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    <title>North Carolina Trial Law Blog</title>
    
    
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    <updated>2012-04-03T11:01:01-04:00</updated>
    <subtitle>North Carolina Trial Lawyer Chris Nichols discusses trials, liens, technology and changes to the law.</subtitle>
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    <atom10:link xmlns:atom10="http://www.w3.org/2005/Atom" rel="self" type="application/atom+xml" href="http://feeds.feedburner.com/NorthCarolinaTrialLawBlog" /><feedburner:info uri="northcarolinatriallawblog" /><atom10:link xmlns:atom10="http://www.w3.org/2005/Atom" rel="hub" href="http://pubsubhubbub.appspot.com/" /><atom10:link xmlns:atom10="http://www.w3.org/2005/Atom" rel="hub" href="http://hubbub.api.typepad.com/" /><feedburner:browserFriendly>NC Trial Law Blog- The latest law news on NC liens, trials, and law technology...and a little humor to boot.</feedburner:browserFriendly><entry>
        <title>Trial: Priest joked about abusing 3 boys in week - Yahoo! News</title>
        <link rel="alternate" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2012/04/trial-priest-joked-about-abusing-3-boys-in-week-yahoo-news.html" />
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        <id>tag:typepad.com,2003:post-6a00d83420a45c53ef0168e999195b970c</id>
        <published>2012-04-03T11:01:01-04:00</published>
        <updated>2012-04-03T11:08:14-04:00</updated>
        <summary>Monsignor William Lynn is on trial for child endangerment and conspiracy. Lynn, 61, is the first Roman Catholic church official in the U.S. charged for his handling of priest-abuse complaints. Prosecutors say he helped the church bury them in secret files, far from the prying eyes of investigators, civil attorneys and concerned Catholics.</summary>
        <author>
            <name>Chris Nichols</name>
        </author>
        
        <category scheme="http://sixapart.com/ns/types#tag" term="abuse" />
        <category scheme="http://sixapart.com/ns/types#tag" term="catholic church abuse" />
        <category scheme="http://sixapart.com/ns/types#tag" term="NC" />
        <category scheme="http://sixapart.com/ns/types#tag" term="nc sexual abuse lawyer" />
        <category scheme="http://sixapart.com/ns/types#tag" term="personal injury" />
        <category scheme="http://sixapart.com/ns/types#tag" term="recovered memory" />
        <category scheme="http://sixapart.com/ns/types#tag" term="sexual" />
        <category scheme="http://sixapart.com/ns/types#tag" term="statute of limitations" />
        
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<h1><span style="font-size: 8pt;"><a href="http://news.yahoo.com/trial-priest-joked-abusing-3-boys-week-205857367.html#">http://news.yahoo.com/trial-priest-joked-abusing-3-boys-week-205857367.html#</a></span></h1>
<h1>Trial: Priest joked about abusing 3 boys in week</h1>
<a href="http://www.ap.org/" rel="nofollow"><img alt="Associated Press" height="27" src="http://l.yimg.com/bt/api/res/1.2/kjmVjizroQE0M3Nlej7hqQ--/YXBwaWQ9eW5ld3M7Zmk9Zml0O2g9Mjc-/http://media.zenfs.com/en_us/News/logo/ap/ap_logo_106.png" width="106" /></a><cite>By MARYCLAIRE DALE | Associated Press – <abbr title="2012-04-02T21:08:03Z">17 hrs ago</abbr></cite></div>
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<p>PHILADELPHIA (AP) — Jurors in a landmark priest-abuse trial heard Monday about a priest-turned-camp prowler and another who allegedly bragged about having sex with three boys in one week.</p>
<p>Also Monday, two jurors were replaced by alternates, but a gag order prevents lawyer from discussing the reasons for the move.</p>
<p>Monsignor William Lynn is on trial for child endangerment and conspiracy. Lynn, 61, is the first Roman Catholic church official in the U.S. charged for his handling of priest-abuse complaints. Prosecutors say he helped the church bury them in secret files, far from the prying eyes of investigators, civil attorneys and concerned Catholics.</p>
<p>In the day's most startling testimony, a detective read internal church memos about a priest who allegedly "joked about how hard it was to have sex with three boys in one week." His accuser also stated that the priest had a "rotation process" of boys spending time sleeping with him.</p>
<p>________________________________________</p>
<p>Interestingly, North Carolina has no Statute of Limitation for criminal cases involving this type of sexual assualt.  Unfortunately, the general rule for civil cases is that the civil statute of limitations runs three years after the last date of sexual abuse.  If the abused person is a minor, the statute of limitations would begin to run when the minor reaches age 18, and expire 3 years later on the minor's birthday.</p>
<p>There is case law in NC for "recovered memory" cases, but the requirements  for this exception to the statute of limitations on sexual abuse require expert testimony and almost a complete lack of awareness of the abuse until the memory was recovered.</p>
<p> </p>
<p>For more infomation on sexual abuse cases in North Carolina, you can go to <a href="http://www.nicholstriallaw.com/PracticeAreas/Sexual-Abuse-Injury-Litigation.asp">http://www.nicholstriallaw.com/PracticeAreas/Sexual-Abuse-Injury-Litigation.asp</a></p>
<p>Chris Nichols</p>
<p>www.Nicholstriallaw.com</p>
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    </entry>
    <entry>
        <title>Oral argument audio from EMA v Cansler considering whether NC Medicaid liens comply with Ahlborn case</title>
        <link rel="alternate" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2012/03/oral-argument-audio-from-ema-v-cansler-considering-whether-nc-medicaid-liens-comply-with-ahlborn-case.html" />
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        <id>tag:typepad.com,2003:post-6a00d83420a45c53ef01676423e930970b</id>
        <published>2012-03-23T10:55:30-04:00</published>
        <updated>2012-03-23T11:04:48-04:00</updated>
        <summary>If you are interested in hearing how the 4th Circuit came to the decision in E.M.A. v Cansler, wherein the Court held that NC's Medicaid lien statute was not in compliance with the requirements for subrogation as set out in...</summary>
        <author>
            <name>Chris Nichols</name>
        </author>
        
        <category scheme="http://sixapart.com/ns/types#tag" term="Ahlborn" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Cansler" />
        <category scheme="http://sixapart.com/ns/types#tag" term="E.M.A v Cansler" />
        <category scheme="http://sixapart.com/ns/types#tag" term="EMA" />
        <category scheme="http://sixapart.com/ns/types#tag" term="lawyer" />
        <category scheme="http://sixapart.com/ns/types#tag" term="lien" />
        <category scheme="http://sixapart.com/ns/types#tag" term="liens" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Medicaid" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Medicaid liens" />
        <category scheme="http://sixapart.com/ns/types#tag" term="NC" />
        <category scheme="http://sixapart.com/ns/types#tag" term="oral argument" />
        <category scheme="http://sixapart.com/ns/types#tag" term="personal injury" />
        <category scheme="http://sixapart.com/ns/types#tag" term="subrogation" />
        
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<div xmlns="http://www.w3.org/1999/xhtml"><p>If you are interested in hearing how the 4th Circuit came to the decision in <em>E.M.A. v Cansler,</em> wherein the Court held that NC's Medicaid lien statute was not in compliance with the requirements for subrogation as set out in <em><strong>Ark. Dep't of Human Servs. v. Ahlborn</strong></em>, 547 U.S. 268 (2006) the audio link is posted below. <strong><em> <a href="http://pacer.ca4.uscourts.gov/opinion.pdf/101865.P.pdf" target="_self">E.M.A. v Cansler</a></em></strong> now stands for the proposition that Plaintiffs in NC can ask for a Court to determine Medicaid's share of a personal injury settlement in a post-settlement hearing where the Court determines what percentage of the settlement is compensation for "medical costs incurred" and paid by Medicaid.  </p>
<p> </p>
<p>The oral argument can be heard here:  <a href="http://coop.ca4.uscourts.gov/OAarchive/mp3/10-1865-20111026.mp3#">http://coop.ca4.uscourts.gov/OAarchive/mp3/10-1865-20111026.mp3#</a></p>
<p> </p>
<p>Chris Nichols</p>
<p><a href="www.Nicholstriallaw.com" target="_self">www.NicholsTrialLaw.com</a></p></div>
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    </entry>
    <entry>
        <title>4th Circuit Court of Appeals upholds application of Ahlborn in NC- rejects reasoning of NC Supreme Court in Andrews</title>
        <link rel="alternate" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2012/03/4th-circuit-court-of-appeals-upholds-application-of-ahlborn-in-nc-rejects-reasoning-of-nc-supreme-co.html" />
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        <id>tag:typepad.com,2003:post-6a00d83420a45c53ef01630327cbcd970d</id>
        <published>2012-03-22T17:03:14-04:00</published>
        <updated>2012-03-22T17:09:27-04:00</updated>
        <summary>Finally! After about 7 years of multiple protracted litigation on three separate cases, the United States Court of Appeals for the 4th Circuit has established in the matter of E.M.A. v. CANSLER, that Ark. Dep't of Human Servs. v. Ahlborn,...</summary>
        <author>
            <name>Chris Nichols</name>
        </author>
        <category scheme="http://www.sixapart.com/ns/types#category" term="Arbitration" />
        <category scheme="http://www.sixapart.com/ns/types#category" term="Medicaid Liens" />
        
