’ compensation context, where a false-positive MRI finding can drive unnecessary surgical authorizations and inflated claim costs.

Published case reports have illustrated the technology’s value in precisely the kind of scenario that frustrates claims professionals. In one well-documented case, a patient with persistent knee pain following an injury had undergone MRI imaging that came back negative. Despite the normal scan, symptoms continued. An in-office needle arthroscopy was performed and immediately identified a tear of the medial meniscus that was subsequently confirmed and repaired during follow-up surgery. The diagnosis was reached in approximately twenty seconds of visualization.

A 2025 review published in the Journal of Arthroscopic Surgery and Sports Medicine examined the expanding clinical applications of IONA across multiple joints — knee, shoulder, ankle, wrist, elbow, and hip — and concluded that it is more accurate than MRI for identifying intra-articular pathologies in many of these settings. Notably, the technology has also extended beyond pure diagnostics: surgeons are now performing minor therapeutic procedures through the same needle-sized portals, including partial meniscectomies using miniaturized instruments, which could further reduce operating-room utilization and associated costs.

The economic case for in-office needle arthroscopy is particularly relevant to the workers’ compensation system. A cost-minimization analysis published in the Journal of Bone and Joint Surgery Open Access evaluated societal costs of using in-office diagnostic arthroscopy compared to MRI for employed patients receiving workers’ compensation or disability benefits. The study, which examined data from four U.S. metropolitan regions, found that in-office arthroscopy produced potential savings of approximately $7,852 to $11,227 per operative patient compared to the MRI pathway. Those savings reflected not only lower direct procedure costs — average commercial reimbursement for in-office knee arthroscopy was approximately $629, compared to over $1,000 for outpatient MRI — but also the substantial indirect costs of delayed diagnosis: lost wages, extended disability payments, additional office visits, and interim treatments that might prove unnecessary once a definitive diagnosis is reached.

WCRI Examines Air Ambulance Use and Costs Across 32 States

Air ambulances can be lifesaving for workers with severe job related injuries, and their costs vary widely across states. A new FlashReport from the Workers Compensation Research Institute (WCRI) examines air ambulance use and payments in workers’ compensation claims across 32 states.

“Air ambulances play a critical role in workers’ compensation by providing rapid emergency transport for workers with severe or life‑threatening injuries,” said Sebastian Negrusa, vice president of research at WCRI. “This study helps clarify key questions about costs and access to services, particularly in remote areas.”

The study finds wide variation in average payments for air ambulance services across states. It also highlights ongoing legal uncertainty over who has authority to regulate air ambulance pricing, as providers and states differ on whether federal law preempts state workers’ compensation fee schedules. This uncertainty has contributed to wide variation in air ambulance payments across states.

The study addresses:

– – How frequently air ambulance services are used in workers’ compensation claims and how use differs between rural and non rural areas.
– – Differences in air ambulance use and payment levels across states.
– – Changes in payments for air ambulance services over time and how trends in payment growth vary by state.

The analysis for Use and Cost of Air Ambulance Transport Services in Workers’ Compensation—A WCRI FlashReport is based on workers’ compensation claims from 32 states covering injuries through 2024. The states include Alabama, Arizona, Arkansas, California, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Jersey, New Mexico, New York, North Carolina, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Wisconsin.

The study is free for WCRI members and available for purchase by nonmembers.

April 13, 2026 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: 9th Circuit Strikes Down Most of California’s Dialysis Law – AB 290. Ventura Contractor Charged with Workers’ Compensation Fraud. Orange County Man Pleads Guilty to $270M Prescription Fraud. “Ketamine Queen” to Serve 15 Years For Matthew Perry Death. Corrupt SoCal ChiroMed Clinic Operator Sentenced to 18 Years. Federal Crackdown Nets Eight in $50M+ Health Care Fraud Schemes. NSC Study Shows Benefits of Workplace Injury Prevention Technology. Bone-Anchored Prosthetics Gain Ground With New Research.

New York Federal Court Extends FEHA Reach in High Profile Case

Blake Lively and Justin Baldoni co-starred in the film It Ends With Us, a movie exploring domestic violence based on a Colleen Hoover novel. Baldoni co-founded Wayfarer Studios and also directed the film. Lively’s role was negotiated through her loanout company, Blakel, Inc., under an Offer Letter dated May 4, 2023. The parties never executed the contemplated long-form Actor Loanout Agreement (“ALA”), though they negotiated it for over a year while filming proceeded. A separate Contract Rider Agreement (“CRA”) was signed in January 2024, setting conditions — including a no-retaliation clause — under which Lively would return to production after the 2023 WGA/SAG-AFTRA strikes.

