Texas Supreme Court Gives TAN and Nonsubscribers Win in East Medical Center Athens Case

Texas Supreme Court Gives TAN and Nonsubscribers Win in East Medical Center Athens Case

On April 25, the Texas Supreme Court (SCOTX) issued its opinion in the East Texas Medical case, delivering a big win for Texas nonsubscribers. Tracking the arguments advanced by TAN and other amici in their amici brief filed on Jan. 2, SCOTX concluded that a nonsubscriber action for personal-injury damages is not an action for benefits under the Texas Workers’ Compensation Act (TWCA) and therefore is now excluded from Texas’s Proportionate Responsibility Statute. While a nonsubscriber cannot avail itself of any proportionate responsibility of the employee under that statute because “Section 406.033(a) [of the Labor Code] waives a nonsubscriber’s defenses that are based on—and thus prohibits proportionate responsibility that is based on—its employee’s knowledge and negligence,” it is not clear that that prohibition does not extend to excluding the responsibility of third parties. Accordingly, the SCOTX held that a nonsubscribing employer is permitted to designate a responsible third party and have the jury apportion fault between it and the employer.

While the East Texas Medical decision dealt specifically with the responsible-third-party issue, it has far-reaching implications that will be further beneficial to a nonsubscribing employer. Now that the SCOTX has held that a nonsubscriber action is not excluded from the Texas Proportionate Responsibility Statute, that means a nonsubscriber may also take advantage of other features of that statute, such as the section allowing settlement credits. Now, when an employee settles with a co-defendant or a third party, the nonsubscriber will receive a dollar-for-dollar setoff against any award or judgment against it. Also, the East Texas Medical decision provides further authority for nonsubscribers to remove cases to federal court and fight a remand. The removal statute prohibits removal of cases “under the workmen’s compensation laws,” and several federal judges have recently held that a nonsubscriber case “arises under” the Texas Workers’ Compensation Act, and therefore remanded removed cases back to state court. Because the Texas Supreme Court just decreed that a nonsubscriber case is not a statutory action under the TWCA but rather a common law tort, this should help nonsubscribers fight motions to remand based on the “arises under” argument.

The East Texas Medical case is a huge win for nonsubscribers. The amicus effort was a huge part of the win since the amici were the only ones to argue the nonsubscriber angle. The impact of the amicus brief was significant, as there are several places in the court’s opinion where the court all but cut and pasted arguments from the amici brief.

Special thanks to the companies that supported TAN’s amicus effort and to Donna Peavler and the team at Peavler Briscoe for their outstanding work on the brief.

Below is a short summary from SCOTX on their ruling.

In re E. Tex. Med. Ctr. Athens, ___ S.W.3d ___, 2025 WL ___ (Tex. Apr. 25, 2025) [23-1039]

This case concerns whether an employer that opted not to subscribe to the Texas workers’ compensation program may designate responsible third parties when its employee sues it for negligence.

East Texas Medical Center Athens employed Sharon Dunn as an emergency-room nurse. Dunn alleges she was injured by an EMT who was not employed by ETMC Athens during one of her shifts. She originally sued the EMT and his employer, but they were dismissed from the case. Dunn then added claims against ETMC Athens, which moved to designate the EMT and his employer as responsible third parties. After the trial court granted the motion, Dunn moved to strike the designations, arguing that the proportionate-responsibility statute, which prohibits third-party designations in “action[s] to collect workers’ compensation benefits under” the Workers’ Compensation Act, does not apply because her suit is an action to collect “benefits.”

The trial court granted the motion. The court of appeals denied ETMC Athens’s petition for mandamus relief, and ETMC Athens petitioned for mandamus relief in the Supreme Court.

The Court conditionally granted mandamus relief and held that an employee’s negligence suit against her nonsubscribing employer is not one to “collect workers’ compensation benefits” under the Act. Thus, the proportionate responsibility statute applies to such an action. The Court further held that the Act itself does not prohibit responsible third-party designations and that there was sufficient evidence in the record to create a fact issue regarding the third parties’ responsibility in this case. Therefore, the trial court’s striking of ETMC Athens’s designations was an abuse of discretion with no adequate appellate remedy, warranting mandamus relief.

Texas Legislature Heads Into Final Weeks of Sessi

The 89th Regular Session of the Texas Legislature is headed into its final stretch. The 140-day session will end on Monday, June 2, but not before what is expected to be four weeks of long nights, frayed emotions, and contentious debate.

