Justia Government & Administrative Law Opinion Summaries

Appellant, a medical doctor, challenged the partial denial of personal injury protection benefits after treating a patient insured by Appellee. While Appellant's request for an administrative hearing was pending in the Insurance Division of the State Department of Commerce and Consumer Affairs, the patient's available benefits under her policy were exhausted on account of payments to Appellant and other medical providers. Because of the exhaustion, the Insurance Division dismissed Appellant's claim. The circuit court and intermediate court of appeals (ICA) affirmed. The circuit court also denied Appellant's request for attorney's fees and costs under Haw. Rev. Stat. 431:10C-211(a), which allows fees and costs to be awarded even when a party does not prevail on its claim for benefits, finding Appellant's pursuit of the benefits to be unreasonable. The ICA affirmed. Appellant appealed the denial of attorney's fees. The Supreme Court vacated the ICA's judgment and the circuit court's final judgment, holding that the circuit court and ICA erred in concluding that Appellant's claim was unreasonable due to exhaustion of benefits where Plaintiff had made his claim prior to that exhaustion. Remanded. View "Jou v. Schmidt" on Justia Law

The United States Postal Services (USPS) terminated Plaintiff's employment contract after discovering, through a sting operation, that Plaintiff had stolen mail containing money. The Postal Service Board of Contract Appeals (PSBCA) convened an evidentiary hearing and determined that Plaintiff's breach of his employment contract justified the decision to terminate his contract. Plaintiff did not appeal this decision. Meanwhile, Plaintiff initiated a Federal Tort Claims Act (FTCA) suit against the United States for the actions of USPS employees on the date of the sting, alleging six torts. The district court dismissed three of the claims and granted summary judgment to the government on the remaining claims. The First Circuit Court of Appeals affirmed the district court as to all claims, holding (1) the district court correctly concluded that the PSCBA's findings precluded relitigation of the factual issues in Plaintiff's FTCA suit; and (2) summary judgment was properly granted as to Plaintiff's FTCA claims for negligent supervision, malicious prosecution, and invasion of privacy by postal inspectors. View "Rios-Pineiro v. United States" on Justia Law

In 2002, Pojoaque Tribal Police Officer Kevin Schultz drowned while rescuing a twelve-year-old boy from the Rio Grande near Pilar. On the day of the accident, he had taken the day off from work to chaperone a group of children from his church on a recreational outing. This case arose when Schultz's widow, Cheryl, filed a claim for workers' compensation benefits resulting from her husband's death, but only after the statute of limitations had expired. Notwithstanding the late filing, Mrs. Schultz contended that the conduct of the Pojoaque Tribal Police Department caused her to file after the deadline, and thus, the Supreme Court should consider her complaint timely filed. Both the Workers' Compensation Judge (WCJ) and the Court of Appeals decided that Mrs. Schultz's complaint was not timely filed. However, upon review, the Supreme Court found that based on the fact of this case, the statute was tolled. Therefore the Court reversed and remanded the case back to the Court of Appeals for further proceedings. View "Schultz v. Pojoaque Tribal Police Department" on Justia Law

Plaintiffs appealed from the district court's grant of the United States' motion to dismiss plaintiffs' complaints against the SEC for lack of subject matter jurisdiction pursuant to Rule 12(b)(1). Plaintiffs also appealed from the district court's denial of plaintiffs' motion for relief from judgment under Rule 60(b). Plaintiffs sought to hold the United States liable for SEC employees' failure to detect Bernard Madoff's Ponzi scheme and for the financial losses that plaintiffs claimed they suffered as a result. The court affirmed the district court's dismissal of plaintiffs' claims, finding that the SEC's actions, along with its regrettable inaction, were shielded by the Discretionary Function Exception to the Federal Tort Claims Act (FTCA), 28 U.S.C. 2680(a). View "Molchatsky, et al. v. United States" on Justia Law

This matter arose from the multidistrict litigation (MDL) related to allegations that the Emergency Housing Units (EHUs) provided by FEMA in Response to Hurricanes Katrina and Rita contained materials which emitted dangerous levels of formaldehyde. This appeal involved only the Louisiana plaintiffs. The court held that the district court did not err in holding that plaintiffs' negligence claims regarding the use of EHUs were barred by the discretionary-function exception to the Federal Tort Claims Act (FTCA), 28 U.S.C. 2671 et seq. The court affirmed the dismissal of plaintiffs' claims that FEMA negligently responded to formaldehyde complaints under the Louisiana Good Samaritan provision of the Louisiana Homeland Security and Emergency Assistance and Disaster Act, La. Rev. Stat. Ann. 29:733:1. Finally, the court affirmed the district court's dismissal of plaintiffs' gross negligence claim under the misrepresentation exception to the FTCA. View "In Re: FEMA Trailer Formaldehyde Products Liability Lit." on Justia Law

