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Julianna is a member of the Health Care Department, concentrating her practice on the defense of health care practitioners and medical providers against all manner of medical malpractice suits. Her clients include physicians and other health care providers, as well as physicians’ offices, nursing homes, outpatient centers, hospitals and health systems.

Born and raised in Seattle, WA, Julianna graduated from Western Washington University with a bachelor’s degree in Sociology. She went on to earn her Masters in Criminology and Criminal Justice from Arizona State University, and her law degree with a Health Law Concentration from Villanova University’s Charles Widger School of Law. While at Villanova, Julianna served as president of the Health Law Society and was a staff writer for the Jeffrey S. Moorad Sports Law Journal.

Outside of work, Julianna enjoys Pilates, reading all genres of fiction (although murder mystery is her favorite), and spending time with her husband and their two dogs, Stanley and Ollie.

    • Villanova University Charles Widger School of Law (J.D., 2024)
    • Arizona State University (M.S., 2019)
    • Western Washington University (B.A., 2017)
    • Pennsylvania, 2024

Thought Leadership

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The Quarterly Dose

LEGAL ROUNDUP – Pennsylvania

February 25, 2026

Pennsylvania Supreme Court Broadens MHPA Immunity to Include Ordinary Negligence in Physical Care During Involuntary Commitment Wunderly v. Saint Luke’s Hospital of Bethlehem, 345 A.3d 692 (Pa. 2025) The Pennsylvania Supreme Court has recently expanded the scope of provider immunity under the Mental Health Procedures Act (MHPA), holding that the statute can shield providers from ordinary negligence claims arising from medical care for physical ailments provided during involuntary commitment. The case arose from a wrongful death and survival action following the death of a patient involuntarily committed for dementia-related aggression who developed severe pressure ulcers. Under 50 P.S. § 7114(a), facilities and practitioners participating in decisions to examine or treat individuals under the MHPA are immune from civil and criminal liability, absent a showing of willful misconduct or gross negligence. As § 114 does not define “treat,” the court looked to Section 104 of the MHPA, interpreting “treatment” to include medical care necessary to maintain “decent, safe, and healthful living conditions.” The court concluded that care for physical conditions is covered when it is coincident to the patient’s mental health treatment, even if the condition did not result from psychiatric care or advance psychiatric recovery. This decision significantly broadens the precedent established in Allen v. Montgomery Hospital, 696 A.2d 1175 (Pa. 1997). While Allen provided immunity for physical conditions caused by psychiatric care (such as medication side effects), Wunderly extends that protection to general medical care that simply occurs during the same timeframe as the commitment (such as treatment for pressure ulcers). The dissent warned that the majority’s interpretation risks lowering the standard of care for involuntarily-committed patients by immunizing ordinary medical malpractice based solely on commitment status. The dissent argued that the patient’s pressure ulcers arose independently of his mental health condition and should not fall within MHPA immunity.

Case Law Alerts

Pennsylvania Supreme Court Broadens MHPA Immunity to Include Ordinary Negligence in Physical Care During Involuntary Commitment

January 1, 2026

The Pennsylvania Supreme Court has recently expanded the scope of provider immunity under the Mental Health Procedures Act (MHPA), holding that the statute can shield providers from ordinary negligence claims arising from medical care for physical ailments provided during involuntary commitment. The case arose from a wrongful death and survival action following the death of a patient involuntarily committed for dementia-related aggression who developed severe pressure ulcers. Under 50 P.S. § 7114(a), facilities and practitioners participating in decisions to examine or treat individuals under the MHPA are immune from civil and criminal liability, absent a showing of willful misconduct or gross negligence. As § 114 does not define “treat,” the court looked to Section 104 of the MHPA, interpreting “treatment” to include medical care necessary to maintain “decent, safe, and healthful living conditions.” The court concluded that care for physical conditions is covered when it is coincident to the patient’s mental health treatment, even if the condition did not result from psychiatric care or advance psychiatric recovery. This decision significantly broadens the precedent established in Allen v. Montgomery Hospital, 696 A.2d 1175 (Pa. 1997). While Allen provided immunity for physical conditions caused by psychiatric care (such as medication side effects), Wunderly extends that protection to general medical care that simply occurs during the same timeframe as the commitment (such as treatment for pressure ulcers). The dissent warned that the majority’s interpretation risks lowering the standard of care for involuntarily committed patients by immunizing ordinary medical malpractice based solely on commitment status. The dissent argued that the patient’s pressure ulcers arose independently of his mental health condition and should not fall within MHPA immunity.

