Justia Government & Administrative Law Opinion Summaries

Caring Hearts Personal Home Services, Inc. provided physical therapy and skilled nursing services to “homebound” Medicare patients. It sought reimbursement from Medicare for services provided. The definition of who qualified as "homebound" or what services qualified as "reasonable and necessary" was unclear, even to the Centers for Medicare & Medicaid Services (CMS). CMS has developed its own rules on both subjects that had been repeatedly revised and expanded over time. In an audit, CMS purported to find that Caring Hearts provided services to at least a handful of patients who didn’t qualify as “homebound” or for whom the services rendered weren’t “reasonable and necessary.” As a result, CMS ordered Caring Hearts to repay the government over $800,000. It was later found that in reaching its conclusions CMS applied the wrong law: the agency did not apply the regulations in force in 2008 when Caring Hearts provided the services in dispute. Instead, it applied considerably more onerous regulations the agency adopted years later, "[r]egulations that Caring Hearts couldn’t have known about at the time it provided its services." The Tenth Circuit found that Caring Hearts "[made] out a pretty good case that its services were entirely consistent with the law as it was at the time they were rendered" when CMS denied Caring Hearts' request for reconsideration. The Tenth Circuit reversed the district court's judgment affirming CMS' denial to Caring Hearts for reimbursement, and remanded for further proceedings. View "Caring Hearts v. Burwell" on Justia Law

Jimma Pal Reat was driving in Denver when he called 911 to report that several men had thrown a bottle and broken the rear windshield of the car he was driving. Operator Juan Rodriguez took the call. Reat told Rodriguez that though the attack occurred at Tenth Avenue and Sheridan in Denver, he and his passengers fled to safety in nearby Wheat Ridge. For reasons that were unclear, Rodriguez told Reat that because the attack took place in Denver, he needed to return to Denver to receive help from the police. Reat was shot and killed after driving back to Denver, into the path of his armed assailants. His estate sued the 911 operator, alleging civil rights claims pursuant to 42 U.S.C. 1983 and various state law claims. Rodriguez moved for summary judgment on all claims against him on the basis of qualified immunity. The district court granted summary judgment in his favor on all constitutional claims except for a Fourteenth Amendment substantive due process claim based on a theory of state-created danger. Under that claim, Reat’s Estate contended Rodriguez used his governmental authority to subject him to the callous shooting that caused Reat’s death. After review, the Tenth Circuit concluded the law was not clearly established such that a reasonable 911 operator would have known his conduct violated Reat’s constitutional rights. The court therefore reversed and remanded for entry of summary judgment in favor of Rodriguez. View "Estate of Jimma Pal Reat v. Rodriguez" on Justia Law

The Equal Employment Opportunity Commission (EEOC) brought a civil enforcement action against three Papa John’s entities for violating the Americans with Disabilities Act (ADA) by denying a reasonable workplace accommodation to the appellant. Scott Bonn, and firing him for requesting this accommodation. Bonn moved to intervene, but the district court determined that Bonn’s claim was subject to arbitration under an agreement that Bonn’s mother had executed. Based on this determination, the district court denied the motion to intervene and ordered Bonn to arbitrate his claim. Bonn appealed the denial of his motion to intervene and the order compelling arbitration. After review, the Tenth Circuit concluded that the arbitration agreement did not curtail Bonn’s unconditional statutory right to intervene. Accordingly, the Court reversed the denial of the motion to intervene. Furthermore, the Court concluded that it lacked appellate jurisdiction over the order compelling arbitration. "Although the district court ordered Mr. Bonn to arbitrate his claim, that order did not affect the EEOC’s claim against Papa John’s, which remains pending. Because that claim remains, the order compelling arbitration did not constitute a 'final decision,' which is necessary for appellate jurisdiction over an order compelling arbitration. Therefore, we dismiss this part of Mr. Bonn’s appeal." View "EEOC v. PJ Utah, LLC" on Justia Law