        <category scheme="http://sixapart.com/ns/types#tag" term="4th Circuit" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Ahlborn" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Ezzel" />
        <category scheme="http://sixapart.com/ns/types#tag" term="lien" />
        <category scheme="http://sixapart.com/ns/types#tag" term="medicaid" />
        <category scheme="http://sixapart.com/ns/types#tag" term="NC" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Nichols" />
        <category scheme="http://sixapart.com/ns/types#tag" term="personal injury" />
        
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<div xmlns="http://www.w3.org/1999/xhtml"><p>Finally!</p>
<p>After about 7 years of multiple protracted litigation on three separate cases, the United States Court of Appeals for the 4th Circuit has estab<span style="font-size: 10pt;">lish</span>ed in the matter of E.M.A. v. CANSLER,  that <a href="http://en.wikipedia.org/wiki/Arkansas_Department_of_Human_Services_v._Ahlborn" target="_self"><em>Ark. Dep't of Human Servs. v. Ahlborn</em>, 547 U.S. 268 (2006)</a> is <span style="text-decoration: underline;">the law</span> of North Carolina and that the NC Supreme Court opinion of <a href="http://www.aoc.state.nc.us/www/public/sc/opinions/2008/057-07-2.htm" target="_blank">Andrews v. Haygood</a> did not properly interpret Ahlborn as it applies to NC Medicaid reimbursement.</p>
<p>Congratulations to<a href="http://www.kirby-holt.com/Bio/WilliamBystrynski.asp" target="_self"> Bill Bystrynski of Kirby &amp; Holt of Raleigh, NC</a> for the huge win for his client.</p>
<blockquote>
<p><strong>I'm going to keep this post fairly short and then add more posts with analysis, but I think the court puts their finding best.</strong><br /><br />Given that North Carolina common law does not bar DHHS’s lien against E.M.A.’s settlement proceeds, we arefaced with the same question considered by the North CarolinaSupreme Court in Andrews: Whether North Carolina’sthird-party liability statutes comport with federal Medicaidlaw and Ahlborn merely because the subrogation statute, N.C.Gen. Stat. § 108A-57, "caps" the state’s recovery at the lesserof the actual medical expenses paid or one-third of the totalsettlement. The North Carolina Supreme Court in Andrewsand the district court in this case adopted a narrow interpretationof Ahlborn, limiting its holding to cases in which the partieshave stipulated to or otherwise allocated settlementproceeds between different categories of damages, therebyidentifying a sum certain for medical expenses. Thus, thesedecisions are based on the view that Ahlborn is inapplicablein cases involving an unallocated lump-sum settlement, suchas the instant matter.On the contrary, however, nothing in Justice Stevens’sopinion for a unanimous court in Ahlborn supports such acrabbed application of that case. The Ahlborn Court addressedthe specific issue of "whether [ADHHS] can lay claim tomore than the portion of [the recipient’s] settlement that representsmedical expenses." 547 U.S. at 280.</p>
<p>The Court in no way rested its analysis of this issue on whether there has been a prior determination or stipulation as to the medical expensesportion of a Medicaid recipient’s settlement. Thus, Ahlborn isproperly understood to prohibit recovery by the state of morethan the amount of settlement proceeds representing paymentfor medical care already received. The North Carolina statute’sone-third cap on the state’s recovery against a Medicaidrecipient’s settlement proceeds does not satisfy Ahlborn insofaras it permits DHHS to assert a lien against settlement proceedsintended (or otherwise properly allocable) tocompensate the Medicaid recipient for other claims, such aspain and suffering or lost wages (i.e., in cases where one-thirdof the recipient’s total settlement recovery is greater than theamount DHHS expended on the recipient’s behalf).10 See Andrews, 669 S.E.2d at 607-09 (Hudson, J., dissenting) (concludingthat the North Carolina statutes conflict with federalMedicaid law by allowing the state to recover from a recipientfunds that were for purposes other than medical expenses);Andrews, 655 S.E.2d at 445 (Wynn, J., dissenting) (same).</p>
<p>...</p>
<p>We are not persuaded that a mere "reasonable cap" on astate’s recovery from an unallocated lump-sum settlement satisfiesthe federal anti-lien law as required by Ahlborn. Indeed,contrary to the Andrews court’s reliance on Justice Stevens’sfootnote, the ATLA Brief, rather than advocating full recoverysubject only to a statutory cap, discussed procedures inseveral states to have "mini-hearings" to set allocations ofproceeds from tort settlements where there is no agreementamong the interested parties. Nevertheless, the Supreme Courtof North Carolina found that footnote 18 in Ahlborn authorizesthe states to mandate full recovery up to a legislativelydetermined,across-the-board limit or cap. This reliance is misplaced.</p>
<p>....</p>
<p>On the basis of Ahlborn’s clear holding that the general anti-lien provision in federal Medicaid law prohibits a statefrom recovering any portion of a settlement or judgment not attributable to medical expenses, <strong>DHHS’s lien on E.M.A.’ssettlement proceeds in this case violates federal law.</strong> In order to comply with 42 U.S.C. §§ 1396a(a)(18), 1396p, and Ahlborn,North Carolina is free to implement a process by whichsettlement proceeds are explicitly allocated or otherwisedetermined. In this case, we must remand for an evidentiaryhearing consistent with this opinion to determine the properamount of the DHHS lien on E.M.A.’s settlement proceeds.</p>
</blockquote>
<p>You can read the full opinion here:   <span class="asset  asset-generic at-xid-6a00d83420a45c53ef0167641c5ac2970b"><a href="http://www.nctriallawblog.com/files/f-opinion.pdf">Download F-Opinion</a></span></p>
<p> </p>
<p><span class="asset  asset-generic at-xid-6a00d83420a45c53ef0167641c5ac2970b">This is an outstanding opinion and reflects the excellent analysis of Judge Wynn and Judge Hudson on the NC cases of <em><strong><a href="http://www.nctriallawblog.com/north_carolina_trial_law_/2006/12/nc_medicaid_and.html" target="_self">Ezell</a></strong></em> and <strong><em><a href="http://www.nctriallawblog.com/north_carolina_trial_law_/2009/04/nc-supreme-court-rejects-ahlborn-mostly.html" target="_self">Andrews.</a></em></strong></span></p>
<p>I'll be writing a whole lot more on the issue, but wanted to get this out there.</p>
<p>I'm also proud that the 4th Circuit relied on a Memorandum issued by CMS to the states in their decision:</p>
<blockquote>
<p>It is also illuminating that the Centers for Medicaid andMedicare Services ("CMS") issued a memorandum to all Associate Regional Administrators for Medicaid and State Operations in the wake of the Ahlborn decision to aid the states in understanding the effect the decision would have onstate third-party liability recovery. <em>See</em> Memorandum from Gale Arden, Director of CMS’s Center for Medicaid and StateOperations Disable and Elderly Health Programs Group(DEHPG) to all Associate Regional Administrators for Medicaidand State Operations, "State Options for RecoveryAgainst Liability Settlements in Light of U.S. Supreme CourtDecision in Arkansas Department of Human Services v. Ahlborn"(July 3, 2006) (hereafter "CMS Memorandum"). The CMS Memorandum stated that, post-Ahlborn, "if a State attempted to recover from more than the portion of a settlementthat the parties allocated to medical items and services,it was in violation of the federal anti-lien statute." Id. Additionally,the CMS Memorandum clarified that, "to the extent State laws permit recovery over and above what the partieshave appropriately designated as payment for medical itemsand services, the State was in violation of federal Medicaidlaws." Id.  (Page 32)</p>
</blockquote>
<p>NCTrialLAw Blog was the first blog to find and publish  <span class="asset  asset-generic at-xid-6a00d83420a45c53ef0168e91d6a59970c"><a href="http://www.nctriallawblog.com/files/cms-advisory-ahlborn-settlement-options-july-2006-1.pdf">Download CMS Advisory Ahlborn Settlement Options (July 2006)-1</a></span> after some deep searches on the Internet.  It was a sort of "smoking gun" that showed that CMS itself was telling the State of North Carolina that Ahlborn applied.</p>
<p>Chris Nichols</p>
<p>www.NicholsTrialLaw.com</p></div>
</content>



    </entry>
    <entry>
        <title>A brief "how to" for dealing with Medicare</title>
        <link rel="alternate" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2012/01/a-brief-how-to-for-dealing-with-medicare.html" />
        <link rel="replies" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2012/01/a-brief-how-to-for-dealing-with-medicare.html" thr:count="2" thr:updated="2012-05-02T17:27:46-04:00" />
        <id>tag:typepad.com,2003:post-6a00d83420a45c53ef016760cb1d83970b</id>
        <published>2012-01-19T09:16:01-05:00</published>
        <updated>2012-01-19T09:16:01-05:00</updated>
        <summary>I was sent this brief "idiot's guide" to dealing with Medicare and thought it was an excellent summary of the process. I've posted it in full, along with the contact information for a company that will help with the lien...</summary>
        <author>
            <name>Chris Nichols</name>
        </author>
        <category scheme="http://www.sixapart.com/ns/types#category" term="Medicare Liens" />
        
