KBMT Operating Company, LLC, KBMT License Company, LLC, Brian Burns, Jackie Simien and Tracy Kennick v. Minda Lao Toledo , 2014 Tex. App. LEXIS 4956 ( 2014 )


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  • In The
    Court of Appeals
    Ninth District of Texas at Beaumont
    ____________________
    NO. 09-13-00234-CV
    ____________________
    KBMT OPERATING COMPANY, LLC, KBMT LICENSE COMPANY,
    LLC, BRIAN BURNS, JACKIE SIMIEN AND TRACY KENNICK,
    Appellants
    V.
    MINDA LAO TOLEDO, Appellee
    _______________________________________________________               ______________
    On Appeal from the 128th District Court
    Orange County, Texas
    Trial Cause No. A-130025-C
    ________________________________________________________               _____________
    OPINION
    In this accelerated interlocutory appeal we must determine whether the trial
    court erred in failing to dismiss a physician’s defamation claim and award
    attorneys’ fees to the media defendants under the Texas Citizens Participation Act
    (“TCPA”). See Tex. Civ. Prac. & Rem. Code Ann. §§ 27.001-.011 (West Supp.
    2013); see also 
    id. § 27.008(b).
    We affirm the trial court’s order.
    1
    BACKGROUND
    Dr. Minda Lao Toledo alleged that over a two-day period, KBMT Operating
    Company, LLC, KBMT License Company, LLC, Brian Burns, Jackie Simien, and
    Tracy Kennick defamed her in three news broadcasts, which stated as follows:
    A Port Arthur pediatrician has been punished by the Texas Medical
    Board after the Board found she engaged in sexual contact with a
    patient and became financially involved with a patient in an
    inappropriate manner. Dr. Minda Lao Toledo will have to complete
    sixteen hours of continuing medical education, including eight hours
    of ethics and eight hours of risk management, and pay an
    administrative penalty of three thousand dollars. Toledo is a native of
    the Philippines and has been practicing medicine in Texas for five
    years.
    The statements in the broadcasts derive from public records, which include a
    September 7, 2012 press release issued by the Texas Medical Board (“TMB”) and
    the TMB’s physician profile webpage for Dr. Toledo.             The press release
    announced that the TMB disciplined fifty-five physicians at its August 2012
    meeting. Under the heading “UNPROFESSIONAL CONDUCT[,]” the press
    release listed Dr. Toledo’s name, medical license number, and location, and stated:
    On August 31, 2012, the Board and Minda Lao Toledo, M.D., entered
    into an Agreed Order requiring Dr. Toledo to complete 16 hours of
    CME including eight hours in ethics and eight hours in risk
    management, pass within one year and within three attempts the
    Medical Jurisprudence Exam, complete the professional boundaries
    course offered by the Vanderbilt Medical Center for Professional
    Health or a similar course offered by the University of California San
    Diego Physician Assessment and Clinical Education (PACE)
    program, and pay an administrative penalty of $3,000 within 90 days.
    2
    The Board found Dr. Toledo behaved unprofessionally when she
    engaged in sexual contact with a patient and became financially or
    personally involved with a patient in an inappropriate manner.
    Dr. Toledo’s physician profile lists “PHILIPPINES” as her place of birth, states
    she “has actively practiced in the State of Texas for 5 year(s)[,]” and lists both her
    primary specialty and her secondary specialty as “PEDIATRICS.” In addition,
    under the heading “TMB Filings, Actions and License Restrictions[,]” the
    physician’s profile contains a link to a downloadable copy of an August 31, 2012
    agreed disciplinary order entered by the TMB against Dr. Toledo (the “Agreed
    Order”).
    The Agreed Order purports to resolve the TMB’s investigation of certain
    allegations of Dr. Toledo’s “unprofessional sexual misconduct,” which the Agreed
    Order more specifically describes as allegations “that while engaged in an intimate
    relationship with JC[,] [Dr. Toledo] injected JC with testosterone and human
    growth hormone without prescriptions and documentation in a medical record.”
    The Agreed Order includes findings that (1) “Respondent is primarily engaged in
    the practice of pediatric medicine[]”; (2) “Respondent entered into a relationship
    with JC, who was not her patient at the time, and who was being prescribed
    testosterone to self-administer by another physician”; (3) “JC related that his
    diagnosis was an autoimmune disease, for which testosterone is non-therapeutic”;
    (4) “Respondent used her medical license to obtain testosterone and human growth
    3
    hormone for JC while she was in an intimate relationship with him, and
    administered these substances to him”; (5) “Respondent did not make or keep
    medical records on her treatment of JC, nor of her obtaining and using the
    testosterone and human growth hormone”; and (6) “Respondent accepted gifts
    from JC during the time she was treating him.” The Agreed Order neither mentions
    the patient’s age nor states that he was an adult when Dr. Toledo was treating him.