To date, more than 9,000 bills have been filed, with roughly 6,100 filed in the House and over 3,200 introduced in the Senate. Many of those bills will fail as critical deadlines start to kick in on May 12, the last day for House committees to report out House bills. On that date, if a House bill has not been voted out of the House committee to which it was referred, it will die. Other key dates include:

  • May 13: Deadline for House to distribute the House daily calendar with House bills and House joint resolutions.
  • May 24: Last day for House committees to report Senate bills and Senate joint resolutions.
  • May 31: Last day for House and Senate to print and distribute conference committee reports.

Almost all of the top issues of the session, including the state budget, improving the state’s electric and water infrastructure, banning the sale of THC products, bail reform, and increasing the homestead exemption, remain unresolved but are moving.

The first major piece of legislation that passed and has been signed by the governor was SB 14, which creates the Texas Regulatory Efficiency Office, a Texas version of the federal Department of Government Efficiency (DOGE). The Texas version will work to find and eliminate unnecessary regulations in state agencies and create best practices for state agencies to follow to reduce regulatory strain on Texans.

The state budget has passed both chambers and is currently in a conference committee comprised of House and Senate members who will work to resolve any differences in the versions adopted by each chamber.

Senate Bill 2, creating a statewide private school voucher program, has been approved by both the Senate and House. In a somewhat surprising move, the Senate agreed to accept the changes the House made to the bill, so it is on its way to the governor’s desk and will become law. The bill would designate $1 billion over a two-year period for education savings accounts that can be used for private school tuition and school-related expenses. It will officially launch at the beginning of the 2026-27 school year.

Among the top bills TAN is tracking, HB 480 (mandatory workers’ comp for the construction industry), HB 5412 (definition of intoxication), SB 2989/HB 5545 (nonsubscriber wage replacement benefits defined as workers’ comp payments for tax purposes), and HB 823 (exemplary damages allowed based on compensable death), all remain in the respective committees to which they were referred.

Perhaps the bill Texas businesses and nonsubscribers are watching most closely is SB 30, which seeks to prevent abusive lawsuit practices by plaintiff lawyers who wrongfully inflate medical damages in personal injury lawsuits. The bill would also bring uniformity to Texas courtrooms in defining noneconomic damages. The bill has passed the Senate and is awaiting a hearing in the House Judiciary & Civil Jurisprudence Committee. You may click here for a copy of the bill and other information related to it.

Another top business priority is SB 39, related to civil liability of a commercial motor vehicle owner or operator. This bill seeks to make motor vehicle lawsuits more consistent and uniform by modifying rules of evidence presentation in civil actions, particularly in bifurcated trials involving employer liability. The bill has passed the Senate and is awaiting action in the House. You may click here for a copy of the bill and other related information.

If you would like to contact your legislators’ offices to voice your support for SB 30, SB 39, or to share your support or opposition on other legislation, you may click here to find contact information for your elected officials.

Unfilled Job Openings Expected to Increase Over Next Decade

The number of unfilled job openings in the country is projected to surge over the next 10 years, particularly in industries such as health care and social assistance, construction, and other key sectors, according to a new report from the Bipartisan Policy Center.

“Bridging the Gap: Meeting Workforce Needs Over the Next Decade” examines the challenges the U.S. labor market will face in the coming years because of demographic shifts, workforce shortages, and skills gaps. The report draws on an analysis from the Burning Glass Institute’s Labor Shortage Risk Index, which assesses potential labor shortages based on indicators such as projected demand, retirement rates, and educational or training requirements.

According to the Bipartisan Policy Center report, the health care and social assistance sector will face the most job openings and the greatest risk of not finding enough workers to meet demand, particularly for Registered Nurses, nurse practitioners, medical and health services managers, and personal care aides.

The report says labor shortages are also expected in the construction and transportation industries because of an aging workforce and lack of new job seekers. It predicts a significant shortage of applicants for legal and financial management occupations as existing workers retire and baby boomers increase demand for these services.

The accommodation and food services sector is also expected to see a high number of openings but is at a lower risk of persistent labor shortages due to an average younger workforce and low entry barriers.

The report suggests organizations can fill some of the gaps by doing the following:

  • Incent workers to complete education and training in shortage areas.
  • Expand employment-based immigration to attract and retain workers in high-demand fields.
  • Leverage automation to enhance productivity.
  • Alleviate strain on the workforce.

More information is available here.

Report Examines Company Driving Policies, Behaviors

Seven in 10 commercial drivers say they fear injury, death or being sued while driving company vehicles, according to a new survey from Nationwide Insurance.

Additionally, 21% admit to being frequently distracted while driving for work, with 53% saying they regularly take work phone calls while driving. Roughly a quarter say they read or respond to work texts (28%) or emails (24%) while driving.

