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9th Circuit Rejects Application of California Arbitration Law

Kara Sandler worked for Modernizing Medicine, Inc. (ModMed), a Delaware corporation. Her employment contract required that any employment-related disputes be resolved through binding arbitration under the Federal Arbitration Act, following the procedures of the California Arbitration Act. The contract further specified that arbitration would be administered by JAMS (Judicial Arbitration & Mediation Services, Inc.), whose rules provide that an arbitrator — not a court — must decide threshold questions about the validity and enforceability of the arbitration agreement itself. The contract also contained a generic severability clause stating that if “a court or other body of competent jurisdiction” found any provision invalid, the offending provision would be enforced to the maximum extent permissible and the remainder of the agreement would survive.

Sandler filed suit against ModMed in the Southern District of California, asserting state and federal claims of age and disability discrimination. ModMed moved to compel arbitration. Sandler opposed the motion, arguing the arbitration agreement was unconscionable.

The district court denied ModMed’s motion. While it acknowledged that the incorporation of JAMS rules constituted a delegation of validity questions to the arbitrator, the court relied on several California state-court decisions to conclude that the severability clause undermined that delegation. The court’s reasoning was that because the severability clause referenced “a court,” the parties may not have clearly intended for an arbitrator to be the one deciding whether the arbitration agreement was enforceable. Having claimed authority to decide the question itself, the district court then ruled the arbitration agreement unconscionable and refused to sever the offending provisions.

The Ninth Circuit reversed. The panel in the published case of Sandler v. Modernizing Medicine, Inc. No. 24-6623 (March 2026) and took issue with the district court’s reliance on California state-court opinions, and held that the district court misapplied federal law and should never have reached the unconscionability question at all.

The court began with settled precedent: when parties incorporate JAMS (or AAA) rules into an arbitration agreement, that incorporation constitutes “clear and unmistakable” evidence of an intent to delegate questions of arbitrability to the arbitrator. The panel cited Patrick v. Running Warehouse, LLC, 93 F.4th 468, 481 (9th Cir. 2024), and Brennan v. Opus Bank, 796 F.3d 1125, 1130 (9th Cir. 2015), as controlling authority on that point.

The central question was whether a generic severability clause mentioning “a court” introduced enough ambiguity to negate that otherwise clear delegation. The Ninth Circuit held it did not. The panel reasoned that the two clauses can coexist: the delegation clause sends disputes — including validity disputes — to the arbitrator, while the severability clause merely provides a contingency mechanism if a court were to interpret the contract for any reason. The court emphasized the “cardinal principle of contract construction” from Mastrobuono v. Shearson Lehman Hutton, Inc., 514 U.S. 52, 63 (1995), that contract clauses should be read as consistent with one another rather than in conflict. Letting the severability clause swallow the delegation clause would render the latter superfluous, a result disfavored under Trident Center v. Connecticut General Life Insurance Co., 847 F.2d 564, 566 (9th Cir. 1988).

The panel also took issue with the district court’s reliance on California state-court opinions. Whether parties clearly and unmistakably intended to delegate arbitrability is a question of federal law under the FAA, as established in Brennan, 796 F.3d at 1129, and First Options of Chicago, Inc. v. Kaplan, 514 U.S. 938, 944 (1995). Any state rule that uses a severability clause to negate an otherwise clear delegation would be preempted by the FAA, under the reasoning of Kindred Nursing Centers Limited Partnership v. Clark, 581 U.S. 246, 251 (2017), and AT&T Mobility LLC v. Concepcion, 563 U.S. 333, 339 (2011). The Fifth and Sixth Circuits have reached the same conclusion. See Arnold v. Homeaway, Inc., 890 F.3d 546, 552 (5th Cir. 2018); Blanton v. Domino’s Pizza Franchising LLC, 962 F.3d 842, 846–47 (6th Cir. 2020).

The Ninth Circuit vacated the unconscionability ruling, reversed the denial of the motion to compel, and remanded with instructions to grant the motion and stay the case pending arbitration.

Sutter Facilities to Pay $3.2 Million to Resolve Alleged CSA Violations

Sutter Medical Center, Sacramento, and Sutter Fairfield Surgery Center have agreed to pay $3.2 million to resolve allegations that they failed to effectively guard against theft and diversion of controlled substances, U.S. Attorney Eric Grant announced. This settlement relates to allegations of the entities’ collective commission of at least 628 violations of recordkeeping and security requirements under the Controlled Substances Act (CSA).