Lively alleged in the lawsuit she filed in the United States District Court Southern District of New York that during the first phase of filming in New Jersey, Baldoni and Wayfarer CEO Jamey Heath subjected her to sexual harassment and a hostile work environment — including comments about her body, an intrusion on her physical privacy while she was undressed, pressure to perform nudity beyond what was agreed, and discussions of personal sexual matters. In November 2023, Lively’s attorneys sent a “Protections for Return to Production” letter identifying seventeen conditions for her return to set. A January 4, 2024 all-hands meeting addressed these concerns, and the CRA was signed shortly after. Lively alleged that following the film’s August 2024 release, the defendants launched a coordinated public-relations campaign — engaging crisis consultants, digital operatives, and media contacts — to destroy her reputation in retaliation for her complaints. Expert reports submitted by Lively showed statistical evidence of artificially manipulated online content targeting her.

In the Opinion and Order on Motions for Judgment on the Pleadings and Summary Judgment in the case of Lively v. Wayfarer Studios LLC No. 24-cv-10049 (S.D.N.Y.) on April 2, 2026, Judge Liman ruled on the Wayfarer Parties’ combined motions for judgment on the pleadings and for summary judgment on all thirteen of Lively’s claims, which spanned Title VII, California FEHA, California Labor Code § 1102.5, breach of contract, defamation, false light invasion of privacy, and civil conspiracy.

The court granted the motions on most claims but denied them on three: (1) Lively’s FEHA retaliation claim against IEWUM and Wayfarer (Count Four); (2) her FEHA aiding-and-abetting retaliation claim against The Advocacy Group, LLC (Count Seven); and (3) her breach of the CRA claim against It Ends With Us Movie LLC (Count Nine). All other claims — including Title VII, California Labor Code § 1102.5, FEHA sexual harassment, defamation, false light, civil conspiracy, and breach of the ALA — were dismissed.

Employment Status (Title VII and California Labor Code). The court held that Lively was an independent contractor, not an employee, under both the federal Reid factors and California’s Borello test. Lively enjoyed extensive contractual approval rights over the script, director, co-lead, wardrobe, marketing, and release pattern; she exercised significant practical control over hiring, firing, editing, and production logistics; she was paid a flat fee plus equity through her loanout entity with no tax withholding or benefits; and her engagement was limited to a single six-week project. Citing Alberty-Velez v. Corporacion de Puerto Rico Para La Difusion Publica, 361 F.3d 1 (1st Cir. 2004), and Lerohl v. Friends of Minnesota Sinfonia, 322 F.3d 486 (8th Cir. 2003), the court reasoned that a director’s creative control over an actor does not automatically convert the actor into an employee, and that Lively’s independence — both contractual and practical — was overwhelming.

Contract Claims. The ALA was found unenforceable because it was never signed, IEWUM consistently insisted on execution as a condition precedent, and Lively could not identify which draft bound the parties or when. The CRA, however, was enforceable: it was signed by both parties, supported by valid consideration (Lively’s agreement to return to set when her obligation to do so was doubtful), and its anti-retaliation clause was not dependent on execution of the ALA.

Why a New York Federal Court Applied California FEHA. This is the opinion’s most significant issue. California law presumes its statutes do not apply extraterritorially, citing Diamond Multimedia Systems, Inc. v. Superior Court, 968 P.2d 539 (Cal. 1999), and courts have consistently held that FEHA does not reach conduct occurring outside California. See Campbell v. Arco Marine, Inc., 50 Cal. Rptr. 2d 626 (Cal. Ct. App. 1996). The ALA’s California choice-of-law clause could not resolve this issue because the ALA was never executed.

The court therefore applied the Campbell framework, which asks whether the “core of the alleged wrongful conduct” — particularly the “ultimate” or “crucial” discriminatory acts — occurred in California. For the sexual harassment claims, the answer was no: the alleged hostile-work-environment conduct occurred on a New Jersey film set, and California connections such as Heath’s text messages or pre-production Zoom calls were too peripheral to constitute “core” wrongdoing. The court rejected Lively’s argument that retaliatory acts committed from California could bootstrap her harassment claims into California’s territorial reach, noting that the alleged retaliation occurred after the working relationship ended and thus could not create a hostile work environment.

For the retaliation claims, however, the court reached the opposite conclusion. The allegedly retaliatory smear campaign was planned, directed, and largely executed from California. Baldoni and Heath — both California residents — directed their California-based PR consultants (TAG, Nathan) to implement the campaign. TAG retained a digital operative (Wallace) from California. The “decision to take retaliatory actions was made in California,” which courts have held satisfies the territorial nexus. See eShares, Inc. v. Talton, 2025 WL 936921, at *15 (S.D.N.Y. Mar. 27, 2025). The court further noted that FEHA’s anti-retaliation provision protects “any person” — not just employees — meaning Lively’s independent-contractor status did not bar her FEHA retaliation claim. See Fitzsimons v. California Emergency Physicians Medical Group, 141 Cal. Rptr. 3d 265, 269 (Cal. Ct. App. 2012).

