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Electronically Filed
FILED7/25/2022
- 7/9/20191:56
2:16PM
PM
MDL-15-0360 / 34981739
Hidalgo County District Clerks
ERIC Reviewed
GARZA By: Adrienne Rocha
Cameron County District Clerk
By Janet Lopez Deputy Clerk
MDL NO. 15-0360
In Re: § IN THE DISTRICT COURT OF
§
FRAUDULENT HOSPITAL §
LIEN LITIGATION. §
§ 444th JUDICIAL DISTRICT
§ (MDL PRETRIAL COURT)
§
§
§
§ CAMERON COUNTY, TEXAS
__________________________________________________________________
CAUSE NO. C-2540-19-L
BALDEMAR QUINTERO, § IN THE DISTRICT COURT OF
§
Plaintiff, §
§
vs. § 464th JUDICIAL DISTRICT
§
SIGNATURE CARE EMERGENCY §
CENTER AND ROUND TABLE §
PHYSICIANS GROUP, PLLC, § HIDALGO COUNTY, TEXAS
§
Defendants. §
§
CAUSE NO. C-2541-19-L
MARIA QUINTERO, § IN THE DISTRICT COURT OF
§
Plaintiff, §
§
vs. § 464th JUDICIAL DISTRICT
§
SIGNATURE CARE EMERGENCY §
CENTER AND ROUND TABLE §
PHYSICIANS GROUP, PLLC, § HIDALGO COUNTY, TEXAS
§
Defendants. §
§
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CAUSE NO. C-2542-19-L
KARINA QUINTERO, § IN THE DISTRICT COURT OF
§
Plaintiff, §
§
vs. § 464th JUDICIAL DISTRICT
§
SIGNATURE CARE EMERGENCY §
CENTER AND ROUND TABLE §
PHYSICIANS GROUP, PLLC, § HIDALGO COUNTY, TEXAS
§
Defendants. §
§
CAUSE NO. C-2543-19-H
EDGAR PEREZ, § IN THE DISTRICT COURT OF
§
Plaintiff, §
§
vs. § 389th JUDICIAL DISTRICT
§
SIGNATURE CARE EMERGENCY §
CENTER AND ROUND TABLE §
PHYSICIANS GROUP, PLLC, § HIDALGO COUNTY, TEXAS
§
Defendants. §
§
SUBJECT TO DEFENDANTS’ MOTION TO TRANSFER VENUE,
DEFENDANTS SUGARLAND MISSION BEND EMERGENCY CENTER PLLC’S D/B/A
SIGNATURE CARE EMERGENCY CENTER AND
ROUND TABLE PHYSICIANS GROUP, PLLC’S JOINT MOTION TO REMAND
Subject to Defendants’ Motions to Transfer Venue and following this Court’s granting of
that motion and transfer of these cases from the 389th and 464th district courts of Hidalgo County
to a district court of proper venue in Fort Bend County, Sugarland Mission Bend Emergency
Center PLLC d/b/a Signature Care Emergency Center (“Signature Care”) and Round Table
Physicians Group, PLLC (“Round Table”) file this Joint Motion to Remand, and respectfully ask
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this Court to remand these proceedings from this MDL Court to the respective district courts in
Fort Bend County, Texas.
The Motion to Transfer Venue
On June 7, 2019, these lawsuits were filed in Hidalgo County against SignatureCare and
Round Table relating to liens filed in Fort Bend County for medical care received by the individual
plaintiffs in SignatureCare facilities located in Fort Bend County. On June 11, 2019, these cases
were subsequently tagged into this MDL. On July 8, 2019, the Defendants filed motions to transfer
venue in each of these four cases requesting that this Court transfer venue from the 389th and
464th district courts of Hidalgo County, which is not a county of proper venue, to district courts
in Fort Bend County, which is a county of proper venue. TEX. CIV. PRAC. & REM. CODE ANN. §
12.004.
