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Audrey L. Copeland

Portrait of Audrey L. Copeland

Audrey Copeland, who joined the firm in 1986, is a member of the Post-Trial Appellate Advocacy Practice Group. She concentrates her practice in the state and federal appellate courts and has litigated matters involving a wide range of substantive and procedural issues including professional liability, civil rights claims, land use, coverage, medical malpractice, product liability, workers' compensation and premises liability.

    • William & Mary Law School (J.D., 1983)
    • Colgate University (B.A., cum laude, 1980)
    • Pennsylvania, 1985
    • U.S. Court of Appeals 3rd Circuit, 1986
    • Pennsylvania Super Lawyer (2018-2021)
    • Bar Association for the Third Federal Circuit
    • Pennsylvania Bar Association
    • "Did the Commonwealth Court Decide the Retroactive Effect of 'Protz'? Pennsylvania Law Weekly, October 12, 2017
    • "Protz: Problems for Practitioners and Politicians," Pennsylvania Law Weekly, August 22, 2017
    •  “Land Use Litigation – Trends, Exposures and Moral Hazards,” Defense Digest, Vol. 22, No. 3, September 2016
    • "Running Afoul of the Appellate Rules," The Pennsylvania Lawyer, March-April, 2006
    • "On Line Is On Target: the Astonishing Utility of Computer Research," Pittsburgh Legal Journal, Vol. 121, No. 114, June, 1995
    • "The Empire Strikes Back: Payback for the Costs of Proving Yourself Right, " Defense Digest, July, 1995
    • "Pennsylvania Supreme Court Declines Review in Bad-Faith Case, " Defense Digest, July, 1995
    • "Hurry Up and Wait: Consequences for Defendants Under the New Appellate Rules, " Defense Digest, Summer, 1994
    • "High Court Reins in Repose Defense, " Defense Digest, Spring, 1994
    • "Services or Sales? Hospitals, Physicians and Pharmacists and 402A Liability, " Defense Digest, Spring, 1994
    • "Live Birth of a Non-Viable Fetus is Line of Demarcation in Wrongful Death and Survival Act Cases, " Defense Digest, Winter 1993, 1994
    • "Third Circuit Applies "Inferred Intent" in Sexual Abuse of Minors Case, " Defense Digest, Fall, 1993
    • "Third Circuit Affirms Swimming Pool Judgment, " Defense Digest, Summer, 1993
    • "The Sexual Abuse of Minors: Coverage Issues, " Defense Digest, Spring, 1992
    • In a Pickle: The Implications of Protz, Marshall Dennehey Workers' Compensation Seminar, October 19, 2017
    • Lighthouse Inst. for Evangelism, Inc. v. City of Long Branch, 510 F. 3d 253 (3d. Cir. 2007) was initiated by plaintiff, a self-described" church," to challenge the defendant City's zoning ordinance and superseding Redevelopment Plan. The Third Circuit affirmed the dismissal of the RLUIPA, 40 U.S.C. 2000cc et seq. claim as to the City's Redevelopment Plan holding that the "Equal Terms" provision of RLUIPA requires a plaintiff to show that it was treated less well than a secular organization that has a similar negative impact on the aims of the challenged land-use regulation and reasoning that the purported church was not treated on less than equal terms from secular entities, largely because of a New Jersey State statute which prohibits the issuance of a liquor license to establishments located within 200 feet of a church. The Court also affirmed the dismissal of the alleged church's Free Exercise claim as to both the Redevelopment Plan and the original C-1 Ordinance because its religious exercise was not burdened by the fact that it was excluded from this area of the City. The Third Circuit reversed the grant of summary judgment for the City as to Lighthouse's RLUIPA Claim as to the original, since superseded C-1 Ordinance. 
    • In Essex Ins. Co. v. Kennedy, 60 Fed. Appx. 367, 368 (3d Cir. 2003), the Assault and Battery exclusion in insurance policy applied and insurance company was not required to defend or indemnify its insured; additionally, the exclusion applied even though it appeared in an unsigned addendum, thus insurance company was entitled to summary judgment.
