Justia Government & Administrative Law Opinion Summaries

Women’s Surgical Center, LLC d/b/a Georgia Advanced Surgery Center for Women (the “Center”) planned to add a second operating room to its premises in order to create opportunities to form contracts with additional surgeons who could then use the Center in connection with their medical practices. However, any such change to the Center could only be legally accomplished if the Center sought and was granted a certificate of need (“CON”) by the Georgia Department of Community Health (the “Department”). Because the Center believed that it should not be subject to the CON requirements, it filed an action for declaratory and injunctive relief against the Department in an effort to have Georgia’s applicable CON law and the regulations authorizing it declared unconstitutional. The Department moved to dismiss the complaint, arguing, among other things, that the trial court lacked jurisdiction over the case because the Center failed to exhaust its administrative remedies before filing its lawsuit. The trial court denied the motion to dismiss, then both the Center and the Department filed motions for summary judgment with regard to the Center’s constitutional claims. The trial court rejected all of the Center’s constitutional challenges and granted summary judgment to the Department. In Case No. S17A1317, the Center appealed that ruling, and in Case No. S17X1318, the Department appealed the denial of its motion to dismiss. Finding no reversible error, the Georgia Supreme Court affirmed in both cases. View "Womens Surgical Center, LLC v. Berry" on Justia Law

The Georgia Association of Professional Process Servers and several of its members, private process servers, (collectively, “the Association”) filed this action seeking mandamus, declaratory judgment, and injunctive relief against the sheriffs of Fulton, Cobb, Gwinnett, DeKalb, Clayton, Forsyth, and Paulding Counties (collectively, “the Sheriffs”). In its petition, the Association alleged that the Sheriffs conspired to thwart the use of certified process servers statewide, and have wrongfully failed to consider members’ individual petitions to become certified process servers under OCGA 9-11-4.1, thus rendering the Code section null and of no effect. The Sheriffs responded that the Code section explicitly gave them the power to make a threshold decision whether to permit certified process servers to serve process in their counties. After discovery, the parties filed cross-motions for summary judgment. The trial court granted summary judgment in favor of the Sheriffs and denied the Association’s motion, finding that under a plain reading of the Code section, the Association was not entitled to any of the relief sought. After review, the Georgia Supreme Court found the trial court should not have ruled on the merits of the Association’s claims for declaratory and injunctive relief against the Sheriffs in their official capacities, because those claims are barred by sovereign immunity. Accordingly, the Court vacated that portion of the trial court’s order and remanded for dismissal. Because the trial court correctly granted summary judgment as to the Association’s other claims, the Supreme Court affirmed the remainder of the trial court’s order. View "Georgia Ass'n of Professional Servers v. Jackson" on Justia Law

Mainstay Business Solutions (Mainstay), a division of the Blue Lake Rancheria Economic Development Corporation, was a tribal government-sponsored entity of Blue Lake Rancheria, a federally recognized Indian tribe. Mainstay operated a temporary staffing business, assigning temporary workers to its clients. It also operated an employee leasing business in which employees of Mainstay’s clients were placed on Mainstay’s payroll and leased back to the clients. The California Self-Insurers’ Security Fund (SISF) assumed the workers’ compensation obligations when Mainstay defaulted on its obligations to self-insure. SISF then sued Mainstay, Mainstay’s clients and others to recover its costs and liabilities. Among other things, the trial court granted SISF’s motion for judgment on the pleadings against Mainstay’s clients. Mainstay’s clients filed a petition for writ of mandate and/or prohibition to challenge the trial court’s order. SISF argued on appeal: (1) writ review was not appropriate because the main issue presented was rendered moot by the enactment of Labor Code section 3701.9. On the merits, Mainstay’s clients argued: (2) SISF’s claim was subject to the exclusive remedy provisions of the Workers Compensation Act and should have been brought before the Workers Compensation Appeals Board; and (3) their agreements with Mainstay in compliance with Labor Code section 3602(d) serve to bar SISF’s civil action. Finding no reversible error, the Court of Appeal affirmed. View "American Cargo Express v. Super Ct." on Justia Law

