CMS SNF Arbitration Rules Revised

A couple of years ago, the Centers for Medicare and Medicaid Services (CMS), an agency under Health and Human Services (HHS), had essentially barred any skilled nursing facility (SNF) that receives federal funding from requiring that its residents resolve any disputes in arbitration, instead of in court. It was the most significant overhaul of the agency’s rules governing federal funding of long-term care facilities in decades. The nursing home industry maintains arbitration offers a less costly alternative to court. Allowing more lawsuits, the industry says, could drive up costs and force some homes to close. This was the case in the early 2000s, when many excess verdicts were recorded in Florida, forcing players out of the state or out of business altogether. Lawyers who work with the elderly say that people are being admitted to nursing homes at one of the most stressful moments of their lives. When CMS essentially barred any agreements requiring residents to resolve any disputes in arbitration, federal courts were quick to issue injunctions in industry suits. Now, CMS has issued proposed regulations with an effective date this week. The final rule (CMS 3342-F) will allow CMS to regulate SNF arbitration agreements, but this does not apply to agreements signed before September 16, 2019. If a dispute is settled through arbitration, a copy of a signed agreement and arbitration award must be kept for five years and available for inspection by CMS. Some providers went back to court to claim the amended arbitration rule is in violation of the Federal Arbitration Act (FAA) and that neither CMS nor HHS has the “statutory authority” under the Medicare and Medicaid acts to regulate alternative dispute resolution. I have conducted long-term care arbitrations, usually serving as the chair of a panel. These are difficult cases and are sometimes better suited to be resolved in private before knowledgeable and fair neutrals, rather than presented to juries. Arbitration of health care cases can be streamlined for counsel, saving the parties costs and often providing a quicker result than the courts. See more in trade publications here-- https://tinyurl.com/y4v5skyc and https://tinyurl.com/y4yaehk3

Hurricane Mediations Sure to Come

With the likely path of Hurricane Dorian to include Florida, homeowners will want to check their insurance information and keep policy numbers handy should claims arise. I have conducted many mediations over the past few hurricane seasons and as is expected, these claims take time to adjust and longer to litigate and eventually mediate. Past storm litigation continues for thousands of residents previously encountering losses. Keep in mind, under state law, a hurricane is defined in Section 627.4025(2)(c), Florida Statutes, as a storm system that has been declared a “hurricane” by the National Hurricane Center of the National Weather Service. According to Section 627.4025, Florida Statutes, the Hurricane Deductible applies only in the event of a named hurricane. The duration of a hurricane in which the Hurricane Deductible would apply includes the time period: 1) Beginning at the time a hurricane watch or warning is issued for any part of Florida by the National Hurricane Center and 2) Ending 72 hours following the termination of the last hurricane watch or hurricane warning issued for any part of Florida by the National Hurricane Center. Florida's Department of Consumer Services usually updates information in the aftermath of a named storm and lists contact information for most insurance carriers. Stay safe and see more here-- https://tinyurl.com/yyhtby9y and https://tinyurl.com/y44t4cmq

Join us 8/28 for free CLE/CME on Design Thinking in Mediation

Join me and my new UWWM colleague, April Walker, for a free CLE Webinar at noon Wednesday, August 28, 2019. We will explore the application of design thinking to the mediation process in Florida. Those who like to go beyond the day-to-day of alternative dispute resolution and apply other rubrics to improve outcomes should attend this interesting program. The formal title is "Design Thinking Applied to Mediation: Taking Advantage of the Informal and Non-Adversarial Nature of the Mediation Process" and it will look at principles that are successfully employed in other disciplines. For over fifty years, creative problem-solving approach designers have used these techniques to create new values that are different and make a positive impact. We intend to offer some ideas in the problem-solving role of mediation and to encourage some innovation in the daily approach of settling lawsuits. This complimentary CLE is approved by the Florida Bar for 1.0 hour of general CLE credit. After registering, you will receive a confirmation email containing information about joining the webinar. https://register.gotowebinar.com/register/7035925939656754947

Orange County ODR Pilot Program

Today at the Orange County Bar Association's Judicial Relations Committee meeting, it was announced that Small Claims parties in the Ninth Judicial Circuit Court Court will soon be able to utilize an online dispute resolution (ODR) program for a total cost of $25. The vendor, Tyler Technologies, is already known to court administration because of its Odyssey case management system license. This add-on service uses Modria software which was acquired by Tyler after success demonstrated in resolving business to consumer e-commerce transactions. Chief Judge Myers said the first 1,396 mediation cases would be handled at no cost to the court. Since 1992, there has been a $15,000 limit on damages in civil suits filed on the county court level. With the recent bill signed by Governor DeSantis increasing the small claims amount in controversy limit to $30,000 come January 1, 2020, the county judges are preparing for how to handle more volume. The limit goes even higher-- to $50,000 by January 1, 2022. The $15,000 limit remains in place for cases filed before December 31, 2019. The plan, according to a representative at the Orange County Clerk's office, is to roll something out this fall. ODR is touted as helping individuals resolve legal cases without having to set foot in a courtroom. The concept is a simple back and forth online negotiation replaces the need to appear or take time off work to spend time in a government building. See legislation here-- https://bit.ly/2LnnAH7 and current programs here-- https://bit.ly/2JNvXbI

