In Re Nonparty Patient No. 1, Nonparty Patient No. 2, Nonparty Patient No. 3, Nonparty Patient No. 4, Nonparty Patient No. 5, Nonparty Patient No. 6, Nonparty Patient No. 7, Nonparty Patient No. 8, Nonparty Patient No. 9, Nonparty Patient No. 10, and Nonparty Patient No. 11 v. the State of Texas

Court of Appeals of Texas·Decided April 3, 2025·No. 15-25-00031-CV·Published

Opinion

ACCEPTED

15-25-00031-CV

FIFTEENTH COURT OF APPEALS AUSTIN, TEXAS

4/3/2025 1:22 PM

CHRISTOPHER A. PRINE

No. 15-25-00031-CV 1 CLERK

In the Court of Appeals 15th AUSTIN, FILED IN COURT OF APPEALS

TEXAS

for the Fifteenth Judicial DistrictCHRISTOPHER 4/3/2025 1:22:13 PM

A. PRINE

Austin, Texas Clerk

In re NONPARTY PATIENT NO. 1, NONPARTY PATIENT NO. 2, NONPARTY PATIENT NO. 3, NONPARTY PATIENT NO. 4, NONPARTY PATIENT NO. 5, NONPARTY PATIENT NO. 6, NONPARTY PATIENT NO. 7, AND NONPARTY PATIENT NO. 8, NONPARTY PATIENT NO. 9, NONPARTY PATIENT NO. 10, AND NONPARTY PATIENT NO. 11, Relators.

On Writ of Mandamus

493rd Judicial District Court, Collin County

STATE’S RESPONSE TO NONPARTY PATIENTS’ SECOND EMERGENCY MOTION TO STAY PENDING PETITION FOR WRIT OF MANDAMUS AND MOTION TO LIFT STAY

To the Honorable Fifteenth Court of Appeals: 2 Two weeks ago, this Court granted a stay of Judge Christine Nowak’s order for

Childrens’ Hospital to produce redacted medical records pertaining to Relators to Relators’ own counsel and to counsel for the defendant-physicians involved in the

State’s underlying lawsuit (for a small handful of unrepresented non-party patients).

1 This Response also applies to No. 15-25-00032-CV and the State incorporates it therein for all purposes. 2 In light of the emergency posture in which Relators have raised their Motion, this Response has been prepared on an extremely abbreviated timeline. The State apologizes for its imperfect citations and reduced formalities.

The Court granted this stay in an ex parte and emergency posture based on the now disproven—and, at all times, baseless—representations of Relators’ counsel that Childrens’ medical records were commingled between Relators and unrepresented non-party patients. Because these claims have been disproven (with respect to Chil- drens’ Hospital) and because Relators haven’t even alleged that UTSW records have ever been commingled, the Court should deny Relators’ Second Emergency Motion for Stay and lift its original stay with respect Childrens.

I. BACKGROUND

1. On March 20, 2025, Judge Christine Nowak of the 493rd District Court in Collin County granted in part, and denied in part, Relators’ Motion to Stay Produc- tion from Childrens Hospital and UTSW. See Ex. C.

2. With respect to Childrens’ Hospital, Judge Nowak ordered that Childrens was to begin production of “medical, laboratory, billing, and prescription records” from January 1, 2022 to present for the relevant patients relating to “testosterone or puberty blockers.” 3 Ex. E; see also Ex. C.

3 In doing so, the Court recognized the parallel litigation that Relators are pursuing in Dallas County and specifically (and correctly) noted that only some of the non-party patients involved in these lawsuits have ostensibly obtained protection from the State’s subpoenas in the 95th District Court. More specifically, the Court recognized that the 95th District Court had only heard a motion for protection from the non-party patients of Dr. May C. Lau. The 95th District Court had never addressed the subpoenas relating to Dr. Brett Cooper or his associated patients. As such, and at least with respect to Dr. Cooper’s patients, the Court noted “I don’t believe that this Court’s ruling [] conflicts with any order our of the [Dallas County] Cooper case.” Ex. C, p. 128.

3. Notably, the Court’s orders did not contemplate production in the ordinary sense. Rather, the Court’s orders merely directed Childrens’ Hospital to turn-over redacted medical records to the non-party patients’ counsel (for represented pa- tients) and to the defendant-physician’s counsel (for unrepresented patients) so that the respective attorneys could assert privileges on behalf of the patients, mark infor- mation for redactions, and submit the materials for an in camera review. Ex. E.

4. The March 20th orders did not contemplate any production from UTSW.

See Ex. C. Indeed, as Relator’s counsel previously represented to this Court, Judge Nowak’s March 20th orders were clear that “UT Southwestern [would] produce no records.” Dec. of W. Logan In Support of Pet. for Writ of Mandamus (dated 3/20/2025).

