Barri v. WCAB

In 2016, the California Legislature created two new statutes to address a financial crisis plaguing the workers’ compensation system, however, the remedy came at a significant cost to all participating medical providers and related entities. Specifically, the new anti-fraud scheme cast a very broad net to halt all proceedings relating to any workers’ compensation liens filed by criminally charged medical providers, as well as any entities “controlled” by the charged provider (noncharged entities). The Legislature created this new scheme because existing laws permitted charged providers to collect on liens while defending their criminal cases, allowing continued funding of fraudulent practices. Pursuant to these two new statutes, the Government gained authority to automatically stay liens filed by charged providers and noncharged entities, without considering if the liens were actually tainted by the alleged illegal misconduct. Michael Barri, Tristar Medical Group (Tristar), and Coalition for Sensible Workers’ Compensation Reform (CSWCR) petitioned the Court of Appeal seeking a peremptory or alternative writ of mandate, prohibition, or other appropriate relief directing the Workers’ Compensation Appeals Board (WCAB) to perform its duties and adjudicate Tristar’s lien claims and not enforce certain unconstitutional provisions contained in newly enacted anti-fraud legislation. The Court of Appeal declined petitioner’s request to issue a peremptory or alternative writ of mandate, prohibition, or other relief directing the WCAB to adjudicate the stayed liens and not enforce the newly enacted anti-fraud legislation. The Court rejected Barri’s assertion the suspension and special lien hearing were really criminal proceedings hidden under a “civil label.” The Legislature clearly stated its intention was to enact a civil regulatory scheme and remedy; the Court determined the Legislature exerted its plenary power to create a civil regulatory scheme designed to prevent the unnecessary processing and payment on liens tainted by fraud and other misconduct. “[T]he anti-fraud legislation at issue may have some punitive aspects, but it primarily serves important nonpunitive goals.” View "Barri v. WCAB" on Justia Law