The United States contends that these two Sutter-affiliated entities violated the CSA by, among other violations, failing to: notify the Drug Enforcement Administration (DEA) of theft or loss, keep accurate records of controlled substances, complete biennial inventories, maintain complete controlled substance order records, and provide effective controls against diversion. The investigation was initiated following the death of a pediatric anesthesiologist.

“We remain steadfast in our commitment to hold health care providers accountable for failing to effectively guard against the diversion of potentially dangerous controlled substances,” said U.S. Attorney Grant. “Our community deserves the right to place its trust in health care providers that dispense controlled substances and to know that they adhere to and apply the right safeguards to ensure safety around those products.”

“DEA registrants play a critical role in protecting the public and that responsibility starts with strict compliance to the Code of Federal Regulations,” said DEA Special Agent in Charge, Bob P. Beris of the San Francisco Field Division. “If a company chooses to ignore these obligations, it puts communities at risk and undermines the safeguards designed to keep the public safe. DEA holds registrants accountable and in turn, expects them to keep the public safe.”

The DEA conducted the investigation. Assistant U.S. Attorney David Thiess assisted in completing the resolution on behalf of the United States.

The claims resolved by this settlement are allegations only, and there has been no determination of liability.

March 23, 2026 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: LA City College Owes Damages for Blind Students Inadequate Accommodations. Companies Allegedly Sell EHR Data to Mass Tort Plaintiff Lawyers. Janitorial Company Arbitration Clause Passes Unconscionability Tests. Fraud Crackdowns Announced From Whitehouse to Los Angeles. Two LAPD Officers Arrested for Unemployment Insurance Fraud. Carmichael Man Charged for Making Threats Against a Judge. EEOC Rescinds 2024 Enforcement Guidance on Workplace Harassment. FDA Gives “Breakthrough” Status to AI Chatbot for Surgical Recovery.

Anti-SLAPP Motion Denial Affirmed in University Retaliation Case

Hyewon Pechkis and Joseph Pechkis, a married couple, were tenured physics professors at California State University, Chico (Chico State). Hyewon alleged she was subjected to harassment and discrimination by the department chair based on his perceived bias against women and Hyewon’s Korean ancestry and national origin. The chair allegedly confronted Hyewon aggressively enough to cause her to fear for her physical safety, and she was eventually diagnosed with chronic post-traumatic stress disorder, major depressive disorder, and generalized anxiety disorder stemming from the hostile working environment. The couple raised their concerns with the dean of the College of Natural Sciences, but Chico State took no action to address the chair’s behavior.

With no relief forthcoming, the Pechkises accepted employment offers at California Polytechnic State University (Cal Poly), 400 miles away, effectively giving up their tenured positions at Chico State. Shortly after they announced their planned departure, Chico State Vice Provost Mahalley Allen emailed Hyewon claiming the university had “serious concerns” about a potential Family Educational Rights and Privacy Act (FERPA) violation related to old blog postings Hyewon had written in Korean, which the complaint alleged were based on inaccurate translations. The complaint further alleged that Allen contacted Cal Poly to inform them of the unresolved FERPA investigation in what plaintiffs characterized as an attempt to sabotage their transfer. A Chico State dean also allegedly caused unnecessary delays in transferring plaintiffs’ lab equipment to Cal Poly. Despite these efforts, Cal Poly continued to extend employment offers to both professors.

In December 2024, the Pechkises filed suit against the Trustees of the California State University asserting six causes of action: discrimination, retaliation under the California Fair Employment and Housing Act (Gov. Code, § 12900 et seq.), failure to engage in the interactive process, hostile working environment, failure to prevent discrimination and harassment, and whistleblower retaliation.

In March 2025, defendant filed an anti-SLAPP motion under Code of Civil Procedure section 425.16 seeking to strike the second cause of action (FEHA retaliation) and the sixth cause of action (whistleblower retaliation). The Butte County Superior Court denied the motion. The court found that defendant had satisfied the first prong of the anti-SLAPP analysis — that the challenged claims arose from protected activity — because the FERPA investigation constituted an “official proceeding authorized by law.” However, the court then found that plaintiffs demonstrated a likelihood of success on the merits, concluding that their discrimination complaints were protected activity and that Chico State’s constructive discharge of their tenured employment qualified as an adverse employment action. Defendant appealed.

