Justia Government & Administrative Law Opinion Summaries

The Alaska Workers’ Compensation Board decided that a carpenter who admitted using alcohol and cocaine before his injury had a compensable disability because it determined the accident would have happened regardless of his drug and alcohol use. The Workers’ Compensation Benefits Guaranty Fund, which was responsible for payment if an employer defaults, appealed, arguing that the employee’s intoxication barred compensation. The Workers’ Compensation Appeals Commission affirmed the Board’s decision because substantial evidence supported it. The Alaska Supreme Court affirmed the Commission’s decision. View "Alaska Workers' Compensation Benefits Guaranty Fund v. Adams, et al." on Justia Law

Plaintiff brought suit against LAMMICO d/b/a Lammico Risk Retension Group, Inc. (LAMMICO); Mercy Hospital-Fort Smith (Mercy); various doctors, Mercy Clinic Fort Smith Communities; and John Does 1-10, alleging liability under the Emergency Medical Treatment and Active Labor Act (EMTALA), 42 U.S.C. Section 1395dd. Plaintiff claimed that Mercy made an “inappropriate transfer”. Plaintiff alleged that the delay in receiving vascular surgery within a six-hour window after the injury caused her leg to be amputated. Plaintiff further alleged that Mercy’s statutory duty under EMTALA is strict or absolute.”   The district court granted summary judgment. On appeal, Plaintiff argued that the district court erred in granting summary judgment to Defendants. Further, she argued that EMTALA imposes a strict liability standard for noncompliance with its directions.    The Eighth Circuit affirmed. The court explained EMTALA’s aim is to discourage bad-faith hospitals from dumping patients. Imposing liability upon a hospital’s good-faith effort to secure appropriate care for a patient that is beyond its capabilities is off the mark. Such liability would run contrary to EMTALA’s purpose and would undermine the express target of securing adequate care for patients who could not otherwise afford it. EMTALA’s “appropriate transfer” requirement should be assessed from the perspective of a reasonable transferring hospital at the time the hospitals agreed to the transfer and the patient departed the transferring hospital. Under this standard, Mercy effected an “appropriate transfer”: it sent Plaintiff to a hospital that, based on the information conveyed to it by the hospital, had “qualified personnel” for her treatment. View "Kimberly Ruloph v. LAMMICO" on Justia Law

After D.G. was injured in a car accident involving a rental car driven by I.M. H.A. rented the car involved in the accident from Enterprise Rent-A-Car Company of Los Angeles (ERAC-LA). I.M. was listed as an additional authorized driver in the rental agreement between H.A. and ERAC-LA. At the time of rental, I.M.  presented ERAC-LA with a facially valid driver’s license issued by Kyrgyzstan and a local California address on the rental paperwork. D.G. sued ERAC-LA, I.M., and EAN Holding, LLC (EAN) for negligence. Specifically, D.G. alleged ERAC-LA negligently entrusted I.M. with the rental vehicle, and therefore proximately caused her injuries. ERAC-LA filed a petition for writ of mandate in this court to reverse the trial court’s order denying its motion for summary judgment.   The Second Appellate District issued a writ of mandate directing respondent court to vacate its May 24, 2022 and July 29, 2022 orders denying ERAC-LA’s motion for summary judgment and enter a new order granting the motion. The court held that requiring a rental car agency to investigate whether a prospective renter who presents a facially valid foreign driver’s license is still a resident of that jurisdiction at the time of rental goes beyond the scope of duties prescribed by the Legislature. The court further concluded that D.G. failed to carry her burden to demonstrate a triable issue of material fact exists regarding ERAC-LA’s compliance with section 14608, subdivision (a)(2). View "Enterprise Rent-A-Car of L.A. v. Super. Ct." on Justia Law

