King v. CompPartners, Inc.

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In this action alleging that a utilization reviewer caused Plaintiff additional injuries by denying his treating physician’s request to continue prescribing certain medication for his injuries without authorizing a weaning regimen or warning him of possible side effects of abruptly ceasing the medication, the Supreme Court held that the workers’ compensation law provided the exclusive remedy for the employee’s injuries and thus preempted the employee’s tort claims. Plaintiff sustained a work-related back injury that caused him chronic pain, anxiety and depression. A mental health profession prescribed Klonopin to treat the anxiety and depression. Two years later, a utilization reviewer determined that Klonopin was medically unnecessary and decertified the prescription. After Plaintiff immediately stopped taking the medication he suffered a series of four seizures. Plaintiff filed a complaint asserting several tort claims. Defendants demurred, arguing that the claims were preempted by the Workers’ Compensation Act. The trial court sustained the demurrer. The Court of Appeals affirmed. The Supreme Court reversed the judgment insofar as it permitted Plaintiffs to amend their complaint to bolster their claim that Defendants were liable in tort for failure to warn, holding that because the acts alleged did not suggest that Defendants acted outside of the utilization review role contemplated by statute, Plaintiff’s claims were preempted. View "King v. CompPartners, Inc." on Justia Law