Nariocan Enterprises LLC D/B/A Cantu's Pharmacy v. the Texas Health and Human Services Commission

CourtCourt of Appeals of Texas
DecidedJune 4, 2026
Docket15-24-00117-CV
StatusPublished

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Nariocan Enterprises LLC D/B/A Cantu's Pharmacy v. the Texas Health and Human Services Commission, (Tex. Ct. App. 2026).

Opinion

Affirmed and Memorandum Opinion filed June 4, 2026.

In The

Fifteenth Court of Appeals

NO. 15-24-00117-CV

NARIOCAN ENTERPRISES LLC D/B/A CANTU’S PHARMACY, Appellant

V.

THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION, Appellee

On Appeal from the 98th District Court Travis County, Texas Trial Court Cause No. D-1-GN-24-001103

MEMORANDUM OPINION

The Texas Health and Human Services Commission (the Commission) Office of Inspector General began investigating Appellant Nariocan Enterprises d/b/a Cantu’s Pharmacy (Nariocan) for improperly submitted claims for payment by Texas Medicaid for COVID-19 at-home test kits. The Commission sent a letter to Nariocan explaining its investigation and requesting a response addressing the allegations. In response, Nariocan filed this lawsuit, seeking declaratory relief and alleging a due process violation.

The Commission filed a plea to the jurisdiction on multiple grounds alleging that Nariocan’s claims were barred by sovereign immunity, Nariocan failed to exhaust administrative remedies, and that Nariocan’s claims were not ripe. The trial court granted the Commission’s plea to the jurisdiction and dismissed all of Nariocan’s claims with prejudice. We conclude the trial court did not err and affirm its judgment.

BACKGROUND

Nariocan operates a pharmacy in Texas and is enrolled as a Texas Medicaid Pharmacy Provider subject to the administration of the Texas Medicaid Program by the Commission. See Tex. Hum. Res. Code § 32.021(a). The Office of Inspector General is responsible for the investigation of Medicaid fraud and the enforcement of state law relating to the provision of the Medicaid program. Tex. Gov’t Code § 544.0103.

The Commission opened an investigation into certain claims paid by Medicaid to Nariocan. According to Nariocan, the Commission alleged that it had issued a directive in the Texas Medicaid Provider Procedures Manual (Provider Manual) instructing pharmacies that Medicaid was no longer authorizing refills, effective January 17, 2022, for COVID-19 at-home test kits. In response to notification about the investigation, Nariocan filed the underlying lawsuit.

Nariocan asserted a claim under the Uniform Declaratory Judgments Act (UDJA), seeking declarations that the Commission was required to 1) issue notice to Nariocan of changes to the Provider Manual, and 2) establish actual notice to Nariocan of the changes prior to any enforcement or sanction. The Commission responded by filing a plea to the jurisdiction challenging jurisdiction over each of

2 Nariocan’s claims. The Commission contended that the UDJA claim was barred by sovereign immunity, the claim was not ripe, and Nariocan had failed to exhaust administrative remedies.

Nariocan amended its pleadings to add a claim for a due process violation under Texas Constitution Article 1, Section 19, claiming that the Commission infringed on its “right to notice of applicable regulations in which administrative review and alleged penalties resulting therefrom.” The Commission filed a supplemental plea to the jurisdiction asserting that sovereign immunity barred the due process claim because Nariocan had failed to assert a viable constitutional claim. The trial court granted the Commission’s plea to the jurisdiction and dismissed Nariocan’s claims with prejudice. Nariocan filed a motion to modify the trial court’s judgment asking that the trial court modify its order to reflect that dismissal of its suit was without prejudice to refiling. The trial court denied Nariocan’s motion to modify, and this appeal followed.

ANALYSIS

In three issues Nariocan argues (1) the trial court erred in granting the Commission’s plea to the jurisdiction; (2) the trial court abused its discretion by not allowing jurisdictional discovery; and (3) the trial court erred in dismissing Nariocan’s claims with prejudice to refiling. We begin by addressing Nariocan’s assertion that the plea to the jurisdiction was granted in error.

I. Standard of Review and Governing Law

Unless the Legislature has clearly and unambiguously waived sovereign immunity, the State and its agencies retain immunity from suit. Christ v. Tex. Dep’t of Transp., 664 S.W.3d 82, 86 (Tex. 2023). Sovereign immunity implicates a trial court’s jurisdiction and is properly raised in a plea to the jurisdiction. Id. Whether a

3 trial court has jurisdiction is a question of law subject to de novo review. Tex. Nat. Res. Conservation Comm’n v. IT–Davy, 74 S.W.3d 849, 855 (Tex. 2002).

When considering a plea to the jurisdiction, our analysis begins with the live pleadings. Heckman v. Williamson Cnty., 369 S.W.3d 137, 150 (Tex. 2012). We first determine if the pleader has alleged facts that affirmatively demonstrate the court’s jurisdiction to hear the case. Tex. Dep’t. of Parks & Wildlife v. Miranda, 133 S.W.3d 217, 226 (Tex. 2004). In doing so, we construe the pleadings liberally in favor of the plaintiff, and unless challenged with evidence, we accept all allegations as true. Id. at 226–28. The plea must be granted if the plaintiff’s pleadings affirmatively negate the existence of jurisdiction or if the defendant presents undisputed evidence that negates the existence of the court’s jurisdiction. Heckman, 369 S.W.3d at 150.

II. The Trial Court did not Err in Granting the Commission’s Plea to the Jurisdiction.

On appeal, Nariocan argues that the trial court erred by dismissing its claims for lack of jurisdiction because Nariocan’s due process claim (1) is limited to seeking only equitable relief; (2) is ripe in that Nariocan is alleging the active sustainment of injuries from the Commission’s investigation; and (3) is not subject to an exhaustion- of-administrative remedies requirement due to the nature of the constitutional challenge it presents. Nariocan also contends that the trial court had jurisdiction over its declaratory action because it properly falls within Section 2001.038 of the Administrative Procedure Act, which authorizes certain actions for declaratory judgment against a state agency.

A. Nariocan’s Due Process Claim is Barred by Sovereign Immunity.

We first address whether Nariocan affirmatively demonstrated the trial court’s jurisdiction over its due process claim. Nariocan alleged that the Commission deprived it of “due process under Article I, Section 19 of the Constitution of the State

4 of Texas by infringing on its right to notice of the applicable regulations . . . .” Nariocan also alleged that the Commission’s actions were arbitrary, capricious, unreasonable, unlawful, and unconstitutional. The Commission responded that it retained its sovereign immunity because Nariocan had failed to allege a viable constitutional claim.

On appeal, Nariocan asserts that its due process claim is not barred by immunity because Nariocan seeks only declaratory and injunctive relief to prevent an ongoing violation of law and not monetary damages. The Commission responds that the claim is facially invalid. While “sovereign immunity does not bar a suit to vindicate constitutional rights, immunity from suit is not waived if the constitutional claims are facially invalid.” Klumb v. Houston Mun. Emps. Pension Sys., 458 S.W.3d 1, 13 (Tex.

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Nariocan Enterprises LLC D/B/A Cantu's Pharmacy v. the Texas Health and Human Services Commission, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nariocan-enterprises-llc-dba-cantus-pharmacy-v-the-texas-health-and-texapp-2026.