Under Rule 86 of the Texas Rules of Civil Procedure, Defendants’ Motions to Transfer
Venue must be heard and ruled on before any other plea or pleading. Rule 13.5(e) of the Texas
Rules of Judicial Administration provides that any party to a tag-along case that is transferred to
an MDL court may move the pretrial court to remand the case to the trial court on the ground that
it is not a tag-along case as defined by those rules. TEX. R. JUD. ADMIN. 13.5(e). Rule 13.5(e)
provides this motion should be filed within 30 days after receipt of notice of being tagged into an
MDL. Id. Accordingly, subject to Defendants’ motions to transfer venue and to the extent
necessary, Defendants file this joint motion to remand and would ask that this Court consider and
grant their motions to transfer venue and, following the granting of those motions transferring
these cases from the 389th and 464th district courts in Hidalgo County to a district court in Fort
Bend County where venue is proper, remand these cases to the respective district courts in Fort
Bend County for inclusion in a proposed MDL for Harris County and Fort Bend County.
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Procedural Background
Round Table and an affiliate SignatureCare facility, TC Jester Emergency PLLC d/b/a
SignatureCare-TC Jester are defendants in Cause No. 2018-91391, Terrance Williams v.
SignatureCare LLC et al; in the 334th Judicial District Court, Harris County, Texas, (the “Williams
case”) which was tagged into this MDL on May **, 2019. Round Table and SignatureCare-TC
Jester filed a motion to remand on May 24, 2019 and their motion was heard by this court on June
12, 2019. A week before that hearing, these four lawsuits were filed in Hidalgo County and were
subsequently tagged into this MDL.
On June 11, 2019, Round Table and SignatureCare-TC Jester filed a motion to transfer the
Williams case and other cases pending against SignatureCare and Round Table in Harris County
and Fort Bend County to an MDL court in Harris County. See Ex. A (without exhibits). At the
hearing on the motion to remand the Williams case, Round Table and SignatureCare-TC Jester
asked this court to remand the Williams case, which was improperly tagged as a tag-along case,
back to Harris County so that it could be included in the Harris County and Fort Bend County
MDL when that MDL court is created. On June 25, 2019, this Court remanded the Williams case
back to Harris County. As a result, these four Hidalgo County cases are the only cases, again,
against these Defendants.
This Court should remand these cases to the respective district courts in Fort Bend County
so that they can be a part of an MDL court for Harris and Fort Bend Counties.
Factual Background
Defendant Sugarland Mission Bend Emergency Center d/b/a Signature Care Emergency
Center is a “freestanding emergency medical care facility” located in Fort Bend County, Texas at
8910 S Texas 6, Houston, Texas. Round Table is a company that provides staffing of medical care
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services using board-certified physicians to provide emergency hospital care services at
SignatureCare facilities including the SignatureCare facility located in Fort Bend County. The
Plaintiffs, who are allegedly residents of Hidalgo County, received emergency medical care in Fort
Bend County.
Following an accident on or about June 16, 2018, the Plaintiffs were admitted to and
received emergency hospital services at Signature Care's freestanding emergency medical care
facility located at 8910 Highway 6 S, Houston, Texas located in Fort Bend County. After treating
the Plaintiffs, the Defendants filed Chapter 55 liens in Fort Bend County to preserve their right to
receive payment for the emergency hospital services provided to the Plaintiffs when they were
admitted to the Signature Care facility located in Fort Bend County.
As a result of these lien filings, Plaintiffs sued Round Table and Signature Care in Hidalgo
under Chapter 12 of the Texas Civil Practices and Remedies Code. See Pltf’s Pet., ¶¶ 5.1-5.3.1 The
Plaintiffs each allege the liens filed by Round Table and Signature Care are fraudulent because
these parties are not legally entitled to file such a lien. Id. In part, the plaintiffs contend that the
lien notices filed by Signature Care and Round Table were “fraudulent,” because the facility is not
a “hospital” contemplated by section 55.002 of the Texas Property Code and, by extension, its
physicians cannot file a Chapter 55 lien. There has been no complaint that Signature Care or
Round Table caused any bodily injury. Id.
These Plaintiffs are represented by the same counsel as Mr. Williams in the Williams case.
These cases were tagged into this MDL shortly before this Court heard the Motion to Remand in
the Williams case.
1
The Original Petition of each of the four Hidalgo County Cases are virtually identical with respect to the claims
made and the facts alleged. All four plaintiffs were treated on the same day at the same facility..
