Justia Government & Administrative Law Opinion Summaries

Under the 2000 Energy Employees Occupational Illness Compensation Program Act a “covered employee” (or her survivor) is entitled to a lump sum payment of $150,000 “for the disability or death of that employee from that employee’s occupational illness,” 42 U.S.C. 7384s(a)(1). The claim adjudication process culminates in a final decision by the Final Adjudication Branch (FAB), which may be challenged in court. A claimant may request to reopen his claim after a final decision by submitting new evidence of covered employment or exposure to a toxic substance or identifying a change in medical guidelines. Berry sought benefits based on his father’s employment. After FAB denied his application for lack of proof that his father worked at a covered facility, Berry did not seek reconsideration or judicial review; 10 years later, Berry filed a request to reopen, stating that he had new evidence of employment. The request was denied. Berry sued under the Administrative Procedure Act. The district court dismissed, find the refusal to reopen “not a final agency action,” 5 U.S.C. 704. The Sixth Circuit affirmed. While the decision not to reopen satisfied the Supreme Court’s test for “final agency action,” and was not the type of decision that Court has recognized as “committed to agency discretion,” the court properly dismissed because the request was not actually based on new evidence, but alleged a material error in the initial decision. Under Supreme Court precedent, reopening requests based on material error are “committed to agency discretion” and unreviewable. View "Berry v. Dept. of Labor" on Justia Law

The amount of additional Medicare reimbursements that a hospital is entitled to receive for serving a disproportionate share of low-income patients depends, in part, on the number of days that the hospital served patients who were “eligible for medical assistance under a State plan approved under [the Medicaid statute].” 42 U.S.C. 1395ww(d)(5)(F)(vi)(II). Kentucky hospitals contend that because Kentucky has chosen in its Medicaid plan to award additional Medicaid funds to hospitals based on how many days they treat patients who are eligible for the Kentucky Hospital Care Program (KHCP), a state program that provides medical coverage to low-income individuals who do not qualify for Medicaid, KHCP patient days should be counted in the calculation of the additional Medicare reimbursements. The Sixth Circuit affirmed rejection of the state’s argument on summary judgment, stating that the statutory term “eligible for medical assistance under a State plan approved under [the Medicaid statute]” is synonymous with “eligible for Medicaid” and KHCP patients are, by definition, not eligible for Medicaid. View "Owensboro Health, Inc. v. United States Dept. of Health & Human Servs." on Justia Law

Tennessee and North Carolina municipalities that provide broadband service would like to expand their networks beyond their current territorial boundaries to underserved nearby areas. State laws either forbid or put onerous restrictions on such expansion by municipal telecommunications providers. The Federal Communications Commission (FCC), citing its statutory mandates to remove barriers to broadband service and to promote competition in the telecommunications market, issued an order purporting to preempt these state statutory provisions. The Sixth Circuit reversed the order, which “essentially serves to re-allocate decision-making power between the states and their municipalities.” No federal statute or FCC regulation requires the municipalities to expand or otherwise to act in contravention of the preempted state statutory provisions. This preemption by the FCC of the allocation of power between a state and its subdivisions requires at least a clear statement in the authorizing federal legislation. Section 706 of the Telecommunications Act of 1996, cited by the FCC, states that the FCC “shall” take action to promote broadband deployment, but “falls far short of such a clear statement.” View "State of Tenn. v. Fed. Commc'n Comm'n" on Justia Law