Water Wars Persist

Last summer, the U.S. Supreme Court substituted a court-appointed Special Master (since deceased) after rejecting his ruling recommending Florida had not proven its case “by clear and convincing evidence” that imposing a cap on Georgia’s water use would benefit Florida water systems and remanding because he “applied too strict a standard” in rejecting Florida’s claim. The rejected recommended ruling in the decades-long Water Wars favored Georgia. In the year after swapping for Special Master Honorable Paul J. Kelly, Jr., a Senior Judge on the U.S. Court of Appeals for the Tenth Circuit, to make further findings regarding Florida's claim it suffered harm from the overconsumption of water by Georgia, not much has transpired. This past spring, Florida submitted a motion for oral argument which remains pending. Florida asserts the first Special Master found that Georgia’s upstream water use was unreasonable and that the Supreme Court already rejected an additional finding that nothing could be done because the U.S. Army Corps of Engineers, which manages the reservoirs in the river system, is not a party to the case. Florida seeks a cap on consumption that would alleviate past damage allegedly caused by Georgia. Georgia’s still claims any limits on its water use would undermine its economy, including the growth of the Atlanta area and the state’s agriculture industry in southwestern Georgia. Florida wants to limit Georgia’s water consumption from the Apalachicola-Chattahoochee-Flint River Basin, including Lake Lanier, to 1992 levels and to get reparations for alleged economic and environmental harm to Apalachicola's oyster fisheries from drought. Georgia maintains Florida has failed to prove harm to the aquatic species. This blog has followed the Water Wars for years in other entries. Hopefully, a resolution will occur this year. See more detail in docket here-- https://bit.ly/32i39AN

U.S. Women's Soccer Mediation

The World Cup competing U.S. women’s national team (USWNT) players and the U.S. Soccer Federation will mediate over pay equity and workplace dignity issues following the conclusion of the tournament in France next month. U.S. Soccer and the 28 USWNT players suing the federation have tentatively agreed to mediation in the equal pay fight on the disparity between U.S. men's and women's national team players. Women players engaged in legal action, including filing with the U.S. Equal Employment Opportunity Commission and suing U.S. Soccer in federal District Courts. The USWNT Players’ Association and U.S. Soccer had agreed to a new collective bargaining agreement that ensured games would continue to be played, but failed to resolve many grievances like workplace discrimination on the basis of gender. Salary and workplace discrepancies are highlighted by global dominance of the U.S. women, especially when compared to the lackluster men's team. USWNT players contend they earn 62% less than males and have inferior travel, second-rate training facilities and more dangerous playing conditions. Employers accused of Equal Pay Act violations typically insist lawful explanations exist for differences in pay between male and female workers. The women also contend U.S. Soccer is violating Title VII of the Civil Rights Act of 1964 which makes it illegal for employers to use the gender of workers to determine pay. Employers often rebut the assertion that gender played any role in pay calculations citing supervisors’ evaluations of employees to distinguish them on bases other than their sex. Of course, U.S. Soccer rejects these and related claims, saying players negotiated the very rules that they are now contesting. It will be interesting to see what becomes of this dispute and whether the U.S. women can come home as champions heading into the negotiations. See full stories here-- https://lat.ms/2ZLPCiv and https://yhoo.it/2ID5kae

Florida Appellate Mediator Certification Changes

Under a new Administrative Order of The Supreme Court of Florida, No. AOSC19-26 governing certification of mediators, several changes to the continuing mediator education (CME) requirements have been implemented. News of the changes came to presently certified mediators via the Florida Dispute Resolution Center (DRC), including the removal of the four-hour appellate-specific CME requirement. I have been mediating appellate cases since 2001, before the statewide certification existed. In 2001, the Fifth District Court of Appeal instituted a pilot program referring appeals to mediation before the expense of briefing. The pilot was deemed a success by the court and adopted as a permanent program in 2004. The program is touted as achieving the goals of saving litigants time and money by resolving disputes more quickly and less expensively than the appeal process. This includes helping parties and counsel to narrow and clarify issues for appeal so that cases can be expedited. For many years, the results have hovered around a third of cases being resolved through the appellate mediation process. Those of us who participated as mediators were grandfathered into the statewide certification which requires four hours of initial instruction by a recognized DRC approved trainer. Until now, four additional hours of CME was required every two years for recertification. However, be advised that effective immediately, certified appellate mediators must maintain only a certification in either of family, circuit or dependency mediation and complete only the standard CME requirements in order to renew as a certified appellate mediator. See more here-- http://tiny.cc/1obh8y