The Third District affirmed the denial but on different grounds than the trial court in the published case of Pechkis v. Trustees of the California State University, No. C103742 (March 2026),holding that defendant failed to carry its burden on the first prong of the anti-SLAPP analysis in the first place.

The court applied the framework established in Bonni v. St. Joseph Health System (2021) 11 Cal.5th 995, 1009, which requires a defendant bringing an anti-SLAPP motion to “identify what acts each challenged claim rests on and to show how those acts are protected under a statutorily defined category of protected activity” through a claim-by-claim elemental analysis. The court found that defendant had instead employed the kind of broad “gravamen” approach that the Supreme Court disapproved of in Bonni — essentially arguing that because the retaliation causes of action were based “in part” on communications between Chico State employees and Cal Poly, both causes of action should be stricken in their entirety. Citing Park v. Nazari (2023) 93 Cal.App.5th 1099, 1108–1109, the court held that when a defendant seeks to strike entire causes of action without identifying specific claims within them that rest on protected activity, the defendant fails to carry its first-step burden so long as the causes of action contain at least one claim that does not arise from protected conduct.

The court identified several allegations of potentially unprotected conduct underlying the challenged causes of action that defendant never addressed. Both causes of action alleged retaliation through constructive discharge — an adverse employment action that courts have recognized as unprotected activity. The court noted that defendant itself effectively conceded constructive discharge was central to these causes of action by making it the sole focus of its second-prong argument, yet defendant never explained how constructive discharge constituted protected activity under the first prong. Similarly, the causes of action alleged retaliation through the initiation of a sham FERPA investigation, and the court observed that under Laker v. Board of Trustees of California State University (2019) 32 Cal.App.5th 745, 773, claims based on the fact of an investigation or its outcome — as opposed to investigation-related speech — are not subject to the anti-SLAPP statute.

The court also rejected defendant’s assumption that because the FERPA investigation qualified as an “official proceeding authorized by law,” all acts associated with it were shielded by anti-SLAPP protection. The statute protects only “written or oral statement[s]” made in connection with such proceedings, not every act undertaken within them. Quoting the Supreme Court’s warning in Park v. Board of Trustees of California State University (2017) 2 Cal.5th 1057, 1067, the court cautioned that conflating discriminatory decisions with investigation-related speech in the anti-SLAPP analysis could render the statute “fatal for most harassment, discrimination and retaliation actions against public employers.”

The court acknowledged that individual allegations within the two causes of action might still be protected conduct susceptible to a more targeted anti-SLAPP motion but declined to perform that analysis on defendant’s behalf, concluding that defendant had “wholly failed to ‘propose where to make the incisions.’ “

SoCal Woman to Serve 3 Years for Diagnostic and Hospice Fraud

A woman from the Larchmont area of Los Angeles was sentenced to 35 months in federal prison for defrauding Medicare out of more than $14 million by submitting fraudulent claims for hospice care and diagnostic testing services that were either unnecessary or not provided at all.

Sophia Shaklian, 38, was sentenced by United States District Judge Stanley Blumenfeld Jr., who also ordered her to pay $14,103,043 in restitution. Shaklian pleaded guilty in November 2025 to one count of health care fraud.

From March 2019 to August 2024, Shaklian and her co-schemers – often using aliases – used multiple bogus hospice and diagnostic testing providers enrolled with Medicare and submitted fraudulent claims on behalf of companies she owned.

These businesses included a Shaklian-owned hospice company – the Pasadena-based Chateau d’Lumina Hospice and Palliative Care – and several diagnostic testing companies: Saint Gorge Radiology in Sylmar; Hope Diagnostics in North Hollywood; Direct Imaging & Diagnostics and Lab One – both based in Hollywood; and Labtech and Lifescan Diagnostics in Claremont.    

Shaklian and her co-schemers used the information of Medicare beneficiaries, and checked beneficiaries’ Medicare eligibility to knowingly and willfully submit fraudulent claims to Medicare on behalf of beneficiaries who did not need the services, had never received the services, and were not familiar with the fraudulent hospice and diagnostic testing providers, with the intent to defraud Medicare into reimbursing the sham providers for those claimed services.

