Justia Government & Administrative Law Opinion Summaries
Articles Posted in Health Law
W. Va. Department of Health and Human Resources v. C.P.
The Supreme Court affirmed the order of the circuit court vacating the finding of the West Virginia Department of Health and Human Resources of maltreatment by Respondent as to her son, holding that the circuit court correctly determined that the conduct engaged in by the lay representative of the West Virginia Department of Health and Human Resources (DHHR) constituted the unauthorized practice of law.The circuit court concluded (1) the decision of the administrative law judgment upholding the DHHR's finding of maltreatment was erroneous because it was not supported by a witness with personal knowledge and was based upon inadmissible DHHR records; and (2) the administrative hearing before DHHR's board of review was conducted in an unlawful manner because DHHR's non-lawyer representative engaged in the unauthorized practice of law. The Supreme Court affirmed, holding that the circuit court did not err in concluding that the administrative proceedings were based upon unlawful procedure brought about by DHHR's lay representative engaging in the unauthorized practice of law. View "W. Va. Department of Health and Human Resources v. C.P." on Justia Law
Genus Medical Technologies LLC v. United States Food and Drug Administration
The Federal Food, Drug, and Cosmetic Act (FDCA), 21 U.S.C. 301, sets forth separate and detailed regimes for the regulation of medical products classified as drugs or devices. Since 2017, the U.S. Food and Drug Administration (FDA) has exercised its claimed discretion to classify Genus’s “Vanilla SilQ” line of diagnostic contrast agents as drugs, notwithstanding the FDA’s recognition that the products “appear” to satisfy the statutory definition for devices. Contrast agents are used in medical imaging to improve the visualization of tissues, organs and physiological processes. The FDA claims that, if a medical product satisfies the statutory definitions of both a “drug” and a “device,” the Act’s overlapping definitions grant by implication the FDA broad discretion to regulate the product under either regime. Genus challenged the FDA’s classification decision as inconsistent with the Administrative Procedure Act (APA), 5 U.S.C. 706(2), and the FDCA.The D.C. Circuit affirmed summary judgment in favor of Genus. The FDCA unambiguously forecloses the FDA’s interpretation. “It would make little sense, then, for the Congress to have constructed such elaborate regulatory regimes—carefully calibrated to products’ relative risk levels—only for the FDA to possess the authority to upend the statutory scheme by reclassifying any device as a drug, no matter its relative risk level.” View "Genus Medical Technologies LLC v. United States Food and Drug Administration" on Justia Law
Tavern League of Wisconsin, Inc. v. Palm
The Supreme Court affirmed the decision of the court of appeals reversing the judgment of the circuit court denying The Mix Up's motion for temporary injunctive relief challenging Emergency Order 3 issued by the Department of Health Services (DHS) Secretary-designee, Andrea Palm, holding that the order met the definition of a rule and should have been promulgated according to statutory rulemaking procedures.Emergency Order 3 was issued as a response to the COVID-19 pandemic and limited the size of indoor public gatherings. Plaintiffs initiated this lawsuit, alleging that the order was a rule and that DHS did not undertake proper rulemaking procedures. The circuit court granted Plaintiffs' motion for an ex parte temporary injunction. The Mix Up was granted intervention and moved for a temporary injunction. The circuit court vacated the ex part order denying The Mix Up's motion for temporary injunctive relief. The court of appeals reversed, holding that the order was invalid and unenforceable as a matter of law. The Supreme Court affirmed, holding (1) Emergency Order 3 met the definition of a rule, and therefore, the order should have been promulgated according to rule making procedures set forth in Wis. Stat. ch. 227; and (2) therefore, Emergency Order 3 was not validly enacted and was unenforceable. View "Tavern League of Wisconsin, Inc. v. Palm" on Justia Law
Swinomish Indian Tribal Community v. Becerra
After the Indian Health Service agreed to pay the Swinomish Indian Tribal Community to run a health program on the Swinomish Reservation, Swinomish filed suit under the Contract Disputes Act and Declaratory Judgment Act, claiming that it was owed additional sums in direct and indirect contract support for costs calculated as percentages of the money it received from insurers and spent on health services. The DC Circuit affirmed the district court's grant of the government's motion for summary judgment, holding that the Indian Self-Determination and Education Assistance Act does not require Indian Health Service to pay for contract support costs on insurance money received by Swinomish. Neither does Swinomish's contract with Indian Health Service. View "Swinomish Indian Tribal Community v. Becerra" on Justia Law
Cushing v. Packard