        
<content type="xhtml" xml:lang="en-US" xml:base="http://www.nctriallawblog.com/north_carolina_trial_law_/">
<div xmlns="http://www.w3.org/1999/xhtml"><h2>I was sent this brief "idiot's guide" to dealing with Medicare and thought it was an excellent summary of the process.  I've posted it in full, along with the contact information for a company that will help with the lien resolution process.  I am not endorsing their product as I have never used their services.</h2>
<p>-Chris Nichols</p>
<h2><a href="http://lienblog.wordpress.com/2010/07/02/the-idiot%E2%80%99s-guide-to-medicare-lien-resolution/" target="_blank">http://lienblog.wordpress.com/2010/07/02/the-idiot%E2%80%99s-guide-to-medicare-lien-resolution/</a></h2>
<h2><a href="http://lienblog.wordpress.com/2010/07/02/the-idiot%e2%80%99s-guide-to-medicare-lien-resolution/" rel="bookmark" target="_blank" title="Permanent Link: The Idiot’s Guide to Medicare Lien Resolution">The Idiot’s Guide to Medicare Lien Resolution</a></h2>
<div>
<p>Typically, <a href="http://lienresolutionusa.com/areas-of-service/medicare-lien-resolution/" target="_blank">Medicare liens</a> are placed on the personal injury case of a person whose treatment is paid by Medicare.  Medicare’s agents, the COBC, MSPRC, and CMS have a right to recover funds which would not have been paid without the negligent act which harmed the plaintiff-beneficiary.</p>
<p>If you are the Medicare beneficiary and plaintiff in a lawsuit, your attorney should handle the <a href="http://lienresolutionusa.com/areas-of-service/medicare-lien-resolution/" target="_blank">Medicare liens</a> for you.  If you are the attorney, but you don’t know how to handle the lien, or just need some help, follow these simple steps:</p>
<ol>
<li>Report the case to the COBC<ol>
<li>Call <a href="tel:%28800%29%20999-1118" target="_blank">(800) 999-1118</a></li>
<li>Be prepared to give the following Plaintiff/Beneficiary information:<ol>
<li>Name</li>
<li>Social Security Number</li>
<li>Medicare Number (a/k/a HIC Number)</li>
<li>Date of Birth</li>
<li>Address</li>
<li>Date of Incident</li>
<li>Injury (the COBC prefers physical body parts )</li>
<li>Defense insurance (if known)</li>
</ol></li>
</ol></li>
<li>This <em>should</em> be the only time you deal with the COBC</li>
<li>Wait 10-15 days.  During this time period the COBC will transfer the file to the MSPRC, another Medicare agency.  At the end of this time period you should receive two (2) pieces of <a href="http://lienresolutionusa.com/areas-of-service/medicare-lien-resolution/" target="_blank">Medicare lien information</a> from the MSPRC:<ol>
<li>First, you will receive a Beneficiary Information Questionnaire (you will recognize this document based on the red grid lines on the back pages).  This document can be ignored if, and only if, the plaintiff-beneficiary’s information has <em>not</em> changed.</li>
<li>Concurrently, you will receive a Rights and Responsibilities Letter.  This will give some information on the <a href="http://lienresolutionusa.com/ask-the-experts/#4" target="_blank">Conditional Payment Letter</a> process.  No action on your part is required.<ol>
<li>This Rights and Responsibilities Letter starts a countdown until you <em>should</em> receive a <a href="http://lienresolutionusa.com/ask-the-experts/#4" target="_blank">Conditional Payment Letter</a> (a/k/a the initial lien).  That countdown will last 65 days – however, you need something else to receive the letter.</li>
<li>Within the 65 day period, you need to send consent  and proof of representation to the MSPRC.  If you do not send the consent, you will not receive information on the <a href="http://lienresolutionusa.com/areas-of-service/medicare-lien-resolution/" target="_blank">Medicare lien</a>, nor will you be able to speak to MSPRC representatives regarding your case.<ol>
<li>Unfortunately, the MSPRC is notoriously slow.  Without constant checks on the status and timeline, your <a href="http://lienresolutionusa.com/ask-the-experts/#4" target="_blank">Conditional Payment Letter</a> probably won’t arrive within the 65 day period.<ol>
<li>Be sure to call the MSPRC to check the status of your consent (its validity).</li>
<li>Be sure to call the MSPRC multiple times after to check the status of your <a href="http://lienresolutionusa.com/ask-the-experts/#4" target="_blank">Conditional Payment Letter</a>.</li>
<li>Please be ready to wait when you call theMSPRC.  Hold times range anywhere from 10 to 55 minutes (and increasing).  In fact, due to theMSPRC’s inability to handle current volumes of mail, its <a href="http://lienblog.wordpress.com/2010/07/02/2010/06/22/msprc-call-center-now-closed-on-fridays/" target="_blank">call center is now closed on Fridays</a>.</li>
</ol></li>
</ol></li>
</ol></li>
</ol></li>
<li>After all that time and effort you should receive the <a href="http://lienresolutionusa.com/ask-the-experts/#4" target="_blank">Conditional Payment Letter</a>.<ol>
<li>But if you did not bother to call the MSPRC – you probably don’t have it!</li>
<li>You’ve received the <a href="http://lienresolutionusa.com/ask-the-experts/#4" target="_blank">Conditional Payment Letter</a>, now what?<ol>
<li>Review the payments.  Check every ICD-9 code and injury to make certain they relate to the plaintiff’s sued-for injuries.<ol>
<li>Hint: ICD-9 Code 250.00 (Diabetes Mellitus) usually does not relate to malpractice or a personal injury.</li>
</ol></li>
</ol></li>
</ol></li>
<li>On nearly every <a href="http://lienresolutionusa.com/ask-the-experts/#4" target="_blank">Conditional Payment Letter</a> there will be unrelated codes – this means the lien is too high and Medicare is claiming funds to which it is not entitled.</li>
<li>If you have time before settlement you should Dispute the<a href="http://lienresolutionusa.com/ask-the-experts/#4" target="_blank">Conditional Payment Letter</a>.<ol>
<li>The MSPRC requires these in writing.</li>
<li>Dispute the codes that are unrelated and explain why the MSPRCwas wrong to include them.</li>
<li>Be detailed.</li>
<li>The MSPRC will take 60-90 days to review your dispute.  When it replies to your dispute it will not give reasons, it simply sends a new <a href="http://lienresolutionusa.com/ask-the-experts/#4" target="_blank">Conditional Payment Letter</a>.</li>
<li>The case is settled, how do I pay Medicare?<ol>
<li>First you have to request a <a href="http://lienresolutionusa.com/ask-the-experts/#8" target="_blank">Final Lien Demand</a> by notifying theMSPRC of settlement.<ol>
<li>Be sure to include the settlement, attorneys fee, any costs incurred (plus an itemization), and the date of settlement.</li>
<li>In 30-45 days you will receive a <a href="http://lienresolutionusa.com/ask-the-experts/#8" target="_blank">Final Lien Demand</a>.  This is the amount you must pay to Medicare from the settlement proceeds.<ol>
<li>You have 60 days to repay the lien before interest accrues.</li>
<li>If you fail to pay within 60 days the interest will accrue for all 60 days plus any additional time.</li>
</ol></li>
</ol></li>
</ol></li>
</ol></li>
<li>A <a href="http://lienresolutionusa.com/ask-the-experts/#8" target="_blank">Final Lien Demand</a> is not really final:<ol>
<li>You can appeal the <a href="http://lienresolutionusa.com/ask-the-experts/#8" target="_blank">Final Lien Demand</a> on the basis that unrelated payments are included in the lien.<ol>
<li>You must do so within 120 days.</li>
<li>Be very careful and detailed when appealing.  Keep in mind the MSPRC is the judge, jury, and executioner at this point of the <a href="http://lienblog.wordpress.com/2010/07/02/2010/04/05/negotiating-with-medicare/" target="_blank">Medicare lien appeal</a>.</li>
</ol></li>
<li>Other methods exist to lower the lien, including:<ol>
<li>Compromises with CMS.</li>
<li>Waivers through the Social Security Administration.</li>
<li>Now that I appealed, how does my client get a<a href="http://lienblog.wordpress.com/2010/07/02/2010/03/30/medicare-reimbursement-what-happens-when-you-overpay-medicare/" target="_blank">Medicare Lien Reimbursement</a>?<ol>
<li><a href="http://lienresolutionusa.com/areas-of-service/medicare-lien-resolution/" target="_blank">Medicare lien</a> reimbursements (for “overpayment”) take 10-14 weeks to be processed and sent to your client.</li>
<li>You don’t have to do anything once the appeal has been agreed to by the MSPRC.<ol>
<li>But the check will go straight to the last-known address for the beneficiary.</li>
<li>If you want the check to go to your office you must contact the MSPRC and request it be sent to you.<ol>
<li>Usually this check arrives as a two-party check.</li>
<li>This will protect the interests of all heirs who have an entitlement to the lawsuit funds.</li>
<li>Now you can put the check into your escrow account and disburse the funds as is legal, ethical, and agreed to by the plaintiff, heirs, and secondary lienholders.</li>
</ol></li>
</ol></li>
</ol></li>
</ol></li>
</ol></li>
<li>Timelines:<ol>
<li>Reporting to COBC – Day 1</li>
<li>COBC transfer to MSPRC – Day 3-5</li>
<li>MSPRC sends Rights and Responsibilities letter, starting 65 day countdown to a Conditional Payment Summary, or <a href="http://lienresolutionusa.com/areas-of-service/medicare-lien-resolution/" target="_blank">Initial Medicare Lien</a> – Day 15-20</li>
<li><a href="http://lienresolutionusa.com/ask-the-experts/#4" target="_blank">Conditional Payment Letter</a> arrives – Day 80-85</li>
<li>Disputes add 60-90 days</li>
<li>Compromises add 60-90 days</li>
<li>Appeals add 60-90 days</li>
<li>Notice of settlement to receive <a href="http://lienresolutionusa.com/ask-the-experts/#8" target="_blank">Final Lien Demand</a><ol>
<li>Was 10-21 days</li>
<li>Now is 30-45 days</li>
<li>If you do everything right in <a href="http://lienresolutionusa.com/areas-of-service/medicare-lien-resolution/" target="_blank">Medicare Lien Resolution</a>, you could resolve a lien within 110 days; but, if you let letters sit and do not take the time to carefully review and <a href="http://lienresolutionusa.com/contact-us/" target="_blank">resolve your liens</a>, they could take years.<ol>
<li>Report early;</li>
<li>Call often; or,</li>
<li>GET HELP!  <a href="http://lienresolutionusa.com/" target="_blank">Lien Resolution Services</a>specializes in this process.  When we see a Medicare letter, we know what to do with it – reducing lag time and speeding up the <a href="http://lienresolutionusa.com/" target="_blank">lien resolution</a> process.  <a href="http://lienresolutionusa.com/" target="_blank">LRS</a> makes<a href="http://lienresolutionusa.com/" target="_blank">lien resolution</a> 100% of our focus; we take this administrative work off your hands providing you with time to practice law and litigate cases.</li>
<li>Best of all – The cost of lien resolution is<a href="http://lienblog.wordpress.com/2010/07/02/lrs-costs-nothing/" target="_blank">billable to the client</a>, just like an expert fee.  The <a href="http://lienblog.wordpress.com/2010/07/02/lrs-costs-nothing/" target="_blank">attorney pays nothing; </a>and, while the client pays a small fee, he or she ultimately benefits by a reduced lien, faster disbursement, and results.</li>
<li><a href="http://lienresolutionusa.com/contact-us/" target="_blank">Contact us</a> for all of the above.</li>
</ol></li>
</ol></li>
</ol></li>
</ol><address /><address>Ryan J. Weiner</address><address>Co-Founder Lien Resolution Services</address><address><a href="http://www.lienresolutionusa.com/" target="_blank">www.lienresolutionusa.com</a></address><address><a href="http://lienblog.wordpress.com/2010/07/02/2010/04/28/2010/04/27/" target="_blank">http://lienblog.wordpress.com</a></address><address><a href="mailto:rweiner@lienresolutionusa.com" target="_blank">rweiner@lienresolutionusa.com</a></address></div>
<p> </p></div>
</content>