For example, Shaklian and her co-schemers knowingly and willfully submitted a false and fraudulent claim for $2,000 in November 2022 to Medicare for diagnostic testing purportedly provided to an individual.

Shaklian admitted in her plea agreement that fraudulent claims were submitted on behalf of the sham providers, some by herself and others by her co-schemers during and in furtherance of the above scheme. Because Shaklian was involved in the billing and was familiar with the amounts Medicare paid to the fraudulent providers on the types of claims submitted during this scheme, she caused a loss of at least $14,103,043 to Medicare.

Co-defendant Alex Alexsanian, 48, a.k.a. “Samvel” and “Samo,” of Burbank, pleaded guilty on January 20 to one count of conspiracy to launder monetary instruments. He will face a statutory maximum sentence of 20 years in federal prison at his April 28 sentencing hearing.

The United States Department of Health and Human Services Office of the Inspector General and the FBI are investigating this matter. Assistant United States Attorney Kevin B. Reidy of the Major Frauds Section is prosecuting this case.

Repayment Funds May be Required if Class Settlement Revoked

Jessica Garcia worked for The Merchant of Tennis, Inc. (Merchant), a California corporation operating in San Bernardino County, from July through December 2019. In May 2022, she filed a third amended consolidated class action complaint on behalf of herself and other employees, alleging various wage-and-hour violations under the California Labor Code and other federal and state employment laws.

While Garcia’s motion for class certification was pending in 2024, Merchant pulled approximately 954 current and former employees into mandatory meetings with management and asked them to sign individual settlement agreements releasing their wage and hour claims in exchange for cash payments averaging roughly $918 each — over $875,000 in total. Garcia had not signed an agreement, but the vast majority of putative class members had.

In November 2024, Garcia moved to invalidate the settlements, arguing Merchant obtained them through fraud and coercion. The trial court found that Merchant had made “false and misleading” representations to secure the agreements: it gave workers unfounded claims about the low recovery rates in class actions, falsely stated that certain claims had been dismissed, described the releases as limited when they actually covered all claims, marked communications “confidential” to discourage sharing with class counsel, and misleadingly suggested that arbitration agreements barred participation in the lawsuit without disclosing that only 40 percent of workers had such agreements. The court concluded the 954 individual settlement agreements were voidable and ordered a curative notice giving workers 45 days to revoke their agreements and join the class action.

The parties then fought over what the curative notice should say about repayment. Merchant wanted the notice to warn workers that if they revoked their settlements and Merchant ultimately prevailed, they could be required to return the money. Garcia argued that including such language would discourage low-wage workers from joining the suit and that any repayment issue could be addressed later through an offset against recovery.

The San Bernardino County Superior Court sided with Garcia. Finding no binding California authority on point, the court followed two federal cases — Marino v. CACafe, Inc. (N.D. Cal. Apr. 28, 2017) 2017 WL 1540717 and McClellan v. Midwest Machining, Inc. (6th Cir. 2018) 900 F.3d 297 — and ruled that the curative notice would inform workers they would not be required to return any payment, though the amount received might be treated as an offset against any future recovery. The court rejected Merchant’s argument that California’s rescission statutes (Civ. Code, §§ 1689, 1691) required immediate repayment, calling that position “simplistic legal analysis” that ignored the complexity of the employer-employee relationship and the court’s duty to prevent abuses undermining the administration of justice. The court stayed its order to allow Merchant to seek appellate review.

The Court of Appeal granted Merchant’s petition for writ of mandate in a 2–1 decision, directing the trial court to vacate its February 28, 2025 order and reconsider the curative notice in the published case of The Merchant of Tennis, Inc. v. Superior Court  No. E085766 (March 2026).

The majority (Acting Presiding Justice Miller, joined by Justice Codrington) held that California’s rescission statutes govern the situation and require the curative notice to inform workers that repayment of settlement funds may be required at the conclusion of litigation. The court acknowledged that under Civil Code section 1693, repayment need not be immediate and can be delayed until judgment without substantial prejudice to the other party.

