Justia Civil Rights Opinion Summaries

Articles Posted in Health Law
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A psychiatrist at Chicago-Read Mental Health Center sought a court order authorizing involuntary treatment of Rita. Stating that Rita met the criteria for a diagnosis of “schizophrenia paranoid type,” the doctor requested authorization to administer specific medications, including Risperidone, for up to 90 days. At a hearing, there was testimony about Rita’s behavior before her hospitalization, about police response to a call about Rita’s behavior, and about Rita’s own descriptions of her delusions and trying to choke herself to kill the people inside her. Rita had not threatened anyone at Chicago-Read, and no cause existed to place her in restraints or administer emergency medication. Although generally cooperative, Rita refused to attend group therapy, and would not take medication. The circuit court authorized involuntary treatment. The appellate court reversed, finding that the trial court failed to comply with the Mental Health and Developmental Disabilities Code, 405 ILCS 5/3-816(a), requirement that final orders “shall be accompanied by a statement on the record of the court’s findings of fact and conclusions of law.” The Illinois Supreme Court reinstated the trial court order, reasoning that reading the code as “directory,” so that noncompliance can be excused, does not impair the safeguards the law is intended to protect.View "In re Rita P." on Justia Law

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In 1968, Respondent pleaded guilty to rape and robbery. A federal court later vacated Respondent’s convictions. In 1978, Respondent was convicted of rape in the first degree. After Respondent was released on parole, he pleaded guilty in 1996 to rape in the first degree. Prior to Respondent’s release from custody, the State filed a petition under N.Y. Mental Hyg. Law 10 seeking a determination that Respondent was a detained sex offender requiring civil management. Respondent moved to preclude expert testimony relating to both the 1968 charges and an uncharged rape Respondent allegedly committed in 1978. Supreme Court denied the motion. After a trial, the jury returned a verdict finding that Respondent suffered from a mental abnormality qualifying him for civil management under article 10. Supreme Court subsequently ordered Respondent committed to a secure treatment facility. The Court of Appeals affirmed, holding (1) basis hearsay related to Respondent’s 1968 indictments for rape and robbery met minimum due process requirements and was properly admitted at trial; and (2) basis hearsay about Respondent’s uncharged rape was unreliable and should have been excluded, but its admission was harmless error. View "State v. John S." on Justia Law

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Sjöstrand graduated magna cum laude from Ohio State University in only two and a half years. She applied to the school’s Ph.D program in School Psychology, where her grade-point average (3.87) was tied for highest in the applicant pool and her GRE scores (combined 1110) exceeded OSU requirements. Sjöstrand suffers from Crohn’s disease. She claims that, in interviews, two of the program’s professors focused on her disease. Of seven applicants interviewed by the school, only Sjöstrand was rejected. She was initially told only that she did “not fit the program.” She sued under Title II of the Americans with Disabilities Act, 42 U.S.C. 12132, and the Rehabilitation Act, 29 U.S.C. 701. The district court granted OSU summary judgment. The Sixth Circuit reversed, finding that jury questions remained regarding whether she was rejected because of her disability.View "Sjostrand v. Ohio St. Univ." on Justia Law

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In 2007, Plaintiff, frustrated with then-proposed budget cuts to mental health services, sent the Governor a series of emails that were interpreted as threatening. Plaintiff was delivered to MaineGeneral Medical Center for a psychiatric evaluation, where she was eventually subjected to a search and held against her will for the night in a locked room. Plaintiff later filed an action against MaineGeneral and Scott Kemmerer, an emergency room physician, alleging that Defendants deprived her of liberty without due process and subjected her to an unreasonable search in violation of the Maine Civil Rights Act (MCRA). Defendants filed for entry of summary judgment as to the MCRA claims. The court (1) granted the motion as to MaineGeneral, determining that MaineGeneral could not be held vicariously liable for the acts of its employees under the MCRA; and (2) denied the motion as to Kemmerer. The Supreme Court (1) affirmed the denial of summary judgment as to Kemmerer on issues of immunity, holding that Kemmerer was not entitled to absolute immunity or common law qualified immunity from Plaintiff’s MCRA claims; and (2) did not reach Kemmerer’s remaining arguments in this interlocutory appeal. View "Clifford v. MaineGeneral Med. Ctr." on Justia Law