    After the news broadcasts were aired, Dr. Toledo brought a defamation suit
    against the media defendants. Dr. Toledo alleged the broadcasts were defamatory
    per se in that they attributed a criminal activity and moral turpitude to her, tended
    to injure her business, and suggested professional incompetence.         The media
    defendants contended that their broadcasts accurately reported information
    published by the TMB and moved to dismiss the defamation suit under the TCPA
    because it was based on the exercise of the right to free speech and the right to
    petition. See Tex. Civ. Prac. & Rem. Code Ann. §§ 27.001(3)-(4), 27.003(a). Dr.
    Toledo responded that the broadcasts implied that she had had sex with a pediatric
    patient when the truth was that the patient in question was her adult boyfriend.
    Specifically, Dr. Toledo asserted that the “real story” was that she had been
    involved in a long term dating relationship with an older adult male,
    who had been taking testosterone (to self-administer) and growth
    hormone injections from another physician. At some point, for the
    convenience of her dating partner, and at his request, Dr. Toledo
    purchased the hormone and testosterone and gave the injections.
    4
    That’s it. She was taken to task because this 60 year old adult male,
    soured by the recent breakup, made a report to the Texas Medical
    Board.
    Following a hearing, the trial court denied the media defendants’ motion to dismiss
    without stating a basis and was not asked to make findings of fact or conclusions of
    law. The media defendants timely filed this accelerated appeal. See Combined
    Law Enforcement Ass’ns of Tex. v. Sheffield, No. 03-13-00105-CV, 
    2014 WL 411672
    , at *4 (Tex. App.—Austin Jan. 31, 2014, no pet. h.) (mem. op.)
    (determining that the Texas Civil Practice and Remedies Code, as amended in
    2013, confers jurisdiction over appeals filed pursuant to section 27.008 that are
    perfected before and active on the effective date of the amendment); Better Bus.
    Bureau of Metro. Houston, Inc. v. John Moore Servs., Inc., No. 01-12-00990-CV,
    
    2013 WL 3716693
    , at *2 (Tex. App.—Houston [1st Dist.] July 16, 2013, pet.
    denied) (holding an interlocutory appeal is allowed from the trial court’s written
    order denying a motion to dismiss under the TCPA).
    ANALYSIS
    A.    Procedure for Dismissal Under the TCPA
    The stated purpose of the TCPA “is to encourage and safeguard the
    constitutional rights of persons to petition, speak freely, associate freely, and
    otherwise participate in government to the maximum extent permitted by law and,
    at the same time, protect the rights of a person to file meritorious lawsuits for
    5
    demonstrable injury.” Tex. Civ. Prac. & Rem. Code Ann. § 27.002. The TCPA is
    basically a gatekeeping function of the trial court, as section 27.003(b) provides
    that a motion to dismiss under the act is to be filed not later than the 60th day after
    the date of service of the legal action. 
    Id. § 27.003(b).
    Dismissal is required under
    the TCPA “if the moving party shows by a preponderance of the evidence that the
    legal action is based on, relates to, or is in response to the party’s exercise of: (1)
    the right of free speech; (2) the right to petition; or (3) the right of association.” 
    Id. § 27.005(b).
    The TCPA defines the “‘[e]xercise of the right of free speech’” as “a
    communication made in connection with a matter of public concern.” 
    Id. § 27.001(3).
    The TCPA defines the “‘[e]xercise of the right to petition’” as, among
    other things, a communication pertaining to “(iii) an executive or other proceeding
    before a department of the state or federal government or a subdivision of the state
    or federal government;” and “(viii) a report of or debate and statements made in a
    proceeding described by Subparagraph (iii)[.]”          
    Id. § 27.001(4)(A)(iii),
    (viii).
    Whether a party satisfies its burden under section 27.005(b) is a legal question we
    review de novo. Rehak Creative Servs., Inc. v. Witt, 
    404 S.W.3d 716
    , 726 (Tex.
    App.—Houston [14th Dist.] 2013, pet. denied).
    If the moving party satisfies its burden under section 27.005(b), the trial
    court must dismiss the legal action unless the party bringing the action “establishes
    by clear and specific evidence a prima facie case for each essential element of the
    6
    claim in question.” Tex. Civ. Prac. & Rem. Code Ann. § 27.005(c). “‘Prima facie
    evidence is evidence that, until its effect is overcome by other evidence, will
    suffice as proof of a fact in issue.’” 
    Rehak, 404 S.W.3d at 726
    (quoting Duncan v.
    Butterowe, Inc., 
    474 S.W.2d 619
    , 621 (Tex. Civ. App.—Houston [14th Dist.]
    1971, no writ)). “‘In other words, a prima facie case is one that will entitle a party
    to recover if no evidence to the contrary is offered by the opposite party.’” 
    Id. (quoting Duncan,
    474 S.W.2d at 624). “‘Clear and specific evidence has been
    described as evidence that is ‘unaided by presumptions, inferences, or
    intendments.’” 
    Id. (quoting McDonald
    v. Clemens, 
    464 S.W.2d 450
    , 456 (Tex. Civ.
    App.—Tyler 1971, no writ)). “On appeal from an order decided under section
    27.005(c), we determine de novo whether the record contains a minimum quantum
    of clear and specific evidence that, unaided by inferences, would establish each
    essential element of the claim in question if no contrary evidence is offered.” 
    Id. at 727.