    • Micromanolis v. Woods Sch., Inc., 989 F.2d 696, 697 (3d Cir. 1993) concerned a plaintiff who climbed over a defendant property owner's fence and dove into an unlit "winterized" pool at night, without checking its water level, and who was rendered a quadriplegic. The Third Circuit held that even assuming that the plaintiff was a foreseeable trespasser, the property owner could not be charged with actual or constructive knowledge that a trespasser might dive into the unlit pool without checking the water level and could not be liable for wanton misconduct in failing to take steps to prevent the injuries caused by this activity. 
    • Heath v. Workers' Comp. Appeal Bd. (Pa. Bd. of Prob. & Parole), 860 A.2d 25 (Pa. 2004), remanding to Heath v. Workers' Comp. Appeal Bd. (Pa. Bd. of Prob. & Parole), 867 A.2d 776 (Pa. Cmwlth. 2005) concerned a claim for workers' compensation benefits for psychological injury brought by a claimant who alleged that she was sexually harassed by her supervisor. The Pennsylvania Supreme Court held that although the personal animus exception could not be raised sua sponte, a remand was required, whereupon the Commonwealth Court denied the claim due to the claimant's failure to provide the objective evidence necessary for corroboration.
    • In Rossino v. Kovacs, 718 A. 2d 755 (Pa. 1998) summary judgment was affirmed for the defendant property owners, who neither knew nor had reason to know that a police officer was going to enter their property in order to aid the execution of a search warrant, were not liable for the injuries sustained by the officer, who was not a licensee but rather a trespasser on the property under a privilege.
    • Bethea v. Phila. AFL-CIO Hosp. Ass'n, 871 A.2d 223 (Pa. Super. 2005), appeal denied, 934 A.2d 71 (Pa. 2007) involved the retroactive application of the MCARE Act and the Superior Court affirmed the trial judge's dismissal of the case. The Superior Court held that qualifications for a medical expert under the Act must be met even though the medical malpractice claim was filed prior to the enactment of the Act and the expert's testimony was heard after the enactment. The practical consequences of this ruling were that the expert, who did not possess a valid medical license at the time of trial, was barred from testifying and the plaintiff could not sustain her action.
    • In Brown v. Philadelphia College of Osteopathic Med., 760 A.2d 863 (Pa. Super. 2000) the judgment on jury verdict for the plaintiffs vacated and case remanded for entry of judgment notwithstanding the verdict in favor of defendant-appellant PCOM, where plaintiffs failed to prove that defendant's conduct in erroneously informing plaintiff that her infant daughter had been born with syphilis was a proximate cause of the alleged harm or show the requisite physical impact to recover for emotional harm as to claims that the diagnosis caused the breakdown of the couples' marriage, physical violence, and loss of employment.
    • In Armstrong v. W.C.A.B. (Haines and Kibblehouse), 931 A.2d 827 (Pa. Cmwlth. 2007) a work injury was deemed accepted by the employer by virtue of a notice of temporary compensation payable acknowledging the injury and a notice of compensation denial disputing length and extent of disability, but not the occurrence or nature of the injury, pursuant to 77 Pa. Stat. Ann. 717.1.
    • Schachter v. Workers' Comp. Appeal Bd. (SPS Technologies), 910 A.2d 742 (Pa. Cmwlth. 2006) involved the effect of a disability rating. The Commonwealth Court held that the workers' compensation employer was not precluded from seeking termination of disability benefits by virtue of prior 6 % impairment rating and the reversal of the Judge's attorney's fees award was not error.
    • Ball v. Bayard Pump & Tank Co., 2013 Pa. LEXIS 1039 (Pa. May 28, 2013)
    • Krushaukus v. WCAB (General Motors), 56 A.3d 64 (Pa. Commw. Ct. 2012)
    • Papadoplos v. Schmidt, Ronca & Kramer, PC, 21 A.3d 1216 (Pa. Super. 2011)
    • Rossino v. Kovacs, 718 A.2d 755 (1998) 
    • Nationwide Mutual Insurance Company v. Johnson, 704 A.2d 127 (1998)