    </entry>
    <entry>
        <title>Medicare (CMS) offering new fixed percentage subrogation option for settlements of less than $5,000</title>
        <link rel="alternate" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2011/10/medicare-cms-offering-new-fixed-percentage-subrogation-option-for-settlements-of-less-than-5000.html" />
        <link rel="replies" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2011/10/medicare-cms-offering-new-fixed-percentage-subrogation-option-for-settlements-of-less-than-5000.html" thr:count="0" />
        <id>tag:typepad.com,2003:post-6a00d83420a45c53ef0162fbe98089970d</id>
        <published>2011-10-25T14:52:23-04:00</published>
        <updated>2011-10-25T14:52:23-04:00</updated>
        <summary>A beneficiary who elects this option will be able to resolve Medicare's recovery claim by paying Medicare 25% of his/her total liability insurance settlement instead of using the traditional recovery process. This means that a beneficiary will know what he/she owes and will be able to immediately pay Medicare.</summary>
        <author>
            <name>Chris Nichols</name>
        </author>
        <category scheme="http://www.sixapart.com/ns/types#category" term="Medicare Liens" />
        
        <category scheme="http://sixapart.com/ns/types#tag" term="CMS" />
        <category scheme="http://sixapart.com/ns/types#tag" term="fixed" />
        <category scheme="http://sixapart.com/ns/types#tag" term="medicare" />
        <category scheme="http://sixapart.com/ns/types#tag" term="subrogation" />
        
<content type="xhtml" xml:lang="en-US" xml:base="http://www.nctriallawblog.com/north_carolina_trial_law_/">
<div xmlns="http://www.w3.org/1999/xhtml"><p><span style="font-family: Calibri;"><span style="font-family: Calibri;"><span style="font-family: Calibri;"><span style="font-family: Calibri;"><strong>New Fixed Percentage Option For Medicare's Recovery Claim<br /><br /></strong><strong> </strong></span></span></span></span></p>
<p>The Centers for Medicare &amp; Medicaid Services will be implementing a new and simple fixed percentage option that will be available to certain beneficiaries beginning November 7, 2011. This option is available to beneficiaries who receive certain types of liability insurance (including self-insurance) settlements of $5000 or less.</p>
<p>A beneficiary who elects this option will be able to resolve Medicare's recovery claim by paying Medicare 25% of his/her total liability insurance settlement instead of using the traditional recovery process. This means that a beneficiary will know what he/she owes and will be able to immediately pay Medicare.</p>
<p><strong>In order to elect this option, the following criteria must be met:</strong></p>
<ol>
<li>The liability insurance (including self-insurance) settlement is for a physical trauma based injury. (This means that it does <strong>not</strong> relate to ingestion, exposure, or medical implant), and</li>
<li>The total liability settlement, judgment, award, or other payment is $5000 or less, and</li>
<li>The beneficiary elects the option within the required timeframe and Medicare has not issued a demand letter or other request for reimbursement related to the incident, and</li>
<li>The beneficiary has not received and does not expect to receive any other settlements, judgments, awards, or other payments related to the incident.</li>
</ol>
<p>A full explanation, including instructions on how and when to elect this option, will be available on this website on November 7, 2011 in the Fixed Percentage Option section of both the Attorney and Beneficiary Toolkits.</p>
<p><strong>Please Note:</strong>When a beneficiary elects this option, he/she must understand that as part of choosing the option he/she will be giving up the right to appeal the fixed payment amount or request a waiver of recovery for the fixed payment amount. <br /><br /></p>
<p> </p></div>
</content>



    </entry>
    <entry>
        <title>North Carolina Supreme Court Historical Society: 20th Annual Meeting Thursday, October 27, 201</title>
        <link rel="alternate" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2011/10/north-carolina-supreme-court-historical-society-20th-annual-meeting-thursday-october-27-201.html" />
        <link rel="replies" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2011/10/north-carolina-supreme-court-historical-society-20th-annual-meeting-thursday-october-27-201.html" thr:count="0" />
        <id>tag:typepad.com,2003:post-6a00d83420a45c53ef014e8c1956de970d</id>
        <published>2011-10-07T18:14:22-04:00</published>
        <updated>2011-10-07T18:20:13-04:00</updated>
        <summary>The North Carolina Supreme Court Historical Society invites you to attend the 20th Annual Meeting and Dinner on Thursday, October 27, 2011.  The dinner will be at the Carolina Country Club, 2500 Glenwood Avenue, in Raleigh, North Carolina.  The reception starts at 6:00 PM and dinner starts at 7:00 PM. </summary>
        <author>
            <name>Chris Nichols</name>
        </author>
        <category scheme="http://www.sixapart.com/ns/types#category" term="Current Affairs" />
        
        
<content type="xhtml" xml:lang="en-US" xml:base="http://www.nctriallawblog.com/north_carolina_trial_law_/">
<div xmlns="http://www.w3.org/1999/xhtml"><p>Lawyers:</p>
<p>The North Carolina Supreme Court Historical Society invites you to attend the 20th Annual Meeting and Dinner on Thursday, October 27, 2011.  The dinner will be at the Carolina Country Club, 2500 Glenwood Avenue, in Raleigh, North Carolina.  The reception starts at 6:00 PM and dinner starts at 7:00 PM.  The speaker will be Scott A. Miskimon of Smith Anderson.</p>
<p><a href="http://www.nctriallawblog.com/.a/6a00d83420a45c53ef0153922567e9970b-pi" style="float: left;"><img alt="Portrait_JohnLouisTaylor" border="0" class="asset  asset-image at-xid-6a00d83420a45c53ef0153922567e9970b image-full" src="http://www.nctriallawblog.com/.a/6a00d83420a45c53ef0153922567e9970b-800wi" style="margin: 0px 5px 5px 0px;" title="Portrait_JohnLouisTaylor" /></a></p>
<p> To register, go to this web page:<a href="http://www.ncschs.net/Event_Registration.aspx?eventid=5The" target="_blank">http://www.ncschs.net/Event_Registration.aspx?eventid=5The</a> NC Supreme Court Historical Society was established in 1991 for the purpose of preserving the legal heritage of North Carolina. The Society’s sole purpose is to collect and preserve the history of the court, including attorneys and others who interact with the judicial system, as well as the cases that may be generated from those interactions.</p></div>
</content>