    B.     Exercise of the Right of Free Speech and the Right to Petition
    The media defendants contend that they satisfied their burden under section
    27.005(b) to prove by a preponderance of the evidence that Dr. Toledo’s legal
    action is based on the exercise of the right to free speech and the right to petition.
    We agree. In support of their motion to dismiss, the media defendants attached an
    affidavit from the news director for Channel 12 News. The affidavit stated that
    7
    after receiving an anonymous tip regarding recent disciplinary action by the TMB,
    Channel 12 News reviewed the TMB’s website and discovered the September 7,
    2012 press release and then reviewed Dr. Toledo’s publicly available physician
    profile on the TMB website. The news director stated that “Channel 12 News
    found the [TMB’s] disciplinary action against a local physician newsworthy and of
    concern to the public.” He further stated that the information contained in the
    broadcasts was gathered solely from the press release and the physician profile
    available on the TMB’s website.      In addition, the media defendants attached
    affidavits from each of the three defendants who read the news report on the air.
    Each swore that he or she read the news report on the air from information
    prepared by Channel 12 News as part of its normal business and that he or she
    believed the information contained in the report “is true and correct, as well as
    newsworthy and of concern to the public.”
    The broadcasts pertained to the TMB’s public discipline of a physician,
    which is a matter of public concern because it relates to health or safety, to the
    government, and to a service in the marketplace. See Tex. Civ. Prac. & Rem. Code
    Ann. § 27.001(7)(A), (C), (E). The exercise of the right to petition includes a
    communication pertaining to proceedings before a department of the state, or a
    report of statements made during such proceedings. 
    Id. § 27.001(4)(A)(iii),
    (viii).
    Because the broadcasts were communications pertaining to a proceeding before a
    8
    department or subdivision of the state government, they constitute an exercise of
    the right to petition. Therefore, to avoid mandatory dismissal under the statute, Dr.
    Toledo was required to establish in the record a minimum quantum of clear and
    specific evidence, unaided by inferences, of each essential element of her claim.
    
    Id. § 27.005(c).
    C.    Prima Facie Case of Defamation
    To maintain a cause of action for defamation, Dr. Toledo must prove that the
    media defendants: “(1) published a statement; (2) that was defamatory concerning
    the plaintiff; (3) while acting with either actual malice, if the plaintiff was a public
    official or public figure, or negligence, if the plaintiff was a private individual,
    regarding the truth of the statement.” WFAA-TV v. McLemore, 
    978 S.W.2d 568
    ,
    571 (Tex. 1998). Therefore, to overcome the motion to dismiss, Dr. Toledo must
    establish a prima facie case by presenting clear and specific evidence for each
    essential element of her defamation claim. The parties do not dispute that the
    media defendants published the broadcasts in question. Therefore, we turn to the
    second element of defamation and determine whether Dr. Toledo met her burden
    of proof to present clear and specific evidence that the broadcasts were defamatory
    concerning Dr. Toledo.
    9
    1.             Defamatory Statement
    A defamatory statement “tends to injure a living person’s reputation and
    thereby expose the person to public hatred, contempt or ridicule, or financial injury
    or to impeach any person’s honesty, integrity, virtue, or reputation or to publish the
    natural defects of anyone and thereby expose the person to public hatred, ridicule,
    or financial injury.” Tex. Civ. Prac. & Rem. Code Ann. § 73.001 (West 2011)
    (describing elements of libel)1. Because a “‘chilling effect’ would be antithetical
    to the First Amendment’s protection of true speech on matters of public concern,
    . . . a private-figure plaintiff must bear the burden of showing that the speech at
    issue is false before recovering damages for defamation from a media defendant.”
    Philadelphia Newspapers, Inc. v. Hepps, 
    475 U.S. 767
    , 777 (1986).
    Some statements are so obviously injurious to a plaintiff’s reputation that
    they require no proof of injury to make them actionable. See Hancock v. Variyam,
    
    400 S.W.3d 59
    , 63-64 (Tex. 2013); Tex. Disposal Sys. Landfill, Inc. v. Waste
    Mgmt. Holdings, Inc., 
    219 S.W.3d 563
    , 580-81 (Tex. App.—Austin 2007, pet.
    denied). Such statements are considered defamatory per se. 
    Id. A false
    statement
    will typically be classified as defamatory per se if it: (1) “injures a person in his
    office, profession, or occupation[;]” (2) “charges a person with the commission of
    1
    “Defamatory statements read from a script and broadcast constitute libel
    rather than slander.” Dolcefino v. Randolph, 
    19 S.W.3d 906
    , 917 (Tex. App.—
    Houston [14th Dist.] 2000, pet. denied) (citing Christy v. Stauffer Publ’ns, Inc.,
    
    437 S.W.2d 814
    , 815 (Tex. 1969)).
    10
    a crime[;]” (3) “imputes sexual misconduct[;]” or (4) “accuses one of having a
    loathsome disease[.]” Tex. Disposal Sys. 
    Landfill, 219 S.W.3d at 581
    . If the
    alleged statement is determined to be defamatory per se, general damages are
    presumed without requiring specific evidence of harm to the plaintiff’s reputation,
    thereby entitling the plaintiff to recover, at a minimum, nominal damages. 
