Justia Government & Administrative Law Opinion Summaries
Articles Posted in Personal Injury
Sacilowski v. Saul
The First Circuit affirmed the order of the district court finding that Plaintiff was disabled as defined under 20 C.F.R. 404.1520 and awarding her benefits, holding that there was very strong evidence of Plaintiff's disability, without any contrary evidence, to justify an award of benefits.At age thirty-four, Plaintiff filed applications for Social Security Disability Benefits and Supplemental Security Income. The Commissioner of Social Security denied Plaintiff's applications. In an independent assessment of her claim, an ALJ agreed with the Commissioner's decision, finding that Plaintiff was not disabled as defined under the Social Security Act. A federal magistrate judge found that substantial evidence did not support the ALJ's denial of benefits and recommended reversing the Commissioner's decision and remanding the case for further development of the facts. The district court agreed with the magistrate judge's findings but bypassed the need for further fact-finding and awarded benefits. The First Circuit affirmed, holding that there was overwhelming evidence to support a finding of disability and an award of benefits and that a remand for further proceedings was unnecessary. View "Sacilowski v. Saul" on Justia Law
City of Henderson v. Spangler
In this workers' compensation appeal, the Supreme Court affirmed the order of the district court reversing the decision of the appeals officer denying benefits to Respondent, holding that the plain language of Nev. Rev. Stat. 617.366(1) did not exclude the possibility of benefits for hearing loss when at least part of Respondent's current hearing disability was attributable to some level of hearing loss before he began his job that made the hearing loss worse.While serving as a police officer for the City of Henderson, Respondent suffered progressive hearing loss to the point where he was assigned to desk duty. Respondent sought compensation under Nev. Rev. Stat. 617.430 and .440, which entitle employees to workers' compensation benefits if they suffer a disability caused by an "occupational disease." Because Respondent already had some level of hearing loss, perhaps genetically induced, before his employment as a police officer, the appeals officer denied benefits. The district court reversed. The Supreme Court affirmed, holding that the appeals officer applied the relevant statutes incorrectly as a matter of law. View "City of Henderson v. Spangler" on Justia Law
Marks v. Colorado Dept. of Corrections
Plaintiff-appellant Nancy Marks was serving a prison term in Colorado when she obtained entry into a community corrections program operated by Intervention Community Corrections Services (Intervention). To stay in the program, plaintiff needed to remain employed. But while participating in the program, she aggravated a previous disability and Intervention deemed her unable to work. So Intervention terminated plaintiff from the program and returned her to prison. Plaintiff sued, blaming her regression on two Colorado agencies,: the Colorado Department of Corrections (CDOC) and the Colorado Department of Criminal Justice (CDCJ). In the suit, plaintiff sought damages and prospective relief based on: (1) a violation of the Americans with Disabilities Act and the Rehabilitation Act; and (2) a denial of equal protection. The district court dismissed the claims for prospective relief and granted summary judgment to the CDOC and CDCJ on the remaining claims, holding: (1) the Rehabilitation Act did not apply because Intervention had not received federal funding; (2) neither the CDOC nor the CDCJ could incur liability under the Americans with Disabilities Act or Rehabilitation Act for Intervention’s decision to regress plaintiff; and (3) plaintiff did not show the regression decision lacked a rational basis. After review, the Tenth Circuit agreed that (1) claims for prospective relief were moot and (2) neither the CDOC nor CDCJ violated plaintiff's right to equal protection. However, the Court reversed on the award of summary judgment on claims involving the Rehabilitation Act and the Americans with Disabilities Act, finding the trial court mistakenly concluded the Rehabilitation Act did not apply because Intervention had not received federal funding, and mistakenly focused on whether the CDOC and CDCJ could incur liability under the Rehabilitation Act and Americans with Disabilities Act for a regression decision unilaterally made by Intervention, "This focus reflects a misunderstanding of Ms. Marks’s claim and the statutes." The matter was remanded for further proceedings. View "Marks v. Colorado Dept. of Corrections" on Justia Law
Payne v. Kerns