The First Circuit vacated the ruling of the district court denying Plaintiffs' motion for a preliminary injunction in this case, holding that record lacked necessary findings and that remand was required.This case arose from a decision by the Speaker of the New Hampshire House of Representatives to enforce a House rule precluding any representative from participating in proceedings involving the full House, including House matters, other than in person. Plaintiffs, including seven members of the House who claimed to suffer from medical conditions making them vulnerable to COVID-19, brought this action arguing that the Speaker was required to allow them to participate remotely under Title II of the Americans with Disabilities Act, 42 U.S.C. 12132, and section 504 of the Rehabiliation Act, 29 U.S. 794. The district court denied Plaintiffs' motion for a preliminary injunction. The First Circuit vacated the district court's decision, holding that the court erred in finding that the doctrine of legislative immunity shielded the Speaker from having to comply with the ADA and/or Section 504. View "Cushing v. Packard" on Justia Law
Tandon v. Newsom
The Ninth Circuit's order denied appellants' emergency motion for injunctive relief, which sought to prohibit the enforcement of California's COVID-19 restrictions on private "gatherings" and various limitations on businesses as applied to appellants' in-home Bible studies, political activities, and business operations. The court concluded that appellants have not demonstrated a likelihood of success on the merits for their free exercise, due process, or equal protection claims, nor have they demonstrated that injunctive relief is necessary for their free speech claims.In regard to the free exercise claim, the court concluded that, when compared to analogous secular in-home private gatherings, the State's restrictions on in-home private religious gatherings are neutral and generally applicable and thus subject to rational basis review. The court believed that the best interpretation of Roman Catholic Diocese v. Cuomo, South Bay United Pentecostal Church v. Newsom, and Gateway City Church v. Newson is that rational basis review should apply to the State's gatherings restrictions because in-home secular and religious gatherings are treated the same, and because appellants' underinclusivity argument fails as they have not provided any support for the conclusion that private gatherings are comparable to commercial activities in public venues in terms of threats to public health or the safety measures that reasonably may be implemented. Therefore, appellants have not shown that gatherings in private homes and public businesses "similarly threaten the government's interest," and they have not shown that strict scrutiny applies.The court also denied as unnecessary appellants' request for an injunction on their free speech and assembly claims. Based on the district court's ruling, the State's gatherings restrictions do not apply to Appellant Tandon's requested political activities, and given the State's failure to define rallies or distinguish Tandon's political activities from Appellant Gannons' political activities, the court concluded that, on the record before it, the State's restrictions do not apply to the Gannons' political activities.Finally, the court concluded that the business owner appellants have not established a likelihood of success on their claims. The court has never held that the right to pursue work is a fundamental right and the district court did not err by applying rational basis review to the due process claims. Likewise, business owners are not a suspect class, and the district court correctly applied rational basis review to their equal protection claims. View "Tandon v. Newsom" on Justia Law
Valentine v. Collier
Shortly after COVID-19 struck the Wallace Pack Unit, plaintiffs filed suit seeking injunctive relief on behalf of three certified classes of inmate for violations of the Eighth Amendment, the Americans with Disabilities Act (ADA), and the Rehabilitation Act. Specifically, plaintiffs alleged that defendants acted with deliberate indifference to their health and safety in violation of the Eighth Amendment in light of the dangers of COVID-19 for a geriatric prison population, and that defendants violated the ADA and Rehabilitation Act by failing to accommodate for specific risks to wheelchair-bound and other mobility-impaired inmates.On April 16, 2020, the district court entered a preliminary injunction which was stayed by the Fifth Circuit on April 22 and then vacated on June 5. On September 29, 2020, the district court issued a permanent injunction, concluding that plaintiffs did not need to exhaust administrative remedies; defendants were deliberately indifferent; and defendants violated the ADA and the Rehabilitation Act.The Fifth Circuit reversed the district court's permanent injunction and rendered judgment for defendants. The court concluded that the prison officials were not deliberately indifferent based on a lack of a systemic approach. After considering Policy B-14.52, its unwritten additions, and its administration, the court explained that the record does not support a finding of deliberate indifference in the way the officials considered and adopted a response to COVID-19. The court also concluded that the prison officials were not deliberately indifferent based on a failure to abide by basic public health guidance regarding testing, social distancing, mask use, handwashing, sanitation, and cleaning. Finally, the court concluded that the mobility-impaired inmates failed to establish their prima facie ADA claim, and consequently their Rehabilitation Act claim. View "Valentine v. Collier" on Justia Law
Munza, et al. v. Ivey, et al.