    Id. A showing
    of the substantial truth of a broadcast will defeat a defamation
    claim. See McIlvain v. Jacobs, 
    794 S.W.2d 14
    , 15 (Tex. 1990). “The test used in
    deciding whether the broadcast is substantially true involves consideration of
    whether the alleged defamatory statement was more damaging to [the plaintiff’s]
    reputation, in the mind of the average listener, than a truthful statement would have
    been.” 
    Id. (citing 53
    C.J.S. Libel and Slander § 109(a) (1987)). “This evaluation
    involves looking to the ‘gist’ of the broadcast.” 
    Id. (citing W.
    PROSSER & P.
    KEETON, PROSSER    AND   KEETON   ON   TORTS § 116 (1984)). “Gist” means: “1. The
    ground or essence (of a legal action) . 2. The main point
    .” See BLACK’S LAW DICTIONARY 759
    (9th ed. 2009). If the publication correctly conveys a story’s gist, although erring
    in the details, the publication is substantially true and is not actionable. See Neely
    v. Wilson, 
    418 S.W.3d 52
    , 63-64 (Tex. 2013). “If the underlying facts as to the gist
    of the defamatory charge are undisputed, then we can disregard any variance with
    11
    respect to items of secondary importance and determine substantial truth as a
    matter of law.” 
    McIlvain, 794 S.W.2d at 16
    .
    This case concerns “the converse of the substantial truth doctrine.” Turner
    v. KTRK Television, Inc., 
    38 S.W.3d 103
    , 115 (Tex. 2000).                 “Because a
    publication’s meaning depends on its effect on an ordinary person’s perception,
    courts have held that under Texas law a publication can convey a false and
    defamatory meaning by omitting or juxtaposing facts, even though all the story’s
    individual statements considered in isolation were literally true or non-
    defamatory.” 
    Id. at 114.
    This theory “permit[s] liability for the publication that
    gets the details right but fails to put them in the proper context and thereby gets the
    story’s ‘gist’ wrong.” 
    Id. at 115.
        “[T]he meaning of a publication, and thus
    whether it is false and defamatory, depends on a reasonable person’s perception of
    the entirety of a publication and not merely on individual statements.” 
    Id. Dr. Toledo,
    therefore, bore the burden of presenting the requisite minimum quantity of
    evidence that the “gist” of the broadcast in question was false as a part of her prima
    facie case of defamation.
    The media defendants assert that the broadcasts were not defamatory
    because all of the statements in the broadcasts were literally true and because they
    accurately reported the statements contained in the TMB’s official publications.
    They argue their newscasts, like the TMB’s press release and Agreed Order, did
    12
    not identify the age or identity of the patient with whom Dr. Toledo had “sexual
    contact” and became “financially or personally involved . . . in an inappropriate
    manner.” They claim they added no descriptive terms to describe the TMB’s
    sanctions of Dr. Toledo. In short, they contend that Dr. Toledo brought forth no
    clear and specific evidence that they falsely reported the TMB’s recitation of its
    disciplinary action against Dr. Toledo. We disagree.
    Dr. Toledo attached video clips and copies of the transcripts of the three
    allegedly defamatory broadcasts to her response to the media defendants’ motion
    to dismiss.    Each of the broadcasts begins by stating that “[a] Port Arthur
    pediatrician has been punished by the Texas Medical Board after the Board found
    she engaged in sexual contact with a patient and became financially involved with
    a patient in an inappropriate manner.” Although much of the information in this
    statement has been quoted, nearly verbatim, from the press release, the broadcasts,
    unlike the press release, begin with the assertion that the subject of the broadcasts
    is a “pediatrician.” A person of ordinary intelligence viewing the broadcasts would
    know that a pediatrician is a doctor that specializes in the medical treatment of
    children.     Therefore, the average viewer could, and in most cases would,
    reasonably conclude that the “patient” of a “pediatrician” is a child. While it is a
    true statement, as the media defendants contend, that Dr. Toledo is a pediatrician
    and that the TMB did discipline her for having improper sexual contact with a
    13
    patient, the media defendants’ decision to place these two facts together in the
    same sentence, particularly with the word “pediatrician” being used, in essence, as
    the subject of the phrase “engaged in sexual contact with a patient,” resulted in a
    statement that was reasonably capable of being interpreted by the average listener
    as stating that Dr. Toledo was punished for having improper sexual contact with a
    child.
    Further, the remaining content of the newscasts does not effectively negate
    the impression that the patient referenced in the broadcast was a child. In addition
    to stating that Dr. Toledo was found to have engaged in “sexual contact with a
    patient,” the broadcasts state that Dr. Toledo was found to have become
    “financially involved with a patient in an inappropriate manner.” The broadcasts
    do not define or otherwise explain what is meant by the phrase “financially
    involved.” Depending on the context, the term could reasonably be construed to
    have different meanings, including the simple act of gift-giving, which is equally
    likely to involve an adult or a child. Viewing the broadcast as a whole, a viewer of
    ordinary intelligence could reasonably conclude that a pediatrician who has
    engaged in sexual contact with a minor patient might also engage in other
    inappropriate conduct with that patient, including giving money or gifts to, or
    accepting money or gifts from, that patient.