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Bryn Mawr Chicago nursing home, a Medicaid provider, is subject to Illinois Department of Public Health (IDPH) inspections. In 2010, IDPH inspected the facility following allegations that a resident had been sexually assaulted. Bryn Mawr was eventually cited for three deficiencies, 42 C.F.R. 488.301, two based on sexual abuse and one based on failure to sufficiently monitor a resident. Bryn Mawr challenged the findings by Informal Dispute Resolution, which involved exchange of written information without a live hearing. IDPH simultaneously conducted internal review and found that the deficiencies based on allegations of sexual abuse were not sufficiently supported by credible evidence, but the third party upheld the deficiency findings. Ultimately IDPH maintained the deficiency findings. Meanwhile, Bryn Mawr also engaged in a parallel process to “correct” deficiencies. At the follow-up inspection, IDPH determined that the deficiencies had been corrected, so that remedies would not be imposed. IDPH passed the deficiency findings on to the Centers for Medicare and Medicaid Services, which published them on its website and factored them into its 5-Star Rating System. Bryn Mawr’s rating was supposed to fall from five to four stars because of the deficiencies, but CMS mistakenly reduced it to two stars. Regardless of a partial correction, Bryn Mawr was displeased that it had not had the opportunity to challenge the findings at a hearing and sued to compel a hearing. The district court granted summary judgment to defendants. The Seventh Circuit affirmed. View "Bryn Mawr Care, Inc. v. Sebelius" on Justia Law

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In enacting comprehensive welfare reform in 1996, Congress rendered various groups of aliens ineligible for federal benefits and also restricted states' ability to use their own funds to provide benefits to certain aliens. As a condition of receiving federal funds, Congress required states to limit eligibility for federal benefits, such as Medicaid, to citizens and certain aliens. Plaintiffs filed suit claiming that Basic Health Hawai'i violated the Equal Protection Clause of the Fourteenth Amendment because it provided less health coverage to nonimmigrant aliens residing in Hawai'i (COFA Residents) than the health coverage that Hawai'i provided to citizens and qualified aliens who are eligible for federal reimbursements through Medicaid. The court concluded that Congress has plenary power to regulate immigration and the conditions on which aliens remain in the United States, and Congress has authorized states to do exactly what Hawai'i had done here - determine the eligibility for, and terms of, state benefits for aliens in a narrow third category, with regard to whom Congress expressly gave states limited discretion. Hawai'i has no constitutional obligation to fill the gap left by Congress's withdrawal of federal funding for COFA Residents. Accordingly, the court vacated the district court's grant of a preliminary injunction preventing Hawai'i from reducing state-paid health benefits for COFA Residents because Hawai'i is not obligated to backfill the loss of federal funds with state funds and its decision not to do so was subject to rational-basis review. View "Korab v. Fink" on Justia Law

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Planned Parenthood filed suit against the State for declaratory judgment and to enjoin provisions of 2013 Texas House Bill No. 2 (H.B. 2). H.B. 2 pertains to the regulation of surgical abortions and abortion-inducing drugs. Two provisions of H.B.2 were at issue: first, the requirement that a physician performing or inducing an abortion have admitting privileges at a hospital no more than thirty miles from the location where the abortion is provided; and second, the limitations on the use of abortion-inducing drugs to a protocol authorized by the FDA. The district court held that parts of both provisions were unconstitutional and granted, in substantial part, the requested injunctive relief. A motions panel of this court granted a stay pending appeal, and the Supreme Court upheld the stay. As a preliminary matter, the court concluded that the physician-plaintiffs had standing on behalf of their patients, as well as standing to assert their own rights. The court concluded that the district court applied the wrong legal standards under rational basis review and erred in finding that the admitting-privileges requirement amounts to an undue burden for a large fraction of women that it affects. The court also concluded that the district court erred in holding that H.B. 2's rejection of the off-label protocol from fifty to sixty-three days LMP (last menstrual period) facially imposes an undue burden on the abortion rights of certain women. Accordingly, the court reversed and rendered judgment for the State, except that the admitting privileges requirement may not be enforced against abortion providers who timely applied for admitting privileges under the statute but are awaiting a response from the hospital. View "Planned Parenthood, et al. v. Abbott, et al." on Justia Law