Plaintiffs Barry Munza, Larry Lewis, and Debbie Mathis appealed a circuit court order dismissing their complaint seeking certain injunctive relief and challenging a proclamation issued by Governor Kay Ivey requiring the use of facial coverings in certain circumstances, as outlined in an order issued by Dr. Scott Harris, the State Health officer, to slow the spread of COVID-19. The Alabama Supreme Court concluded plaintiffs lacked standing to bring their complaint seeking injunctive relief regarding the July 15 proclamation adopting the amended health order that, among other things, required masks or facial coverings to be worn in certain circumstances. Because the Supreme Court determined plaintiffs lacked standing, any discussion of remaining issues was pretermitted. View "Munza, et al. v. Ivey, et al." on Justia Law
Arnold v. Saul
Arnold applied for Social Security disability benefits based on ailments related to her back, heart, and joints, and chronic pain syndrome. Following the initial denial of her claim, Arnold requested a hearing before an ALJ. Arnold testified at the hearing, as did a vocational expert. The ALJ concluded that Arnold was not disabled, finding Arnold had several severe impairments, but that she retained the ability, with certain movement restrictions, to perform her past relevant work as a daycare center director.
The district court and Seventh Circuit affirmed the ALJ’s decision, rejecting an argument that the ALJ failed to analyze whether the side effects of her medications impacted Arnold’s ability to work. While there is some evidence of side effects in the record, there is no evidence that the side effects impacted Arnold’s ability to work. On this record, the ALJ was not required to make findings about Arnold’s side effects. View "Arnold v. Saul" on Justia Law
Appeal of Andrew Panaggio
Petitioner Andrew Panaggio appealed a New Hampshire Compensation Appeals Board (Board) determination that respondent, CNA Insurance Company (the insurer), could not be ordered to reimburse him for his purchase of medical marijuana because such reimbursement would have constituted aiding and abetting his commission of a federal crime under the federal Controlled Substances Act (CSA). When Panaggio appealed the insurer’s denial to the New Hampshire Department of Labor, a hearing officer agreed with the insurer. Panaggio appealed the hearing officer’s decision to the Board, which unanimously found that his use of medical marijuana was reasonable and medically necessary. Nonetheless, the Board upheld the insurer’s refusal to reimburse Panaggio, concluding that “the carrier is not able to provide medical marijuana because such reimbursement is not legal under state or federal law.” The New Hampshire Supreme Court surmised the issue on appeal raised a question of federal preemption, "which is essentially a matter of statutory interpretation and construction." Although it was an issue of first impression for the New Hampshire Court, other courts considered whether the CSA preempted a state order requiring reimbursement of an employee’s purchase of medical marijuana. Panaggio reasoned that “[b]ecause New Hampshire law unambiguously requires the insurer to pay for the claimant’s medically related treatment,” an insurer that reimburses a claimant for the purchase of medical marijuana acts without the volition required by the federal aiding and abetting statute. The insurer asserted Panaggio’s argument leads to an absurd result, observing that “[c]onflict preemption applies because state law requires what federal law forbids.” The New Hampshire Supreme Court ultimately concluded the CSA did not make it illegal for an insurer to reimburse an employee for his or her purchase of medical marijuana. "[A] Board order to reimburse Panaggio does not interfere with the federal government’s ability to enforce the CSA. Regardless of whether the insurer is ordered to reimburse Panaggio for his medical marijuana purchase, the federal government is free to prosecute him for simple possession of marijuana under the CSA." Under these circumstances, the Court concluded the “high threshold” for preemption “is not met here.” The Board's decision was reversed and the matter remanded for further proceedings. View "Appeal of Andrew Panaggio" on Justia Law