Justia Government & Administrative Law Opinion Summaries

Petitioner Bruce Querbach sought to overturn a final order of the Oregon Department of Human Services (DHS) which determined that reports to DHS that petitioner had abused two children were “founded.” The circuit court, reviewing the order as an order in other than a contested case, assumed that the “reasonable cause to believe” standard in that rule was a “probable cause” standard. After holding a trial to develop the record for review, as required by Norden v. Water Resources Dept., 996 P2d 958 (2000), the circuit court concluded that only two of DHS’s four “founded” determinations could be sustained under that standard. On petitioner’s appeal and DHS’s cross-appeal, the Court of Appeals rejected the circuit court’s application of a “probable cause” standard and, instead employing the “reasonable suspicion” standard that it had used in an earlier, similar case, concluded that not just two, but three of DHS’s “founded” determinations had to be sustained. Appealing to the Oregon Supreme Court, petitioner argued that “probable cause” was the correct standard for determining that a report of abuse is founded and that none of DHS’s “founded” determinations hold up when the record on review was considered under that standard. Petitioner also argued that, given that the circuit court found that the DHS investigation and analysis into the reported abuse was incomplete and flawed in various respects, the “founded” determinations had to be set aside. The Supreme Court rejected those arguments and affirmed the Court of Appeals’ conclusion that three of the four “founded” dispositions were supported by substantial evidence. View "Querbach v. Dept. of Human Services" on Justia Law

The Supreme Court affirmed in part and reversed in part the judgment of the circuit court affirming the decision of the Department of Labor of Regulation granting Employer/Insurer's motion for summary judgment regarding medical expenses Claimant incurred while being treated by Dr. Donald Corenman, holding that the circuit court erred in part.Employer and Insurer denied coverage for the medical expenses Claimant incurred by being treated for her back injury by Dr. Corenman. Claimant filed a petition for hearing with the Department, which granted summary judgment for Employer/Insurer as to these medical expenses. The circuit court affirmed. Claimant appealed, and Employer/Insurer filed a notice of review regarding an earlier Department ruling. The Supreme Court reversed in part, holding that the Department erred in granting summary judgment denying compensation for Dr. Corenman's medical services. View "Dittman v. Rapid City School District" on Justia Law

In this case concerning the medical marijuana licensing and regulatory process the Supreme Court affirmed in part and dismissed in part this interlocutory appeal from the circuit court's denial of Defendants' motion to dismiss this action on the basis of sovereign immunity, holding that the circuit court erred in its ruling.Plaintiff brought this complaint seeking a writ of mandamus and declaratory relief to compel Defendants - the Arkansas Department of Finance and Administration, the Arkansas Alcoholic Beverage Control Division, and the Arkansas Medical Marijuana Commission - to revoke a cultivation facility license granted to another company and instead award it to Plaintiff. The circuit court denied Defendants' motion to dismiss on the doctrine of sovereign immunity. The Supreme Court remanded the action, holding (1) the circuit court did not err in denying the motion to dismiss the writ of mandamus on the basis of sovereign immunity; (2) the circuit court erred in denying gate State's motion to dismiss Plaintiff's claim of declaratory relief; and (3) to the extent that Appellants were seeking relief under the APA the case must be dismissed for lack of subject matter jurisdiction. View "Arkansas Department of Finance & Administration v. 2600 Holdings, LLC" on Justia Law

The Supreme Court affirmed the decision of the court of appeals declining to extend the holding in Livingood v. Transfreight, LLC, 467 S.W.3d 249 (Ky. 2015) to Ky. Rev. Stat. 342.730(1)(c)1, otherwise known as the three-multiplier, holding that this Court declines to extend Livingood to the three-multiplier.At issue was whether the holding in Livingood "that the legislature did not intend to reward an employee's wrongdoing with a double benefit" should be extended to preclude application of the three-multiplier when a claimant has been terminated for misconduct. Claimant in this case was allegedly fired for filing false information on a company report. The ALJ found that Claimant retained a permanent impairment due to a work injury and that this case justified application of the three-multiplier. The Workers' Compensation Board affirmed, determining that Livingood did not apply to the three-multiplier. The court of appeals affirmed. The Supreme Court affirmed, holding that nothing in the statue or the facts below requires extension of Livingood to section 342.730(1)(c)1. View "Tractor Supply v. Wells" on Justia Law