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In 2008, Shields, an Illinois prisoner was lifting weights and ruptured the pectoralis tendon in his left shoulder. Although he received some medical attention, he did not receive the prompt surgery needed for effective treatment. Due to oversights and delays by those responsible for his medical care, too much time passed for surgery to do any good. He has serious and permanent impairment that could have been avoided. After his release from prison, Shields filed suit under 42 U.S.C. 1983, alleging that several defendants were deliberately indifferent to his serious medical needs and violated his rights under the Eighth Amendment to the Constitution. The district court granted summary judgment in favor of the defendants. The Seventh Circuit affirmed, reasoning that Shields was the victim not of any one person’s deliberate indifference, but of a system of medical care that diffused responsibility for his care to the point that no single individual was responsible for seeing that he timely received the care he needed. As a result, no one person can be held liable for any constitutional violation. Shields’ efforts to rely on state medical malpractice law against certain private defendants also failed. View "Shields v. IL Dep't of Corrs." on Justia Law

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Plaintiffs filed suit against the Secretary of Health and Human Services (HHS) and the Commissioner of the Social Security Administration (SSA) raising constitutional challenges to the Patient Protection and Affordable Care Act (ACA), Pub. L. No 111-148, 124 Stat. 119; raising statutory challenges to actions of HHS and the Commissioner relating to the implementation of the ACA and prior Medical legislation; and attacking the failure of defendants to render an "accounting" that would alter the American people to the insolvency towards which Medicare and Social Security programs were heading. On appeal, plaintiffs challenged the district court's dismissal of their claims. The court rejected plaintiffs' claims that 26 U.S.C. 5000A, which was sustained as a valid exercise of the taxing power, violated the Fifth Amendment's prohibition of the taking of private property without just compensation and violated the origination clause. The court concluded that plaintiffs' substantive attack on the Social Security Program Operations Manual System (POMS) provisions was clearly foreclosed by its decision in Hall v. Sebelius, holding that the statutory text establishing Medicare Part A precludes any option not to be entitled to benefits. The court rejected plaintiffs' second statutory claim attacking an interim final rule. Finally, the court concluded that plaintiffs failed to provide a legal argument for their claims against the Commissioner and Secretary, and therefore, the court lacked jurisdiction over plaintiffs' claim to an "accounting." Accordingly, the court affirmed the judgment of the district court. View "Assoc. Amer. Physicians, et al. v. Sebelius, et al." on Justia Law

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In 2006 Buechel was incarcerated at FCI-Greenville federal correctional institution, where he contracted Methicillin-Resistant Staphylococcus aureus, (MRSA), a staph infection resistant to certain antibiotics. Buechel was hospitalized for more than 40 days and was left with serious and permanent damage to his heart and lungs. He sued under the Federal Tort Claims Act, 28 U.S.C. 1346(b), alleging that his injuries were caused by the prison’s negligence. The district court issued a pretrial order that limited Buechel’s negligence claim to a theory that he contracted MRSA from contact with one fellow inmate, in the prison laundry in July 2006, or more generally as a result of sloppy procedures in handling infected prison laundry. After a bench trial, the court held that Buechel had not proved that he contracted MRSA from either the inmate or the laundry procedures and entered judgment in favor of the government. The Seventh Circuit affirmed the finding that Buechel failed to prove that he contracted MRSA from the inmate or as a result of inadequate laundry procedures, but vacated and remanded for consideration of a broader theory. Buechel’s administrative claim and complaint presented a broader theory that the prison was negligent more generally in its failure to adhere to its MRSA-containment policies.View "Buechel v. United States" on Justia Law