Texas Health and Human Services Commission v. Susana Lopez

CourtTexas Court of Appeals, 8th District (El Paso)
DecidedFebruary 2, 2026
Docket08-25-00095-CV
StatusPublished

This text of Texas Health and Human Services Commission v. Susana Lopez (Texas Health and Human Services Commission v. Susana Lopez) is published on Counsel Stack Legal Research, covering Texas Court of Appeals, 8th District (El Paso) primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Texas Health and Human Services Commission v. Susana Lopez, (Tex. Ct. App. 2026).

Opinion

COURT OF APPEALS EIGHTH DISTRICT OF TEXAS EL PASO, TEXAS ———————————— No. 08-25-00095-CV ————————————

Texas Health and Human Services Commission, Appellant v. Susana Lopez, Appellee

On Appeal from the 205th District Court El Paso County, Texas Trial Court No. 2021DCV0418

M E MO RA N D UM O PI NI O N

This is an accelerated interlocutory appeal from the denial of a plea to the jurisdiction filed

by Appellant Texas Health and Human Services Commission (HHSC) in a lawsuit filed by

Appellee Susana Lopez. HHSC contends the trial court erred in denying its plea to the jurisdiction.

It asserts it produced evidence of its legitimate, nonretaliatory reasons for terminating Lopez, and

that Lopez failed to show a genuine issue of material fact that those reasons were false and a pretext

for retaliation. Because we hold that Lopez did not satisfy her burden to create a fact issue that HHSC’s stated reasons were false and a pretext for retaliation, we reverse and render judgment

dismissing the underlying lawsuit for lack of jurisdiction.

I. BACKGROUND A. Lopez’s employment with HHSC

Lopez was employed by HHSC for about seven years. HHSC is the state agency in Texas

charged with the responsibility for operating the Medicaid program.1 Texas Health & Hum. Servs.

Comm’n v. Est. of Burt, 689 S.W.3d 274, 279–80 (Tex. 2024). Qualifying recipients can receive

care at HHSC operated facilities, such as the El Paso State Supported Living Center (the Center),

where Lopez worked during her employment with HHSC. Id. HHSC terminated Lopez for two

reasons: (1) failure to remain compliant with required training, and (2) the unauthorized use of her

personal cell phone. At the time of her termination, Lopez held the title of Direct Support

Professional (DSP) III, a supervisory role.

HHSC’s policy2 provides that employees are required “to maintain compliance with

assigned minimum training requirements, including core and specialty requirements, and facility-

specific information and local training requirements.” Through governing body reports, HHSC

facilities must report the percentage of employees in compliance with training requirements and

take appropriate action if compliance goals are not met. The policy states that employees are

delinquent with training “when they fail to complete or receive credit for all required training

within the time frames specific to each required course.” It further provides that employees are

responsible for ensuring their compliance with required training and requires that “at least 95% of

1 Medicaid is a federal and state assistance program that provides medical care for qualifying recipients. El Paso Hosp. Dist. v. Texas Health & Hum. Servs. Comm’n, 247 S.W.3d 709, 711 (Tex. 2008); see also 42 U.S.C. §§ 1396–1396w- 8. Federal law establishes Medicaid’s parameters, and states enact legislation to implement the program. See El Paso Hosp. Dist. v. Texas Health and Hum. Servs. Comm’n, 247 S.W.3d 709, 711 (Tex. 2008); 42 U.S.C. § 1396a; 42 C.F.R. § 430.0. 2 “2.0 Minimum Training Requirements for State Supported Living Centers in the Health and Human Services.”

2 all employees” be in “full (100% compliance) with their core and specialty training requirements

at all times.”

Lopez’s direct supervisor was Residential Coordinator Rosa Valerio. Part of Valerio’s

responsibilities included ensuring that employees were current on all required training. The

training courses were offered both in person and online, with the in-person sessions offered on

specific, scheduled dates. Valerio ran monthly reports showing which employees were delinquent

on training, and because most trainings were required annually and expired at different times, the

Center held monthly “house meetings” where training was discussed. When an employee became

delinquent in training, supervisors gave both verbal and written notice, counseled the employee,

and provided schedules with upcoming training dates. Employees could take training courses

during their workday if enough staff were available to cover their shifts.

Lopez also reported to the Center’s Unit Director, Joana Alferez, who also ensured

employees complied with required training. She did so by running training reports monthly and

testified that employees were responsible for maintaining their own compliance. She also testified

that employees could run their own reports and were responsible for doing so.

During the relevant time, the Center’s training compliance goal requirement was 96%.

Alferez confirmed that when an employee became delinquent in training, they received notice

verbally and in writing and could receive disciplinary action if they did not complete required

training. She testified that once employees received a first notice, they usually did not remain

delinquent. Alferez also explained the termination process required review by Human Resources,

the legal department, Director Kevin Ward, and Assistant Director of Programs (ADOP) Teresa

Trevino.

3 B. Lopez’s testimony

Lopez testified she was diagnosed in 2013 with anxiety, depression, and insomnia and had

taken medication for her conditions since that time. She was promoted from DSP II to DSP III that

same year and described it as a challenging “new experience” that required her to “start over.”

Lopez acknowledged attending monthly meetings where employees were routinely

reminded about training requirements. When asked whether she agreed that it was her

responsibility to stay current with training, Lopez responded, “I agree and disagree[,]” explaining

she relied on her residential coordinator, Valerio, to remind her. Lopez confirmed she could access

her own training report at “any time” and when asked whether she regularly ran her reports, Lopez

responded, “Not [on a] regular basis, not every day or -- I can’t recall how many times.” After her

shifts, Lopez explained she was “mentally [and] physically exhausted. You don’t go to the

computer. You just want to go home, so you don’t check.”

She admitted that supervisors reminded employees about training compliance and that she

was able to take trainings during her shifts. Lopez claimed she became delinquent because she was

on FMLA leave and that when she returned, HHSC gave her opportunities to complete her training.

She was also questioned about her lawsuit and confirmed she was pursuing a retaliation

claim against HHSC.3 In addition to termination, she identified three acts of alleged retaliation:

being written up after filing complaints, being moved from “cottage to cottage,” and being overly

monitored by Alferez.

C. Lopez’s disciplinary action

The following timeline summarizes the events pertinent to Lopez’s disciplinary actions:

3 She confirmed during her deposition, and at oral argument, that her only claim against HHSC was retaliation.

4 • December 29, 2017: This is the earliest documented training delinquency in the record. Lopez

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Bluebook (online)
Texas Health and Human Services Commission v. Susana Lopez, Counsel Stack Legal Research, https://law.counselstack.com/opinion/texas-health-and-human-services-commission-v-susana-lopez-txctapp8-2026.