Results

Successfully Affirmed Workers’ Compensation Decision Before the Appeal Board

We convinced the Commonwealth Court to affirm the decision of the Workers’ Compensation Appeal Board in favor of our client, the employer, which upheld the workers’ compensation judge’s denial of a claim petition. By memorandum opinion, the court found that the judge’s credibility findings were neither contradictory nor arbitrary and capricious, and the decision was reasoned. The court agreed with the employer that the defense experts’ opinions constituted substantial evidence, also noting that the Social Security Administration’s findings of disability were irrelevant to the issue of work-relatedness. The court concluded that the claimant failed to sustain her burden of proving a work-related injury, and since the causal connection between her “lingering symptoms and her work duties” was not obvious, she was required to present unequivocal medical evidence establishing that connection, which she failed to do.

Successfully Represented an Insurance Company in a Workers’ Compensation Appellate Matter

We successfully represented an insurance company before the Commonwealth Court of Pennsylvania. The court agreed with our argument that the claimant needed to provide notice of his work-related injury to the defendant insurance company within 120 days of the occurrence of the injury due to his combined status as sole proprietor/owner and also the employee in this matter. The judges distinguished the facts of the case due to the fact that the claimant was a sole proprietor, owner and the only employee of his own business. The court agreed that allowing the claimant to pursue a claim, by claiming that he provided notice to himself immediately when the accident occurred, but did not bother to report the injury to the insurance company for over a year thereafter, would result in an absurdity and put the insurance company at a disadvantage in the investigation of the claim. The court also noted that the definition of “employer” in certain portions of the Act includes not only the actual employer as a business itself, but also the employer’s duly authorized agent or its insurer, if such insurer has assumed the employer’s liability. Since the claimant failed to provide notice to the insurance company within 120 days of his injury, the court held that the Claim Petition was barred. The Claim Petition was dismissed, and the claimant was not entitled to any benefits at all.

Thought Leadership

Defense Digest

On the Pulse…Recent Appellate Victories*

March 1, 2026

Kimberly Berman (Fort Lauderdale, FL) and Brad Blystone (recently retired) successfully obtained an affirmance by the Sixth District Court of Appeal in a premises liability claim, stemming from a slip and fall. The appeal attempted to conflate the burdens of proof on summary judgment. The court rejected the appellants’ arguments and affirmed the final judgment entered in favor of our client without oral argument. Kimberly Berman and Jonathan Kanov (both of Fort Lauderdale, FL) convinced the Fifth District Court of Appeal to affirm a dismissal on behalf of our clients, a well-regarded personal injury law firm and two lawyers who had handled a personal injury. The plaintiff sued the law firm and lawyers for legal malpractice. Our client moved to compel arbitration based on the unambiguous language in the retainer agreement, where the parties agreed to resolve all disputes, including legal malpractice claims, in arbitration and not in court. The trial court granted the motion to compel arbitration, and the plaintiff appealed. The Fifth District dispensed with oral argument and affirmed the dismissal order, sending the plaintiff’s claim to arbitration in accordance with the retainer agreement. Kimberly Berman (Fort Lauderdale, FL) and Heather Carbone (Jacksonville, FL) obtained an affirmance of a final order by the Judge of Compensation Claims (JCC), upheld by the First District Court of Appeal. The order determined an employer/employee relationship and found the statute of limitations barred the claimant’s allegation against his lone statutory employer. The appeal involved the interpretation of section 440.10, Florida Statutes, and a question of whether all employees of a contractor and subcontractors “shall be deemed to be employed in one and the same business’ for purposes of workers’ compensation benefits.” The claimant presented a novel theory that the general contractor and its subcontractor are “unified employers” jointly responsible for the payment of benefits. The JCC rejected the theory, and the First District dispensed with oral argument, affirming the final order in favor of the employers and carriers. Patricia Monahan (Pittsburgh, PA) and Audrey Copeland (King of Prussia, PA) convinced the Pennsylvania Supreme Court to reverse the Superior Court’s en banc decision and reinstate summary judgment in favor of the defendant. The plaintiff brought a promissory estoppel claim against our client as the subrogee of its insureds, the owners of motor vehicles and property destroyed in a garage fire caused by a BMW that our client insured. The plaintiff alleged that our client broke a promise to preserve the BMW for future testing, preventing a product liability claim from being filed. The court granted review to consider (1) whether the Superior Court’s decision was inconsistent with the Supreme Court’s decision in Pyeritz v. Commonwealth, 32 A.3d 687 (Pa. 2011), or with (2) Pennsylvania law on subrogation. The three-Justice majority did not reach the first issue, but held that the subrogation claim failed as a matter of law because the plaintiff’s subrogation rights were limited to recovery against any party liable for the direct or accidental loss or damage to covered property. As a result, the plaintiff lacked standing for its promissory estoppel claim against our client, as they did not cause the property damage. One Justice dissented in part, opining that the plaintiff’s self-designation as subrogee was not fatal and that they had pleaded a promissory estoppel claim, however, he concurred in the majority decision, reasoning that the plaintiff’s claim failed as a matter of law for the same reasons that precluded a negligent spoliation claim in Pyeritz. Another Justice dissented to the extent he would hold that the plaintiff had standing; however, he disagreed that Pyeritz foreclosed the plaintiff’s promissory estoppel claim. *Results do not guarantee a similar result.