    </entry>
    <entry>
        <title>NC Senate Bill 33 and Loss of Liberty:  How the NC GOP rolls back 235 years of independence and makes big PHARMA the new "King"</title>
        <link rel="alternate" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2011/04/two-hundred-and-thirty-five-years-ago-to-the-day-north-carolina-was-the-first-of-the-colonies-to-authorize-its-delegates-to.html" />
        <link rel="replies" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2011/04/two-hundred-and-thirty-five-years-ago-to-the-day-north-carolina-was-the-first-of-the-colonies-to-authorize-its-delegates-to.html" thr:count="3" thr:updated="2012-05-02T16:42:40-04:00" />
        <id>tag:typepad.com,2003:post-6a00d83420a45c53ef0147e41325b6970b</id>
        <published>2011-04-12T10:50:43-04:00</published>
        <updated>2011-04-12T10:50:43-04:00</updated>
        <summary>Two Hundred and Thirty-five years ago to the day, North Carolina was the first of the Colonies to authorize its delegates to declare independence from Great Britain.  
So how is this relevant to "tort reform" and the pending legislation called Senate Bill 33 in the North Carolina House?  Well, this law, proposed by Rep. Johnathan Rhyne (R- Lincolnton), takes away an essential ingredient of Liberty of the people of North Carolina-  The right to a jury trial.</summary>
        <author>
            <name>Chris Nichols</name>
        </author>
        <category scheme="http://www.sixapart.com/ns/types#category" term="Current Affairs" />
        <category scheme="http://www.sixapart.com/ns/types#category" term="Insurance Law " />
        <category scheme="http://www.sixapart.com/ns/types#category" term="NC Law Changes" />
        <category scheme="http://www.sixapart.com/ns/types#category" term="Personal Injury Law" />
        <category scheme="http://www.sixapart.com/ns/types#category" term="Tort Reform" />
        <category scheme="http://www.sixapart.com/ns/types#category" term="Wrongful Death" />
        
        <category scheme="http://sixapart.com/ns/types#tag" term="emergency room immunity" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Halifax Resolves" />
        <category scheme="http://sixapart.com/ns/types#tag" term="House Tort Reform" />
        <category scheme="http://sixapart.com/ns/types#tag" term="jury" />
        <category scheme="http://sixapart.com/ns/types#tag" term="liberty" />
        <category scheme="http://sixapart.com/ns/types#tag" term="liberty" />
        <category scheme="http://sixapart.com/ns/types#tag" term="medical malpractice" />
        <category scheme="http://sixapart.com/ns/types#tag" term="NC history" />
        <category scheme="http://sixapart.com/ns/types#tag" term="NC tea party" />
        <category scheme="http://sixapart.com/ns/types#tag" term="NCGA" />
        <category scheme="http://sixapart.com/ns/types#tag" term="NCGOP" />
        <category scheme="http://sixapart.com/ns/types#tag" term="personal injury" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Rep. Johnathan Rhyne" />
        <category scheme="http://sixapart.com/ns/types#tag" term="rights" />
        <category scheme="http://sixapart.com/ns/types#tag" term="SB33" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Senate bIll 33" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Senate Bill 33" />
        <category scheme="http://sixapart.com/ns/types#tag" term="tea party" />
        <category scheme="http://sixapart.com/ns/types#tag" term="trial by jury" />
        
<content type="xhtml" xml:lang="en-US" xml:base="http://www.nctriallawblog.com/north_carolina_trial_law_/">
<div xmlns="http://www.w3.org/1999/xhtml"><p>Two Hundred and Thirty-five years ago to the day, North Carolina was the first of the Colonies to authorize its delegates to declare independence from Great Britain.  </p>
<p><strong>So how is this relevant to "tort reform" and the pending legislation called Senate Bill 33 in the North Carolina House?</strong>  Well, this law, proposed by Rep. Johnathan Rhyne (R- Lincolnton), takes away an essential ingredient of Liberty of the people of North Carolina-  The right to a jury trial.</p>
<p>Rep. Rhyne's bill says that when a citizen is hurt or killed by a negligent emergency room physician, or nurse, or hospital worker, that injured person has no right to sue for negligence.  Further, the bill says that when a citizen of North Carolina is injured or killed by a defective drug manufactured ANYWHERE in the world, that citizen can not sue the manufacturer if the drug has been "approved" by a state or federal agency.  Taking away the "right to redress" or "the right to sue" is the same as depriving someone the right to a jury trial.  If you can't sue, you can't get a jury.  The doors to the court house are closed to these people.</p>
<p>The Halifax resolves speciically address the right to trial by jury.  In the Resolves the authors talk about the King seizing "<em>Ships belonging to America" </em>which<em> "are declared prizes of War" </em>and that the colonies have been deprived the legal right to get these ships back or enter into a process of determining the legal rights to the ships:  "<em>And ...the United   Colonies and their sincere desire to be reconciled to the mother Country   on Constitutional Principles, have procured <span style="text-decoration: underline;">no mitigation of the   aforesaid Wrongs</span> and usurpations and <span style="text-decoration: underline;">no hopes remain of obtaining   redress</span> by those Means alone which have been hitherto tried."</em></p>
<p>Rep. Rhyne's proposed legislation takes us back to the days of being subjugated to the King and the Crown.  Of course, one might make the distinction that under Rhyne's law, the State of North Carolina is not "profiting" from the people.  That is true, but Rhyne's law is even WORSE.</p>
<p>Under Rhyne's proposals, the State of North Carolina <span style="text-decoration: underline;">not only </span>denies "obtaining redress" but does so to the <span style="text-decoration: underline;">financial advantage of international drug companies</span> and for-profit hospitals and corporate physician groups.</p>
<p>This law is a glaring example of "Big Government" taking fundamental liberties of THE PEOPLE and redistributing the spoils of war to anti-liberty, big monied cronies.</p>
<p><span style="background-color: #b5d1d7;"><strong>Thomas Jefferson,  the author of the Declaration of Independence and the third President  of the United States, said, "I consider trial by jury as the only anchor  ever yet imagined by man, by which a government can be held to the  principles of its constitution."</strong></span><br /><br />Senate Bill 33 takes away the  trial by jury of people injured by negligent doctors and also those hurt  or killed by defective drug products. These people are completely  deprived of their liberty to hold bad actors accountable for their  wrongs.<br /><br />Why is the NC GOP rolling back our rights to pre-independence days?<br /><br />Why  did certain colonists remain loyal to the King? Scholars say one unifying characteristics of Loyalists to the Crown during the Revolution was this:  They had a long-standing sentimental attachment to Britain, often with business ties.  Also known as MONEY. </p>
<p>How much did Rep. Jonathan Rhyne take from Big PHARMA and  Medical Lobbyists?  <br /><br />PLEASE: preserve your liberty and rights. Call Anyone on this list and tell them to vote NO to SB33: <a href="https://spreadsheets.google.com/ccc?key=0AlinyCcVT4eGdGZLZU95VTREcW12RXBoLXlKU2paSWc&amp;hl=en#gid=0" rel="nofollow" target="_blank">https://spreadsheets.google.com/ccc?key=0AlinyCcVT4eGdGZLZU95VTREcW12RXBoLXlKU2paSWc&amp;hl=en#gid=0</a></p>
<h3>The below is from:  http://ncpedia.org/history/usrevolution/halifax-resolves</h3>
<h1><strong>HALIFAX RESOLVES</strong></h1>
<p>Excerpted from "Historical Miscellanea: An Early History of North Carolina," <a href="http://www.archive.org/search.php?query=%22north%20carolina%20manual%22%20AND%20mediatype%3Atexts" target="_blank"><em>North Carolina Manual</em></a>, <em>1991-1992</em>, published biennially by the NC Department of the Secretary of State.</p>
<h1><img align="right" alt="Halifax Resolves" height="500" src="http://ncpedia.org/sites/default/files/halifax.jpg" style="margin: 5px;" width="302" /></h1>
<p>North Carolina, on April 12, 1776, authorized her delegates to the <a href="http://www.pbs.org/ktca/liberty/chronicle_philadelphia1776.html" target="_blank">Continental Congress</a> to vote for independence. This was the first official action by a  colony calling for independence. The 83 delegates present in Halifax at  the <a href="http://www.learnnc.org/lp/editions/nchist-revolution/4259" target="_blank">Fourth Provincial Congress</a> unanimously adopted the Halifax Resolves, which read as follows:</p>
<blockquote>
<p><em> The Select Committee taking into Consideration the  usurpations and violences attempted and committed by the King and  Parliament of Britain against America, and the further Measures to be  taken for frustrating the same, and for the better defence of this  province reported as follows, to wit,<br /> </em></p>
<p><em> It appears to your Committee that pursuant to the Plan concerted  by the British Ministry for subjugating America, the King and Parliament  of Great Britain have usurped a Power over the Persons and Properties  of the People unlimited and uncontrouled and disregarding their humble  Petitions for Peace, Liberty and safety, have made divers Legislative  Acts, denouncing War Famine and every Species of Calamity daily employed  in destroying the People and committing the most horrid devastations on  the Country. That Governors in different Colonies have declared  Protection to Slaves who should imbrue their Hands in the Blood of their  Masters. That the Ships belonging to America are declared prizes of War  and many of them have been violently seized and confiscated in  consequence of which multitudes of the people have been destroyed or  from easy Circumstances reduced to the most Lamentable distress. </em></p>
<p><em>And whereas the moderation hitherto manifested by the United  Colonies and their sincere desire to be reconciled to the mother Country  on Constitutional Principles, have procured no mitigation of the  aforesaid Wrongs and usurpations and no hopes remain of obtaining  redress by those Means alone which have been hitherto tried, Your  Committee are of Opinion that the house should enter into the following  Resolve, to wit </em></p>
<p><em>Resolved that the delegates for this Colony in the Continental  Congress be impowered to concur with the other delegates of the other  Colonies in declaring Independency, and forming foreign Alliances,  resolving to this Colony the Sole, and Exclusive right of forming a  Constitution and Laws for this Colony, and of appointing delegates from  time to time (under the direction of a general Representation thereof to  meet the delegates of the other Colonies for such purposes as shall be  hereafter pointed out. </em></p>
</blockquote>
<p><img align="right" alt="Hooper, HewesBW, Penn" height="174" src="http://ncpedia.org/sites/default/files/halifax_hooper-hewesbw-penn.png" style="margin: 5px;" width="400" />The  Halifax Resolves were important not only because they were the first  official action calling for independence, but also because they were not  unilateral recommendations. They were instead recommendations directed  to all the colonies and their delegates assembled at the Continental  Congress in Philadelphia. Virginia followed with her own recommendations  soon after the adoption of the Halifax Resolution, and eventually on  July 4, the final draft of the <a href="http://www.ushistory.org/Declaration/document/" target="_blank">Declaration of Independence</a> was signed. William Hooper, Joseph Hewes, and John Penn were the  delegates from North Carolina who signed the Declaration of  Independence.</p></div>
</content>