5. Immediately following the March 20th hearing, Relators filed two Petitions for Mandamus in this Court, one pertaining to each of the Collin County cases. For each petition, Relators also filed an Emergency Motion to Stay Pending Petition for Writ of Mandamus.

6. In each of these filings, the thrust of Relators’ urgency was Relators’ allega-

tion that Judge Nowak ordered production in spite of evidence that medical records for unrepresented patients were “very likely comingled” with documents related to

Relators and that such production would “seriously jeopardize[] the privileges as- serted by Relators.” Id.; Pet. for Writ of Mandamus, p. 6.

7. On this basis, on March 21st, this Court stayed Judge Nowak’s March 20, 2025 production orders.

8. Thereafter, on March 26, 2025, after an agreement was reached relating to UTSW’s legal representation, Judge Nowak extended her prior orders to UTSW and stated that UTSW’s production obligations would “kick in now.” Ex. D, p. 11.

9. Off-the-record, and in a subsequent email, the Court expressed its intention that—if the Non-Party Patients were going to pursue another petition for manda- mus relating to the UTSW orders—the Court’s intention was to put both appeals on the same timeline and appellate track.

10. In light of UTSW’s counsel’s recent entry into an already convoluted matter, and to account for Relators’ suggestion that they might file another manda- mus, the State agreed to give UTSW a one-week extension, until April 2nd, to begin production and specifically sought clarification as to whether any of UTSW’s medi- cal records were commingled. Ex. A, pp. 1-2.

11. The State also pressed Relators about what they contended might be comingled in the productions. Ex. B, pp. 2-3, 6-8. Relators responded that they be- lieved “emails” and “visit logs” might be comingled in the records. Id. at p. 2.

12. For its part, Childrens confirmed that it did not understand these ma-

terials to be the subject of Judge Nowak’s orders and that Childrens was not planning to produce these materials. Id., p. 1.

13. Notably, in light of the above-mentioned discussions and the State’s agreed extension, Relators did not seek a stay of the Court’s UTSW orders during the one-week extension—and even now, in this Second Emergency Motion for Stay—have not alleged that UTSW’s records are commingled.

14. On April 2, 2025, UTSW inadvertently issued production to the State.

Within hours of that production, the State confirmed that it would destroy any cop- ies that it had received. Thereafter, Relators filed this Second Emergency Motion to Stay.

II. ARGUMENT

a. Unlike The Prior (Now Disproven) Claim that Childrens’ Production “Very Likely” Included Comingled Records, Relators Have Made No Such Allegation With Respect to UTSW.

15. Relators misrepresented the record to this Court when they sought, and obtained, an emergency stay of Judge Nowak’s March 20, 2025 orders. Relators Pe- tition for Mandamus very plainly suggested to this Court that Judge Nowak ordered production from Childrens’ in spite of evidence that medical records were comingled. See Pet. for Mandamus, p. 6 (citing to the then-forthcoming 3/20/2025

transcript); see also Second Emergency Mot. to Stay, p. 2 (“Childrens had to produce records… even though those records may commingle Relators’ information with the unrepresented patients’”). As the record now very clearly demonstrates, however, there has never been any evidence whatsoever of comingling. The only mention of comingling has come from Relators’ own counsel, who continues to parrot the same unsubstantiated belief that records are comingled.

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In Re Nonparty Patient No. 1, Nonparty Patient No. 2, Nonparty Patient No. 3, Nonparty Patient No. 4, Nonparty Patient No. 5, Nonparty Patient No. 6, Nonparty Patient No. 7, Nonparty Patient No. 8, Nonparty Patient No. 9, Nonparty Patient No. 10, and Nonparty Patient No. 11 v. the State of Texas, (Tex. Ct. App. 2025).

In Re Nonparty Patient No. 1, Nonparty Patient No. 2, Nonparty Patient No. 3, Nonparty Patient No. 4, Nonparty Patient No. 5, Nonparty Patient No. 6, Nonparty Patient No. 7, Nonparty Patient No. 8, Nonparty Patient No. 9, Nonparty Patient No. 10, and Nonparty Patient No. 11 v. the State of Texas (In Re Nonparty Patient No. 1, Nonparty Patient No. 2, Nonparty Patient No. 3, Nonparty Patient No. 4, Nonparty Patient No. 5, Nonparty Patient No. 6, Nonparty Patient No. 7, Nonparty Patient No. 8, Nonparty Patient No. 9, Nonparty Patient No. 10, and Nonparty Patient No. 11 v. the State of Texas) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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