Justia Government & Administrative Law Opinion Summaries

Plaintiff Sue Chimento brought claims for defamation, negligence, intentional interference with business relations, false representation, constructive fraud, and conspiracy against Defendants Gallagher Benefit Services, Inc., and Scott McCoy, based on allegations they made to the Tulsa Police Department, Tulsa County District Attorney's Office, and the Oklahoma Insurance Department that she had embezzled money while under their employment. The trial court granted partial summary judgment to Defendants, finding that their statements to the police and district attorney were subject to an absolute privilege and their statements to Oklahoma Insurance Department were subject to a qualified privilege under 36 O.S. § 363. The trial court certified its order granting partial summary judgment for interlocutory review. The Oklahoma Supreme Court held that Defendants' statements to the police, the district attorney, and the Oklahoma Insurance Department were afforded a qualified privilege. View "Chimento v. Gallagher Benefit Services" on Justia Law

Carlos Fernando Reixach Murey, as administrator of the estate of Carlos Lens Fernandez, deceased, appealed the grant of summary judgment entered in two separate actions in favor of defendants the City of Chickasaw, Michael Reynolds, Cynthia Robinson Burt, Arellia Taylor, and George Taylor. In May 2016 at approximately 2:00 A.M., a Chickasaw police officer discovered an automobile on the shoulder of the on-ramp to an interstate highway. Carlos Lens Fernandez ("Lens") was passed out inside the automobile, and the automobile's engine was running. After he failed to complete various field sobriety tests, Lens acknowledged that he was intoxicated. Lens was arrested for DUI and transported to jail. Lens did not advise Sgt. Taylor or any other person that he had any medical issues or that he needed medical attention. According to both Sgt. Taylor and Sgt. Burson, Lens appeared to be intoxicated, and nothing about their encounter with Lens indicated to them that Lens needed medical attention. The jailers/dispatchers on duty when Lens was brought in noted Lens' condition and apparent inability to answer questions, but neither fully completed a medical-screening form for Lens. Hours after his arrival, the jailers monitored Lens through a video-monitoring system. Lens did not respond to oral commands; officers physically checked him, found no pulse, attempted to revive him, but Lens was pronounced dead at 9:14 A.M. that morning. The autopsy report listed the cause of death as "hypertensive and atherosclerotic cardiovascular disease." The Alabama Supreme Court concluded Murey could not establish the officers, City nor jailers were not immune from liability for their actions surrounding Lens' death. Accordingly, judgment in favor of the government defendants was affirmed. View "Murey v. City of Chickasaw, et al." on Justia Law

The Supreme Court held that Claimant was not entitled to workers' compensation benefits after the date on which he no longer had a diagnosis of post-traumatic stress disorder (PTSD) by a licensed professional using the most recent edition of the Diagnostic and statistical Manual of Mental Disorders (DSM-5).From 2007 to 2020 Claimant was employed as a Mower County Deputy Sheriff. From September 25, 2019 to March 30, 2021, Claimant had a diagnosis of PTSD by a licensed professional, making him eligible for workers' compensation benefits. In this action, Claimant argued that he was entitled to benefits after March 30, 2021, the date that he no longer had a diagnosis of PTSD, because he remained disabled from a mental illness. The compensation court awarded benefits from April 1, 2020 into the present. The court of appeals reversed in part, concluding that Claimant was not entitled to benefits after March 30, 2021. The Supreme Court affirmed, holding that Claimant was not entitled to workers' compensation benefits after March 30, 2021. View "Chrz v. Mower County" on Justia Law

The Supreme Court vacated the order of the intermediate court of appeals (ICA) dismissing Appellant's appeal in this workers' compensation case for lack of a final, appealable order, holding that the ICA erred when it dismissed this appeal for lack of jurisdiction.These consolidated cases consisted of the decision of the Director of the Department of Labor and Industrial Relations (DCD) determining that Appellant sustained compensable work-related injuries but denying her claim for compensation relating to her alleged neck injury and sleep disorder. Following years of proceedings before the Labor and Industrial Relations Appeals Board (LIRAB) and DCD, the LIRAB issued several orders, including an order granting Employer/Insurer's two motions to compel and denying Appellant's motion for partial summary judgment. The ICA dismissed Appellant's appeal. The Supreme Court reversed, holding that the ICA had jurisdiction to review the LIRAB's order granting the motions to compel and denying partial summary judgment as to the order compelling Appellant to undergo an independent medical examination. View "Suzuki v. American Healthways, Inc." on Justia Law

The Supreme Court reversed the order of the circuit court denying Defendant's motion to dismiss the complaint brought by Plaintiff for injuries he sustained in the course and scope of his employment with Defendant, holding that the circuit court erred in denying the motion to dismiss.Plaintiff severely injured his left leg while he was employment at a pipeline construction project and received workers' compensation benefits for his injury. Plaintiff brought this complaint alleging negligence, vicarious liability, and negligent hiring, retention, and supervision. Defendant filed a motion to dismiss for failing to state a claim on the ground that it was entitled to workers' compensation immunity. The circuit court denied the petition. The Supreme Court reversed, holding that the common law tort claims alleged in Plaintiff's complaint fell within the scope of immunity afforded by West Virginia's Workers' Compensation Act, W. Va. Code 23-2-1 et seq. View "Precision Pipeline, LLC v. Weese" on Justia Law