    14
    We also disagree with the media defendants’ argument that the broadcasts’
    listing of “administrative—not criminal—sanctions imposed by the TMB”
    removes any implication that Dr. Toledo engaged in sexual contact with a minor
    patient. The scope of the broadcast is limited to a report of findings and
    conclusions made in a proceeding before the Texas Medical Board. The Texas
    Medical Board is an administrative agency with no authority to criminally
    prosecute a physician. Therefore, the mention of only administrative sanctions in a
    report that is limited to coverage of an administrative proceeding would not
    necessarily alert the average viewer that the sanctioned offense was not a crime.
    Further, we disagree with the media defendants’ argument that the fact that the
    administrative sanctions referenced in the broadcasts were not more severe negated
    the impression created by the first sentence that Dr. Toledo had engaged in sexual
    contact with a child. While it is possible that a careful viewer might have realized
    that the administrative sanctions referenced in the broadcasts were not the most
    severe administrative sanctions available to the TMB and might have deduced
    from this fact that the patient in question was not a child, we must analyze the
    broadcasts in the context of how the average viewer, not a “careful viewer,” would
    have perceived the broadcasts. See 
    Turner, 38 S.W.3d at 119
    (concluding that a
    statement’s defamatory meaning must be viewed from the standpoint of an
    “ordinary” listener, not a “careful” listener, and noting that “‘courts must refrain
    15
    from a ‘hair splitting analysis’ of what is said . . . to find an innocent meaning[.]’”
    (quoting Forsher v. Bugliosi, 
    608 P.2d 716
    , 722 (Cal. 1980))). In this respect, we
    do not believe that an average viewer is sufficiently familiar with the scope of the
    TMB’s disciplinary authority—including the administrative rules and regulations
    governing the range of disciplinary sanctions and penalties available to the TMB,
    the mitigating factors that the TMB is authorized to consider in imposing a
    sanction or penalty, or the effect of such factors on any particular sanction or
    penalty—such that the statements in the broadcast would clarify in the mind of the
    average viewer that the patient referenced in the broadcast is not a child. See 
    id. at 114
    (noting that a “publication should be viewed ‘not so much by its effect when
    subjected to the critical analysis of a mind trained in the law, but by the natural
    probable effect on the mind of the average reader’” (quoting Kapellas v. Kofman,
    
    459 P.2d 912
    , 920 (Cal. 1969))). We conclude, therefore, that Dr. Toledo has
    presented evidence that when viewing the broadcasts as a whole in light of the
    surrounding circumstances, a person of ordinary intelligence would reasonably but
    erroneously conclude that the “gist” of the broadcast was that Dr. Toledo was
    punished for engaging in inappropriate conduct, including sexual contact, with a
    child.
    We also find that Dr. Toledo presented evidence that the gist of the
    broadcast was false. Dr. Toledo attached her own affidavit as an exhibit to her
    16
    response to the media defendants’ motion to dismiss. In the affidavit, Dr. Toledo
    stated that the patient in question was not a child, but was “a sixty year old man
    who[m] [she] had been dating for a considerable time.” This affidavit testimony
    constitutes clear and specific evidence that the “gist” of the broadcasts—i.e., that
    Dr. Toledo was punished by the TMB for engaging in inappropriate conduct,
    including sexual contact, with a child—was not substantially true because it was
    not actually true and was considerably more damaging to Dr. Toledo’s reputation,
    in the mind of an average listener, than a truthful statement would have been.2 See
    2
    The
    media defendants argue that the broadcasts are not defamatory because
    they accurately reported the TMB’s recitation of its disciplinary action against Dr.
    Toledo. In support of this argument, the media defendants appear to rely, at least
    in part, on the rule adopted by several Texas courts of appeals, which, interpreting
    the Texas Supreme Court’s decision in McIlvain v. Jacobs, have concluded that
    when determining whether a report of third-party allegations under investigation is
    substantially true, a media defendant need not prove that the allegations are true,
    but must only demonstrate that the allegations were, in fact, made and accurately
    reported. See, e.g., Avila v. Larrea, 
    394 S.W.3d 646
    , 657, 659 (Tex. App.—Dallas
    2012, pet. denied); UTV of San Antonio, Inc. v. Ardmore, Inc., 
    82 S.W.3d 609
    , 612
    (Tex. App.—San Antonio 2002, no pet.); Dolcefino v. Randolph, 
    19 S.W.3d 906
    ,
    918 (Tex. App.—Houston [14th Dist.] 2000, pet. denied); see also 
    Neely, 418 S.W.3d at 64
    .
    McIlvain concerned a broadcast regarding an investigation by the City of
    Houston into alleged misconduct by employees in its water maintenance 
    division. 794 S.W.2d at 15
    . The allegedly defamatory broadcast was made during the city’s
    investigation and indicated that the public integrity section was investigating
    allegations that: (1) employees cared for the elderly father of the water
    maintenance manager on city time; (2) the employees were putting in for overtime
    to complete their city duties; (3) authorities were looking for a gun at a water
    treatment facility; and (4) employees had been drinking on the job. 