The Estate of N.K (the Estate), by and through Plaintiff, appealed from the judgment after the trial court granted the motion for judgment notwithstanding the verdict in favor of Defendant, Glendale Adventist Medical Center (GAMC), following a jury trial of the Estate’s claim of neglect under the Elder Abuse and Dependent Adult Civil Protection Act. The decedent, presented at the acute care hospital operated by GAMC with complaints of weakness and lightheadedness. N.K. underwent an MRI scan and sustained a burn to his abdomen due to GAMC’s failure to screen N.K. for electrically conductive materials prior to the scan.The trial court concluded that substantial evidence failed to support that GAMC had a substantial caretaking or custodial relationship with N.K., and substantial evidence failed to support that GAMC’s conduct in failing to properly screen N.K. was neglect under the Act   The Second Appellate District affirmed holding that the trial court was correct on both grounds.  The court held that the evidence, in this case, does not permit the conclusion that a robust and substantial caretaking or custodial relationship with ongoing responsibilities existed between GAMC and N.K. The court clarified that it does not suggest that such a relationship can never exist when an elder or dependent adult is an inpatient for only two days. Rather, here, substantial evidence does not support the relationship. Moreover, there is no substantial evidence that GAMC harmed N.K. by “failing to provide medical care” or by failing to “attend to his basic needs and comforts.” View "Kruthanooch v. Glendale Adventist Medical Center" on Justia Law

The Department of Labor brought a petition seeking review of a final order issued on December 31, 2020 by the Occupational Safety and Health Review Commission. The Commission found the phrase “stored in tiers” in the second sentence of 29 C.F.R. Section 1910.176(b) did not apply to pallets of merchandise located in a Walmart Distribution Center in Johnstown, New York.   The Secretary argued that the Commission erred in finding Section 11 1910.176(b) inapplicable to Walmart’s tiered storage system because it unambiguously includes material placed or arranged one above another in tiered storage racks, such as the system used at the Distribution Center. Alternatively, the Secretary also argued that if the Court found the regulation ambiguous, the Court should defer to the Secretary’s reasonable interpretation.   The Second Circuit vacated and remanded finding that the Secretary of Labor’s interpretation was reasonable. The court explained that the Commission’s cramped definition ignores other types of tiers, including seating arrangements at sporting events and music venues with layers of seats that are independently supported and placed one over the other with gaps between them. There is nothing inconsistent in the remaining language of the standard that militates against an interpretation that shelves can be tiers. Here, the pallets stored on the selective racking became unstable and merchandise on the pallets fell. Accordingly, the court concluded that the Secretary’s competing interpretation of the language of the standard is reasonable. View "Martin J. Walsh v. Walmart, Inc." on Justia Law

A Delaware superior court affirmed an Industrial Accident Board (the “IAB” or “Board”) decision denying Appellant Joseph Wilson’s (“Wilson”) petition seeking payment for a cervical spine surgery. The parties agreed the treatment Wilson received was reasonable and necessary. Wilson was injured in a work-related accident on August 1, 2002 while working for Appellee Gingerich Concrete and Masonry (“Employer”). Sometime after the accident, Wilson started treatment with Dr. Bikash Bose (“Dr. Bose”), a certified Delaware workers’ compensation healthcare provider. Wilson’s injury necessitated two related cervical surgeries. The first surgery was performed while Dr. Bose was certified under the Delaware workers’ compensation system (the “Delaware Certification”) according to the requirements set forth in the Act. Employer’s carrier paid the bills related to Wilson’s first surgery. But Wilson’s first surgery proved unsuccessful, and Dr. Bose recommended a second surgery. During the time between Wilson’s first surgery and his second surgery, Dr. Bose’s Delaware Certification lapsed, and he did not seek re-certification for nineteen months. The issue presented was whether the second surgery was compensable given that the treating physician’s certification under the Delaware Workers’ Compensation Act (the “Act”) had lapsed by the time of treatment. If the treatment was not compensable, as the IAB and superior court held, then Wilson asked the Delaware Supreme Court to anticipatorily resolve the question of whether he could be liable for the bill even though no one asserted such a claim. The Supreme Court concluded Dr. Bose’s lapse rendered him uncertified, and, thus, the disputed bills were not compensable under 19 Del. C. § 2322D. View "Wilson v. Gingerich Concrete & Masonry" on Justia Law