In 2010, plaintiff-appellant James Payne pled nolo contendere to stalking in Case No. CF-2010-27 in Pittsburg County, Oklahoma. He received a five-year deferment with special rules and conditions of probation. He was required to have no contact with the stalking victim. In addition, Payne pled guilty to violating a protective order in many other cases filed in Pittsburg County related to the same victim and was sentenced to six months in the county jail. The sentences were to run concurrently. He received extra credits and was released from custody on May 5, 2010. A month later, on June 10, 2010, the district attorney filed a motion to accelerate the deferred judgment for probation violations, alleging Payne had been contacting and harassing the victim. The district court issued a felony warrant and Payne was arrested and booked into jail by the Pittsburg County Sheriff's Office on June 11, 2010. Payne did not post bail and remained in the county jail. The district court ultimately executed a minute order finding Payne guilty of violating the terms of his deferred sentence, for which he received a five year sentence: four suspended and one year to serve in the Department of Corrections. Payne received credit for time served in the county jail since his June 10 arrest. The Judgment and Sentence ordered Payne into DOC custody and directed the Pittsburg Sheriff's office to transfer Payne to the Lexington Assessment and Reception Center to begin serving his time in DOC custody. The Sheriff's Office of Pittsburg County did not transfer Payne to the Lexington Assessment and Reception Center (LARC) until September 6, 2011, almost three months past the end of his sentence. Payne was released that same day without serving any of his time in DOC custody. Payne sue various Pittsburg county corrections and governmental officials, arguing his constitutional rights had been violated because he remained in custody beyond his sentence. The district court granted summary judgment in favor of the defendants. The Oklahoma Court of Civil Appeals affirmed. The Oklahoma Supreme Court granted certiorari on the remaining issue preserved for review, i.e., whether a private right of action under Article 2 Section 9 of the Oklahoma Constitution existed under the facts of this case. The Court held a private right of action existed at the time Payne was detained past his sentence, and remanded for further proceedings. View "Payne v. Kerns" on Justia Law
Jones v. Mississippi Baptist Health Systems Inc.
Angela Jones alleged she sustained a compensable back injury while working as a registered nurse at Baptist Hospital. A Workers’ Compensation Commission administrative judge determined that Jones sustained a compensable work-related injury. Baptist appealed the administrative judge’s decision to the full Mississippi Workers’ Compensation Commission, and the Commission reversed, determining Jones did not sustain a compensable work-related injury. Jones appealed, and the Court of Appeals reversed the Commission's decision. Baptist then petitioned for the Mississippi Supreme Court's review. Finding the Commission's decision was supported by substantial evidence, the Supreme Court reversed the Court of Appeals and reinstated the Commission's decision. View "Jones v. Mississippi Baptist Health Systems Inc." on Justia Law
WSI v. Avila, et al.
Workforce Safety & Insurance (WSI) appealed a district court judgment affirming the administrative law judge’s (ALJ) order concluding Isai Avila was entitled to both the scheduled permanent partial impairment award for vision loss and whole body permanent partial impairment award for additional injuries to his cervical spine, facial bone, acoustic nerve, and brain. In 2015, Avila fell on ice carrying a railroad tie while employed by SM Fencing & Energy Services, Inc., and sustained injuries. WSI issued an order awarding permanent impairment benefits of $34,000 to Avila. Avila requested a hearing. During a second review Avila underwent a permanent impairment evaluation. The evaluation determined Avila had 29% whole body permanent partial impairment which included 16% whole body impairment for vision loss of Avila’s left eye. WSI concluded under N.D.C.C. 65-05-12.2(11) that Avila was entitled to the greater of either the scheduled impairment award or the whole body impairment award, but not both. WSI issued a notice of decision confirming no additional award of permanent impairment benefits was due. Avila again requested a hearing after reconsideration. The sole issue at the administrative hearing was interpretation of the portion of N.D.C.C. 65-05-12.2(11). and whether the statute applied to the same work-related injury or condition, and not impairments for the same work-related incident. Since Avila’s loss of vision in his left eye was the same work-related injury or condition for which Avila received a 100 permanent impairment multiplier (PIM) scheduled injury award, the “loss of vision in left eye” component of the 29% whole body impairment must be subtracted from the award to determine Avila’s additional permanent impairment benefits. The ALJ concluded the additional injuries were not the same work-related injury or condition as the vision loss, and N.D.C.C. 65-05-12.2(11) was not applicable. Therefore, the ALJ determined Avila was entitled to both the scheduled impairment award for vision loss and the whole body impairment award for his additional injuries. The North Dakota Supreme Court found that because Avila had an injury set out in N.D.C.C. 65-05-12.2(11), he was entitled to the greater of the combined rating for all accepted impairments under the AMA Guides or the injury schedule. Here, N.D.C.C. 65-05-12.2(11) provided the greater PIM. Accordingly, WSI correctly determined Avila’s award. The ALJ judgment was not in accordance with the law. The Supreme Court therefore reversed the district court’s judgment and remanded to the ALJ for further proceedings. View "WSI v. Avila, et al." on Justia Law
Loudoun County v. Richardson
