Rey v. LCMC Health Care Partners

Circuit 5Jul 9, 2026

Split Score

SplitScore: 69/100

Case Summary

Disposition

Dismissed

Residents living near Children’s Hospital in New Orleans appealed a district-court order that, on pre-emption grounds, dismissed their request for a permanent injunction to relocate the hospital’s helipad. The Fifth Circuit held it lacked appellate jurisdiction because, under Carson v. American Brands, plaintiffs did not show the requisite serious and irreparable consequences for an interlocutory appeal, and therefore dismissed the appeal.

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Circuit Split Identified

Legal Issue

Whether an interlocutory order that, through partial summary judgment, effectively denies a request for permanent injunctive relief is immediately appealable under 28 U.S.C. § 1292(a)(1) without the appellant satisfying the Carson v. American Brands ‘serious-consequence / unreviewability’ factors.

Circuit Positions

Circuit 1Circuit 2Circuit 5(this circuit)Circuit 6Circuit 10Circuit 11

§ 1292(a)(1) allows interlocutory appeal only if the Carson factors (serious, perhaps irreparable consequence and inability to obtain effective review after final judgment) are met when permanent injunctive relief is denied via a non-final order.

Circuit 0Circuit 3Circuit 7Circuit 9

Denial of permanent injunctive relief in a non-final order is per se appealable under § 1292(a)(1); Carson factors are irrelevant.

Conflict Summary

The Fifth, along with several circuits, requires an appellant to satisfy the two-part Carson test before an interlocutory appeal may proceed when a district court’s non-final order has the practical effect of denying permanent injunctive relief. In contrast, four circuits treat such an order as automatically appealable under § 1292(a)(1), dispensing with Carson entirely.

Parties & Counsel

Parties

Appellant:Tomas Rey, Melisa Rey, Robert K. Denny, Victoria Lyle W. Cayce Emmerling, and Nicole Williamson
Appellee:LCMC Health Care Partners, L.L.C.; Louisiana Children’s Medical Center; Children’s Hospital; LCMC Health Holdings, Incorporated