What's Hot in Workers' Comp

What’s Hot in Workers’ Comp – Special PA Alert

June 10, 2024

On May 29, 2024, in the matter of Erie Insurance Property & Casualty Company v. David Heater (Workers’ Compensation Appeal Board), No. 148 C.D. 2023, A. Judd Woytek and Audrey L. Copeland (both of King of Prussia, PA) successfully secured the following precedential decision from the Commonwealth Court of Pennsylvania.  The claimant was a sole proprietor who suffered an alleged work-related injury on September 28, 2015. The claimant failed to provide notice of his alleged injury to Erie Insurance until February 24, 2017. He filed a Claim Petition on September 6, 2018, just prior to the expiration of the statute of limitations. The workers’ compensation judge issued a decision in July 2020 in which he found that the claim was barred by the notice provisions of the Act due to the claimant’s failure to report the injury to Erie Insurance within 120 days. The judge noted that, since the claimant was his own employer, it could be argued that notice was instantaneous (to himself). However, the judge found that the insurer was the party responsible for the payment of benefits and, therefore, notice had to be provided to the insurer within 120 days. Since the claimant failed to provide notice to Erie Insurance within 120 days of his injury, the judge denied the Claim Petition. The claimant appealed, and the Workers’ Compensation Appeal Board reversed and remanded to the workers’ compensation judge, who then issued another decision in January 2022, awarding benefits. Judd appealed the judge’s second decision to the Appeal Board, which affirmed. Judd and Audrey then appealed to the Commonwealth Court. In its May 29, 2024, decision, the Commonwealth Court agreed with our argument that the claimant needed to provide notice of his work-related injury to Erie Insurance within 120 days of the occurrence of the injury due to his combined status as both the claimant and the sole proprietor/owner/employer in this matter. The Commonwealth Court distinguished this case from prior cases where the employer was a small or closely held corporation. The court specifically noted that the claimant was a sole proprietor, owner and the only employee of his own business. The court agreed that allowing the claimant to pursue a claim by alleging that he provided notice to himself immediately when the accident occurred but did not bother to report the injury to Erie Insurance for over a year thereafter, would result in an absurdity and put Erie Insurance at a disadvantage in the investigation of the claim.  The court note that the definition of “employer” is different in Section 311 and Section 401 of the Act. Section 401 of the Act defines “employer” as including not only the actual employer, but also the employer’s “duly authorized agent, or his insurer, if such insurer has assumed the employer’s liability . . .” The court noted that, under those circumstances, the insurer is entitled to the same rights afforded to the employer, which includes prompt notice of the claim, so that an investigation can be conducted and that evidence does not become stale. The court held, therefore, that since the claimant failed to report his alleged injury to Erie Insurance within 120 days, his claim was barred. The court reversed the Appeal Board and reinstated the judge’s original 2020 decision denying the Claim Petition. Note that the holding in this decision is limited to situations where the claimant is both the injured employee and the sole proprietor/employer. In such a case, the claimant must provide notice of his/her injury to the insurance carrier within 120 days. In all other circumstances, the claimant must only provide notice to the employer within 120 days.    What’s Hot in Workers’ Comp – Special PA Alert – June 10, 2024, is prepared by Marshall Dennehey to provide information on recent legal developments of interest to our readers. This publication is not intended to provide legal advice for a specific situation or to create an attorney-client relationship. We would be pleased to provide such legal assistance as you require on these and other subjects when called upon. ATTORNEY ADVERTISING pursuant to New York RPC 7.1 Copyright © 2024 Marshall Dennehey, all rights reserved. No part of this publication may be reprinted without the express written permission of our firm. For reprints or inquiries, or if you wish to be removed from this mailing list, contact tamontemuro@mdwcg.com.