The Supreme Court affirmed the judgment of the court of appeals affirming the order of the Workers Compensation Board reversing an Administrative Law Judge's (ALJ) application of the 2x multiplier in Ky. Rev. Stat. 342.730(1)(c)2, holding that there was no error.After suffering a work-related injury Claimant continued working his normal job for almost one year before he was laid off for unrelated reasons. The ALJ determined that, since Claimant earned no wage after the lay-off he qualified for the 2x multiplier, which doubles a claimant's benefits if the claimant returns to work after injury at the same or higher wages but subsequently experiences a cessation of that employment. The Board reversed as to the application of the 2x multiplier, determining that there was no "return" to work under section 342.730(1)(c)2. The court of appeals affirmed. The Supreme Court affirmed, holding that the ALJ misapplied the law to the facts. View "Helton v. Rockhampton Energy, LLC" on Justia Law

While residing in a nursing home, Hill died of COVID-19. Her estate sued in state court under the Illinois Nursing Home Care Act, The defendant removed the suit to federal court, asserting that Martin’s suit necessarily rests on federal law, 28 U.S.C.1441(a), and that it was “acting under” a federal officer under 28 U.S.C.1442(a)(1).The district judge remanded to state court. The Seventh Circuit affirmed,. The nursing home is subject to extensive federal regulation (especially for Medicare or Medicaid reimbursement), and CDC orders during the pandemic have increased that regulatory burden but regulation does not turn a private entity into a public actor. The Public Readiness and Emergency Preparedness Act, 42 U.S.C. 247d, forbids liability under state law for injuries caused by use of a “covered countermeasure”, and creates a federal claim for injuries caused by “willful misconduct” in connection with covered countermeasures (payable from a federal fund), but does not preempt any other kind of claim nor occupy the field of health safety. The estate’s claims are not even arguably preempted. The principal disputes in this suit are likely to be whether the nursing home allowed members of the staff to work while ill or failed to isolate residents who contracted COVID-19, which are unrelated to federal law. View "Martin v. Petersen Health Operations, LLC" on Justia Law

George joined the Marine Corps in 1975 without disclosing his history of schizophrenic episodes. His medical examination noted no mental disorders. George suffered an episode during training. The Marines medically discharged him. George applied for veterans’ disability benefits based on his schizophrenia, 38 U.S.C. 1110. The Board of Veterans’ Appeals denied his appeal from a regional office denial in 1977. In 2014, George asked the Board to revise its final decision. When the VA denies a benefits claim, that decision generally becomes “final and conclusive” after the veteran exhausts the opportunity for direct appeal. George sought collateral review under an exception allowing revision of a final benefits decision at any time on grounds of “clear and unmistakable error,” 38 U.S.C. 5109A, 7111. He claimed that the Board applied a later-invalidated regulation to deny his claim without requiring the VA to rebut the statutory presumption that he was in sound condition when he entered service.The Veterans Court, Federal Circuit, and Supreme Court affirmed the denial of relief. The invalidation of a VA regulation after a veteran’s benefits decision becomes final cannot support a claim for collateral relief based on clear and unmistakable error. Congress adopted the “clear and unmistakable error doctrine” developed under decades of prior agency practice. The invalidation of a prior regulation constitutes a “change in interpretation of law” under historical agency practice, not “clear and unmistakable error.” That approach is consistent with the general rule that the new interpretation of a statute can only retroactively affect decisions still open on direct review. The fact that Congress did not expressly enact the specific regulatory principle barring collateral relief for subsequent changes in interpretation does not mean that the principle did not carry over. View "George v. McDonough" on Justia Law