An Ohio State Dental Board-recognized specialist must complete a postdoctoral education program in a specialty recognized by the American Dental Association and limit the scope of his practice to that specialty. The use of the terms “specialist”, “specializes” or “practice limited to” or the terms “orthodontist”, “oral and maxillofacial surgeon”, “oral and maxillofacial radiologist”, “periodontist”, “pediatric dentist”, “prosthodontist”, “endodontist”, “oral pathologist”, or “public health dentist” or similar terms is limited to licensed Board-recognized specialists.. Any general dentist who uses those terms in advertisements can have his dental license placed on probationary status, suspended, or revoked. Kiser, a licensed dentist with postdoctoral education in endodontics (root-canal procedures). does not to limit his practice exclusively to endodontics. The Board’s regulations treat him as a general dentist. He is banned from using the word “endodontist” in his advertisements. In 2009, the Board warned Kiser with respect to the regulations, but did not take further action. In 2012, Kiser requested that the Board review signage that would include the terms “endodontist” and “general dentist.” The Board neither approved nor rejected Kiser’s proposed signage, but recommended that he consult legal counsel. Kiser challenged the regulations as violating: the First Amendment right to commercial speech; substantive and procedural due process; and equal protection. The district court twice dismissed Kiser’s claims. The Sixth Circuit reversed in part, finding that Kiser had stated viable claims with respect to the First Amendment, substantive due process, and equal protection. View "Kiser v. Kamdar" on Justia Law

Rembisz, an IRS investigator, did not obtain sought-after promotions. He filed an administrative charge of discrimination, claiming ongoing discrimination against his sex (male) and race (Caucasian) or color (white). The Treasury Department investigated and rejected the claim. Federal employees must file a civil action for discrimination “[w]ithin 90 days of receipt of final action,” 42 U.S.C. 2000e-16(c). He filed suit on June 21, 2013, alleging that he received notice of the final agency decision on March 25, within the 90-day window. The Sixth Circuit rejected a motion to dismiss in 2014, stating that Rembisz would have to “come forward with evidence” to support his allegation concerning notice. On remand, he never did so. The Sixth Circuit affirmed summary judgment in favor of the government. It is presumed that notice is given, “and hence the ninety-day limitations term begins running, on the fifth day following the [] mailing of [a right-to-sue] notification to the claimant[].” The agency served its notification by first class and certified mail on March 15, making March 20 the presumptive date that the limitations period began. Rembisz offered no evidence to the contrary. The government submitted a certified-mail receipt, showing that Rembisz received the notice on March 22, so that his complaint was one day late. View "Rembisz v. Lew" on Justia Law

In 1999, Hosseini’s wife was granted asylum. Hosseini lawfully entered the U.S. as a derivative asylee in 2000. Hosseini sought to obtain permanent resident status, 8 U.S.C. 1159. No action was taken on Hosseini’s application for 12 years. In 2013, the district court ordered USCIS to adjudicate Hosseini’s application within 60 days. USCIS sent Hosseini a Notice of Intent to Deny his application based on it determination that he had engaged in terrorist activities as defined by 8 U.S.C. 1182(a)(3)(B)(iv)(VI)(dd). Hosseini denied ties to terrorism, but acknowledged affiliation with a political organization called Fedaeian from 1979-1982 in Iran and that he had distributed literature for Fadayeen Khalq (FeK) and Mujahedin-e Khalq (MeK) until 1985. USCIS denied his application, finding that Fek and MeK fell within the definition of undesignated terrorist organizations. Hosseini’s asylum status was not revoked; no removal proceedings were instituted. Hosseini challenged USCIS’s decision, stating that he could not be “inadmissible” because he was admitted as a derivative asylee. The court rejected the government’s jurisdictional arguments, but dismissed, holding that the denial was not a “final agency action” under the Administrative Procedure Act. The Sixth Circuit reversed, concluding that the denial was a final agency action, given that no removal action is pending. View "Hosseini v. Johnson" on Justia Law

The Tennessee Department of Transportation engaged Mountain States to build two bridges over the Cumberland River at its intersection with Highway 109 in Gallatin. On May 21, 2013, the boom cable of a Terex HC 165 crane snapped while the crane operator was excavating material from under water, causing the boom—the extendable overhead arm of the crane controlled by the load-bearing wire boom cable—to collapse onto the adjacent highway. As the cable broke under tension, it whipped back to shatter the windows of the crane operator’s cab and the boom hit a passing vehicle. Though no person was injured, the subsequent OSHA investigation determined that at least four people were exposed to risk as a result of the accident. An Administrative Law Judge determined that Mountain States had committed a willful violation of the wire rope inspection standard of the Occupational Safety and Health Administration Act because, before the accident, Mountain States had knowledge that the boom cable had “visible broken wires” within the meaning of the provision requiring repair or replacement before further use. The Sixth Circuit affirmed the citation and penalty, finding substantial evidence to support findings of constructive and actual knowledge. View "Mountain States Contractors, LLC v. Perez" on Justia Law

