Justia Government & Administrative Law Opinion Summaries

Articles Posted in Medical Malpractice
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A case in Connecticut involved a couple, Aaron Lynch and Jean-Marie Monroe-Lynch, who sought damages for alleged medical malpractice by the state of Connecticut in relation to therapeutic donor insemination (TDI) services and prenatal care provided at a state hospital. The couple were unable to conceive without medical assistance and pursued TDI services. The hospital staff failed to adhere to guidelines regarding the use of cytomegalovirus (CMV) positive donor sperm for CMV negative patients, leading to Jean-Marie being inseminated with CMV positive donor sperm. Jean-Marie later became pregnant with twins. During her pregnancy, an ultrasound revealed conditions associated with an in utero CMV infection, however, the hospital staff failed to inform Jean-Marie or take appropriate follow-up action. One of the twins died in utero from a severe CMV infection and the other was born with severe, lifelong medical conditions as a result of congenital CMV.The Supreme Court of Connecticut held that the state could not claim sovereign immunity as the plaintiffs' fertility treatment claims were medical malpractice claims, not informed consent claims. The court also held that the plaintiffs' son, who was born with severe medical conditions as a result of the state's negligence, was entitled to compensation. The court found no merit in the state's claim that the damages awarded were speculative or predicated on the concept that nonexistence can be preferable to impaired existence. The court concluded that common-law negligence principles were adaptable to provide a remedy for injuries such as those sustained by the plaintiffs' son. This decision affirms the trial court's award of over $34 million in damages to the plaintiffs. View "Lynch v. State" on Justia Law

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An incarcerated individual developed a mass under his armpit and was referred to a surgeon who had a contract with the Department of Corrections and Community Supervision (DOCCS). The surgeon performed a biopsy, which was then sent to the pathology department at the Cortland Regional Medical Center (CRMC) for examination. Dr. Jun Wang, the Medical Director of CRMC's pathology department and a member of Cortland Pathology, examined the specimen and determined that the mass was benign. A year later, the patient was diagnosed with Hodgkin's lymphoma.The patient initiated a medical malpractice lawsuit against CRMC and others, alleging that they misdiagnosed his condition and failed to promptly diagnose or refer him for treatment. Dr. Wang sought defense and indemnification from the State, claiming that he was entitled to coverage under Public Officers Law § 17 and Correction Law § 24-a because his actions arose from treating an incarcerated individual at the request of DOCCS. The Attorney General rejected Dr. Wang's request, stating that he treated the patient through his employment arrangement with CRMC, not directly at the request of the State, and thus the State had no obligation to provide defense or indemnification.The New York Court of Appeals held that the State is not obligated to indemnify or defend Dr. Wang in a medical malpractice lawsuit. The court ruled that under the Correction Law § 24-a, the State's obligation to defend and indemnify only applies when there has been an explicit request by DOCCS for the services of a specific provider—an arrangement or understanding made in advance between DOCCS and the healthcare professional. In this case, no such express request or direct agreement existed between DOCCS and Dr. Wang, therefore, the State had no obligation to defend or indemnify him. The court also stated that the Attorney General's interpretation of the statute was not arbitrary, capricious, or an abuse of discretion. Hence, the court affirmed the order of the Appellate Division. View "In re Wang v James" on Justia Law

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The Supreme Court affirmed the judgment of the court of appeals reversing the decision of the court of claims seeking to recover a portion of the Bureau of Workers' Compensation (BWC)'s subrogated award in this case, holding that the BWC's attempted expansion of subrogation was unlawful.The BWC allowed Lamar Thomas's workers' compensation claim for some conditions he received in an industrial accident caused by a third party but disallowed an additional claim for other conditions linked to the workplace accident based on a second opinion rendered during a medical review. When Thomas settled his personal injury case against a third-party tortfeasor, the BWC recouped through subrogation the cost of the medical review it had used to deny Thomas's additional claim. Thomas brought suit against the BWC. The court of claims denied the complaint via judgment on the pleadings. The court of appeals reversed. The Supreme Court affirmed, holding that the medical review the BWC obtained was not an expense recoverable in subrogation. View "Thomas v. Logue" on Justia Law