Firm Highlights

News

Marshall Dennehey’s John J. Hare Brings Home Attorney of the Year Honors; Firm Named Litigation Department of the Year in Two Categories

Marshall Dennehey took home top honors in three categories at the The Legal Intelligencer’s 2026 Pennsylvania Legal Awards, held June 11 in Philadelphia. The first place awards include: Attorney of the Year: John J. Hare, Chair of the firm’s Appellate Advocacy & Post-Trial Practice Group and Executive Committee member, together with Charles “Chip” Becker of Kline & Specter Litigation Department of the Year, Appellate – Third Win in a Row! Litigation Department of the Year, Product Liability/Mass Torts “There is no one more deserving of Attorney of the Year honors than John. This award is a testament to his exceptional skill, dedication, and leadership—qualities that truly exemplify the very best of our firm,” said G. Mark Thompson, Marshall Dennehey’s President & CEO. “These honors also reflect the strength and depth of our product liability, mass torts, and appellate practices across Pennsylvania and beyond, underscoring our ongoing commitment to delivering outstanding results for our clients.” Attorney of the Year – John J. Hare, Marshall Dennehey, together with Charles “Chip” Becker, Kline & Specter Over the past year, John and Charles were opposing counsel in many of the highest-profile civil appeals in Pennsylvania. John is renowned as a preeminent appellate lawyer on the defense side, and Chip on the plaintiff's side. They have opposed each other repeatedly, exhibiting peerless professionalism and exceptional civility, while zealously litigating under the unremitting pressure of high-profile litigation and record-setting verdicts totaling more than $3.5 billion. They have also collaborated, outside of litigation, on many commissions, committees, and projects of importance to the Pennsylvania judiciary and legal community. Litigation Department of the Year – Appellate Law, Winner (previous winner, 2025 and 2024) 2025 was another standout year for the firm’s Appellate Advocacy & Post‑Trial Practice Group, led by John J. Hare, which was retained to challenge many of Pennsylvania’s “nuclear” verdicts—awards exceeding $10 million. Notably, the department persuaded the Pennsylvania Superior Court to reverse a Philadelphia judgment of $1.09 billion, the largest judgment ever overturned by a Pennsylvania appellate court. The group’s 11 full‑time Pennsylvania‑based appellate lawyers are at the center of Pennsylvania’s most high-profile matters, bringing more than 150 years of combined appellate experience. They routinely handle post‑trial and appellate matters and are frequently engaged to participate in and monitor trials in high‑exposure cases to ensure that critical legal issues are properly raised and preserved for appeal. Litigation Department of the Year – Product Liability/Mass Torts, Winner This marks the first win for the firm’s Pennsylvania Product Liability and Mass Torts practices, which operate within our Casualty Department, managed by Matthew Schorr and Jeff Rapattoni. For almost five decades, Fortune 500 product manufacturers/distributors and their insurers have turned to these groups to defend their litigation. Led by Bradley D. Remick and Vlada Tasich, our Product Liability group’s success can be attributed to its commitment to keeping abreast of ever-changing legal theories, judicial viewpoints, and evolving technology impacting the product liability landscape. Our attorneys have successfully handled thousands of product liability matters in all jurisdictions across the state. Likewise, our mass tort litigation practice – divided into Asbestos & Mass Tort, and Environmental & Toxic Tort Litigation –  has defended manufacturers, distributors, contractors, and premises owners in thousands of personal injury and other claims. Led by Kevin E. Hexstall and Patrick T. Reilly, most attorneys in these groups have more than 20 years of experience, and our seasoned trial team has tried hundreds of cases to verdict, consistently achieving strong results through both trials and settlements. In addition to these awards, Marshall Dennehey was a Litigation Department of the Year finalist for Professional Liability.