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Summary of the Argument
These cases, like the Williams case, are not subject to the MDL Panel’s Order dated August
12, 2015. See Ex. B, MDL Panel Order; Ex. D, Williams Remand Order . Venue is not appropriate
in Hidalgo County. Mandatory venue for these lawsuits exists in Fort Bend County, not Hidalgo
County. See TEX. CIV. PRAC. & REM. CODE ANN. §§12.002 and 15.002. The mandatory venue
provisions of Chapter 12 require that any action relating to the filing of a Chapter 55 lien must be
filed in the county where the lien was filed, which is Fort Bend County, Texas.
More importantly, when this MDL was created, the Panel did not create a state-wide MDL
court. Rather, the Panel created an MDL docket for Hidalgo County fraudulent lien cases. Ex. C,
MDL Opinion, p. 3.
In addition, Plaintiffs have mischaracterized their cases against Round Table and Signature
Care as “tag alongs” under Rule 13.5(b). The Rules of Judicial Administration authorize the MDL
panel “to transfer ‘related’ cases from different trial courts to a single pretrial judge if transfer will
(1) serve the convenience of the parties and witnesses and (2) promote the just and efficient
conduct of the litigation.” In re Ad Valorem Tax Litigation, 216 S.W.3d 83, 84 (Tex. M.D.L. Panel
2006); TEX. R. JUD. ADMIN. 13.3. Rule 13.2(g) defines a tag-along case as a case “related” to cases
in an MDL transfer order but not itself the subject of an initial MDL motion or order. There is no
requirement that the cases be congruent, but they must involve one or more common questions
of fact. TEX. GOV'T CODE § 74.162 (Vernon 2005); TEX. R. JUD. ADMIN. 13.2(f); In re Hurricane
Rita Evacuation Bus Fire, 216 S.W.3d 70, 72 (Tex. M.D.L. Panel 2006).
Unlike every other case in the MDL court, these defendants do not have contracts with
private health insurers or government payers. These defendants’ chargemaster rates are the rates
used for all patients. Thus, this case does not involve any issue regarding the comparison of
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contractually-negotiated rates of reimbursement with rates of reimbursement for self-pay or
uninsured patients Moreover, the Legislative amendment of Chapter 55 has eliminated the only
common issue of law: “the applicability of Chapter 12, if an emergency room can file Hospital
Liens, the meaning of the term ‘admitted’, and the rate limitation of Chapter 55 as to the amount
that can be collected under a hospital lien.”
Finally, it is not geographically convenient to require these defendants to travel to Cameron
County when they have no business interests in this county and the claims made here arise from
events that occurred in Fort Bend County, more than 355 miles away.
Argument and Authorities
A. This is not a state-wide MDL court.
Prior to May 2015, the MDL plaintiff’s liaison attorney, and counsel for the Plaintiffs here,
filed over 100 lawsuits against McAllen Hospitals, L.P. doing business as McAllen Medical
Center. On May 13, 2015, plaintiff’s liaison attorney, Mr. J. Michael Moore, filed a motion to
establish a multidistrict litigation pretrial court (“MDL”) for the approximately 124 cases he had
filed in Hidalgo County against the McAllen hospital system. On June 26, 2015, Mr. Moore
limited his request for an MDL court to preside over only those cases filed in Hidalgo County.
Less than a month later, the MDL Panel issued its Opinion and Order, granted the motion to
transfer, and created an MDL pretrial court in Cameron County, Texas and transferred “current
pending cases in Hidalgo County against [McAllen Medical Center] and any other hospital in
Hidalgo County managed by South Texas Health System.” MDL No. 15-0360; In re Fraudulent
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Hospital Lien Litigation; 444th District Court of Cameron County. See Ex. B, Order of MDL Panel
No. 15-0360, Aug. 21, 2015; Ex. C, Opinion of MDL Panel No. 15-0360, Aug. 12, 2015.
In its opinion, the court noted that the “patient-plaintiffs ask us to transfer . . . the current
pending cases in Hidalgo County against these defendants and any other hospital in Hidalgo
County managed by South Texas Health System.” Ex. C, p. 3. And in the Panel’s Order, the Panel
stated that “the cases listed in the Appendix of the Motion for Transfer, and all tag-along cases
filed in Hidalgo County, if any, are transferred.” Ex. B (emphasis added). The Panel did not create
a state-wide MDL court. In re Nat’l Lloyds Ins. Co. Hurricane Litig., 422 S.W.3d 926, 932 (Jeff
Brown, J., concurring) (rejecting a rule that would result in a perpetual MDL concerning cases
filed anywhere in the state without definable boundaries and remanding those cases pending in
other counties and involving other insurers as unrelated).