In 2011, Cosenza sought disability benefits on behalf of her minor son. An ALJ determined that J.M.F. was not disabled. The Appeals Council denied her request for review. Cosenza argued that the ALJ improperly found that her son’s autism and Asperger’s syndrome were not “medically determinable” impairments. The district judge granted Cosenza summary judgment and remanded under 42 U.S.C. 405(g); 5), terminating the case in the district court. On remand, another ALJ conducted a hearing in March 2016. In June Cosenza filed a motion in the closed federal case to hold the Commissioner in contempt “for not following court-ordered remand.” In July the ALJ ruled against Cosenza. Cosenza did not wait for the decision to become final but moved for summary judgment in the closed federal case and filed a letter with the Appeals Council requesting review. The district court granted the agency’s motion to strike, reasoning that it had relinquished jurisdiction over Cosenza’s first case; as to most recent decision, the administrative appeals process had not finished so no final decision existed for judicial review. Cosenza had not shown that the Commissioner violated the court’s remand order. The Seventh Circuit affirmed. A district court lacks jurisdiction under the Social Security Act to review an ALJ’s unfavorable decision until the agency’s decision is final; the Appeals Council has not yet decided whether to review the ALJ’s decision. View "Cosenza v. Berryhill" on Justia Law

When Arvada, Colorado police officers responded to a reported domestic disturbance in Terry Ross’s home, Ross went into a bedroom and shot himself. Officers radioed for an ambulance whose crew delivered him to the hospital. There, doctors treated Ross’s wounds as Arvada officers kept watch over him. When Ross, and later his estate, could not pay for his care, the hospital billed the City of Arvada nearly $30,000. The question presented by this case was essentially whether Arvada had to pay the tab. The trial court and court of appeals said yes; both read Colorado’s “Treatment while in custody” statute as entitling the hospital to relief. Relying on Poudre Valley Health Care Inc. v. City of Loveland, 85 P.3d 558 (Colo. App. 2003), the trial court decided the statute assigned police departments (or any agency that detains people) a duty to pay healthcare providers for treatment of those in custody. The court of appeals affirmed on essentially the same grounds. The Colorado Supreme Court, however, concluded the statute did not create any duty to a healthcare provider. Furthermore, the Court concluded that the hospital’s claim for unjust enrichment survived. Because that claim was contractual, the Court concluded the Colorado Governmental Immunity Act did not prohibit it. Therefore, the Court reversed the judgment of the court of appeals in part and remanded for further proceedings. View "City of Arvada ex rel. Arvada Police Department v. Denver Health" on Justia Law

Claimant Lydia Diamond appeals the summary judgment decision of the Commissioner of the Department of Labor denying her claim for PPD benefits associated with the C3-4 levels of her spine. In April 2001, claimant was injured in a motor vehicle collision while delivering newspapers for employer. The crash exacerbated claimant’s preexisting right carpal tunnel syndrome. She underwent right carpal tunnel release surgery in February 2002, and had a surgical release of her left carpal tunnel in January 2003. After the surgeries, it became clear that claimant had unresolved neck pain relating to the work accident. Her doctor diagnosed disc herniations in her cervical spine and in September 2003 performed discectomies at the C5-6 and C6-7 levels of her cervical spine and a two-level cervical fusion at C4-C6. The issue this case presented for the Vermont Supreme Court’s review centered on whether a workers’ compensation award of permanent partial disability (PPD) benefits based on damage to the C4-6 levels of claimant’s cervical spine precluded a subsequent award of PPD benefits, more than six years later, for damage to the C3-4 levels of claimant’s spine that arose, over time, from the same work injury. Claimant appealed the grant of summary judgment by the Commissioner of the Department of Labor that denied her claim for PPD benefits associated with the C3-4 levels of her spine. The Commissioner determined that claimant’s request for the additional PPD benefits amounted to a request to modify the prior PPD award and was time-barred. The Supreme Court concluded, based on the specific language of the initial PPD award, it did not purport to encompass injury to other levels of claimant’s cervical spine beyond the C4-6 levels. Accordingly, claimant was not seeking to modify the prior PPD award but, rather, sought PPD benefits for physical damage not encompassed within a previous PPD award. Her claim was therefore timely, and accordingly the Court reversed and remanded for further proceedings. View "Diamond v. Burlington Free Press" on Justia Law

This case involved a challenge under the Compelled Support Clause of the Vermont Constitution to the Town of Cabot’s grant of federally derived but municipally managed funds for the purpose of repairs to a historic church. Relying on Chapter I, Article Three of the Vermont Constitution, plaintiffs challenged the Town of Cabot’s award of a grant to fund repairs to the United Church of Cabot, and sought a preliminary injunction enjoining the grant. Defendants moved to dismiss the case on the ground that plaintiffs lacked standing. With respect to the Town’s motion to dismiss, the trial court concluded that plaintiffs did have standing on two independent bases: (1) as municipal taxpayers; or (2) alternatively, under the Establishment Clause of the First Amendment to the federal Constitution. The court rejected the argument that municipal taxpayer standing did not apply because the funds at issue originated from federal coffers. Just as federal taxpayers have standing to pursue certain Establishment Clause claims, as recognized in Flast v. Cohen, 392 U.S. 83, 85 (1968), state taxpayers have standing to advance Compelled Support claims under the Vermont Constitution. After review, the Vermont Supreme Court concluded plaintiffs had standing to challenge the grant. However, the Court determined the evidence did not support the issuance of an injunction. The Court therefore affirmed in part, vacated in part, and remanded for further proceedings. View "Taylor v. Town of Cabot" on Justia Law