    </entry>
    <entry>
        <title>Live blogging from Tory reform Committee </title>
        <link rel="alternate" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2011/04/live-blogging-from-tory-reform-committee.html" />
        <link rel="replies" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2011/04/live-blogging-from-tory-reform-committee.html" thr:count="0" />
        <id>tag:typepad.com,2003:post-6a00d83420a45c53ef014e87618e49970d</id>
        <published>2011-04-10T13:25:03-04:00</published>
        <updated>2011-04-10T13:25:03-04:00</updated>
        <summary>Rhino says collateral source is out of bill. Punitives clarified that no attorney fees will be paid on punitive 75% paid to state. 2.3a. Med mal changed from 250 per defendant to 500k total not per defendant. Change page 7...</summary>
        <author>
            <name>Chris Nichols</name>
        </author>
        <category scheme="http://www.sixapart.com/ns/types#category" term="Tort Reform" />
        
        
<content type="xhtml" xml:lang="en-US" xml:base="http://www.nctriallawblog.com/north_carolina_trial_law_/">
<div xmlns="http://www.w3.org/1999/xhtml"><p>Rhino says collateral source is out of bill. </p>

<p>Punitives clarified that no attorney fees will be paid on punitive 75% paid to state. </p>

<p>2.3a. Med mal changed from 250 per defendant to 500k total not per defendant. </p>

<p>Change page 7 and 8. Products</p>

<p>Provisions in products bill apply only to Drugs no other products. Same as Michigan</p>

<p>Page 8 lines 44 and 43<br />
6-21.1.   Change. Subsection 3. <br />
Exceeded highest offer 30 days before commencement of trial. </p>

<p>Page 2 sexton 1.3 sub d and e<br />
Omitted previous and now restored. </p>

<p>Old section 2.4 DSO in med mal has been deleted. </p>

<p>Next post<br />
</p></div>
</content>



    </entry>
    <entry>
        <title>Why conservatives should hate NC "tort reform" in Senate Bill 33: A Tea Party primer</title>
        <link rel="alternate" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2011/04/why-conservatives-should-hate-nc-tort-reform-in-senate-bill-33-a-tea-party-primer.html" />
        <link rel="replies" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2011/04/why-conservatives-should-hate-nc-tort-reform-in-senate-bill-33-a-tea-party-primer.html" thr:count="4" thr:updated="2011-04-11T09:06:39-04:00" />
        <id>tag:typepad.com,2003:post-6a00d83420a45c53ef014e60831596970c</id>
        <published>2011-04-10T00:32:26-04:00</published>
        <updated>2011-04-10T00:37:53-04:00</updated>
        <summary>"Tort Reform."   The NC legislators who have bought into the corporate lobbyist's money agenda in Senate Bill 33 would gladly sacrifice the liberty of the citizens at the throne of the new "King": international pharmeceutical corporations and insurance companies.</summary>
        <author>
            <name>Chris Nichols</name>
        </author>
        <category scheme="http://www.sixapart.com/ns/types#category" term="NC Law Changes" />
        <category scheme="http://www.sixapart.com/ns/types#category" term="News and Law for Non-lawyers" />
        <category scheme="http://www.sixapart.com/ns/types#category" term="Personal Injury Law" />
        <category scheme="http://www.sixapart.com/ns/types#category" term="Tort Reform" />
        
        <category scheme="http://sixapart.com/ns/types#tag" term="#SB33" />
        <category scheme="http://sixapart.com/ns/types#tag" term="conservative" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Jr." />
        <category scheme="http://sixapart.com/ns/types#tag" term="NC" />
        <category scheme="http://sixapart.com/ns/types#tag" term="NCGA" />
        <category scheme="http://sixapart.com/ns/types#tag" term="NCGOP" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Rep. Jonathan Rhyne" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Rep. Tom Murray" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Representative Johnathan Rhyne" />
        <category scheme="http://sixapart.com/ns/types#tag" term="SB33" />
        <category scheme="http://sixapart.com/ns/types#tag" term="senate bill 33" />
        <category scheme="http://sixapart.com/ns/types#tag" term="tea party" />
        <category scheme="http://sixapart.com/ns/types#tag" term="tea party values" />
        <category scheme="http://sixapart.com/ns/types#tag" term="tort reform" />
        