B. These cases do not meet the relatedness test; there are no common issues of fact—
different patients, different payers, different facilities.
The standards for determining whether a tag-along case is proper are the same standards
the MDL Panel applies when it decides an original motion. In re Wellington Ins. Co. Hailstorm
Litigation, 427 S.W.3d 581, 534 (Tex. M.D. Panel 2014). Accordingly, this Court must make two
distinct findings: (1) that these cases are related and (2) that placing these cases in the MDL will
serve the interests of convenience and efficiency. Id. These prerequisites are not met here. There
are not common operative facts between these cases and the other MDL cases, and any common
legal issue is not a basis for transfer.
This Court must remand if the Plaintiffs cannot establish one or more issues of common
fact between the transferred case and the MDL cases. See Ad Valorem Tax Litig., 216 S.W.3d at,
84. Plaintiffs cannot meet this burden. There is no commonality of interest between these
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Defendants and the claims brought against the McAllen hospitals in the South Texas Health
System or any of the other defendants:
• SignatureCare and Round Table have no connection or affiliation with the other
MDL defendants
• There are no shared fact witnesses between SignatureCare and Round Table and
any of the other defendants
• The damages alleged and the discovery pertinent to this plaintiff and these
defendants is not subject to uniformity; rather it will be individualized and
specific
• SignatureCare and Round Table do not have negotiated rates of reimbursement
with any private insurers. These defendants do not contract with managed care
providers, private insurers, government payers or HMO health care providers.
This MDL case began with claims made against McAllen hospitals and their billing entities
amidst allegations that those entities engaged in a systematic practice of filing liens against
uninsured patients at unreasonably high rates. There, all of the patients were treated at McAllen
Medical Center facilities, all of the patients were uninsured at the time they were treated and all
of the patients alleged they were harmed by the same defendant’s systematic business practices.
See Ex. C, Opinion, p. 1. The MDL pretrial court was assigned to preside over a select category
of fraudulent lien cases — those cases filed in Hidalgo County that involve entities with negotiated
contracts and who allegedly bill different patients at different rates, including a chargemaster rate.
Id. at p. 3. This is not such a case.
Signature Care and Round Table do not have contracts with private health insurers or
Medicare or Medicaid. These defendants bill all patients the same rates, the chargemaster rates.
Unlike every other case before this MDL Court, Defendants are not Chapter 241 hospitals having
contracts with private health insurers or Medicare or Medicaid. These cases are not about
contractually negotiated rates of reimbursement compared to rates of reimbursement for self-pay
or uninsured patients, which is at issue in the other cases pending in this MDL Court. And these
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Plaintiffs have not alleged that the rates charged by SignatureCare or Round Table are
unreasonable—there are no allegations that the rate limitation of Chapter 55 is at issue in these
cases. See generally, Pltf’s, Pet.
Instead, these cases are about whether a freestanding emergency medical care facility that
provides “hospital services” in this State for purposes of filing a Chapter 55 lien . TEX. PROP. CODE
ANN. § 55.001(3). The Plaintiffs claim that Chapter 241 hospitals are the only entities that can file
liens even though the statute does not limit Chapter 55 to Chapter 241 hospitals. See Pltf’s Pet, ¶
5.1. This issue of statutory interpretation is applicable exclusively to SignatureCare and no other
defendant in the Cameron County MDL.
C. The Legislative clarification of Chapter 55 has eliminated the only common legal
issue.
Defendants anticipate that Plaintiffs will contend that a common issue of statutory
interpretation “relates” this case to the MDL cases: the meaning of the term “admitted”. This
issue—whether the word “admitted” in section 55.002(a) of the Texas Property Code requires
inpatient admission as a precondition to filing a lien—has now been resolved by the Texas
Legislature. See Ex. E.2 Specifically, on May 9 and 22, 2019, House Bill No. 2929 passed the
House and Senate, respectively.3 This proposed bill adds section 55.0015 to Chapter 55, which
states:
For purposes of this chapter, an injured individual is considered admitted to a
hospital if the individual is allowed access to any department of the hospital for the
provision of any treatment, care or service to the individual.