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In 2018, Terri Richardson Mattson (“Mattson”) and her husband filed this action against the Idaho Department of Health and Welfare, and its employee, Laurie Gallegos, a certified physician assistant (“Defendants”), alleging medical malpractice and failure to obtain informed consent related to outpatient mental health services Mattson received from Defendants. As a part of those services, Gallegos prescribed Mattson Prozac (fluoxetine), an antidepressant. Roughly one month later, the day of her follow up appointment with Gallegos, Mattson woke up, took a firearm from her gun cabinet, went to the liquor store, bought a bottle of vodka, drank the entire bottle while driving to her follow up appointment, and when she arrived in the Department’s parking lot, fired the gun into her head. Mattson survived but suffered extensive injuries. Subsequently, Mattson and her husband filed this action. The district court granted summary judgment to Defendants on two grounds: (1) Defendants were immune from liability under the Idaho Tort Claims Act (“ITCA”) because Mattson’s claims arose out of injuries sustained while she was receiving services from a “mental health center”; and (2) the “reckless, willful and wanton conduct” exception to immunity did not apply as a matter of law. The Idaho Supreme Court affirmed the district court’s decision that Mattson’s and her husband’s claims fell within the purview of the “mental health center, hospital or similar facility” immunity provision in Idaho Code section 6-904A(2). However, the Court reversed the district court’s decision that there was no triable jury question under the “reckless, willful and wanton conduct” exception to immunity. The Supreme Court found Mattson alleged sufficient facts at summary judgment to demonstrate that a reasonable person could find that Defendants’ acts or omissions were “reckless, willful and wanton[.]” Thus, the Court vacated the judgment and remanded this case for further proceedings. View "Mattson v. IDHW" on Justia Law

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Lanclos was born in 1982 at the Keesler Air Force Base Medical Center. During childbirth, she was seriously injured and as a result, suffers from Athetoid cerebral palsy. The settlement agreement for Lanclos’s medical malpractice suit required the government to make lump sum payments to Lanclos’s parents and their attorney; Lanclos would receive a single lump sum payment followed by specific monthly payments for the longer of 30 years or the remainder of her life. The government would purchase an annuity policy to provide the monthly payments. The government selected Executive Insurance to provide the monthly annuity payments. Executive encountered financial difficulties and, in 2014, reduced the amount of the monthly payments by 42%. Lanclos estimates that the reduction will result in a shortfall of $731,288.81 from the amount described in the settlement agreement.The Court of Federal Claims reasoned that the “guarantee” language in the Lanclos agreement applies to the scheduled monthly structure of the payments but not the actual payment of the listed amounts and that the government was not liable for the shortfall. The Federal Circuit reversed. Under the ordinary meaning of the term “guarantee” and consistent with the agreement as a whole, the government agreed to assure fulfillment of the listed monthly payments; there is no reasonable basis to conclude that the parties sought to define “guarantee” or to give the term an alternative meaning. View "Lanclos v. United States" on Justia Law

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Defendant-petitioner Lisa Mestas petitioned the Alabama Supreme Court for a writ of mandamus directing the circuit court to vacate its order denying her motion for a summary judgment in this wrongful-death/medical-negligence action brought by David Lee Autrey, as the personal representative of the estate of his wife, Bridgette Ann Moore, and to enter a summary judgment in Mestas's favor on the basis of State-agent immunity. In May 2017, Autrey's wife, Moore, went to the University of South Alabama Medical Center to undergo a surgery required by the prior amputation of her right leg. The surgery was performed without incident, and Moore was transferred to a hospital room for recovery. At approximately 9:30 p.m. that night, nurses found Moore unresponsive. Attempts to revive her were unsuccessful, and Moore was pronounced deceased. It was later determined that Moore died as a result of opioid-induced respiratory depression ("OIRD"). Mestas argued that, at all times relevant to Autrey's lawsuit, she was an employee of the University of South Alabama ("USA") and served as the Chief Nursing Officer ("CNO") for USA Health System, which included USA Medical Center, various clinics, and a children's hospital. According to Mestas, as the CNO, her primary responsibilities were administrative in nature and she had not provided any direct patient care since 2010. Mestas argued that because Autrey's claims against her arose from the line and scope of her employment with a State agency,2 and because she did not treat Moore, she was entitled to, among other things, State-agent immunity. The Supreme Court concluded Mestas demonstrated she was entitled to state-agent immunity, and that she had a clear right to the relief sought. The Court therefore granted her petition and issued the writ, directing the trial court to grant her summary judgment. View "Ex parte Lisa Mestas." on Justia Law

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In 2015, Talignani, a U.S. military veteran, consulted a VA neurosurgeon, who recommended that he undergo neck surgery. Because the VA could not perform a timely surgery, the surgeon suggested Talignani obtain evaluation and treatment at Saint Louis University Hospital. Talignani agreed and expressed a preference for the Hospital because he had previously undergone surgery there. A nurse obtained the VA’s approval to secure treatment for Talignani at a non-VA provider. The VA agreed to pay for “evaluation and treatment rendered pursuant to the non-VA provider’s plan of care.” The VA then sent a request for outpatient services to the Hospital. The Hospital agreed to treat Talignani and asked the VA to conduct several pre-operative tests. In January 2016, Dr. Mercier performed neck surgery on Talignani using the Hospital’s facility and staff. Talignani died shortly after being released.Talignani’s estate alleged he was prescribed excessive pain medication prior to his discharge, which proximately caused his death. An administrative complaint with the VA was denied. The Seventh Circuit affirmed the summary judgment rejection of a suit under the Federal Tort Claims Act, 28 U.S.C. 1346(b). The Act waives sovereign immunity for certain torts committed by “employee[s] of the Government.” The estate’s claim does not involve a government employee. View "Talignani v. United States" on Justia Law