In 1968, Congress recognized the Ysleta del Sur Pueblo Indian tribe. In 1983, Texas renounced its trust responsibilities with respect to the Tribe and expressed opposition to any new federal legislation that did not permit the state to apply its gaming laws on tribal lands. Congress restored the Tribe’s federal trust status in the 1987 Restoration Act, “prohibiting” all “gaming activities which are prohibited by the laws of the State of Texas.” Congress then adopted the Indian Gaming Regulatory Act (IGRA), which permitted Tribes to offer class II games—like bingo—in states that “permi[t] such gaming for any purpose by any person, organization or entity,” 25 U.S.C. 2710(b)(1)(A). IGRA allowed Tribes to offer class III games—like blackjack and baccarat—only pursuant to negotiated tribal/state compacts. Texas refused to negotiate a compact regarding class III games. In 1994, the Fifth Circuit held that the Restoration Act superseded IGRA.In 2016, the Tribe began offering bingo, including “electronic bingo.” The Fifth Circuit upheld an injunction, shutting down all of the Tribe’s bingo operations.The Supreme Court vacated. The Restoration Act bans, on tribal lands, only those gaming activities also banned in Texas. Texas laws do not “forbid,” “prevent,” or “make impossible” bingo operations but allow the game according to rules concerning time, place, and manner. Texas’s bingo laws are regulatory, not prohibitory. When Congress adopted the Restoration Act, Supreme Court precedent held that California’s bingo laws—materially identical to Texas’s laws—were regulatory and that only “prohibitory” state gaming laws could be applied on the Indian lands in question, not state “regulatory” gaming laws. The Restoration Act provides that a gaming activity prohibited by Texas law is also prohibited on tribal land as a matter of federal law. Other gaming activities are subject to tribal regulation and must conform to IGRA. View "Ysleta del Sur Pueblo v. Texas" on Justia Law

The formula that the Department of Health and Human Services must employ annually to set reimbursement rates for certain outpatient prescription drugs provided by hospitals to Medicare patients, 42 U.S.C. 1395l(t)(14)(A)(iii), provides two options. If HHS has conducted a survey of hospitals’ acquisition costs for each covered outpatient drug, it may set reimbursement rates based on the hospitals’ “average acquisition cost” for each drug, and may “vary” the reimbursement rates “by hospital group.” Absent a survey, HHS must set reimbursement rates based on “the average price” charged by manufacturers for the drug as calculated and adjusted by the Secretary. For 2018 and 2019, HHS did not conduct a survey but issued a final rule establishing separate reimbursement rates for hospitals that serve low-income or rural populations through the “340B program” and all other hospitals. The district court concluded that HHS had acted outside its statutory authority. The D.C. Circuit reversed. A unanimous Supreme Court reversed. The statute does not preclude judicial review of HHS’s reimbursement rates. Absent a survey of hospitals’ acquisition costs, HHS may not vary the reimbursement rates only for 340B hospitals; HHS’s 2018 and 2019 reimbursement rates for 340B hospitals were therefore unlawful. HHS’s power to increase or decrease the price is distinct from its power to set different rates for different groups of hospitals and HHS’s interpretation would make little sense given the statute’s overall structure. Congress, when enacting the statute, was aware that 340B hospitals paid less for covered prescription drugs and may have intended to offset the considerable costs of providing healthcare to the uninsured and underinsured in low-income and rural communities. View "American Hospital Association v. Becerra" on Justia Law

The First Circuit granted a petition for review of a ruling by the Board of Immigration Appeals (BIA) that affirmed the final order of removal entered against Petitioner pursuant to 8 U.S.C. 1229-1229a and vacated the BIA's ruling,Petitioner conceded removability but sought relief from removal based on asylum and withholding of removal, as well as the Convention Against Torture (CAT). The immigration judge (IJ) denied the applications, and the BIA affirmed. The First Circuit vacated the BIA's ruling in part, holding (1) Petitioner was not entitled to relief on his assertion of bias; and (2) because the BIA upheld an adverse credibility determination that the IJ reached in part based on an inconsistency in Petitioner's story that simply was not an inconsistency, the BIA's ruling affirming the IJ's denial of that claim must be vacated. View "Pujols v. Garland" on Justia Law