But the majority concluded that neither section 1692 nor section 1693 authorizes a trial court to forgive repayment entirely at the outset of litigation. The court read section 1692 — which permits a court to “in its judgment adjust the equities between the parties” — as contemplating equitable adjustments at the time of final judgment, not at the beginning of a case. The majority found the federal authorities relied on by the trial court unpersuasive, noting that Marino provided no analysis of California rescission law, and McClellan addressed a narrow exception for federal Title VII and Equal Pay Act claims brought by an individual plaintiff, not a California wage-and-hour class action.

However, the court stopped short of requiring immediate repayment, holding that the curative notice should inform class members that if they choose to rescind, they could be responsible for repayment at the conclusion of litigation under Civil Code sections 1689, 1691, and 1693, while the trial court retains discretion to adjust equities under section 1692 at the time of judgment.

Justice Raphael dissented, arguing that the majority’s reading of the rescission statutes was too rigid and that section 1692 grants trial courts broad equitable authority to fashion remedies — including excusing repayment — at any stage of a proceeding, not only at final judgment.

Lumbar Subcutaneous Adipose Classification MRI For Fusion Risk

For decades, Body Mass Index has been the go-to shorthand for obesity in surgical planning. But anyone who has reviewed a lumbar fusion file knows the frustration: BMI treats a 260-pound powerlifter and a 260-pound sedentary claimant as identical risks. As Orthopedics This Week put it, BMI is “about as precise as estimating blood loss by ‘eyeballing the suction canister.’” Now, a new tool is aiming to change that calculus.

The Lumbar Subcutaneous Adipose Classification (LSAC) is an MRI-based system that goes beyond simply weighing a patient or calculating a ratio. Rather than producing a single number, the LSAC maps the distribution of subcutaneous fat across the lumbar surgical corridor. According to the OTW report, the system doesn’t just measure fat—it classifies its pattern in a way that turns out to be a powerful predictor of post-operative infections and other complications following lumbar interbody fusion.

The LSAC is the latest evolution in a line of research that has steadily chipped away at BMI’s dominance. In 2018, Shaw and colleagues published their Subcutaneous Lumbar Spine (SLS) Index, which measured the ratio of subcutaneous adipose depth to spinous process height at the surgical site using preoperative MRI. Studying 285 patients who underwent laminectomy or lumbar fusion, the team found that the SLS Index was significantly associated with total complications, perioperative complications, and the need for revision surgery—outperforming both BMI and raw fat depth measurements alone.

Then came the Spine Adipose Index (SAI), published in The Spine Journal in 2021. A multicenter case-control study of posterior instrumented lumbar fusion patients found that the SAI was more sensitive than either BMI or subcutaneous fat thickness in predicting deep surgical site infections, and it demonstrated excellent inter-observer reliability—meaning different radiologists reading the same MRI would reach the same conclusion.

A 2024 study in Global Spine Journal further validated the approach, finding that the Subcutaneous Lumbar Spine Index (SLSI) was a superior predictor of early surgical site infection after transforaminal lumbar interbody fusion across a cohort of over 3,600 patients. The researchers noted that each millimeter increase in subcutaneous fat thickness corresponded to roughly a six percent increase in infection odds—but that accounting for the spinous process height relationship made the prediction even stronger.

Where the SLS Index and SAI each produced a single numerical ratio, the LSAC takes the concept further by generating a classification of adipose distribution pattern across the lumbar corridor. Think of the difference between taking a patient’s temperature (one data point) versus mapping the inflammation across an entire joint (a diagnostic picture). The LSAC leverages data already sitting in every preoperative lumbar MRI—no additional imaging, no extra cost—and converts it into an actionable risk category.

This matters for the workers’ compensation world because the research base is now clear: site-specific fat distribution is a far better predictor of lumbar surgical complications than BMI. A recent meta-analysis pooling data from seven studies confirmed that localized adiposity measures showed stronger associations with post-operative infection than BMI in spinal fusion procedures.

For the Workers’ Compensation Industry, this development touches several pressure points. First, preoperative risk stratification: carriers and utilization review teams may soon have a tool that more precisely identifies which claimants face elevated surgical risks—well before the scalpel touches skin. That creates opportunities for prehabilitation protocols, targeted weight-management programs, or frank conversations about risk-benefit tradeoffs that go beyond a generic BMI threshold.