    Id. Two of
    the
    water maintenance division employees sued the broadcasters for defamation. Id.
    17
    
    Neely, 418 S.W.3d at 63
    ; 
    McIlvain, 794 S.W.2d at 16
    . Further, it implies conduct
    that tends to injure a living person’s reputation and thereby expose the person to
    public hatred, contempt or ridicule, or financial injury. See Tex. Civ. Prac. & Rem.
    Code Ann. § 73.001.                                      It also constitutes clear and specific evidence that the
    broadcasts contained language that was reasonably capable of injuring Dr. Toledo
    in her office, profession, or occupation; (2) charging Dr. Toledo with the
    commission of a crime; and (3) imputing sexual misconduct. See Tex. Disposal
    Thereafter, the city’s investigation found all of the allegations to be true. 
    Id. at 16.
    The court granted summary judgment in favor of the media defendants. 
    Id. at 15.
    The Texas Supreme Court affirmed the trial court’s ruling because the “broadcast
    statements are factually consistent with [the government’s] investigation and its
    findings[]” and were therefore “substantially correct, accurate and not misleading.”
    
    Id. at 16.
    Later, in Neely, the Texas Supreme Court clarified that it “did not establish a
    third-party allegation rule in McIlvain.” 
    Neely, 418 S.W.3d at 65
    . Instead, the
    Court stated that it only “measured the truth of the allegations in McIlvain against
    the government investigation that found them to be true.” 
    Id. Nevertheless, Neely
    expressly left open the question of whether accurate reporting by the media is one
    way of establishing the substantial truth of the gist of a broadcast that repeats third-
    party allegations under investigation. 
    Id. at 57
    n.3, 64-65. We need not address
    this question, however, because the broadcasts in the present case do not report
    third-party allegations that were “under investigation” at the time the broadcasts
    were published. See 
    UTV, 82 S.W.3d at 612
    (concluding that the defendant must
    prove that the “third[-]party allegations reported in [the] broadcast were, in fact,
    made and under investigation”); KTRK Television v. Felder, 
    950 S.W.2d 100
    , 106
    (Tex. App.—Houston [14th Dist.] 1997, no writ) (concluding that when “the report
    is merely that allegations were made and they were under investigation, [a media
    defendant must prove] that [the] allegations were in fact made and under
    investigation in order to prove substantial truth.”). Instead, the broadcasts report
    findings and sanctions made by the TMB against Dr. Toledo after the TMB’s
    investigation of Dr. Toledo had already concluded.
    18
    Sys. 
    Landfill, 219 S.W.3d at 581
    . When an ambiguity exists about the meaning and
    effect of the words or when a predicate fact question remains about whether the
    statements were published or were false, a jury should determine the statement’s
    meaning. Klentzman v. Brady, No. 01-11-00765-CV, 
    2013 WL 5655845
    , at **14-
    15 (Tex. App.—Houston [1st Dist.] Oct. 17, 2013, no pet. h.); Tex. Disposal Sys.
    
    Landfill, 219 S.W.3d at 581
    -83 (noting that defamation per se is generally a legal
    question, a jury question is presented where the defamatory character of a
    statement arises not from the defendants’ blatant statements but from the
    impressions the defendants created and the inferences they encouraged). We hold
    that Dr. Toledo presented the requisite minimum quantum of clear and specific
    evidence, unaided by inferences, that the broadcasts in question were defamatory
    concerning her. See Tex. Civ. Prac. & Rem. Code Ann. § 27.005(c).
    2. Negligence
    In a defamation action, a private plaintiff must prove that a media defendant
    acted with negligence concerning the truth of the statement in question. See 
    Neely, 418 S.W.3d at 61
    . The media defendants argue Dr. Toledo cannot satisfy her
    burden to present clear and specific evidence that they acted with negligence
    because the evidence shows they accurately represented the contents of the Agreed
    Order and press release. The media defendants contend, therefore, that they are
    protected from liability under the “fair report privilege,” which relieved them of
    19
    any duty to independently investigate and report additional information not
    provided by the TMB, including the patient’s age and identity.3
    In Texas, the Legislature has codified the fair report privilege to the extent it
    applies to cases of libel.4 See 
    Neely, 418 S.W.3d at 68
    . Specifically, section
    73.002(b)(1) of the Texas Civil Practice and Remedies Code provides that
    publications are privileged as long as they constitute “a fair, true, and impartial
    account of” a judicial proceeding or other official proceedings to administer the
    law.5 See Tex. Civ. Prac. & Rem. Code Ann. § 73.002(b)(1)(A), (B) (West 2011);
    3
    This is an appeal from the denial of a motion to dismiss under the TCPA,
    not an appeal from the denial of a motion for summary judgment based on a First
    Amendment defense by a media defendant. Compare Tex. Civ. Prac. & Rem.
