Practice experience
Irma Jacobson brings deep experience in administrative and regulatory matters—shaped by training at a premier Texas firm, federal appellate and bankruptcy court internships, and years of advocacy before healthcare and professional licensing agencies.
Background
- Associate training at Jackson Walker, a leading Texas law firm, before founding Jacobson PLLC
- Judicial intern to the Honorable Jennifer W. Elrod, U.S. Court of Appeals for the Fifth Circuit
- Judicial intern to the Honorable Jeff Bohm, Chief Bankruptcy Judge, U.S. District Court for the Southern District of Texas
- Instrumental in the drafting and passing of SB 2269, which was designed to strengthen protections for long-term care facilities during survey inspections. Going into effect September 1, 2025, the law ensures that decisions made by independent peer-review organizations are fully binding on state health regulators, preventing duplicate fines and stopping retaliation against facilities that appeal decisions.
Federal and state agency representation
Representative matters include proceedings and counseling before:
Centers for Medicare & Medicaid Services (CMS)
Administrative appeals and civil monetary penalties related to surveys (CMS-2567), Medicare terminations, and licensing and reimbursement questions for nursing facilities, home health agencies, and assisted living providers.
Texas Health and Human Services Commission (HHSC)
Appeals, civil monetary penalties, and Medicaid terminations; licensing and Medicaid reimbursement counsel for nursing facilities, assisted living providers, and other healthcare clients—including matters historically handled by the former Texas Department of Aging and Disability Services.
Texas Medical Board
Defense of physicians in board investigations and adverse licensure proceedings.
Texas Board of Nursing
Defense of nurses in board investigations and adverse licensure proceedings.
Texas State Board of Social Worker Examiners
Representation of social workers in investigations and adverse licensure actions.
Texas State Board of Examiners of Professional Counselors
Representation of professional counselors in investigations and adverse licensure actions.
Texas Nursing Facility Administrators Advisory Committee
Representation of nursing facility administrators in investigations and adverse licensure actions.
Texas Workforce Commission
Representation in wrongful termination disputes and Payday law litigation.
National Practitioner Data Bank (NPDB)
Counsel regarding improper or disputed reporting to the NPDB.
Facing an Agency Matter?
Early counsel can protect your license, reimbursement, and reputation. Contact Jacobson PLLC to discuss your situation.