A class of Tennessee residents who applied for Medicaid sought declaratory and injunctive relief, alleging that the delays they have experienced in receiving eligibility determinations on their applications violate 42 U.S.C. 1396a(a)(8) of the Medicaid statute, and that the state’s failure to provide a fair hearing on their delayed applications violates that statute and the Due Process Clause. Regulations implementing the statute provide that “the determination of eligibility for any applicant may not exceed” 90 days for those “who apply for Medicaid on the basis of disability” and 45 days for all other applicants. The district court certified a class and granted a preliminary injunction, which requires the state to grant a fair hearing on delayed applications to class members who request one. The Sixth Circuit affirmed the preliminary injunction, holding that the matter is not moot and that the federal government is not a required party. The court noted that the federal government submitted an amicus brief, supporting plaintiffs’ position. Despite the passage of the Affordable Care Act, states remain ultimately responsible for ensuring their Medicaid programs comply with federal law. View "Wilson v.Gordon" on Justia Law

Thomas owns hotels. He purchased 34 acres adjacent to I-24 between Nashville and Chattanooga in 2013 for $160,000, to develop a first-tier hotel. Most of the property is zoned agricultural-residential; a smaller portion is zoned rural center district. It has always been used for agriculture, The Tennessee Valley Authority (TVA) filed a condemnation action (40 U.S.C. 3113) with a deposit of $15,500 as estimated just compensation, for an easement 100 feet wide (1.72 acres) along I-24 for above-ground electrical power transmission lines. Thomas requested a trial on just compensation and disclosed his intent to present expert testimony that the property was no longer feasible for hotel development, because “power lines create both a visual and psychological barrier to guests.” The court granted the TVA’s motion to exclude the testimony, based on reliability defects. At trial, Thomas explained that the power lines are dangerous and unattractive. Thomas had not sought a rezoning. TVA’s expert opined that it was not financially feasible to develop a hotel on the property because of soil conditions, frontage, and the need for a zoning change and utilities. The court awarded Thomas just compensation of $10,000. The Sixth Circuit affirmed, rejecting Thomas’s arguments about valuation. Thomas, who bore the burden of proof, did not overcome the presumption that the highest and best use was the property's existing use as agricultural land. View "Tenn. Valley Auth. v. 1.72 Acres of Land in Tenn." on Justia Law

Hensley, born in 1949, was employed as a coal miner for 13 years, before leaving in 1988 after seriously injuring his hand and arm in an accident. He has not worked since. Hensley also smoked cigarettes for 10-12 years, averaging half a pack a day before quitting 29 years ago. Hensley first noticed issues with his breathing in 1987. In 1990, he filed an unsuccessful claim for benefits under the Black Lung Benefits Act, 30 U.S.C. 901. He filed a second claim in 2003. The claim was denied, despite a finding of pneumoconiosis, because Hensley did not prove that he was totally disabled by the disease. Hensley filed another claim 2006. The Department of Labor recommended awarding benefits.The evidence, which consisted of chest x-rays, biopsy results, CT scans, pulmonary function studies, arterial blood-gas studies, treatment records and several medical opinions, was forwarded to the ALJ, who awarded benefits in 2010, initially holding that Hensley’s x-ray evidence alone was sufficient to establish the existence of pneumoconiosis.. On remand, the ALJ again concluded that Hensley was entitled to benefits. The Sixth Circuit upheld the award as supported by substantial evidence. View "Dixie Fuel Co. v. Office Workers' Comp. Progams" on Justia Law