Attorney David Graham represented Sandra Rusch and Brenda Dockter in separate proceedings against the same employer before the Alaska Workers’ Compensation Board. Rusch injured her back working for the Southeast Alaska Regional Health Consortium (SEARHC) in Klawock. Dockter sustained a knee injury at work for SEARHC in Sitka. After litigation, the parties successfully settled most issues with the assistance of a Board mediator. The parties were unable to resolve the amount of attorney’s fees SEARHC would pay for Graham’s work, so that issue proceeded to hearings, which the Board heard jointly. The Board awarded far less in attorney’s fees than the claimants sought. The Alaska Supreme Court reversed the Commission’s decisions, resolving most but not all issues in favor of the claimants, and remanded the case to the Commission with instructions to remand the case to the Board for further proceedings. The Supreme Court instructed the Board to consider the factors from the Alaska Rules of Professional Conduct to determine reasonable fees. After the Supreme Court awarded attorney’s fees to the claimants for their appeal to the Court, the claimants sought fees for their work in the first appeal to the Commission, asking the Commission to adopt the modified lodestar approach to awarding fees. The issue this case presented for the Supreme Court was whether the Alaska Workers’ Compensation Act authorized the Alaska Workers’ Compensation Appeals Commission to award enhanced attorney’s fees to successful claimants for their attorneys’ work in a Commission appeal. The Commission decided the Act did not. But because the Commission’s decision rested on an incorrect interpretation of the Act and because the Commission failed to consider the claimants’ evidence and arguments in favor of enhancement, the Supreme Court reversed the decision and remanded the case to the Commission for further proceedings. View "Rusch v. Southeast Alaska Regional Health Consortium" on Justia Law

Petitioners Javier Vasquez and his employer, Matosantos International Corporation (MIC), appealed a New Hampshire Compensation Appeals Board (CAB) determination that it could not order respondent, The Hartford Insurance Company, to pay workers’ compensation benefits to Vasquez. The CAB concluded that the Department of Labor (DOL), and therefore the CAB, lacked jurisdiction under the New Hampshire Workers’ Compensation Law to interpret the workers’ compensation insurance policy that MIC had purchased from The Hartford. Because the New Hampshire Supreme Court concluded the CAB did have jurisdiction to consider and resolve the coverage dispute between MIC and The Hartford, it vacated the CAB’s decision and remanded for its consideration, in the first instance, of whether the policy purchased by MIC covered Vasquez when he was injured while working in New Hampshire. View "Appeal of Vasquez" on Justia Law

Cecil Bristow suffered from a chronic lung disease, COPD, and attributed it to coal-mine dust from years of working in coal mines. An administrative law judge and the Benefits Review Board agreed with Bristow and awarded him benefits. Bristow's most recent employer, Energy West Mining Company, petitioned the Tenth Circuit for judicial review of the Board's decision, and the Tenth Circuit denied the petition, finding the Board did not err in upholding the administrative law judge's award of benefits. View "Energy West v. Bristow" on Justia Law

Defendant-Appellant Donald J. Trump and Movant-Appellant the United States of America appealed from a district court’s judgment denying their motion to substitute the United States in this action pursuant to the Westfall Act of 1988. On appeal, Appellants argued that substitution is warranted because the President of the United States is a covered government employee under the Westfall Act, and because Trump had acted within the scope of his employment when he made the allegedly defamatory statements denying Plaintiff-Appellee’s 2019 sexual assault allegations.   The Second Circuit reversed the district court’s holding that the President of the United States is not an employee of the government under the Westfall Act. And the court vacated the district court’s judgment that Trump did not act within the scope of his employment, and certified that question to the D.C. Court of Appeals.   The court certified the following question: Under the laws of the District, were the allegedly libelous public statements made, during his term in office, by the President of the United States, denying allegations of misconduct, with regards to events prior to that term of office, within the scope of his employment as President of the United States? View "E. Jean Carroll v. Donald J. Trump" on Justia Law