Thought Leadership

SIDEBAR: News and Happenings

We are pleased to share that attorneys from our health care team have been selected to the 2026  New Jersey and Pennsylvania Super Lawyers and Rising Stars lists. Their dedication to clients and commitment to high-quality work continues to strengthen our firm! Please join us in congratulating: NJ Super Lawyers: Robert T. Evers and Justin F. Johnson NJ Super Lawyer Rising Stars: Nataliana A. Guida  2026 Pennsylvania Super Lawyers: Alyson J. Kirleis and Gary M. Samms 2026 Pennsylvania Rising Stars: Holli K. Archer and Daniel Dolente Victoria Scanlon (Scranton) was a faculty presenter at the 2026 American Roentgen Ray Society (ARRS) Annual Meeting in Pittsburgh. She participated in the “Resident Symposium: Producing Quality Reports,” focusing her presentation on “How to Write a Great Report: Malpractice Lawyer’s Perspective.” Vicky, the only attorney presenter for this two-hour segment, was joined by several health care professionals including diagnostic radiologists, an interventional radiologist, an internal medicine physician, and a radiologist turned AI entrepreneur expert.  Matthew Keris (Scranton), President of the Pennsylvania Association for Health Care Risk Management (PAHCRM) and shareholder in our Scranton Health Care Department, presented an important and timely session titled “Keynote Address: A Conversation with RaDonda Vaught on Criminalizing Errors” at PAHCRM’s Annual Meeting in April. RaDonda is a former Tennessee nurse widely known for being criminally convicted in 2022 of negligent homicide and gross neglect after a 2017 fatal medication error at Vanderbilt University Medical Center. Her case gained national attention because she was criminally prosecuted rather than just facing licensing board action, sparking debate over blaming individual nurses for systemic healthcare failures. Matt and RaDonda’s conversation explored one of the most consequential issues in health care risk management today—how systems respond to human error, and what it means for patient safety, accountability, and the professionals who serve on the front lines. Gary Samms was a panelist for a podcast hosted by the Medical Liability Monitor, “From Outliers to Pattern: The Increasing Predictability of Megaverdicts in the Med-Mal Industry – and How to Reduce the Likelihood of Getting Hit with One.” Gary discussed the changing megaverdict landscape and why “outlier” verdicts are becoming structural, in addition to how plaintiffs turn weaknesses into megaverdicts (including building emotional narrative and jury psychology). Thank you to our clients who joined us for our Trends in Health Care & Health Law seminar on May 14. Led by our Health Care Department Director and Assistant Director, Robin Snyder and Donna Modestine, the session explored key issues that are currently shaping outcomes in health care litigation. We owe a debt of gratitude to our esteemed guest speaker, Mary Ellen Nepps, Esq., Senior Counsel, University of Pennsylvania, who presented “Medical Malpractice Litigation: Driving Another Health Care Crisis in Pennsylvania.” And special thanks to our attorneys who presented and shared their insights, including John J. Hare and Holli Archer who discussed “Highlights in PA Medical Malpractice Law;” David Drake for his presentation, “From Claims to Courtroom: Key Trends in NJ Medical Malpractice Litigation;” and Matthew Keris with an “Update on Health Care Tech Discovery.” Thank you to all of our clients for entrusting us with your health care litigation. We are proud to partner with you as we defend your interests and navigate legal landscapes together.