J.S. is the mother of M.S., a child covered by the Individuals with Disabilities Education Act (IDEA). M.S. was a residential student at the Utah Schools for the Deaf and Blind (“USDB”). Believing USDB was not complying with IDEA’s procedural requirements and was not providing M.S. with free appropriate public education (FAPE), J.S. sought a due process hearing. Unsatisfied with the relief she obtained in that hearing, J.S. filed a civil action in federal court, and appealed the district court decision granting her additional limited relief. She asserts the district court erred when it: (1) delegated its authority to resolve the propriety of M.S.’s residential placement to members of the team tasked with developing M.S.’s individualized education program (“IEP”); and (2) granted her only a partial award of attorneys’ fees. The Tenth Circuit concluded the district court delegated the issue of M.S.’s residential placement to her IEP team and that such delegation "[was] at odds with" 20 U.S.C. 1415. The Court remanded this case to the district court to resolve the issue of M.S.’s residential placement and reconsideration of the attorney fee award. View "M.S. v. Utah School for the Deaf" on Justia Law

Plaintiff-appellant Laurie Smith sought review when her Social Security disability benefit claims were denied. She alleged disability based in part on: impingement of her left shoulder; restrictions on her ability to: (1) reach and (2) handle and finger objects; and moderate nonexertional limitations. The administrative law judge concluded that Smith could work as a telequotation clerk, surveillance systems monitor, or call-out operator. As a result, the judge concluded that Smith was not disabled. Ms. Smith appealed to the district court, which upheld the administrative law judge’s determination. After its review, the Tenth Circuit found no reason to disturb the ALJ's or the district court's judgments and affirmed. View "Smith v. Colvin" on Justia Law

This appeal concerned two suits: one in state and one in federal court, and statutory limitations on the power of the federal court to enjoin the state court case. In the federal case, the Utah Attorney General and the Board of Tooele County Commissioners sued the federal government under the Quiet Title Act, attempting to quiet title in favor of Utah for hundreds of rights of way in Tooele County, Utah. Five environmental groups opposed this suit, and the federal district court permitted the groups to intervene. In the state court case, the Southern Utah Wilderness Alliance and Mr. Michael Abdo, a Tooele County resident, claimed that the Utah officials lacked authority under state law to prosecute the quiet-title action in federal court. The Utah officials asked the federal court to enjoin the Wilderness Alliance and Mr. Abdo from prosecuting the state-court case. The federal district court granted the request and entered a temporary restraining order enjoining the Wilderness Alliance and Mr. Abdo for an indefinite period of time. The Wilderness Alliance and Mr. Abdo appealed, raising two issues: (1) whether the Tenth Circuit had jurisdiction to hear the appeal; and (2) did the federal district court have the authority to enjoin the state-court suit? After concluding it had jurisdiction to hear this appeal, the Tenth Circuit then concluded that the federal district court did not have authority to enjoin the Utah state court. "The All Writs Act grants a district court expansive authority to issue 'all writs necessary.' But the Anti-Injunction Act generally prohibits federal courts from enjoining state-court suits." An exception exists when an injunction is "in aid of" the federal court’s exercise of its jurisdiction. This exception applies when: (1) the federal and state court exercise in rem or quasi in rem jurisdiction over the same res; and (2) the federal court is the first to take possession of the res. These circumstances are absent because the state-court action was neither in rem nor quasi in rem. Thus, the district court’s order violated the Anti-Injunction Act. View "Tooele County v. United States" on Justia Law

In 2013, the Kansas Board of Education (the “Board”) adopted curriculum standards establishing performance expectations for science instruction in kindergarten through twelfth grade. Appellants, Citizens for Objective Public Education, Kansas parents, and school children (collectively, “COPE”), contended that although the standards purported to further science education, their concealed aim was to teach students to answer questions about the cause and nature of life with only nonreligious explanations. COPE also claimed two plaintiffs had standing as taxpayers who objected to their tax dollars being used to implement the Standards. The district court disagreed, and dismissed the suit without prejudice for lack of standing. After review, the Tenth Circuit concluded all of COPE's theories of injury failed, and affirmed the district court's dismissal. View "COPE v. KS State Board of Education" on Justia Law