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Nina’s was a residential care facility for the elderly (RCFE) licensed by the Community Care Licensing Division (CCL) of the State Department of Social Services. Plaintiff, an RN-certified legal nurse consultant, was hired to assist with the closure of Nina’s and agreed to assess each of the residents and recommend a new facility, as required by RCFE closing procedures, Health and Safety Code 1569.682(a)(1)(A).Caregivers from the new RCFE, Frye’s, came to transfer J.N. They immediately noticed that J.N. was in significant pain; multiple bandages “stuck to [J.N.’s] skin and her wounds,” which “all smelled really bad.” J.N.’s toes were black. Frye’s caregivers called 911. J.N. died weeks later. A CCL investigator contacted plaintiff, who confirmed that he had performed J.N.’s assessment. Plaintiff later denied performing J.N.’s physical assessment, stating that Mia “was the one in charge.” He denied guiding or instructing Mia during the assessment, stating he only acted as a “scribe.” The ALJ found clear and convincing evidence that plaintiff committed gross negligence in connection with J.N.'s appraisal, unprofessional conduct in carrying out nursing functions in connection with the appraisal, and unprofessional conduct by not being truthful with the Board investigator regarding J.N.'s care provided.The court of appeal upheld the revocation of plaintiff’s nursing license. Substantial evidence supports the finding that plaintiff engaged in a “usual nursing function” when he performed J.N.’s resident appraisal. Plaintiff’s dishonesty during the investigation constitutes unprofessional conduct. View "Clawson v. Board of Registered Nursing" on Justia Law

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Hawkins, a Navy veteran, suffered a mental breakdown at work. She was escorted from her workplace in handcuffs and hospitalized for observation. She sought follow-up psychiatric care at a VA hospital. According to Hawkins, the VA doctors who treated her negligently failed to prescribe medication to address severe insomnia and anxiety, despite her complaints that the antidepressant she had been prescribed was not helping. Hawkins suffered another psychotic break during which she attacked and seriously wounded her mother. Hawkins spent a year in jail, lost her job as an RN, and has been unable to return to work.Hawkins sued under the Federal Tort Claims Act (FTCA), alleging medical malpractice. Hawkins claimed that her mental breakdown, which prompted her to seek medical care, was caused by years of workplace bullying and harassment by her supervisor. The Ninth Circuit reversed the dismissal of the suit. The Federal Employees’ Compensation Act, 5 U.S.C. 8101(1), bars a suit against the government for damages under any other law, including the FTCA. Before filing this action, Hawkins pursued a claim under FECA; the Office of Workers’ Compensation Programs determined that the alleged workplace bullying and harassment did not occur. If the OWCP had determined that the injury for which Hawkins sought medical care was sustained during the course of her employment, her FTCA action would have been barred. View "Hawkins v. United States" on Justia Law

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Plaintiff Rodney Davis, a physician assistant, learned to perform liposuction under the guidance of a physician. Davis grew dissatisfied with the physician for whom he worked, so he decided to establish a new practice. To do so, Davis needed a physician to serve as his supervising physician. Davis found Dr. Jerrell Borup, who had been an anesthesiologist for 18 years, but who had not practiced medicine for 12 years. Before meeting Davis, Borup had never performed liposuction or other surgery. Borup agreed to serve as “Medical Director,” although he would never perform a procedure at the new practice. Borup’s role, in practice, consisted of reviewing charts. Davis, who gave himself the title of “Director of Surgery,” would perform all of the liposuction procedures. Davis opened his practice, Pacific Liposculpture, in September 2010. In 2015, the Physician Assistant Board (the Board) filed an accusation accusing Davis of, among other things, the unlicensed practice of medicine, gross negligence, repeated negligent acts, and false and/or misleading advertising. An administrative law judge (ALJ) found the Board’s accusations were established by clear and convincing evidence, and recommended the revocation of Davis’s license. The Board adopted the ALJ’s findings and recommendations. Davis filed a petition for a writ of administrative mandamus seeking, inter alia, a writ compelling the Board to set aside its decision. The trial court denied the petition. On appeal, Davis argued the ALJ erred in finding that he committed the various acts alleged, and that the findings were not supported by substantial evidence. He further claimed that the discipline imposed constituted a manifest abuse of discretion. Finding no reversible error, the Court of Appeal affirmed. View "Davis v. Physician Assistant Board" on Justia Law