Drivers surveyed also say staffing shortages have increased their workload (72%), require them to work longer hours (71%), make it harder to meet deadlines (57%), decrease the quality of training (54%), and reduce the focus on safety and compliance (49%).

According to the survey, organizations have responded by installing dash cams in work vehicles. Some 84% of respondents have a dash cam installed in their work vehicle, compared to 55% the year before.

Some 44% of company drivers report that their employer enforces a hands-free driving policy and monitors their cell phone usage while driving — a 10-point increase from last year. Another 24% say their employer has a hands-free policy but doesn’t monitor cell phone usage, while 22% do not allow cell phone use at all while driving. Some 10% don’t have any form of policy or monitoring in place.

While 87% feel their management prioritizes driver safety, 80% of respondents say they wish for more training to help prevent accidents.

The online survey of 400 commercial drivers was conducted in March by Edelman Data and Intelligence. The survey is available here.

Workplace Happiness Contributing to "Quiet Cracking"

One in five employees say they’re stuck in a persistent state of workplace unhappiness, leading to disengagement, poor performance, or plans to quit, according to a survey from employee training platform TalentLMS, which describes the trend as “quiet cracking.”

Additionally, the survey finds 54% of employees experience some level of quiet cracking, compared with 47% who say they rarely or never feel this way.

TalentLMS says its survey finds workplace satisfaction is eroding; however, unlike burnout, it doesn’t always manifest in exhaustion. And unlike quiet quitting, it doesn’t show up in performance metrics immediately. Over time, it leads to disengagement, decreased productivity and eventually, attrition. Gallup reports that disengaged employees cost the global economy $8.8 trillion a year.

The survey identifies worries about job security as the leading causes of quiet cracking. Some 82% of employees feel secure in their current job, while only 62% feel secure and confident in their future with the company, and 18% say they are unsure if they have a long-term future where they are now. The top three concerns driving job insecurity are:

  • Economic uncertainty, cited by 38% of respondents.
  • Workload and unclear expectations, 31%.
  • Poor leadership and company direction, 27%.

Of employees who say they frequently or constantly experience quiet cracking, just 26% say they feel valued and appreciated at work. That compares to 80% of employees not experiencing quiet cracking who say they feel valued and appreciated at work.

The survey is available here.

Survey Explores Manager Thoughts on Worker Development

Nearly three out of four (73%) managers and executives surveyed by Deloitte say they recognize the importance of reinventing the role of the manager, but just 7% say they are making great progress.

According to the survey, managers spend nearly 40% of their time solving problems for today and administrative tasks, with only 13% of their time spent developing the people who work for them. More than a third of managers (36%) say they are insufficiently prepared to be people managers, and 40% report a decline in mental health after becoming managers. The survey suggests Artificial Intelligence (AI) can help managers balance their daily tasks so they can become more people-focused and agile.

Deloitte surveyed nearly 10,000 business and human resources leaders worldwide to see how they balance short-term results with long-term value. Among its other findings:

  • Two-thirds of managers and executives (66%) say that most recent hires are not fully prepared, and a lack of experience is their most common failing.
  • More than half of workers and leaders (54%) are concerned about the blurred distinctions between work done by humans and technology.
  • To close experience gaps, 73% of executives and 72% of workers agreed that organizations should do more today to connect their workforce with opportunities to build experience.
  • Nearly three-quarters (74%) of surveyed workers, managers and executives say it is very important or of critical importance to prioritize human capabilities.
  • More than half of leaders (52%) view the potential value of deeper human and machine collaboration as very or critically important, and more than 70% of managers and workers are more likely to join and stay with an organization if its employee value proposition helps them thrive in an AI-driven world.

The survey is available here.

Workers Looking to HR for Help Understanding Impact of Policy Changes

Three-fifths of working Americans believe federal policy changes will have a direct impact on them during the next year, according to a survey from Justworks and The Harris Poll. Almost half (45%) said they’re looking to their HR team to help them understand the impact of recent policy changes.

Some 52% of workers said they feel too overwhelmed to keep up with recent policy changes, including new tariffs, tax code provisions, federal funding pauses, and ongoing delays in Employee Retention Tax Credit funds.

According to the survey, workers at small businesses (fewer than 100 employees) are more likely to feel in the dark; 46% don’t feel knowledgeable about recent policy changes compared to 38% of those at companies with 100+ employees.

The survey also finds workers are more concerned now than they were at the beginning of 2023, when inflation and fear of a possible recession triggered a wave of anxiety about job security and benefits.