2
https://capitol.texas.gov/tlodocs/86R/billtext/html/HB02929H.htm. The bill takes effect immediately upon signature
by the Governor because it received a vote of two-thirds of each house.
3
https://legiscan.com/TX/bill/HB2929/2019.
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See Ex. E. With its passage, the legislature has resolved that a hospital may file a Chapter 55 lien
for medical services provided to an accident victim without an inpatient admission. This
legislative clarification removes the only other issue that related to both these cases and the MDL
cases and affirmatively provides that a Chapter 55 lien attaches to the tort recovery of an accident
victim treated in an emergency room. No other common issue of fact or law exists that has not
been eliminated by this legislative clarification.
D. Transfer is not convenient to the parties or the witnesses
This venue is not convenient to the parties or the witnesses and transfer of this case to this
Court does not promote judicial economy. Second, the liens filed in this case were filed in Fort
Bend County as required by Chapter 55 and venue is proper there. Signature Care and Round Table
operate exclusively in Harris and Fort Bend County, more than 355 miles from this courthouse.
The corporate witnesses and the facility witnesses are all in Harris or Fort Bend County. Traveling
355 miles to participate in pretrial proceedings in this case, when there are no common witnesses,
issues of fact, or uniform discovery issues that would apply to these defendants and the other MDL
defendants is neither convenient or efficient. Because there are no parties in common, there are
no economies to be achieved by MDL consolidation. The defendants will clearly be
inconvenienced if they must travel to Cameron County and participate in unrelated pretrial and
discovery hearings. See Ad Valorem Tax. Litig., 216 S.W.3d at 86.
Conclusion
Accordingly, subject to the motions to transfer venue in each of these lawsuits and
following this court’s granting of those motions and transfer of these cases from the 389th and
464th district courts of Hidalgo County to a district court of proper venue in Fort Bend County,
Defendants Round Table and Signature Care respectfully request that this Court remand the
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following cases to the respective district courts in Fort Bend County, Texas because (1) no
common issue of fact or law exists between these cases and the other MDL cases and (2)
Defendants have requested an MDL in a geographically more appropriate venue:
Cause No. C-2541-19-L; Maria Quintero v. Signature Care Emergency Center, et al.; In
the 464th Judicial District Court of Hidalgo County, Texas;
Cause No. C-2542-19-L; Karina Quintero v. Signature Care Emergency Center, et al.; In
the 464th Judicial District Court of Hidalgo County, Texas;
Cause No. C-2543-19-H; Edgar Perez v. Signature Care Emergency Center, et al.; In the
389th Judicial District Court of Hidalgo County, Texas; and
Class Action filed in Cause No. C-2540-19-L; Baldemar Quintero, Jr. v. Signature Care
Emergency Center, et al.; In the 464th Judicial District Court of Hidalgo County, Texas.”
DATED: July 9, 2019 Respectfully submitted,
SEYFARTH SHAW LLP
By: /s/ Christopher D. DeMeo
Christopher D. DeMeo
Texas Bar No. 00796456
cdemeo@seyfarth.com
Kay Hazelwood
Texas Bar No. 09310450
khazelwood@seyfarth.com
Andrew P. del Junco
Texas Bar No. 24097585
adeljunco@seyfarth.com
700 Milam, Suite 1400
Houston, TX 77002
Telephone: (713) 225-0292
Facsimile: (713) 225-2340
ATTORNEYS FOR SUGARLAND MISSION
BEND EMERGENCY CENTER, PLLC AND
ROUND TABLE PHYSICIANS GROUP,
PLLC
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CERTIFICATE OF SERVICE
I hereby certify that pursuant to Rules 21 and 21a of the Texas Rules of Civil Procedure on
July 9, 2019, a true and correct copy of this submission was served on all opposing counsel by
approved electronic filing service including:
Moore Law Firm
J. Michael Moore
4900 North 10th Street, Suite F3
McAllen, Texas 78504
COUNSEL FOR PLAINTIFF
/s/ Christopher D. DeMeo
Christopher D. DeMeo
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