<content type="xhtml" xml:lang="en-US" xml:base="http://www.nctriallawblog.com/north_carolina_trial_law_/">
<div xmlns="http://www.w3.org/1999/xhtml"><p>The North Carolina Legislature is considering passing a law which was written, largely, by multinational pharmaceutical corporations.  The Bill would make NC the worst state in the nation in terms of protecting its citizens from wrongdoers.</p>
<p>The legislators who have bought into the corporate lobbyist's <span style="text-decoration: line-through;">money</span> agenda in Senate Bill 33 would gladly sacrifice the liberty of the citizens at the throne of the new "King": international pharmaceutical corporations and insurance companies.</p>
<p><a href="http://www.nctriallawblog.com/.a/6a00d83420a45c53ef014e875e9e82970d-pi" style="display: inline;"><img alt="Constitution" border="0" class="asset asset-image at-xid-6a00d83420a45c53ef014e875e9e82970d image-full" src="http://www.nctriallawblog.com/.a/6a00d83420a45c53ef014e875e9e82970d-800wi" title="Constitution" /></a> <br /><br /></p>
<p>This <strong>BOLD</strong> parts are from the "core values"  listed for the "Tea Party Patriots" and serve as an example of Tea Party values.  <a href="http://www.teapartypatriots.org/mission.aspx" target="_blank">http://www.teapartypatriots.org/mission.aspx</a><br /><br /></p>
<h2>Core Values of the Tea Party</h2>
<ul>
<li><strong>Fiscal Responsibility</strong></li>
<li><strong>Constitutionally Limited Government</strong></li>
<li><strong>Free Markets</strong></li>
</ul>
<p><strong>Fiscal Responsibility: Fiscal Responsibility by government honors and respects the freedom of the individual to spend the money that is the fruit of their own labor. A constitutionally limited government, designed to protect the blessings of liberty, must be fiscally responsible or it must subject its citizenry to high levels of taxation that unjustly restrict the liberty our Constitution was designed to protect. Such runaway deficit spending as we now see in Washington D.C. compels us to take action as the increasing national debt is a grave threat to our national sovereignty and the personal and economic liberty of future generations. </strong><br /><br />Why "tort reform" proposed by the NC legislature is contrary to these values:<br /><br />Fiscal responsibility emanates from the individual and is embodied by the government which derives its existence from the will of the people.  "Tort reform" in the form of arbitrary caps on damages and immunity from certain forms of negligence by certain "classes" of individual (for example, immunity for negligent emergency room doctors) shifts the natural consequences of actions from the wrong doer to the government.  Individuals who do harm should be held personally responsible for the full extent of their harm and not shift financial responsibility to government entitlement programs.<br /> <br />"Tort reform" in the form of NC Senate Bill 33, simply redistributes the cost of individual harm from the wrong doer to the tax payer.  More specifically, by providing immunity to certain types of negligent physicians, when those physicians cause great harm to individuals, the harmed individual will eventually take tax dollars in the form of entitlement programs such as medicare, social security disability, and medicaid.  The harmed citizen will be a drain on our government and our taxes.  <br /> <br />Fiscal responsibility demands that the individual causing harm rely on their own resources and insurance converge in a robust free market- not the government to use tax dollars to bail out the negligent.<br /><br />"Tort reform" is not fiscally responsible.<br /> <strong><br />Constitutionally Limited Government: We, the members of The Tea Party Patriots, are inspired by our founding documents and regard the Constitution of the United States to be the supreme law of the land. We believe that it is possible to know the original intent of the government our founders set forth, and stand in support of that intent. Like the founders, we support states' rights for those powers not expressly stated in the Constitution. As the government is of the people, by the people and for the people, in all other matters we support the personal liberty of the individual, within the rule of law. </strong><br /><br /><br /> Why "tort reform" proposed by the NC legislature is contrary to these values:<br /><br />There is no question that our founders believed in, and enshrined with the Constitution, the unalienable right to a jury trial for civil suits, which our Founding Fathers protected through the 7th Amendment to the Constitution after centuries of recognition in British law and Judeo-Christian writings.<br /><br />Historically, the right to a trial by jury was the basis for "The Declaration of the Causes and Necessity of Taking Up Arms," which was a document issued to explain why the colonists had initiated armed conflict against Great Britain, and was written by John Dickinson of Virginia based on a draft by Thomas Jefferson.</p>
<p>Dickinson wrote in the Declaration, "Parliament was influenced to adopt the pernicious project, and assuming a new power over them, have in the course of eleven years, given such decisive specimens of the spirit and consequences attending this power, as to leave no doubt concerning the effects of acquiescence under it. They have undertaken to give and grant our money without our consent, though we have ever exercised an exclusive right to dispose of our own property; <span style="text-decoration: underline;">statutes have been passed for extending the jurisdiction of courts of admiralty and vice-admiralty beyond their ancient limits; for depriving us of the accustomed and inestimable privilege of trial by jury, in cases affecting both life and property..." -- Declaration of the Causes and Necessity of Taking Up Arms,</span> enacted July 6, 1775 by the Second Continental Congress</p>
<p>The "tort reform" proposed by the North Carolina legislature fundamentally deprives citizens of the right to a trial by jury in several ways.  First, it grants blanket immunity from suit to certain classes of citizens, namely, emergency physicians and emergency room personnel, and corporate producers of pharmaceuticals (drugs).  The proposals say, quite plainly, that a citizen injured or killed by any of these privileged groups can not sue and have a jury determine the fairness of their claim.<br /> <br />The Constitution clearly guarantees the right to a trial by jury to all citizens in the 7th Amendment.<br /><br /></p>
<div class="blockquote" style="margin-left: 40px;">In Suits at common law, where the value in controversy shall exceed twenty dollars, the right of trial by jury shall be preserved, and no fact tried by a jury, shall be otherwise re-examined in any Court of the United States, than according to the rules of the common law.</div>
<p><br />John Adams wrote:</p>
<blockquote>
<p>As the Constitution requires that the popular branch of the legislature should have an absolute check, so as to put a peremptory negative upon every act of the government, it requires that the common people, should have as complete a control, as decisive a negative, in every judgment of a court of judicature.</p>
<p>He also wrote, "Representative government and trial by jury are the heart and lungs of liberty.  Without them we have no other fortification against being ridden like horses, fleeced like sheep, worked like cattle and fed and clothed like swine and hounds."</p>
<p>Thomas Jefferson, the author of the Declaration of Independence and the third President of the United States, said, "I consider trial by jury as the only anchor ever yet imagined by man, by which a government can be held to the principles of its constitution."</p>
<p>James Madison, the author of the Constitution and the fourth President of the United States, said, "Trial by jury in civil cases is as essential to secure the liberty of the people as any one of the pre-existent rights of nature."</p>
</blockquote>
<p>"Tort reform" as proposed in SB33 and other bills curtails the natural right to trial by jury and should be opposed.<br /> <br /> <strong>Free Markets: A free market is the economic consequence of personal liberty. The founders believed that personal and economic freedom were indivisible, as do we. Our current government's interference distorts the free market and inhibits the pursuit of individual and economic liberty. Therefore, we support a return to the free market principles on which this nation was founded and oppose government intervention into the operations of private business.</strong><br /><br />Why "tort reform" proposed by the NC legislature is contrary to these values:</p>
<p>A free market economy rewards entrepreneurs for their actions that benefit society.  The manufacturer who builds a superior product wins in the marketplace, and few would question that manufacturer's right to reap the rewards of its own ingenuity.  This is largely because the manufacturer has, in the effort to succeed, shouldered a risk of failure.  It is the marketplace, comprised of ordinary people, rather than the government, which determines whether the manufacturer wins or loses.</p>
<p>If the efficient production of material wealth is all that concerns us, then the marketplace needs no other rewards or penalties.  Most will agree, however, that manufacturers should be encouraged to create safe as well as efficient products, for the number of deaths and injuries annually caused by defective products is astronomical.  According to the 2003 Annual Report of the U.S. Consumer Product Safety Commission, there were 4,509 deaths and 13,690,526 injuries associated with just 15 categories of consumer products during that one-year reporting period.  Deaths and injuries caused annually by toxic pharmaceutical products also rival these numbers.</p>
<p>By making manufacturers liable to the people they have injured, the once-revered common law tort system creates an incentive for the manufacturer to build a safer product.  Those who advocate more government might suggest that safety can best be engineered from above, by governmental regulation, but true advocates of a free market will agree that it is better to permit the manufacturer to determine how to make its own product safe for consumer use, rather than some government bureaucrat.  In exchange for the right to determine the most efficient way to make its products safe, however, a manufacturer must be subject to suit for failure to perform this undertaking.</p>
<p>"Tort reform" as proposed by the NC legislature in SB33 relieves manufacturers of defective products and providers of negligent services from the natural free market consequences of their actions.  This creates imbalance in the market and also encourages an increase in governmental regulations.</p>
<p>The free market demands that consumers have a right to recoup their losses through the fundamental right of trial by jury.  This provides natural incentives for "good behavior" in the marketplace.</p></div>
</content>



    </entry>
    <entry>
        <title>Will NC be the worst state for manufacturers?  The unintended consequence of HB 542: Destroys insurance and business subrogation for losses from product fauilure</title>
        <link rel="alternate" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2011/04/hb542nosubrogation.html" />
        <link rel="replies" type="text/html" href="http://www.nctriallawblog.com/north_carolina_trial_law_/2011/04/hb542nosubrogation.html" thr:count="1" thr:updated="2011-05-25T05:23:28-04:00" />
        <id>tag:typepad.com,2003:post-6a00d83420a45c53ef014e606f116f970c</id>
        <published>2011-04-06T20:30:28-04:00</published>
        <updated>2011-04-06T23:08:54-04:00</updated>
        <summary>North Carolina House Bill 542 destroys the right of a NC manufacturer and their insurance company to subrogate on catastrophic losses caused by defective products.  This hurts manufacturing, business, and insurance interests in North Carolina.  Why would a manufacturer choose North Carolina over 49 other states knowing that it had no protections from faulty products within its own facility?</summary>
        <author>
            <name>Chris Nichols</name>
        </author>
        <category scheme="http://www.sixapart.com/ns/types#category" term="Current Affairs" />
        <category scheme="http://www.sixapart.com/ns/types#category" term="Insurance Law " />
        <category scheme="http://www.sixapart.com/ns/types#category" term="NC Law Changes" />
        <category scheme="http://www.sixapart.com/ns/types#category" term="Personal Injury Law" />
        <category scheme="http://www.sixapart.com/ns/types#category" term="Tort Reform" />
        <category scheme="http://www.sixapart.com/ns/types#category" term="Wrongful Death" />
        
        <category scheme="http://sixapart.com/ns/types#tag" term="#542" />
        <category scheme="http://sixapart.com/ns/types#tag" term="#NCGA" />
        <category scheme="http://sixapart.com/ns/types#tag" term="and Rep. Murray" />
        <category scheme="http://sixapart.com/ns/types#tag" term="HB542" />
        <category scheme="http://sixapart.com/ns/types#tag" term="insurance" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Jr." />
        <category scheme="http://sixapart.com/ns/types#tag" term="manufacturing" />
        <category scheme="http://sixapart.com/ns/types#tag" term="NCGOP" />
        <category scheme="http://sixapart.com/ns/types#tag" term="NCHB542" />
        <category scheme="http://sixapart.com/ns/types#tag" term="North Carolina" />
        <category scheme="http://sixapart.com/ns/types#tag" term="personal injury" />
        <category scheme="http://sixapart.com/ns/types#tag" term="products liability" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Rep. Stam" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Rep. Weiss" />
        <category scheme="http://sixapart.com/ns/types#tag" term="Representative Johnathan Rhyne" />
        <category scheme="http://sixapart.com/ns/types#tag" term="subrogation" />
        <category scheme="http://sixapart.com/ns/types#tag" term="tort reform" />
        
