Lakeway Psychiatry & Behavioral Health, PLLC v. Michelle Brite

Court of Appeals of Texas·Decided November 15, 2022·No. 08-20-00144-CV·Published

Opinion

COURT OF APPEALS

EIGHTH DISTRICT OF TEXAS

EL PASO, TEXAS

LAKEWAY PSYCHIATRY & § No. 08-20-00144-CV BEHAVIORAL HEALTH, PLLC, § Appeal from the Appellant,

§ 200th Judicial District Court v.

§ of Travis County, Texas MICHELLE BRITE, § (TC# D-1-GN-19-008088)

Appellee.

O P I N I O N1

Appellant Lakeway Psychiatry & Behavioral Health (LPBH), an outpatient medical clinic, appeals the trial court’s dismissal of its suit seeking declaratory relief, damages, attorney’s fees and costs, and other related rulings thereto. The trial court granted Appellee Michelle Brite’s motion to dismiss LPBH’s lawsuit pursuant to the Texas Citizens Participation Act (TCPA), as well as her later motion to modify judgment, while also denying LPBH’s motion for new trial.2 We affirm the final judgment and the order modifying judgment.

1 We hear this case on transfer from the Third Court of Appeals in Austin and apply that court’s precedent as required by TEX. R. APP. P. 41.3. 2 See TEX. CIV. PRAC. & REM. CODE ANN. §§ 27.001-.011. The Legislature amended the TCPA in 2019. See Act of May 17, 2019, 86th Leg., R.S., ch. 378, 2019 Tex. Gen. Laws 684. Because this case was filed on November 18, 2019, we apply the law applicable to actions filed on or after September 1, 2019.

I. FACTUAL AND PROCEDURAL BACKGROUND 3 On November 18, 2019, LPBH filed suit seeking declaratory relief regarding “a disagreement” with Appellee over its payment policies. LPBH described it did not accept insurance. Instead, it operated as a “cash-only business.” LPBH further described that “[c]ustomers can still submit claims to their insurance company and LPBH will assist in those efforts.” LPBH added, “should any insurance company provide funds to LPBH, LPBH immediately returns those monies to the patient.”

LPBH contended it informed Appellee of its cash-only policy before she received treatment. On her visit to the clinic, it also presented her with a document titled, “Summary of Clinic Payment and Controlled Substance Policies for Lakeway Psychiatry and Behavioral Health (LPBH),” which she signed and dated before receiving treatment. Among the eight individually listed payment policies, the summary described the clinic as an out of network provider of medical services, that LPBH is not responsible for any insurance or claims reimbursements, and that psychiatric evaluations are $320 for a 55-minute session. LPBH acknowledged Appellee paid in full for the treatment she received.

By its lawsuit, however, LPBH alleged that Appellee had “complained to LPBH, alleging that LPBH wrongfully charged [Appellee] the full amount for the treatment and instead was supposed to charge some type of insurance rate to which Appellee would only have to pay a co- pay.” LPBH further alleged Appellee “began a campaign to tarnish LPBH’s reputation, including but not limited to posting false statements online concerning LPBH’s billing practices.” As a result, LPBH sought a declaratory judgment establishing “the contract signed by [Appellee] requires [Appellee] to pay the full amounts for the treatment she received and that LPBH is not required to

3 Our summary of the facts is taken from the parties’ pleadings, motions, and affidavits.

charge any insurance rates.” The lawsuit requested an award of attorney’s fees and costs, as well as damages of $100,000 or less.

Responding, Appellee generally denied LPBH’s allegations. In turn, she asserted counterclaims against LPBH, along with a crossclaim against its owner, Ziba Rezaee M.D. Appellee alleged claims of violation of patient confidentiality, breach of fiduciary duty, breach of contract, and invasion of privacy.

LPBH then amended its petition to include a series of factual allegations in further support of its claim for declaratory relief. The live pleading described that Appellee had filed a complaint against Dr. Rezaee with the Texas Medical Board (TMB). LPBH described the complaint as alleging Dr. Rezaee had made a false insurance claim and she had engaged in unprofessional conduct. LPBH further described that Appellee’s complaint alleged Dr. Rezaee overcharged for services. The complaint alleged Appellee was owed a refund of $160 due to an overpayment. LPBH asserted Dr. Rezaee had been informed by the TMB that no investigation would ensue because the board had determined that Appellee’s allegations were unsupported.

LPBH alleged Appellee wrote a Google review about the circumstances despite knowing the TMB had found no objectionable conduct by Dr. Rezaee. That review included a photograph of Appellee and her full name. LPBH’s live pleading included a portion of Appellee’s posted review as follows:

Lakeway Psychiatry and Behavioral Health, PLLC . . . Ranch Rd . . .