Result

No-Cause Jury Verdict Secured in Wrongful Death Trial

We successfully obtained a no-cause jury verdict in a 13-day wrongful death trial. The decedent, a 59-year-old man, was admitted to the emergency room on February 15, 2019, with complaints of abdominal pain, decreased appetite, and constipation, despite the use of laxatives. The patient did not complain of any nausea, vomiting, or diarrhea. He had a significant medical history including diabetes, hypertension, prior coronary artery stenting, morbid obesity (with past gastric bypass surgery), longstanding ventral hernia, and back pain. A CT scan revealed multiple hernias and a potential closed-loop bowel obstruction, leading to a surgery consultation. Our client, an emergency general surgeon, interpreted that the patient did not have a closed loop or any significant obstruction and recommended non-surgical management. The patient was approved to have clear liquids, and had a vomiting incident shortly after, but our client was not notified. The patient was returned to NPO status, and after improving overnight, he was returned to “clears” and additional medical and renal consults were ordered. Our client did not receive any communications from the residents/nurses of any changes in the patient’s condition. On February 18, 2019, two rapid responses were called due to increased heart rate and vomiting. It is believed that the vomiting resulted in aspiration, causing sepsis, ultimately leading to the patient’s death. During the trial, the plaintiff’s sole medical expert highlighted imaging on the wrong hernia, which called into question all of his opinions in the case. We made key objections related to the expert testimony, limiting what the allegations were, and preventing new allegations from being made. After approximately two and a half hours of deliberating, the jury returned a no-cause verdict. 

Thought Leadership

Casual Care, Serious Consequences: How Informal Prescribing Can Trigger Medical Board Scrutiny