The Supreme Court affirmed the decision of the court of appeals affirming the workers' compensation commission's award based on Va. Code 65.2-503 for Michael Richardson's loss of use before hip replacement surgery, holding that the court of appeals did not err in holding that, pursuant to the statute, loss of use is calculated before any surgery that improves functionality by use of a prosthetic device.Richardson sustained a work-related hip injury that would have deprived him of seventy-four percent of the normal use of his left leg if it remained untreated. Richardson's employer, however, paid for a total hip replacement that left Richardson with an eleven percent permanent loss of the use of his leg. Richardson filed a claim for workers' compensation benefits based on a seventy-four percent loss of use of his left leg. The Commission awarded Richardson permanent partial disability benefits reflecting a seventy-four percent loss-of-use rating. The court of appeals affirmed, concluding that loss of use under section 65.2-503 is calculated before any surgery that improves functionality by use of a prosthetic device. The Supreme Court affirmed, holding that the court of appeals' interpretation of the statute was reasonable. View "Loudoun County v. Richardson" on Justia Law
Farley v. City of Claremore
Plaintiff Shelli Farley, a surviving spouse of a former City of Claremore fireman, successfully obtained a death benefits award in the Workers' Compensation Commission. She then brought a District Court action for damages alleging the death of her spouse was caused by negligence and an intentional tort committed by her spouse's employer who was a local government entity. She argued her action was also for the benefit of her surviving child, as well as the surviving parents and brother of the deceased. The Oklahoma Supreme Court concluded after review of the trial court record, that a tort action for damages suffered by a surviving spouse, surviving child, and parents of a deceased adult child did not survive for the purpose of a 12 O.S. 1053 wrongful death action when: (1) The wrongful death action arises from an injury compensable by an exclusive workers' compensation remedy and the tort action is brought against the employer of the deceased; and (2) the employer can claim sovereign immunity. In this case, the wrongful death injury was adjudicated and compensated by a successful workers' compensation claim after the death of the decedent. This successful adjudication demonstrated the decedent's injury was exclusively before the Commission and not cognizable as a District Court claim at the time of decedent's death. The parents' action for loss of companionship damages was extinguished at the time of decedent's death and did not survive. And the City was immune from suit because the tort claim against it was for liability for an injury properly compensated by a claim before the Workers' Compensation Commission. The brother of the deceased did not possess a wrongful death § 1053 action for loss of consortium. Furthermore, the Court concluded plaintiff lacked standing to seek injunctive relief. Dismissal of this case was affirmed. View "Farley v. City of Claremore" on Justia Law
Couret-Rios v. Fire & Police Employees’ Retirement System of City of Baltimore
The Court of Appeals agreed with the judgment of the hearing examiner granting line-of-duty (LOD) retirement benefits to Petitioner, a retired Baltimore City police officer, based on a finding of fact that Petitioner suffered from memory loss and attention deficits as a result of a mild traumatic brain injury, holding that the hearing examiner did not err.Police officers are potentially eligible for two different levels of disability benefits - a less substantial non-line-of-duty (NLOD) level of benefits or a more substantial LOD level of benefits. Benefits for NLOD disability may be awarded on the basis of a mental or physical incapacity, but benefits for LOD disability can only be awarded based on a physical incapacity. Petitioner suffered from memory loss and attention deficits as a result of a concussion in the course of his duties. The hearing examiner granted Petitioner LOD disability benefits, concluding that he was permanently physically incapacitated. The court of special appeals reversed, concluding that Petitioner's incapacities were mental rather than physical. The Supreme Court reversed, holding that Petitioner was entitled to LOD benefits. View "Couret-Rios v. Fire & Police Employees' Retirement System of City of Baltimore" on Justia Law
Logan v. Bon Ton Stores, Inc.
The Supreme Court reversed the judgment of the district court dismissing Appellant's petition for judicial review, holding that timely faxing a petition for judicial review to the opposing party's counsel, where the petition is actually received and no prejudice results, constitutes substantial compliance under Iowa Code 17A.19(2).Appellant filed four petitions with the Iowa Workers' Compensation Commission against Respondents, her employer and its workers' compensation insurance carrier, alleging that she received several workplace injuries. The commissioner largely denied the petitions. Appellant then filed a pro se petition with the district court seeking judicial review. The petition was electronically filed, and Appellant faxed copies the same day to Respondents and the workers' compensation commission. The district court granted Respondents' motion to dismiss, concluding that Appellant's sending of a fax of her petition was not substantial compliance with the requirements of section 17A.19(2). The Supreme Court reversed, holding that Appellant substantially complied with the service requirements in section 17A.19(2). View "Logan v. Bon Ton Stores, Inc." on Justia Law