    Code Ann. § 27.008 with Tex. Civ. Prac. & Rem. Code Ann. § 51.014(a)(6) (West
    Supp. 2013). This appeal was perfected before the effective date of the most
    recent amendment to section 51.014. See 
    id. § 51.014(a)(12)
    (authorizing
    accelerated appeal of the denial of a motion to dismiss under the TCPA). We
    address the parties’ arguments regarding the “fair report privilege” as it is
    presented by the appellants in their brief to this Court; that is, as the privilege
    relates to whether Dr. Toledo met her burden to establish a prima facie case of the
    media defendants’ malice or negligence as an element of her defamation claim.
    See 
    id. § 27.005(c).
                  4
    The fair report privilege has also been referred to as the “official
    proceedings privilege” and the “judicial proceedings privilege,” as applicable. See
    
    Neely, 418 S.W.3d at 68
    -69.
    5
    Texas courts have repeatedly found that press releases issued by
    governmental agencies can trigger application of the fair report privilege. See Goss
    v. Houston Cmty. Newspapers, 
    252 S.W.3d 652
    , 655 (Tex. App.—Houston [14th
    Dist.] 2008, no pet.); Williams v. Cox Newspapers, Inc., No. 06-09-00041-CV,
    
    2009 WL 2340672
    , at *4 (Tex. App.—Texarkana July 31, 2009, no pet.) (mem.
    20
    see also 
    Neely, 418 S.W.3d at 68
    . The fair report privilege assesses whether the
    reporter’s account of the proceedings was fair, true, and impartial, even if the
    underlying facts being reported are untrue or defamatory. See 
    Neely, 418 S.W.3d at 68
    .             In other words, the accuracy of the publication is determined not by
    comparing it to the actual facts, but to the statements made in the official
    proceeding or report on which the publication is based. See id.; Denton Publ’g Co.
    v. Boyd, 
    460 S.W.2d 881
    , 883 (Tex. 1970) (“The publication would be within the
    privilege provided by statute as long as it purported to be, and was, only a fair, true
    and impartial report of what was stated at the meeting, regardless of whether the
    facts under discussion at such meeting were in fact true[.]”). The privilege “only
    extends to statements that: (1) are substantially true and impartial reports of the
    proceedings, and (2) are identifiable by the ordinary reader as statements that were
    made in the proceeding.” 
    Neely, 418 S.W.3d at 68
    . The privilege, however, “does
    not extend to the republication of a matter if it is proved that the matter was
    republished with actual malice after it had ceased to be of public concern.” Tex.
    Civ. Prac. & Rem. Code Ann. § 73.002(a); see also 
    Neely, 418 S.W.3d at 69
    .
    The media defendants contend that the fair report privilege applies because
    “[t]he press release and [Agreed Order] identified [Dr.] Toledo as a pediatrician
    and stated that she ‘behaved unprofessionally when she engaged in sexual contact
    op.); Freedom Commc’ns, Inc. v. Sotelo, No. 11-05-00336-CV, 
    2006 WL 1644602
    ,
    at *4 (Tex. App.—Eastland June 15, 2006, no pet) (mem. op.).
    21
    with a patient and became financially or personally involved with a patient in an
    inappropriate manner’” and because the media defendants “accurately reported and
    represented the contents of the TMB’s official publications” in the broadcasts. We
    disagree. While both the broadcasts and the press release state that Dr. Toledo
    “engaged in sexual contact with a patient” and became financially involved with a
    patient in an inappropriate manner, the broadcasts, unlike the press release, begin
    with the assertion that the person who engaged in such conduct was a
    “pediatrician.” As stated above, this editorial addition to the broadcasts by the
    media defendants created an impression that could reasonably be interpreted by the
    average viewer as stating that Dr. Toledo was punished for engaging in
    inappropriate conduct, including sexual contact, with a child. The press release, by
    contrast, does not mention Dr. Toledo’s medical specialty and contains no
    information to suggest that the patient in question was a child. The broadcasts,
    therefore, were potentially more damaging to Dr. Toledo’s reputation than an
    account consistent with the press release would have been.         As a result, the
    broadcasts were not a fair, true, and impartial account of the TMB’s press release.
    We also find that the broadcasts were not “a fair, true, and impartial account
    of” the Agreed Order. First, we note that although the media defendants allege that
    they relied on the Agreed Order in preparing the broadcasts, the media defendants
    did not present evidence showing that they actually reviewed the Agreed Order
    22
    before airing the broadcasts.    The affidavit of the Channel 12 news director,
    attached to the media defendants’ motion to dismiss, states only that “[t]he
    information contained in [the] news report was gathered solely from [the] Texas
    Medical Board’s press release and its physician profile [of] Dr. Toledo.” Because
    the Agreed Order was accessible through a link on the physician profile webpage,
    it is unclear from the affidavit whether the media defendants reviewed only the
    content of the physician profile webpage or if they also reviewed the downloadable
    Agreed Order as part of that webpage. However, even if we assume that the media
    defendants reviewed the Agreed Order, the evidence does not conclusively
    establish that the broadcasts accurately reported the contents of that document.