2 months ago

This is an opinion based on the experience I had. I went to the facility for care since I had new insurance and I needed a new psychiatrist. I searched on my insurance website but the facility was listed as [an] in-network doctor. . . . Upon arriving at the facility[,] I had to fill out a stack of paperwork including a paper that talked about out of network payment. This was confusing and I asked questions—I was

told that claims could be submitted afterward and that many of their patients . . . do that. So even though I did sign this form it wasn’t completely registering to me that I would not be receiving all of the reimbursement my insurance intended. . . .

LPBH alleged the posted review established “there remains a dispute over the proper charges assessed by LPBH and the construction of the contract signed by [Appellee].”

On January 31, 2020, Appellee filed a verified, combined plea to the jurisdiction and TCPA motion to dismiss. She asserted LPBH had filed a “baseless lawsuit . . . to bully a former mental health services patient into removing an online review the Plaintiff does not like.” She noted she had paid in full for her treatment and LPBH’s lawsuit had not even alleged that she posted a defamatory review. Appellee contended LPBH sought “to impose legal costs on its former patient by requesting a declaratory judgment on a non-issue—the meaning of a document the [Appellee] signed during an office visit that no longer [affects] either party.” Appellee asserted the trial court lacked subject matter jurisdiction over LPBH’s claim for declaratory relief because it failed to present a live case or controversy.

Appellee asserted she was no longer a patient at LPBH. She argued the form she signed was not a contract but a statement of LPBH’s policies. Even if it was considered a contract, she further claimed it was fulfilled by both parties. She asserted she did not owe LPBH for any further charges, nor had she sought any money against it. Citing to provisions of the TCPA and the UDJA, Appellee asserted LPBH’s declaratory claim should be dismissed as the trial court lacked subject matter jurisdiction and the suit amounted to a legal action based on or asserted in response to an exercise of her right to free speech or to her posting of a consumer review. See TEX. CIV. PRAC. & REM. CODE ANN. §§ 27.005(b)(1)(A), (2); 27.010(b)(2); 37.004(b). She attached multiple exhibits to her motions to include screen shots of her insurance carrier’s website identifying Dr. Rezaee as “in-network,” an explanation of benefits she received from her insurance indicating it had paid

$160 to LPBH, as well as email and correspondence she and her attorney exchanged with LPBH and its attorney.

Free access — add to your briefcase to read the full text and ask questions with AI

Lakeway Psychiatry & Behavioral Health, PLLC v. Michelle Brite, (Tex. Ct. App. 2022).

Lakeway Psychiatry & Behavioral Health, PLLC v. Michelle Brite (Lakeway Psychiatry & Behavioral Health, PLLC v. Michelle Brite) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Garcia v. Gomez
319 S.W.3d 638 (Texas Supreme Court, 2010)
Robinson v. Crown Cork & Seal Co., Inc.
335 S.W.3d 126 (Texas Supreme Court, 2010)
Reuter v. Cordes-Hendreks Coiffures, Inc.
422 S.W.2d 193 (Court of Appeals of Texas, 1967)
Securtec, Inc. v. County of Gregg
106 S.W.3d 803 (Court of Appeals of Texas, 2003)
Stein v. First National Bank of Bastrop
950 S.W.2d 172 (Court of Appeals of Texas, 1997)
Firemen's Ins. Co. of Newark, New Jersey v. Burch
442 S.W.2d 331 (Texas Supreme Court, 1968)
Zeifman v. Michels
212 S.W.3d 582 (Court of Appeals of Texas, 2006)
Bocquet v. Herring
972 S.W.2d 19 (Texas Supreme Court, 1998)
Farmers Texas County Mutual Insurance v. Griffin
955 S.W.2d 81 (Texas Supreme Court, 1997)
Virgilio Avila & Univision Television Group, Inc. v. F.B. Larrea
394 S.W.3d 646 (Court of Appeals of Texas, 2012)
Michael Quinn Sullivan v. Salem Abraham
488 S.W.3d 294 (Texas Supreme Court, 2016)
Wayne Dolcefino and Dolcefino Communications, LLC v. Cypress Creek EMS
540 S.W.3d 194 (Court of Appeals of Texas, 2017)
El Apple I, Ltd. v. Olivas
370 S.W.3d 757 (Texas Supreme Court, 2012)
In re Lipsky
460 S.W.3d 579 (Texas Supreme Court, 2015)
Youngkin v. Hines
546 S.W.3d 675 (Texas Supreme Court, 2018)
Hawxhurst v. Austin's Boat Tours
550 S.W.3d 220 (Court of Appeals of Texas, 2018)