A former employee of the Vermont Department of Labor (Department) appealed a judgment on the pleadings denying his suit against the Department seeking unpaid overtime pay. Employee argued he was entitled to overtime pay for hours worked in excess of forty hours per week because, through a 1994 revision to 21 V.S.A. 384(b)(7) that refers to the federal Fair Labor Standards Act, the Vermont Legislature intended to provide state employees not only with minimum wage-and-hour rights, but also with a statutory private right of action to enforce those rights. Employee also argued state employees also had a private right of action to enforce those claimed rights through Article 4 of the Vermont Constitution. Vt. Const. ch. I, art. 4. Finding no error in the dismissal of employee’s claims, the Vermont Supreme Court affirmed. View "Flint v. Department of Labor" on Justia Law

Anthony Burke was a child diagnosed with an autism-spectrum disorder. Throughout the first six months of 2010, Anthony and his family were covered by a group health insurance policy (the “Policy”) with Appellant, Independence Blue Cross (“Insurer”), maintained through Anthony’s father, John Burke’s employer. Initially, Anthony received “applied behavioral analysis” (ABA) treatment at home. In August 2009, before an Autism Coverage Law became effective relative to the Burkes’ coverage, the family requested benefits, under the Policy, for ABA services to be provided at the parochial elementary school attended by Anthony. Insurer denied coverage on account of an express place-of-services exclusion in the Policy delineating that services would not be covered if the care was provided in certain locations, including schools. In a motion for judgment on the pleadings, Mr. Burke argued that the place-of-services exclusion in the Policy was nullified, as it pertained to in-school services, by the Autism Coverage Law. The Pennsylvania Supreme Court found that the Pennsylvania Legislature intended to permit only general exclusions that would not substantially undermine the mandatory coverage requirement: “we simply do not believe that the Legislature intended to permit insurers to exclude coverage in the sensory-laden educational environment where children spend large portions of their days, or to require families to litigate the issue of medical necessity discretely in individual cases to secure such location-specific coverage for the treatment.” The Supreme Court affirmed judgment in favor of the Burkes, and that the Policy’s place-of-services exclusion was ineffective under the Autism Recovery Law. View "Burke v. Independence Blue Cross" on Justia Law

Conecuh Timber, Inc., Ayres Forestry, Inc., BAR Forest Products, LLC, Dry Creek Loggers, Inc., Pea River Timber Company, Inc., Pineville Timber Co., LLC, and THE Timber Company, LLC ("TTC") (collectively referred to as "the wood dealers"), sued Alabama River Group, Inc. ("ARG"), and ARG's chairman and chief executive officer George Landegger, asserting various claims arising from transactions between the wood dealers and ARG's predecessors; the transactions were affected by a short-lived subsidy program administered by the United States Department of Agriculture's Farm Service Agency ("the FSA") known as the Biomass Crop Assistance Program ("BCAP"). Following a jury trial, a judgment was entered against the ARG defendants awarding the wood dealers $1,092,692.71 in compensatory damages and $7,000,000 in punitive damages. The trial court reduced the punitive-damages award by virtue of the statutory cap in section 6- 11-21, Ala. Code 1975, resulting in a total judgment of $6,395,489.37. The ARG defendants filed post-trial motions, which, after a hearing, the trial court denied. The ARG defendants appealed. After review, the Alabama Supreme Court affirmed the trial court's judgment as to liability and compensatory damages. The Court affirmed the punitive damages awarded to Dry Creek Loggers, Inc., and to Conecuh Timber, Inc. With respect to the punitive-damages awards of the remaining wood dealers, the judgment of the trial court was affirmed on the condition that those wood dealers file a remittitur of the punitive-damages awards to a 3:1 ratio to the Supreme Court. Should any wood dealer fail to timely file the respective remittitur, the judgment as to that wood dealer would be reversed and the cause remanded for a new trial. View "Alabama River Group, Inc. v. Conecuh Timber, Inc. et al" on Justia Law