Second, causation disputes. When a post-fusion infection develops, the question of whether the infection was a foreseeable surgical complication versus an independent intervening cause is already a common battleground. A preoperative LSAC classification showing high-risk adipose distribution could strengthen the argument that the complication was predictable—and perhaps even that authorization should have required additional safeguards.

Third, the “obesity defense” gets more nuanced. Defense counsel have long pointed to BMI as a comorbidity that contributed to poor outcomes. But the LSAC’s ability to differentiate between patients at the same BMI—one with favorable fat distribution, one without—could undercut blanket arguments and demand more granular expert testimony on both sides of the aisle.

The LSAC doesn’t replace clinical judgment. No classification system does. But what it does is extract meaningful, reproducible risk information from imaging that is already being ordered in virtually every lumbar fusion case. For an industry that spends billions annually on spinal surgery claims, a better way to identify which patients are heading toward complications—before they get there—is the kind of incremental advance that compounds over thousands of files.

Express Language in Arbitration Agreement Required for Use of FAA

Kathleen Charles, a dementia patient who was otherwise in good health, was admitted to the memory care wing of WellQuest Elk Grove, a residential care facility in Sacramento County. Her family informed staff that Kathleen was a “wanderer” who needed monitoring, and WellQuest’s own service plan noted she required frequent supervision. Three days after admission, Kathleen was found sitting unattended in an outdoor courtyard in direct sunlight on a day when the temperature reached 102 degrees. She had burns covering roughly a quarter of her body and an internal temperature of about 105 degrees. She fell into a coma and died four days later.

When Kathleen was admitted, her niece Erika Wright – acting under a durable power of attorney for Kathleen’s health care – signed an arbitration agreement on Kathleen’s behalf. The agreement provided that “any and all claims or disputes arising from or related to this Agreement or to your rights, obligations, care, or services at WellQuest of Elk Grove shall be resolved by submission to neutral, binding arbitration in accordance with the Federal Arbitration Act.” It also contained a delegation clause stating that “an arbitrator will decide any question about whether a claim or dispute must be arbitrated.” The agreement designated JAMS as the arbitration administrator but did not reference any specific JAMS rules or provide a link to them.

Eight months after Kathleen’s death, her family filed suit. On Kathleen’s behalf (as survivor claims), plaintiffs alleged elder neglect, negligence, fraud, and a criminal elder abuse tort. Her brother Raymond, niece Erika, and nephew Thomas also brought individual claims for wrongful death and negligent infliction of emotional distress.

WellQuest moved to stay proceedings and compel arbitration. The Superior Court Judge denied the motion on multiple grounds. First, the court found that the delegation clause did not “clearly and unmistakably” assign threshold arbitrability questions – including enforceability and unconscionability – to the arbitrator, so the court resolved those issues itself. Second, the court determined that the arbitration agreement was not unconscionable. Third, it held that Raymond, Erika, and Thomas were not parties to the agreement, so their individual wrongful death and emotional distress claims were not arbitrable. Finally, turning to Kathleen’s survivor claims, the court exercised its discretion under Code of Civil Procedure section 1281.2, subdivision (c), and declined to compel arbitration, finding that if those claims went to arbitration while the family’s individual claims proceeded in court, there was a risk of conflicting rulings on common factual and legal issues. The court also rejected WellQuest’s argument that the FAA’s procedural provisions governed the agreement, concluding that the phrase “in accordance with the Federal Arbitration Act” did not expressly incorporate the FAA’s procedural rules.

The Third District affirmed the trial court on all issues in the published case of Wright v. WellQuest Elk Grove -C105070 (March 2026)

On the delegation clause, the court held that the language – providing that “an arbitrator will decide any question about whether a claim or dispute must be arbitrated” – fell short of the “clear and unmistakable” standard required to delegate threshold arbitrability issues away from the court. The court contrasted the agreement with the provision upheld in Aanderud v. Superior Court (2017) 13 Cal.App.5th 880, 892, where the clause explicitly covered “the interpretation, validity, or enforceability” of the agreement and incorporated specific JAMS rules that expressly assigned arbitrability to the arbitrator. Here, the clause said nothing about enforceability, unconscionability, or interpretation of the agreement itself, and the JAMS reference included no link to or copy of the applicable rules. Drawing on the reasoning in Ajamian v. CantorCO2e, L.P. (2012) 203 Cal.App.4th 771, 783, the court explained that when delegation language is susceptible to multiple reasonable interpretations — one covering only substantive disputes and the other reaching threshold enforceability questions — the ambiguity cannot satisfy the heightened “clear and unmistakable” standard.