Firm Highlights

Thought Leadership

Marijuana Legalization and Workplace Risk: What New Jersey Employers Need to Know

While the legalization of recreational marijuana usage poses a risk of increased work-related accidents for younger workers, employers can work to curb this increase by investing in education, effective drug policies, and employee assistance programs.

Thought Leadership

U.S. Supreme Court Decides Key Issue Regarding Interstate Freight Broker Liability

Freight brokers are intermediaries.  They connect shippers of goods with trucking companies that transport those goods.  Freight brokers match a load of freight with a trucking company and oversee the logistics of the transportation. For a number of years there has been a division among the Federal Circuits regarding the potential liability of freight brokers when the trucking companies that they retain for interstate loads are involved in accidents.  At the center of this division was the Federal Aviation Administration Authorization Act of 1994 (FAAAA).  Some Federal Circuit Courts have held that state law negligent hiring claims against freight brokers were preempted by the FAAAA .  Other Federal Circuits Courts have held that even if preemption applied, the “safety exception” in the FAAAA saved state law negligent hiring claims from federal preemption.  On May 14, 2026, the U.S. Supreme Court addressed the conflict in Montgomery v. Caribe Transport II, LLC, et al, No24-1238. In that case freight broker C.H. Robinson selected Caribe Transport to haul an interstate load. The commercial truck driver employed by Caribe Transport allegedly caused an accident and the plaintiff, Montgomery, was seriously injured. Montgomery brought an action against the driver, Caribe Transport and C.H. Robinson. The allegation against C.H. Robinson was that it negligently retained Caribe Transport when it knew, or should have known, that it was an unsafe company. The Seventh Circuit Court of Appeals held that Montgomery’s claims against C.H. Robinson were preempted by the FAAAA. The plaintiff appealed to the U.S. Supreme Court.  The U.S. Supreme Court’s decision focused primarily on the safety exception in the FAAAA.  That provision provides that the FAAAA preemption “…shall not restrict the safety regulatory authority of a State with respect to motor vehicles.” C.H. Robinson argued, as freight brokers historically have, that their function was not “with respect to motor vehicles” because they do not own trucks or employ drivers. They are merely intermediaries, connecting entities who need freight moved with entities who can do that job. Therefore, C.H. Robinson argued that preemption applied, not the safety exception. The U.S. Supreme Court did not accept that argument. The Court focused on the meaning of the phrase “with respect to” in the safety exception. The Court held that it means “referring to”, “concerning” or “regarding”. Therefore, writing for a unanimous Court, Justice Barrett concluded that “[r]equiring C.H. Robinson to exercise ordinary care in selecting a carrier therefore “concerns” motor vehicles—most obviously, the trucks that will transport the goods. So, Montgomery’s negligent-hiring claim falls within the FAAAA’s safety exception, which saves it from preemption.” Justice Kavanaugh, in his concurring opinion, noted the effect this ruling may have on freight brokers and their insurers throughout the country: Importantly, the Court's decision today should not be read to mean that brokers will routinely be subject to state tort liability in the wake of truck accidents. As even plaintiff's counsel stressed, brokers should be able to successfully defend against state tort suits if the brokers have acted reasonably and arranged transportation with reputable trucking companies. Tr. of Oral Arg. 27-29. In plaintiff's counsel's words, the brokers "just have to hire carriers that actually have a reasonable policy," and "the broker is not going to have a problem if it's asking the hard questions of the carrier." Id., at 42, 45. In addition, the proximate-cause requirement in typical state tort law should help protect brokers from excessive liability. Id., at 25. That said, the brokers rightly caution against naivete. In the real world, as the brokers forcefully respond, state tort law can be unpredictable, and the costs to brokers of litigation and insurance may be significant even when brokers prevail in lawsuits. Moreover, the costs of litigation and insurance, as well as the costs of brokers' conducting more substantial inquiries into trucking companies, will cascade through the economy and be paid in part by American consumers in the form of higher prices. The concerns expressed by the brokers are legitimate and weighty. The key point here is that freight brokers can no longer claim they are protected from negligent retention claims by the FAAAA (in cases involving interstate transportation). The challenge will be to determine what is considered ”reasonable efforts” used by brokers when retaining transportation companies. 