"This appeal is heavy, very heavy, on procedure." Plaintiff-appellee Peggy Walton worked in the New Mexico State Land Office. She was a political appointee of the elected Republican Land Commissioner, Patrick Lyons. Lyons’s decision not to seek reelection for a third term put plaintiff's job at risk: as a political appointee, a new administration could easily dismiss her. To see that she remained employed with the state, Lyons appointed plaintiff to a senior civil service job where she’d be protected by state law against removal for political reasons. A local television reporter ran a report titled “[c]ronies move up as officials move out” - a report highly critical of Lyons and plaintiff. Another reporter introducing the story aired his view that plaintiff was “distinctly unqualified” for her new job and claimed the hiring was “rigged.” Ray Powell, the newly elected Democratic candidate, dismissed plaintiff. Eight days after making the decision to dismiss her but before announcing it publicly, Powell held a meeting with the land office’s advisory board; "glared across the conference table" at plaintiff, spoke of the television news report denouncing her appointment; and, referring to her in all but name, said he “was concerned about . . . ‘protected employees’” who “for some reason didn’t have to meet the leadership criteria” for their appointments. Plaintiff sued when she was dismissed, arguing that she was a protected civil service employee, and under New Mexico Law, Powell had unlawfully retaliated against her for exercising her right to free political association in violation of the First Amendment and 42 U.S.C. 1983. In reply and at summary judgment. Powell claimed qualified immunity. But the district court denied the motion and set the case for trial. Powell appealed, and finding no reversible error, the Tenth Circuit affirmed denial of summary judgment. View "Walton v. NM State Land Office" on Justia Law

Wasatch Equality and four snowboarders (collectively, Wasatch) sued to challenge a snowboard ban at Alta Ski Area in Utah. In its complaint, Wasatch alleged the ban unconstitutionally discriminated against snowboarders and denied them equal protection of the law in violation of the Fifth and Fourteenth Amendments to the United States Constitution. Recognizing that private action won’t sustain a civil rights complaint, Wasatch further alleged the ban constituted “state action” because Alta operated its ski resort on federal land via a permit issued by the United States Forest Service. The district court disagreed, and dismissed this case for failure to identify a state action. Because the Tenth Circuit agreed Wasatch hadn't plausibly established that the snowboard ban constituted state action, the Court affirmed. View "Wasatch Equality v. Alta Ski Lifts" on Justia Law

Colorado Secretary of State Wayne Williams appealed a district court order enjoining him from enforcing Colorado's issue-committee registration and disclosure requirements against the Coalition for Secular Government (Coalition), a nonprofit corporation that was planning to advocate against a statewide ballot initiative in the 2014 general election. Under Colorado law, the Coalition's activities triggered various issue-committee registration and disclosure requirements. Once a person or group of persons qualified as an issue committee under this definition, a substantial set of registration and disclosure requirements apply. Since 2008, the Coalition has either registered or considered registering as an issue committee in four general elections: 2008, 2010, 2012, and 2014. As the 2012 election neared, the Coalition filed in federal district court a declaratory-judgment suit against Scott Gessler, the then-Colorado Secretary of State. Among other relief, the Coalition requested the court to declare that the Coalition's "expected activity of $3,500 does not require registration as an issue committee." Because a certain constitutional amendment (the "personhood amendment") failed to qualify for the general-election ballot, the Coalition had neither registered as an issue committee nor published an updated policy paper. After the Colorado Supreme Court's decision in "Gessler v. Colorado Common Cause," (327 P.3d 232 (Colo. 2014)), the Coalition renewed its preliminary-injunction motion in federal district court. By then, the personhood amendment had qualified for the 2014 general-election ballot, and Dr. Diana Hsieh (Coalition founder) and her co-author again wanted to update and expand the policy paper urging readers to vote "no" on the latest iteration of the personhood ballot initiative. The district court consolidated the hearing on the preliminary-injunction motion with a hearing on the merits of the case. As Dr. Hsieh testified at the hearing, the Coalition planned to raise about $1,500 in 2014 to fund the policy paper but still opposed registering as an issue committee. By October 3, 2014, the day of the preliminary-injunction hearing, the Coalition had already received pledges totaling about $2,000. On October 10, 2014, the district court "ORDERED and DECLARED that [the Coalition]'s expected activity of $3,500 does not require registration or disclosure as an 'issue committee' and the Secretary is ENJOINED from enforcing" Colorado's disclosure requirements against the Coalition. The Secretary appealed the district court's order granting the Coalition declaratory and injunctive relief, presenting as grounds for appeal: (1) whether Colorado's $200 threshold for issue-committee registration and reporting violated the First Amendment; and (2) could Colorado require issue-committee registration and disclosure for a group that raises and spends $3,500 to influence an election on a statewide ballot initiative? The Tenth Circuit concluded that Colorado's issue-committee regulatory framework was unconstitutional as applied to the Coalition. Therefore it did not address the facial validity of the $200 threshold. View "Coalition for Secular Govt v. Williams" on Justia Law