Retaliation — Triable Issues. The court found genuine factual disputes on all three elements of the FEHA retaliation claim: (1) Lively engaged in protected activity through the Protections Letter and all-hands meeting, and it was reasonable for her to believe she was opposing sexual harassment; (2) the Wayfarer Parties’ campaign — including statements about wanting to “bury” and “destroy” Lively, coordination with digital operatives whose work would be “untraceable,” and expert evidence of artificially manipulated online content — could constitute adverse employment action materially impairing her career prospects; and (3) a jury could infer retaliatory motive from the sequence of events and the Wayfarer Parties’ documented anger over Lively’s complaints.

Remaining Claims Dismissed. The defamation claim was barred by New York’s fair-report privilege because all challenged statements were made by counsel in connection with judicial proceedings. The false-light claim failed because New York law — which governed under choice-of-law analysis focused on Lively’s New York domicile — does not recognize the tort. Civil conspiracy claims fell with the underlying torts they were predicated on. Individual aiding-and-abetting claims against Nathan and Abel were barred under Reno v. Baird, 957 P.2d 1333 (Cal. 1998), which prohibits personal liability for individual nonemployer agents, though the court reserved judgment on TAG’s potential liability as a business-entity agent under Raines v. U.S. Healthworks Medical Group, 534 P.3d 40 (Cal. 2023).

The case is scheduled to proceed to trial on May 18, 2026 in New York.

Former UCLA Doctor Sentenced to More Than a Decade in Prison

James Heaps served as a gynecologist and oncologist affiliated with U.C.L.A. for nearly 35 years. At various times, he saw patients at the Ronald Reagan U.C.L.A. Medical Center and at his office at 100 Medical Plaza. Heaps was reportedly at one time the highest paid physician in the entire U.C. system and had treated approximately 6,000 patients.

In October 2022, Heaps was convicted of three counts of sexual battery by fraud and two counts of sexual penetration of an unconscious person. Those charges involved two former patients. He was sentenced to 11 years in prison in April 2023.

But that conviction did not stand. On February 6, 2026, the California Second District Court of Appeal overturned the conviction and ordered a new trial in the published case of People versus Heaps -B329296 (February 2026). The key issue on appeal was a violation of the defendant’s Sixth Amendment rights, specifically the right to a fair trial and an impartial jury. During deliberations, the trial court received a note indicating that an alternate juror had limited English proficiency, which potentially affected their ability to understand the proceedings and participate fully. The court did not disclose this note to the parties or allow input from the defense and prosecution before proceeding. That procedural error was deemed reversible.

So following that reversal, Heaps pleaded guilty this April in case number SA100560 to thirteen counts. Those counts include six felony counts of sexual penetration of an unconscious person, five felony counts of sexual battery by fraud, and two felony counts of sexual exploitation of a patient. The plea came at a pretrial hearing just two months after the appeals court overturned his original conviction.

Los Angeles County Superior Court Judge Charlaine Olmedo sentenced Heaps to 11 years in prison. He is also required to register as a sex offender for life. The charges involved five female patients who were assaulted between 2011 and 2018 while Heaps was working as an obstetrician and gynecologist at U.C.L.A.

Los Angeles County District Attorney Nathan J. Hochman commented on the sentence, saying, quote, today marks the second time that we’re holding James Heaps responsible for the unconscionable crimes he committed while being entrusted with the safety of his patients, end quote. Hochman added that for years, Heaps exploited the sacred trust between a doctor and patient to prey on vulnerable victims during medical procedures. He said the sentence ensures Heaps will finally be held accountable for the harm he inflicted under the guise of care. Hochman addressed the survivors directly, expressing hope that the outcome brings them closure, and stating, quote, to all survivors, please know that we believe you and we will fight for you, end quote.

This criminal case is just one piece of a much larger scandal at U.C.L.A. involving Heaps. Hundreds of women accused him of inappropriate exams and abuse over many years, leading to his removal from practice and massive civil settlements.

More than 500 lawsuits were filed against Heaps and U.C.L.A., accusing the school of failing to protect patients after becoming aware of the misconduct. During the course of the criminal prosecution, attorneys for 312 former patients announced a $374 million settlement of abuse lawsuits against the University of California on May 24, 2022. That came on top of a $243.6 million resolution involving about 200 patients announced in February of that year, and a $73 million settlement of federal lawsuits involving roughly 5,500 plaintiffs. By that point, U.C.L.A. had paid out approximately $700 million in total settlements to hundreds of former patients over related sexual misconduct claims spanning decades.

And for context, this is not the only case of its kind in the U.C. system or in higher education more broadly. In March 2021, in a similar case, U.S.C. agreed to pay more than $1.1 billion to about 17,000 former patients of former campus gynecologist George Tyndall. That remains the largest sex abuse payout in higher education history.