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399 S.W.3d 615
Tex. App.
2013
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Background

  • HHSC appeals two interlocutory orders—May 2012 temporary injunction and August 2012 modified temporary injunction—arising from Advocates' challenge to MTP EPSDT transportation accompaniment rule.
  • Advocates sought a declaration that Tex. Admin. Code § 380.207(4) contravened EPSDT statutes and federal Medicaid transportation requirements, and requested permanent injunctions.
  • The May injunction precluded strict accompaniment requirements and a narrow EPSDT interpretation but lacked bond and trial-date provisions, prompting an interlocutory appeal by HHSC.
  • HHSC refrained from enforcing the May injunction after filing the appeal and instituted a process allowing designated adults to accompany children; HHSC proposed amendments to broaden accompaniment.
  • Advocates moved for an Expanded Temporary Injunction; after another evidentiary hearing, the trial court entered the August injunction, which preserved May relief, added a bond and trial date, and expanded prohibitions to prohibit certain authorization processes.
  • HHSC appeals the August order as void or voidable, and Advocates contend the August order superseded the May order and mooted the first appeal; the court analyzes Rule 29.5, supersedeas, Rule 683/684 compliance, and mootness.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Does August violate TRAP 29.5 or supersedeas rights? HHSC asserts the August order, issued during an appeal, impermissibly interferes with the pending appeal and its supersedeas. HHSC contends the trial court lost authority to modify while on appeal and the August order violates supersedeas. August order did not violate TRAP 29.5 or supersedeas; amendments permitted and did not impair appellate relief.
Is the May injunction appeal moot? HHSC claims May order void ab initio; amended order moots the appeal. Advocates maintain the appeal remains live until merits are resolved; rule changes do not moot since amended order may alter rights. Appeal from May injunction is moot for lack of justiciable controversy; dismiss as moot.
Does August comply with Rule 683? Parts (c) and (d) of August lack specific statutory/contractual basis and are too vague. Parts (a) and (b) are sufficiently specific; (c) and (d) exceed Rule 683 requirements. Parts (c) and (d) vacated for noncompliance with Rule 683; parts (a) and (b) upheld.
Did HHSC prove probable, imminent, irreparable injury for parts (a) and (b)? Advocates showed harm to EPSDT services and potential irreparable injury from delayed treatment. HHSC challenges the sufficiency of evidence showing imminent/irreparable harm. The record supports probable, imminent, irreparable injury to plaintiffs for parts (a) and (b).
Did Advocates establish probable right to recovery? Statutory and regulatory schemes could support Advocates' challenge to the MTP rule’s validity. HHSC argues there was insufficient basis for a probable right to recovery. Record supports a probable right to recovery for Advocates on the underlying claims.

Key Cases Cited

  • Qwest Communications International, Inc. v. AT&T Corp., 24 S.W.3d 334 (Tex. 2000) (injunction standards; appellate review of temporary relief)
  • Butnaru v. Ford Motor Co., 84 S.W.3d 198 (Tex. 2002) (irreparable injury and temporary injunction standards)
  • Lozano v. Lozano, 52 S.W.3d 141 (Tex. 2001) (circumstantial evidence may show material facts in domestic-relations context)
  • Eastern Energy, Inc. v. SBY P’ship, 750 S.W.2d 5 (Tex.App.-Houston [1st Dist.] 1988) (TRAP Rule 29.5 considerations; modification of injunctions)
  • Tanguy v. Laux, 259 S.W.3d 851 (Tex.App.-Houston [1st Dist.] 2008) (amended injunctions and appellate treatment; same-subject-matter concept)
  • Ahmed v. Shimi Ventures, L.P., 99 S.W.3d 682 (Tex.App.-Houston [1st Dist.] 2003) (modified injunctions and mootness principles)
  • In re Dallas Area Rapid Transit, 967 S.W.2d 358 (Tex.App.-Dallas 1998) (super-sedeas and injunctions in administrative appeals)
  • In re Long, 984 S.W.2d 623 (Tex. 1999) (supersedeas and bond considerations in appellate context)
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Case Details

Case Name: Texas Health & Human Services Commission v. Advocates for Patient Access, Inc.
Court Name: Court of Appeals of Texas
Date Published: Mar 26, 2013
Citations: 399 S.W.3d 615; 2013 WL 1315124; Nos. 03-12-00354-CV, 03-12-00606-CV
Docket Number: Nos. 03-12-00354-CV, 03-12-00606-CV
Court Abbreviation: Tex. App.
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    Texas Health & Human Services Commission v. Advocates for Patient Access, Inc., 399 S.W.3d 615