News

Christina Gonzales To Speak at the Women of Color Roundtable at DRI’s Diversity and Inclusion Seminar

Event

29th Annual FDLA Florida Liability Claims Conference

Jim and Erica will team up to present, "Supporting the Next Generation: Connecting with Associates." This panel-style presentation will explore communication best practices from the perspective of a senior shareholder and newer associate. The discussion will focus on the communication styles of different generations and effective strategies to avoid communication breakdowns. Topics to be discussed include the hiring process, perceptions of defense work among newer lawyers, work-life balance issues after hiring, and mentoring.

Result

Summary Judgment Secured, Preserving $750,000 in Coverage for Insured in Major Trucking Liability Dispute

Ray Freudiger and Michael A. Roberts (both of Cincinnati) successfully obtained summary judgment on behalf of their client in a coverage dispute arising from a May 19, 2022, motor vehicle accident. A permissive driver operated a box truck for an interstate trucking company and caused severe injuries to two tort victims. Prior to the accident, the insured had procured a commercial auto policy for the trucking company with stated limits of $1,000,000. Following the accident, the insurer initiated a declaratory judgment action asserting that only reduced bodily injury limits of $25,000/$50,000 applied and later counterclaimed, alleging it would not have insured the driver had he been properly submitted for approval under the policy. After extensive discovery, briefing, and oral argument, the court rejected the insurer’s attempt to shift responsibility for the $750,000 in coverage it was legally required to provide for permissive drivers under Ohio law, granting summary judgment in favor of the insured and preserving $750,000 in liability exposure.

Thought Leadership

PA Middle District Dismisses Claims Against School District and its Superintendent, Principal, Special Education Director, and Classroom Teacher

A five-year-old special education student was enrolled in the Wyoming Valley West School District and attended the State Street Elementary School during the 2024-2025 school year. The student refused to clean up classroom toys at dismissal. When his teacher allegedly grabbed him by the wrist to walk him back to his seat, the student dropped to the floor and began crying. The teacher then allegedly grabbed the student by the ankle and dragged him across the floor. Following an investigation, criminal charges were not advanced by the county DA, and the school permitted the teacher to return to the classroom. The student’s parents sued, lodging thirteen legal counts under both state and federal law, which sought monetary damages from the teacher, the school district, the superintendent, the principal, and the director of special education. The plaintiff’s 42 USC 1983 claims were dismissed as to the school district for failure to allege a policy or custom violation, and the failure to alleged deliberate indifference in the failure-to-train context. As to the superintendent, building principal, and special education director, the Section 1983 claims were also dismissed for failure to allege personal involvement on the part of the individuals. Regarding an equal protection claim asserted against all defendants, the motion to dismiss was also granted for a failure to advance a plausible equal protection claim, holding that “plaintiffs' single-act allegations do not include a factual basis to even infer that the act was motivated by discriminatory animus rather than some other non-discriminatory impulse.” The court further dismissed the plaintiff’s negligence-based claims including negligence against the teacher and district administrators, NIED, and vicarious liability under the Political Subdivision Tort Claims Act (PSTCA). The federal claims under the IDEA, Section 504, and the ADA were also dismissed in various respects. The IDEA claim was dismissed against all defendants with prejudice for failure to exhaust administrative remedies. The Section 504 claims against the individual defendants were also dismissed with prejudice, as districts, not individuals, are the recipients of federal funds under Section 504. However, the Section 504 and ADA claims were dismissed without prejudice as to defendant Wyoming Valley West, and the plaintiff was permitted leave to amend.

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. 

blue facade of a hospital sign against blue sky

Result

Defense Verdict in Complex Medical Malpractice Trial

News

John J. Hare Featured in Pennsylvania & Delaware Super Lawyers Magazine

graphic with Maria Granaudo photo text announces she has joined the firm as a shareholder in the Health Care Dept.

News

Maria R. Granaudo Joins Marshall Dennehey’s Wilmington Office As a Shareholder in the Health Care Department