On the FAA preemption issue, the court held that the phrase “in accordance with the Federal Arbitration Act” did not expressly designate the FAA’s procedural provisions as controlling. Relying on the California Supreme Court’s holdings in Cronus Investments, Inc. v. Concierge Services (2005) 35 Cal.4th 376, Cable Connection, Inc v. DIRECTV, Inc. (2008) 44 Cal.4th 1334, and most recently Quach v. California Commerce Club, Inc. (2024) 16 Cal.5th 562, 582, the court reaffirmed that the California Arbitration Act’s procedural rules – including section 1281.2, subdivision (c) – apply by default in state court proceedings, and parties must use express language to opt out of them in favor of the FAA’s procedural framework. The court acknowledged the contrary result in Rodriguez v. American Technologies, Inc. (2006) 136 Cal.App.4th 1110, where the phrase “pursuant to the FAA” was found sufficient, but disagreed with that reasoning, finding it inconsistent with the principle that a departure from the default CAA framework requires more exacting language. Following Valencia v. Smyth (2010) 185 Cal.App.4th 153, 177, the court concluded the agreement implicitly incorporated the CAA’s procedural provisions, leaving the trial court free to apply section 1281.2, subdivision (c), to keep all claims together and avoid conflicting rulings.

Because these two holdings disposed of the appeal, the court did not reach the parties’ remaining arguments regarding unconscionability or whether Raymond’s statutory right to trial preference would independently override arbitration.

Man Indicted for $90M Medical Equipment Medicare Advantage Fraud

United States Attorney Craig H. Missakian announced criminal charges against an individual for perpetrating a large-scale fraud targeting federal health care funds distributed through the Medicare Advantage program.

Anar Rustamov, a national of Azerbaijan who appears to have entered the United States illegally, was indicted by a federal grand jury and charged with health care fraud for a scheme involving thousands of false claims for medical equipment totaling more than $90 million.

According to the indictment, Rustamov, 38, formerly of Sunnyvale, California and a national of Azerbaijan, was part of a scheme to submit thousands of fraudulent claims to Medicare Advantage Organizations (“MAOs”) on behalf of unsuspecting beneficiaries for medical equipment such as blood glucose monitors and orthotic braces.  

The indictment alleges that Rustamov, from October 2024 through June 2025, executed a scheme through an entity Rustamov created, Dublin Helping Hand, to submit large volumes of claims to MAOs offering Medicare Part C benefit plans.  The indictment alleges the scheme sought reimbursement of more than $90 million for medical equipment that was not provided, not needed by patients, and not authorized by a medical provider.  The listed patients were unaware that Rustamov and others were submitting the claims, and the referring medical provider listed on the submissions did not authorize the claims, according to the indictment.  The defendant is at large.

Rustamov remains at large (a fugitive). No arrests have been reported, and authorities are seeking him.

This appears to be a standalone case based on available public information, with no named co-conspirators or additional arrests announced as of March 23, 2026. Details come primarily from the official DOJ press release and contemporaneous reporting; no public court docket or full indictment text is yet widely available beyond these summaries.

United States Attorney Craig H. Missakian added that when “the Administration declared a War on Fraud, it meant to target exactly this kind of conduct. Rustamov participated in a scheme to steal nearly $100 million in taxpayer funds from a program intended to help those who truly need medical care.”

The case is being prosecuted by Assistant U.S. Attorney Maya Karwande with the assistance of Lynette Dixon.  The prosecution is the result of an investigation by the U.S. Department of Health and Human Services Office of Inspector General and the Federal Bureau of Investigation.

March 16, 2026 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Court Strikes $1M Worker’s Punitive Damages for Lack of Evidence. DOI, Consumer Watchdog and State Farm Reach Settlement. Man To Serve 7 Years for Threatening to Kill Orange County Judge. Owners of SoCal Towing Companies Arrested for $6M Comp Fraud. DWC posts proposal to update ADA accommodation regulations. Quiet Knee Protocol – Less Is More After Surgery. Insurance Carriers May Face Private Credit Meltdown Risk. Medicare Advantage Overpayments Inflate Premiums for All.