In the recent survey, 55% of workers say they are worried about their benefits and perks being cut. That compares to 48% in 2023. Worry about company culture and being laid off also increased. Some 55% of respondents say they are concerned about changes in company culture, versus 52% in 2023. The number of respondents concerned about being laid off increased to 46%, compared to 42% in 2023.

The survey was conducted online within the United States by The Harris Poll on behalf of Justworks from March 20-24, 2025, among 2,088 U.S. adults ages 18 and older, including 1,236 respondents who are employed full-time or part-time. More information about the survey is available here.

Report on Streaming Practices Reveals Gen Z Habits at Work

Some 84% of Gen Z workers admit to streaming TV shows or movies while at work, and if their boss asks about it, nearly half (48%) will lie about it, according to a new survey from Tubi and The Harris Poll.

For the survey, 2,502 U.S. adults who stream for at least one hour per week were asked about their streaming use. The survey found 53% of Gen Z workers say they had put aside their work duties at least once to finish binge-watching a show.

Additionally, more than half (52%) of Gen Z workers who work remotely say they don’t want to return to the office because they wouldn’t be able to hide their streaming from close supervision. Despite that, nearly two in five Gen Z workers who show up to work in person say they still stream at their job site.

The survey finds that viewers across all generations are spending more time streaming. Nearly three in five respondents (57%) say they streamed shows or movies for one to three hours in one sitting, while 38% said they streamed for three or more hours at one time.

More information about the survey is available here.

Weight Loss Therapies Top Drug Spending

Weight loss drugs, such as Ozempic, Wegovy and others, have become the predominant driver of drug spend growth, replacing specialty drugs for the first time, according to a study from Evernorth, the health services division of Cigna. In 2024, weight loss drugs accounted for 46.8% of the total increase in drug spend and were equivalent to 6.7% of total drug costs, according to Evernorth’s figures, which are based on data from roughly 28 million people with commercial insurance coverage.

While Glucagon-like peptide-1 receptor agonists (GLP-1) weight loss therapies are driving significant growth in drug trend, their increasing use in diabetes management further solidifies their prominence in the health care landscape. GLP-1 therapies are poised for continued growth, with 24% of consumers currently considering GLP-1s and 65% of providers willing to prescribe them. This will likely fuel the upward trend, with a projected 73.1% increase in utilization for weight loss in 2025.

According to Evernorth, GLP-1s face dual challenges of rapid uptake and high discontinuation rates, raising questions about long-term value. Evernorth says more than 50% of patients using GLP-1s for weight loss stopped their treatment within 12 months. Concerns about side effects and medication safety were the main reason for discontinuation, cited by almost half of the patients who stopped utilizing GLP-1s. Another four out of 10 patients said they no longer needed medication, while less than a third cited financial and insurance barriers.

GLP-1 prescriptions for weight loss are growing fastest in younger generations, with the highest percentage increase from 2023 to 2024 among children 14 and younger, who had an 84.6% jump in utilization, and Gen Z (ages 15 to 28), whose utilization increased by 67.8%.

The Evernorth study is available for download here.

Workers Expressing Discontent, Burnout Desire Career Development Opportunities

A new survey finds workplace discontent worsening, with 21% of Americans saying their sense of control over their professional future has gotten worse over the past five years, and 76% saying they are relying on hope to get through the year.

The fifth annual Career Optimism Index survey from the University of Phoenix Career Institute also finds 51% of Americans feel burned out at work, with workers who lack control over the future of their careers more likely to experience burnout than those who do feel in control (70% vs. 45%).

Other key findings include:

  • Workers are 52% more likely to experience burnout when they feel they are not progressing in their careers at the right pace. Some 67% of workers who feel they are losing control over their future say they are experiencing burnout, compared to 44% of the workers who believe they have control of their future.
  • Workers who feel their current job provides them with opportunities for career development are less likely to feel disengaged than their counterparts who do not feel they have opportunities for career advancement (43% vs. 52%), and are significantly more motivated (66% vs. 28%) and adaptable (92% vs. 78%) in their careers.

However, many employers continue to prioritize external hiring over internal workforce investment, despite workers’ desire to progress:

  • 60% of employers prefer hiring new employees over training current staff, despite research indicating the significant cost of turnover and the proven impact of talent development on retention rates and profitability.
  • 86% of workers are actively seeking skill development opportunities, yet employer investment in reskilling and upskilling has declined by 13% and 10%, respectively, since 2022.
  • 43% of workers report a lack of access to necessary training, an 8% increase since 2021.

More than 5,000 U.S. adults who either currently work or wish to work were surveyed between Dec. 17, 2024, and Jan. 13, 2025. The survey and the previous years’ surveys are available here.

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