Legal Opinion

Guadalupe Caldera v. Ins Co. of the State of PA

Court of Appeals for the Fifth Circuit

Decided May 14, 2013No. 12-40192PublishedCited by 18 opinions

1Opinion of the Court

JENNIFER WALKER ELROD, Circuit Judge:

This case involves the interplay between the Medicare Secondary Payer Statute (“MSP”), 42 U.S.C. § 1395y(b), and Texas workers’ compensation law. 1 We must decide whether the MSP preempts a state law that requires a workers’ compensation claimant to obtain preauthorization from the relevant carrier before incurring certain medical expenses. See Tex. Lab.Code Ann. § 413.014(c), (d); 28 Tex. Admin. Code § 134.600. Because we hold that it does not, we AFFIRM the district court’s judgment.

I. FACTUAL AND PROCEDURAL BACKGROUND

Plaintiff-Appellant Guadalupe…

2Cases cited18 opinions

  1. Steel Co. v. Citizens for a Better EnvironmentSupreme Court of the United States · 1998
  2. Sims v. ApfelSupreme Court of the United States · 2000
  3. United States v. L. A. Tucker Truck Lines, Inc.Supreme Court of the United States · 1952
  4. Union Pacific R. Co. v. Locomotive Engineers and Trainmen Gen. Comm. of Adjustment, Central RegionSupreme Court of the United States · 2009
  5. Texas Mutual Insurance Co. v. RuttigerTexas Supreme Court · 2012

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3Cited by18 opinions

  1. Jimmie Williams v. J.B. Hunt Transport, Inc.Court of Appeals for the Fifth Circuit · 2016
  2. Collins v. Wellcare Healthcare Plans, Inc.District Court, E.D. Louisiana · 2014
  3. Humana Medical Plan, Inc. v. Western Heritage InsuranceDistrict Court, S.D. Florida · 2015
  4. MSPA Claims 1, LLC v. Liberty Mut. Fire Ins. Co.District Court, S.D. Florida · 2018
  5. Humana Inc. v. Medtronic Sofamor Danek USA, Inc.District Court, W.D. Tennessee · 2015

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