In 2001, petitioner fell from a barge to a dry dock while working as a ship laborer. He then filed a workers' compensation claim under the Longshore and Harbor Workers' Compensation Act, 33 U.S.C. 901-950, for the injuries from his fall. In 2003, petitioner shot himself in the head, causing severe injuries. Petitioner also sought compensation for these injuries under the Act, alleging that his suicide attempt resulted from his 2001 fall and the litigation over that claim. The Benefits Review Board subsequently affirmed the ALJ's denial of benefits. The court held, however, that evidence that a claimant planned his suicide did not necessarily preclude compensation under the Act because the proper inquiry was whether the claimant's work-related injury caused him to attempt suicide. In this case, the ALJ erroneously applied the irresistible impulse test instead of the chain of causation test. Therefore, the court granted the petition for review and remanded for further proceedings. On remand, the question was whether there was a direct and unbroken chain of causation between petitioner's work-related injury and his suicide attempt. View "Kealoha v. Office of Workers Comp. Programs" on Justia Law

Plaintiff Paul Broussard sued the State for damages he sustained from an accident caused by a misaligned elevator. After a three-day trial, a jury returned a verdict in Broussard’s favor, finding the offset between the elevator and lobby floors presented an unreasonable risk of harm. The district court reduced Broussard’s damages in proportion to his assigned percentage of fault. The court of appeal held the jury’s factual determination that the elevator’s defective condition presented an unreasonable risk of harm was manifestly erroneous because the defect was open and obvious, and reversed. The Supreme Court granted Broussard’s writ to further examine, under the manifest error doctrine, whether a defective condition is more properly considered an open and obvious hazard where no duty is owed, rather than an unreasonably dangerous condition where comparative fault is applicable. After reviewing the applicable law and the record in its entirety, the Court found the jury’s unreasonable risk of harm determination was not manifestly erroneous. Accordingly, the Court reversed the court of appeal and reinstated the District Court's judgment in its entirety. View "Broussard v. Louisiana" on Justia Law

Firebaugh claimed that a lack of adequate drainage in part of the Central Valley Project (CVP) caused poor quality water flow into its service area. Firebaugh argued that Interior should be ordered to provide the necessary drainage or, alternatively, to pay money damages. The court held that Interior's broad discretion in matters of drainage precluded both claims. Firebaugh's proposals did not involve discrete actions that Interior was legally required to take; rather, they involved matters of discretion and, as such were beyond the scope of the Administrative Procedure Act (APA), 5 U.S.C. 706(1). Providing irrigation water without concomitantly providing adequate drainage for it was a discretionary function and, therefore, not actionable under the Federal Tort Claims Act (FTCA), 28 U.S.C. 2674. View "Firebaugh Canal Water District, et al v. United States, et al" on Justia Law

Appellant injured her neck and shoulder in a work-related accident. The Workers' Safety and Compensation Division approved Appellant's application for temporary total disability benefits but denied payments of two medical bills related to Appellant's lower back, concluding that the case was only left open for shoulder and neck injury. The office of administrative hearings (OAH) upheld the Division's denial of benefits. Appellant appealed. While on review in the district court, Appellant's counsel discovered documentation of a physical therapy session held approximately one month after Appellant's workplace accident that indicated she was experiencing pain in the middle of her back. Appellant unsuccessfully filed a motion to supplement the record with the physical therapy record. Appellant subsequently dismissed her appeal. Appellant then filed a Wyo. R. Civ. P. 60(b) motion for relief from final judgment based on the physical therapy record. The OAH denied the motion. The district court affirmed. The Supreme Court affirmed, holding (1) Appellant provided no evidence to support her claim that the failure to introduce the physical therapy record was caused by her trial counsel's mistake or inadvertence, and (2) Appellant failed to prove the significance of the medical record to her claim for benefits relating to her low back. View "Tegeler v. State ex rel. Workers' Safety & Comp. Div" on Justia Law

Plaintiff-Appellant Brian Woodworth brought suit against the State and the City of Nampa to recover damages for injuries he sustained while pushing a shopping cart across a state highway. Both defendants moved for summary judgment. Following a motion hearing, the court granted both motions. The district court granted summary judgment in favor of the State on two separate grounds: (1) the State was entitled to immunity from suit; and (2) regardless of immunity, the court found that Woodworth failed to raise a genuine issue of material fact that the State acted negligently. Following the summary judgment ruling, Woodworth reached a settlement with Nampa whereby the City was dismissed from the case. Woodworth filed an appeal with regard to the court’s dismissal of his claim against the State. Upon review of the district court record, the Supreme Court concluded that the district court correctly applied the immunity test as outlined in applicable precedent. Because Woodworth failed to present a viable negligence claim against the State, the Court affirmed the district court's judgment. View "Woodworth v. Idaho Transportation Bd" on Justia Law