Real Time Medical Systems, LLC, Plaintiff, a health analytics company brought a lawsuit against PointClickCare Technologies, Inc., Defendant, an electronic health records provider, alleging unfair competition and tortious interference with contracts under Maryland law after Defendant restricted Plaintiff’s automated (“bot”) access to its system, which Plaintiff needed to serve mutual skilled-nursing facility customers. Plaintiff argued that the restrictions violated the information blocking provision of the federal 21st Century Cures Act. The Fourth Circuit affirmed the district court’s granting of a preliminary injunction in favor of the Plaintiff, finding that Plaintiff was likely to succeed on its unfair competition claim, and that Defendant’s actions were not justified by regulatory exceptions.