The lesson for health care practitioners is that regular review of the regulatory requirements can ensure compliance and that casual prescribing may be in violation of state regulations if the necessary components are not met. Consider the following scenario: in December 2025, a medical provider renewed a prescription for a long-standing telemedicine patient receiving a Schedule II controlled dangerous substance. This was not a violation of the New Jersey Administrative Code. Another provider doing the same action for an equally situated patient in March 2026 would be in violation. The casual prescriber who is not aware of newer regulatory requirements may have a more difficult time responding to a medical board complaint. Medicine is a highly-regulated helping profession. Without addressing the merits of this regulatory burden, the practice of medicine continues to see drastic changes impacting the everyday life of patient and provider. Telemedicine, COVID-19, and other advances and roadblocks, present a challenge to those saving lives while attempting to comply with the rules of practice. Physicians often discover—through real cases and the lens of regulatory expectations—that even well-intentioned informal help can be reinterpreted as stepping outside mandated professional boundaries, and seemingly harmless actions can be construed as deviations from required practice standards specifically outlined in Title 13, Chapter 35, Subchapters 7.1A of the New Jersey Administrative Code. Title 45, "Professions and Occupations," of the New Jersey code governs the practice of medicine, nursing, optometry, pharmacy, and many other professional occupations. Section 9 specifically addresses the state board of medical examiners and allows for the creation of rules and regulations in Section 45:9-5.3. These regulations can be found in the New Jersey Administrative Code Title 13, Chapter 35. While broad in scope, Chapter 35 contains a subchapter dedicated to the administration and dispensing of prescription drugs. Such knowledge will arm physicians with the tools they need to prevent a negative outcome if a medical board complaint is filed. Likewise, attorneys must be familiar with these regulatory requirements when advising and defending providers. In New Jersey, N.J.A.C. Section 13:35-7.1A(a) requires that a practitioner conduct an examination and appropriately document the same within the medical record before dispensing drugs or issuing prescriptions. The examination must include an "appropriate history and physical examination," a diagnosis based upon the examination and any testing consistent with good medical care, the formulation of a therapeutic plan discussed with the patient, and the availability of appropriate follow-up care. There are only six exceptions to this requirement: In admission orders for a newly hospitalized patient For a patient of another physician for whom the practitioner is taking calls For continuation medications on a short-term basis for a new patient prior to the patient's first appointment For an established patient who, based on sound medical practice, the physician believes does not require a new examination before issuing a new prescription For a patient examined by a healthcare professional who is in collaborative practice with the practitioner When treatment is provided by a practitioner for an emergency medical condition Emergencies are also limited to situations where someone's health is in serious jeopardy, there is serious impairment to bodily functions, or serious dysfunction of any bodily organ or part. During the COVID-19 pandemic, then New Jersey Governor Phil Murphy issued an executive order declaring a public health emergency and a state of emergency that allowed authorized prescribers to prescribe Schedule II controlled dangerous substances via telemedicine. The order was terminated when he left office earlier this year and the state reverted to the requirement of an initial in-person examination and quarterly in-person visits. With this return to prior regulatory requirements, practitioners subject to the jurisdiction of the board of medical examiners may benefit from a refresher on the regulatory limitations on their practice now that the pandemic-era flexibilities have ended. This new requirement may create confusion for prescribers and lead to casual prescribing of medication in violation of the regulations, even in the setting of recurrent telemedicine appointments as noted in the example above. Casual prescribing can take many forms: filling a prescription request from a friend or family member without an examination or contemporary medical record; using telemedicine to expand your practice without proper in-person appointments or documentation in the medical record; failing to ensure appropriate follow-up care for a "one time" prescription; etc. Although not all board complaints end in a publicly available opinion, serious deviations from regulatory requirements can shine a light on practices that will require action by the board if a complaint is received. Consider the following cases: In October 2025, the board issued a final consent order in an administrative action where a doctor provided opioids without examination and his license was permanently revoked. In re Robert Dela Gente, D.O., N.J. State Bd. of Med. Exam'rs Oct. 21, 2025. Criminal charges were filed (though that is not always the case). In a September 2025 consent order, a physician was reprimanded for "prescribing opioids several months in advance without the proper patient follow-up..." and explained that they did so for "patients who can not pay for multiple visits to refill medications." In re A/an E. Schultz, M.D., N.J. State Bd. of Med. Exam'rs Sept. 25, 2025. Another physician was suspended and placed on probation in a consent order for prescribing three patients the weight-loss medication "Ozempic" via text messages through a website called "Push Health" and without any further communication with the patients or taking a medical history. In re Laura E. Purdy, M.D., N.J. State Bd. of Med. Exam'rs Aug. 29, 2025. A June 2025 interim consent order required a "full evaluation and assessment of [a physician's] general knowledge and skill, with specific emphasis on his knowledge of and ability to safely prescribe [controlled dangerous substances]" due to his failure to review a patient's prior medical history and medical record, assess and review the prescription monitoring program before prescribing CDS, and conduct random urine screens on a patient that tested positive for CDS upon admission to his practice because "he trusted the patient." In re Donald Oh, M.D., N.J. State Bd. of Med. Exam'rs June 2, 2025. Each of these examples demonstrate a failure to follow strict procedure regardless of the intention. Failing to follow procedure secondary to good intentions, such as considering a patient's financial constraints, trust in the patient, or utilizing a new telemedicine service platform, will not be a defense to a board complaint. Especially when practicing via telemedicine, practitioners must ensure they are adhering to the appropriate regulatory standard. A provider who calls in a prescription for a traveling friend or family member or agrees to prescribe medication for individuals using the newest phone app will have a hard time meeting the requirements of N.J.A.C. Section 13:35-7.1A. Even if a history was taken, a "therapeutic plan" was created, and "follow up care" was provided, the prescriber would still not be in compliance with the regulation without an in-person examination. In our opening hypothetical, the prescriber's behavior did not change between December and March; however, the legal shift in the regulatory landscape made once acceptable behavior a violation as a required examination did not occur. When complaints are made with regard to informal prescribing, the board has discretion to employ measures to encourage compliance in lieu of formal proceedings such as a private, written warning; suspending fines subject to continuing compliance; medical or professional treatment as may be necessary; medical or diagnostic testing and monitoring; skills assessment; corrective training; participation in outreach programming; or contribution to the consumer fraud protection fund. The lesson for health care practitioners is that regular review of the regulatory requirements can ensure compliance and that casual prescribing may be in violation of state regulations if the necessary components are not met. Even compliant providers who had not conducted an in-person examination for telemedicine patients during the COVID-19 emergency would be in violation of the regulations as of January 2026 for the same practice. Practitioners should be diligent in adhering to the prescribing rules to avoid sanctions related to casual care. Likewise, attorneys advising or defending practitioners before the board must be aware of the in-person examination requirements for prescribing in New Jersey whether the care in question took place in-person or in a telemedicine setting. Reprinted with permission from the April 22, 2026 issue of the New Jersey Law Journal. ©2026 ALM Media Properties, LLC. Further duplication without permission is prohibited. All rights reserved.