    While it is true, as the media defendants assert, that the Agreed Order states that
    Dr. Toledo is a pediatrician, the nine-page Agreed Order references that fact in
    only one paragraph (under the “General Findings” section) and only as background
    information about Dr. Toledo, not as a relevant factor in the charges or findings
    against her. Unlike the broadcasts, the Agreed Order does not include the fact that
    Dr. Toledo is a pediatrician in the same sentence with a description of the conduct
    in which Dr. Toledo was found to have engaged. Further, the Agreed Order
    describes the “Board Charges” against Dr. Toledo, in their entirety, as follows:
    At issue in this investigation are allegations of the Respondent’s
    unprofessional sexual misconduct. Specifically, it was alleged that
    while engaged in an intimate relationship with JC the Respondent
    23
    injected JC with testosterone and human growth hormone without
    prescriptions and documentation in a medical record.
    Nothing in this description suggests that “JC” is a child or that Dr. Toledo was
    charged by the TMB with sexually abusing a child. Indeed, nothing in this
    description draws any focus whatsoever on the age of the patient. Instead, the
    description suggests only that Dr. Toledo was accused of administering
    medications to a person with whom she was intimately involved without a
    prescription or proper medical documentation. Similarly, the findings of fact and
    conclusions of law set forth in the Agreed Order suggest only that the TMB found
    that Dr. Toledo administered medications to a person with whom she was
    intimately involved without a prescription or proper medical documentation and
    sanctioned her for such conduct.        The Agreed Order contains no findings or
    conclusions identifying the patient as a child or suggesting that Dr. Toledo had
    sexual contact with a child. Because the broadcasts, by contrast, can reasonably be
    interpreted to suggest to the average viewer that the patient in question was a child,
    the broadcasts were more damaging to Dr. Toledo’s reputation than a report
    consistent with the Agreed Order would have been. Accordingly, it has not been
    shown that the broadcasts were “a fair, true, and impartial account of” the Agreed
    Order. The media defendants, therefore, have not established by a preponderance
    of the evidence at this stage of the litigation that the “fair report privilege” applies.
    24
    Having concluded the privilege has not been shown to apply, we now
    examine whether Dr. Toledo presented clear and specific evidence that the media
    defendants acted with negligence with respect to the truth of the broadcasts in
    question. In the context of a defamation case, “a broadcaster is negligent if she
    knew or should have known a defamatory statement was false.” 
    Neely, 418 S.W.3d at 72
    . “Negligent conduct is determined by asking ‘whether the defendant acted
    reasonably in checking the truth or falsity or defamatory character of the
    communication before publishing it.’” Scripps Tex. Newspapers, L.P. v.
    Belalcazar, 
    99 S.W.3d 829
    , 837 (Tex. App.—Corpus Christi 2003, pet. denied)
    (quoting RESTATEMENT (SECOND)      OF   TORTS § 580B cmt. g (1977)). Defamation
    liability, however, “may not be predicated on ‘a factual misstatement whose
    content [would] not warn a reasonable prudent editor or broadcaster of its
    defamatory potential.’” 
    Neely, 418 S.W.3d at 72
    (quoting Foster v. Laredo
    Newspapers, Inc., 
    541 S.W.2d 809
    , 820 (Tex. 1976)).
    Dr. Toledo attached copies of the TMB press release, the TMB physician
    profile of Dr. Toledo, and the Agreed Order to her response to the media
    defendants’ motion to dismiss. Significantly, the press release, physician profile,
    and Agreed Order do not state the age of the patient in question. They also do not
    contain any information to suggest that the patient was a child. These, however,
    are the very documents on which the media defendants claim they relied in
    25
    preparing the broadcasts in question.6 As set forth above on the evidence presented
    to the trial court, a reasonable view of the “gist” of the broadcasts was that Dr.
    Toledo was punished for engaging in inappropriate conduct, including sexual
    contact, with a child. Accordingly, we conclude that Dr. Toledo presented a
    sufficient minimum quantity of clear and specific evidence that the media
    defendants acted negligently by broadcasting a report, the “gist” of which was that
    Dr. Toledo was punished for having sexual contact with a child, when the
    documents on which the media defendants admittedly relied to prepare the
    broadcast do not contain any information stating the age of the patient or
    suggesting that the patient was a child. Further, the gist of the broadcasts would
    warn a reasonably prudent broadcaster of the broadcasts’ defamatory potential.
    The media defendants have not shown that the trial court erred in denying
    their motion to dismiss Dr. Toledo’s suit at this early stage of the litigation.
    Because Dr. Toledo presented a prima facie case to the trial court, we overrule the
    sole issue raised in this accelerated appeal, and affirm the trial court’s order
    denying the appellants’ motion to dismiss the case.
    6
    As
    set forth above, the media defendants contend that they reviewed the
    Agreed Order in preparing the broadcasts in question. They did not, however,
    present evidence supporting this contention. Even assuming that the media
    defendants did review the Agreed Order in preparing the broadcasts, our
    conclusion would remain the same because, as set forth above, the Agreed Order
    does not state the age of the patient in question and does not contain any
    information suggesting that the patient is a child.
    26
    AFFIRMED.
    ________________________________
    CHARLES KREGER
    Justice
    Submitted on October 24, 2013
    Opinion Delivered May 8, 2014
    Before McKeithen, C.J., Kreger and Horton, JJ.
    27