Justia Government & Administrative Law Opinion Summaries

The Department of Industrial Relations, Division of Occupational Safety and Health (the Division) issued a citation to Granite Construction Company/Granite Industrial, Inc. (Granite Construction) for allegedly violating three regulations relevant here. One was that the company required its employees to wear masks without first providing a medical evaluation to determine their fitness to wear them. And the Division alleged the company violated two other regulations because it exposed its employees to dust containing a harmful fungus— namely, Coccidioides, the fungus that causes Valley fever—and failed to implement adequate measures to limit this exposure. After Granite Construction disputed these allegations, an administrative law judge (ALJ) rejected the Division’s claims. The ALJ reasoned that no credible evidence showed that Granite Construction required its employees to wear masks and no reliable evidence showed that Coccidioides was present at the worksite. But after the Division petitioned for reconsideration, the Occupational Safety and Health Appeals Board (the Board) reversed on these issues and ruled for the Division. The trial court later denied Granite Construction’s petition for writ of administrative mandate seeking to set aside the Board’s decision. The Court of Appeal reversed: the Court agreed insufficient evidence showed its employees were exposed to Coccidioides. But the Court rejected its additional claim that it allowed (rather than required) its employees to wear masks, finding sufficient evidence supported the Board’s contrary ruling on this point. View "Granite Construction Co. v. CalOSHA" on Justia Law

Catholic Health System of Long Island (“CHS”) brings this interlocutory appeal challenging the denial of its motion to dismiss a qui tam action brought by a former employee (“Relator”) on behalf of the United States and the State of New York under the federal False Claims Act (“FCA”), and the New York False Claims Act (“NYFCA”). According to Relator, CHS and certain of its affiliates falsely certified their compliance with federal law, in violation of the FCA and NYFCA, when they submitted Medicare and Medicaid reimbursement claims without disclosing their ongoing violations of 42 U.S.C. Section 1320a-7b(a)(4) (the “Benefits Conversion Statute”). After the Department of Justice and the New York Attorney General declined to intervene in the suit, the district court denied CHS’s motion to dismiss these claims but granted its motion to certify an interlocutory appeal pursuant to 28 U.S.C. Section 1292(b) on the grounds that the case presented an issue of first impression.   The Second Circuit reversed. The court held that the Benefits Conversion Statute is not violated where, as here, the recipient of a reimbursement payment is under no obligation to utilize the funds in any particular way, Relator has failed to plead an FCA or NYFCA claim. The court explained that because the Medicare and Medicaid payments at issue here were reimbursements for services already provided, with no forward-looking conditions that they be used in any particular way, Defendants’ alleged conduct did not violate the Benefits Conversion Statute. Relator’s claims based on section 1320a-7b(a)(4) therefore fail as a matter of law. View "U.S. ex rel. Quartararo v. Cath. Health Sys. of Long Island Inc." on Justia Law

Two people were killed while unclogging a machine at Darling Ingredients, Inc., a chicken rendering plant. When the Occupational Safety and Health Agency (OSHA) investigated, it found that the plant’s “lockout/tagout” procedures did not “clearly and specifically outline” how to safely work on the machine, so it cited the plant’s owner. Darling challenged the citations before the Occupational Safety and Health Review Commission.  After the trial, the ALJ ruled in favor of OSHA, finding that (1) Darling did violate Section 147; (2) the violation was a repeat; (3) it was serious; and (4) Darling waived any “independent employee misconduct” defense. Darling appealed all of these decisions, save for the serious classification.   The Fifth Circuit affirmed. The court wrote that Darling’s argument is flawed for a couple of reasons. First, there are steps that a worker can take besides waiting around. Second, doing nothing is doing something; if waiting was the right thing to do, there is no reason that Darling’s procedure could not say that. The court concluded that there is substantial evidence to support the ALJ’s finding of noncompliance, namely that Darling failed to “clearly and specifically outline the . . . rules and technique to be utilized for the control of hazardous energy. The court concluded that the ALJ’s determination that Darling had knowledge of its Section 147 violations is supported by the law and substantial evidence. View "Darling Ingredients v. OSHC" on Justia Law

This ERISA case concerns the National Football League’s retirement plan, which provides disability pay to hobbled NFL veterans whose playing days are over but who are still living with debilitating, often degenerative injuries to brains and bodies, including neurotrauma. The claimant, former NFL running back Michael Cloud, suffered multiple concussions during his eight-year career, leaving him physically, neurologically, and psychologically debilitated. After the Social Security Administration found him entitled to disability benefits, Cloud went back to the NFL Plan and sought reclassification to a higher tier of benefits. Cloud was awarded a higher tier but not the highest tier. Cloud again filed a claim to be reclassified at the most generous level of disability pay. The NFL Plan denied reclassification on several grounds. Cloud sued the NFL Plan. The district court ordered a near doubling of Cloud’s annual disability benefits. The district court awarded top-level benefits under the Plan instead of remanding for another round at the administrative.   The Fifth Circuit reversed and remanded. The court wrote that it is compelled to hold that the district court erred in awarding top-level benefits to Cloud. Although the NFL Plan’s review board may well have denied Cloud a full and fair review, and although Cloud is probably entitled to the highest level of disability pay, he is not entitled to reclassification to that top tier because he cannot show changed circumstances between his 2014 claim for reclassification and his 2016 claim for reclassification—which was denied and which he did not appeal. View "Cloud v. NFL Player Retirement Plan" on Justia Law