<content type="xhtml" xml:lang="en-US" xml:base="http://www.nctriallawblog.com/north_carolina_trial_law_/">
<div xmlns="http://www.w3.org/1999/xhtml"><p>I am attaching below the letter I sent to three members of the North Carolina House Select Committee on Tort Reform.</p>
<p>I believe that <a href="http://www.ncga.state.nc.us/Sessions/2011/Bills/House/PDF/H542v1.pdf" target="_self">House Bill 542</a> may "look" good for business but have the unintended consequence of making <strong>North Carolina the WORST place for manufacturing in the entire United States.</strong>  I've inserted a few comments below in <strong>[BOLD]</strong>  brackets.</p>
<p><a href="http://www.ncga.state.nc.us/gascripts/members/viewMember.pl?sChamber=H&amp;nUserID=309" target="_self">Rep. Stam</a>, <a href="http://www.ncga.state.nc.us/gascripts/members/viewMember.pl?sChamber=H&amp;nUserID=198" target="_self">Rep. Weiss</a>, and <a href="http://www.ncga.state.nc.us/gascripts/members/viewMember.pl?sChamber=H&amp;nUserID=625" target="_self">Rep. Murray</a>:<br /><br />I am a lawyer, like each  of you, and I would like to call to your attention what I think is a  major unintended consequence of HB 542.  I called each of your offices  today to discuss this issue.<br /> <br /><span style="text-decoration: underline;"><strong>HB 542 destroys the right of a NC manufacturer and their  insurance company to subrogate on catastrophic losses caused by  defective products.</strong></span>  <strong><span style="text-decoration: underline;">This hurts manufacturing, business, and insurance interests in North Carolina.</span></strong><br /> <br />Please read the below example:<br /><br /><span style="text-decoration: underline;">Products Liability Immunity Destroys Business and Insurance Subrogation</span>:   HB 542 gives immunity from suit to any company that produces a  faulty product that has been "approved for sale" by any State of Federal  regulatory agency.  This bar would apply to insurance subrogation  claims against the original tortfeasor and therefore bars insurance  companies and the  self-insured from recouping losses caused by faulty products. <br /> <br /><span style="text-decoration: underline;">EXAMPLE.</span>  <span style="text-decoration: underline;">Power Plant Explosion</span>:  A North Carolina power company buys a defective industrial boiler  from a Chinese (or any) manufacturing company. This product is  "approved" by several state and federal agencies as required by law."  [Does this sound like the <a href="http://www.cbsnews.com/stories/2006/10/06/national/main2070115.shtml" target="_self">Apex Chemical explosion</a>?]<br /> <br />That boiler  explodes and spreads toxic ash over a 3 mile radius. The environment is  polluted, people are made sick, and the business site is shut down. The  NC business itself suffers a $300 Million  dollar business and property damage loss and is sued by the State and  citizens for the toxic ash  injuries.  The insurer for the power company  (or self-insured company  itself) must pay for the business loss, claims of injuries and property  loss, but would be <span style="text-decoration: underline;">prohibited </span>by <span style="text-decoration: underline;">HB542 from seeking a recovery  from the negligent Chinese manufacturer.</span>  The State of North Carolina  would be prohibited from seeking compensation for the loss to the  environment and the toxic clean up costs. This will increase the cost of  insurance for business and the State and possibly force insurers to  stop insuring for loss from product defect.<br /><br />HB542 uses the following definitions:  [See page 8 of <a href="http://www.ncga.state.nc.us/Sessions/2011/Bills/House/PDF/H542v1.pdf" target="_self">HB542</a>] " (1) "Claimant" means a person or other entity asserting a claim"<br /><br />"Product liability action" includes any action brought for or on account of personal injury, death or <span style="text-decoration: underline;">property damage</span> caused by or resulting from the manufacture, construction, design,  formulation, development of standards, preparation, processing,  assembly, testing, listing, certifying, warning, instructing, marketing,  selling, advertising, packaging, or labeling of <span style="text-decoration: underline;">any </span>product."  (Emphasis added)<br /> <br />"<span style="text-decoration: underline;">No manufacturer or seller</span> <span style="text-decoration: underline;">shall be held liable</span> in any product liability action if any one of the following apply:"<br /><br /><strong>Under  this very simple language above, businesses that suffer catastrophic  losses due to product defects will NOT be able to recoup those loses.</strong><br /> <br />Moreover, what will be the effect on Business Insurance Policies?  A  standard loss policy would have language like the following:<br /><br /><strong> "If  we pay a claim under your policy, we will take over your right to  recover that amount from any other person or organization. You agree to  cooperate with us and not do anything that will interfere with our  chances of recovery". </strong><br /> <br />Insurers would be subrogated to the right of the North Carolina  company.  Because subrogation is "the substitution of one person in the  place of another with reference to a lawful claim, demand, or right, so  that he who is substituted succeeds to the rights of the other in  relation to the debt or claim, and its rights, remedies, or securities,"  the North Carolina Company <span style="text-decoration: underline;">would have no right to recover under HB542 and thus the insurance company would be subrogated to nothing</span>.<br /> <br />North Carolina will be the ONLY state in the nation with such a law.<br /><br /><span style="text-decoration: underline;"><strong>This raises many difficult questions:</strong></span><br /><br />1)   Will insurance companies issue large commercial policies to North  Carolina manufacturers know there will be no right to subrogate in  failed products cases?  Can businesses operate without this insurance?<br /> <br />2)  Will North Carolina manufacturers receive insurance <span style="text-decoration: underline;">rate increases</span> due to the higher cost risk for North Carolina claims?<br /><br />3)  Will manufacturers <span style="text-decoration: underline;">avoid locating in North Carolina</span> because they will not be protected from defective products they purchase for their business?<br /> <br />4)  Will insurance products for consumers be impacted by the lack of  subrogation for faulty manufacturing?  Will home owner insurance rates  increase due to the number of fires caused by defective products where  there will be no subrogatable interest for the insurance company?<br /> <br />5)  <span style="text-decoration: underline;">Why would a manufacturer choose North Carolina over 49 other  states  knowing that it had no protections from faulty products within  its own facility?</span><br /><br /><br />I ask that you stop HB542 before it further erodes North Carolina's business economy.<br /> <br />Chris Nichols</p>
<p>________________________________</p>
<p>(update) </p>
<p><strong><span style="text-decoration: underline;">A non-hypotehtical Example of Products Liability Subrogation In Insurance</span></strong></p>
<p>Here is an excellent example of how subrogation works in the context of product liability claims.  This is a blog post from <a href="http://www.subrogationrecoverylawblog.com/articles/subro-roundup/" target="_self">Cozen O'Conner</a>, a national law firm that helps insurance companies recover funds from manufacturers of defective produts when those products cause damage which is insured.  Here is a link to their full blog post. <a href="http://www.subrogationrecoverylawblog.com/2011/03/articles/subro-roundup/lasko-recalls-48-million-box-fans/">Lasko Recalls 4.8 Million Box Fans</a></p>
<p>The case involved a massive barn fire at a breeding farm in Hondo, New  Mexico. Six world class race horse breeding stallions were killed in the  fire and the barn itself was totaled. Cozen O’Connor represented over  sixty sophisticated horsemen clients who had ownership interests in the  stallions, and their insurers. The insurers for the horses and the barn  went to great lengths to preserve the fire scene, and as a direct result  of their diligence the experts were able to examine each electrical  device in the barn and identify the fatal flaw in the Lasko fan motor.<br /><br />On March 24th (long after the fire) the <a href="http://www.cpsc.gov/">Consumer Product Safety Commission </a>announced a voluntary <a href="http://www.cpsc.gov/cpscpub/prerel/prhtml11/11183.html">recall </a>of  4.8 million Lasko box fans. The recall notice reports “an electrical  failure in the fan’s motor poses a fire hazard to consumers.” The CPSC  cites a “barn fire resulting in extensive property damage” as a basis  for the recall.</p>
<p>If this fire had occurred in North Carolina under House Bill 542, the lawyers at Cozen O'Conner would have been <span style="text-decoration: underline;">barred</span> from seeking recovery from Lasko.  The insurer would have paid out millions and not been reimbursed by the negligent manufacturer of the fan.  And who would absorb the cost of the unreimbursed expenses?  Anyone who buys insurance.</p>
<p>_______________________________________</p>
<p>Hopefully this will make a difference.  This bill is not just about people injured by defective products, but also business.</p>
<p>This is an actual photo of the Apex, NC plant explosion at a chemical storage facility.</p>
<p><a href="http://www.nctriallawblog.com/.a/6a00d83420a45c53ef014e606f200b970c-pi" style="display: inline;"><img alt="RLK_EQ_Fire" border="0" class="asset  asset-image at-xid-6a00d83420a45c53ef014e606f200b970c" src="http://www.nctriallawblog.com/.a/6a00d83420a45c53ef014e606f200b970c-800wi" title="RLK_EQ_Fire" /></a> <br /><br /></p></div>
</content>



    </entry>
 
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