Jennifer Dell Peach sued, among others, Lester Thomas asserting claims arising from a multivehicle accident that took place after Thomas, a State trooper with the Alabama Law Enforcement Agency, allegedly blocked both lanes of a highway to perform traffic stops of speeding drivers. Thomas moved for a summary judgment, arguing, among other things, that he was entitled to State-agent immunity. The trial court denied that motion. Thomas petitioned the Alabama Supreme Court for a writ of mandamus directing the trial court to enter a summary judgment in his favor on the ground of State-agent immunity. The Supreme Court determined that based solely on the arguments and evidence presented to the trial court, Thomas did not establish a clear legal right to an order granting his motion for a summary judgment based on State-agent immunity. Therefore, Thomas's petition for the writ of mandamus was denied. View "Ex parte Lester Lee Thomas." on Justia Law

A U.S. Postal Service (USPS) vehicle allegedly ran over A.M.L.’s foot on July 18, 2018. A.M.L.’s mother sent a Claim for Damage, Injury or Death (Standard Form 95) to USPS in August 2018. A year later, A.M.L.’s attorney sent a demand letter that set forth A.M.L.’s medical expenses. After USPS denied liability, A.M.L. (by and through her parent) filed suit against the United States under the Federal Tort Claims Act (FTCA). The government moved to dismiss the suit for lack of subject matter jurisdiction under Federal Rule of Civil Procedure 12(b)(1), arguing that A.M.L. had failed to exhaust her administrative remedies before bringing suit. The district court dismissed the suit, and A.M.L. appealed, arguing that her claims satisfied the FTCA’s presentment requirement.   The Eighth Circuit reversed and remanded. The court held that Sections 2672 and 2675(b) do not require that a claim set forth a single-dollar amount, but that it must express the maximum value of the asserted claim. Accordingly, the expression of a range complies with the statute’s requirements because it presents the maximum value of the claim. A.M.L.’s claim of “$250,000 to $275,000” thus presented a sum certain in compliance with the FTCA’s presentment requirement. View "A.M.L. v. United States" on Justia Law

Plaintiff brought a qui tam case on behalf of the State of California alleging Defendants and Respondents engaged in medical insurance fraud. Plaintiff asserted the alleged fraud victimized the state workers’ compensation system, including the State Compensation Insurance Fund, as well as Medi-Cal, and brought her action under the California False Claims Act (CFCA) and the California Insurance Frauds Prevention Act (IFPA). Plaintiff filed her qui tam complaint under seal and in camera as statutorily required. Before the matter reached trial, however, the trial court dismissed the action pursuant to the “five-year rule” set out in Code of Civil Procedure section 583.310.   The Second Appellate District reversed the judgment of dismissal, reinstated the action, and remanded it. The court held that the 962 days the action was kept under seal should have been excluded from the five-year period pursuant to Section 583.340(b). Further, the five-year period had not expired at the time the court dismissed the action. A five-year period totals 1,825 days. Adding to that period, the 962 days during which the action was under seal, the 712 days of the first stay and the 236 days of the second stay total 3,735 days. The date 3,735 days from the date Plaintiff filed her complaint (July 13, 2012) is October 3, 2022. Adding six months due to the COVID-19 emergency rule extends the period to April 3, 2023. Therefore, the trial court erred in prematurely dismissing Plaintiff’s action on February 24, 2021. View "State of Cal. ex. rel. Sills v. Gharib-Danesh" on Justia Law

Decedent was employed by Jones as a construction worker. Jones was under contract with DOT to perform construction work on I-580 in Oakland. Much of this work was performed at night because it required lane closures. A car operated by a drunk driver entered the closed lanes of the project site and struck Decedent, who died on the scene. A wrongful death lawsuit against DOT asserted vicarious liability for the negligence of its employees; failure to discharge a mandatory duty; and dangerous condition on public property. The court dismissed the mandatory duty claim. DOT offered evidence that it did not instruct or control Jones as to how to comply with its safety obligations but that Jones complied with its safety plan on the night in question and that the contract between DOT and Jones delegated to Jones the responsibility for selecting the means for performing, including ensuring worker safety.The trial court concluded DOT was not liable for Decedent’s death as a matter of law because DOT delegated to Jones its duty to provide a safe work environment and the conduct of the drunk driver was not reasonably foreseeable. The court of appeal affirmed, rejecting arguments that admissible evidence was wrongfully excluded. Plaintiffs failed to present evidence that DOT retained control over the construction site and actually exercised that control in such a way as to affirmatively contribute to Decedent's injuries, as required under California law. View "Marin v. Department of Transportation" on Justia Law

The Supreme Court reversed the judgment of the compensation court concluding that a claimant who sustains injuries along the same extremity sustains an injury to a single member for workers' compensation purposes, holding that the compensation court's decision was based on an incorrect interpretation of Neb. Rev. Stat. 48-121(3).Claimant injured her right wrist and right elbow upon falling at work. Claimant filed a claim for benefits, asserting that the workers' compensation court should award her permanent disability benefits based on her loss of earning capacity. At issue was section 48-121(3), which provides for discretionary loss of earning capacity where there is a "loss or loss of use of more than one member of parts of more than one member[.]" The compensation court refused to consider an award based on the loss of earning capacity because "an injury to the wrist and the elbow of the same arm is still an injury to a single member and does not entitle an employee to a loss of earning power.” The Supreme Court reversed, holding that the compensation court erred in its interpretation of section 48-121(3). View "Espinoza v. Job Source USA, Inc." on Justia Law