The Supreme Court affirmed the judgment of the court of appeals issuing a limited writ of mandamus and ordering the Industrial Commission of Ohio to determine Appellee's appropriate pre-injury visual baseline and to apply that baseline to his request for compensation, holding that the Commission has discretion to use a claimant's vision as corrected by a hard contact lens as the claimant's pre-injury visual baseline.Appellee sustained an industrial injury to his right eye and underwent three surgical procedures to address the conditions allowed under his workers' compensation claim. Appellee then sought scheduled-loss compensation under Ohio Rev. Code 4123.57. After staff hearing officer denied Appellee's request Appellee filed a mandamus action arguing that the Commission had abused its discretion. The court of appeals reversed. The Supreme Court affirmed, holding that the writ was appropriate to determine Appellee's pre-injury visual baseline and to then use that baseline to determine whether the medical evidence supports an award for total loss of sight under Ohio Rev. Code 4123.57(B). View "State ex rel. Cogan v. Industrial Comm'n of Ohio" on Justia Law

The Supreme Court affirmed the judgment of the court of appeals concluding that the Industrial Commission of Ohio did not abuse its discretion in denying Appellant's request for a violation of specific safety requirements (VSSR) award, holding that there was no error.Appellant suffered a work-related hand injury while working for Employer and requested an award in addition to her workers' compensation benefits, alleging that her injury was a result of Employer's VSSR violation. The Commission found that Appellant did not commit a VSSR and denied the request for an additional award. The Supreme Court affirmed and denied Appellant's motion for an oral argument, holding that some evidence in the record supported the Commission's decision. View "State ex rel. Levitin v. Industrial Commission" on Justia Law

The Supreme Court affirmed the judgment of the appeals officer limiting the reopening of Appellant's claim to the lumbar spine and affirmed the order of the district court denying Appellant's petition for judicial review, holding that the appeals officer properly determined that the reopening of Appellant's claim was warranted only as to the lumbar spine.Although Appellant was previously treated for injuries to several parts of her body, including her head and back, she sought to reopen her claim due to the worsening condition of her lumbar spine. The appeals officer ordered that Appellant's claim be reopened for the lumbar spine only, and Appellant sought judicial review. The district court denied the petition. The Supreme Court affirmed, holding that the appeals officer properly limited the reopening of the claim to the lumbar spine. View "Olvera v. Wynn Las Vegas" on Justia Law

The Supreme Court affirmed the judgment of the district court granting Robyn Young's motion to dismiss this action brought by Granite School District regarding settlement proceeds Young had received for industrial injuries, holding that the Labor Commission had exclusive jurisdiction over the factual questions at the heart of this reimbursement dispute.Young, a special education teacher, sought workers' compensation for injuries she received at the hands of her students. An administrative law judge awarded Young benefits, finding that Young was permanently and totally disabled and that Young did not have to reimburse Granite with funds she received from a legal settlement she had obtained against medical debt collectors for violations of the Fair Debt Collection Practices Act. Granite then initiated suit for reimbursement from Young under the Utah Workers' Compensation Act. The district court granted Young's motion to dismiss. The Supreme Court affirmed, holding that the district court did not err when it dismissed Granite's complaint because the Workers' Compensation Act assigned the Commission exclusive jurisdiction over this dispute. View "Granite School District v. Young" on Justia Law

The Supreme Court affirmed the judgment of the court of appeals affirming the decision of the Workers' Compensation Board determining that Richard Lane's notice to his former employer, Tennco Energy, Inc., that he was asserting a subsequent claim against it was timely, holding that there was no error.In 2019, Lane filed a coal workers' pneumoconiosis (CWP) claim against Tennco Energy, Inc. An administrative law judge dismissed the claim after determining that Lane had failed to give timely notice of the claim pursuant to Ky. Rev. Stat. 341.316(2). The Board reversed, concluding that a prior CWP claim that Lane had previously settled against a former employer had no bearing on Lane's duty to notice Tennco when he asserted a subsequent claim against it. The Supreme Court affirmed, holding that remand was required for additional findings of fact under this opinion. View "Tennco Energy, Inc. v. Lane" on Justia Law

The Supreme Court affirmed the judgment of the court of appeals affirming the ruling of the Workers' Compensation Board affirming the denial of Francisco Rodarte's motion to reopen and reversing the ruling that Rodarte's shoulder claim was barred due to failure to join, holding that the court of appeals did not err.Rodarte sustained two work-related injuries while working for BlueLinx Corporation - a knee and ankle injury in 2016 and a shoulder injury in 2018. In Rodarte and BlueLinx ultimately entered into a settlement agreement for Rodarte's knee and ankle injuries. BlueLinx denied Rodarte's shoulder claim, however, concluding it was barred pursuant to Ky. Rev. Stat. 342.270 due to Rodarte's failure to join it to the 2016 claim. Rodarte moved to reopen the 2016 claim, which the chief administrative law judge denied. Thereafter, an administrative law judge dismissed the shoulder claim. The Board affirmed the denial of the motion to reopen and reversed the dismissal of the shoulder claim. The court of appeals affirmed the Board's ruling on the motion to reopen but reversed its determination that Rodarte's shoulder claim was not barred for failure to join. The Supreme Court affirmed, holding that the court of appeals did not err in its rulings. View "Rodarte v. Bluelinx Corp." on Justia Law