Justia Health Law Opinion Summaries

Articles Posted in Maine Supreme Judicial Court
by
The Supreme Judicial Court vacated the judgment of the superior court vacating a Department of Health and Human Services hearing officer's decision requiring AngleZ Behavioral Health Services to pay $392,603.31 in MaineCare reimbursements because of billing errors, holding that the superior court erred by finding that the Department did not submit proper evidence in support of some of its recoupment claims.After auditing the claims submitted by AngleZ between February 13, 2013 and July 20, 2013 The Department issued a notice of violation applying an error rate to all of AngleZ's claims during that time period. The Department ultimately sought a total recoupment of $392,603.31. A hearing officer concluded that the Department was correct in seeking 392,603.31 in recoupment, and the Department's acting commissioner adopted the recommendation. The superior court vacated the Commissioner's decision, concluding that the hearing officer's decision was not supported by substantial evidence. The Supreme Judicial Court vacated the superior court's judgment, holding that the hearing officer's decision was supported by substantial evidence and was neither arbitrary nor capricious. View "AngleZ Behavioral Health Services v. Department of Health and Human Services" on Justia Law

by
The Supreme Judicial Court vacated the judgment of the probate court denying L.'s petition for termination of his adult guardianship, holding that the court applied an incorrect standard of proof in contravention of Me. Rev. Stat. 18-A, 5-307(d).In denying L.'s petition the probate court determined that L. "failed to prove by clear and convincing evidence that his adult guardianship was no longer necessary for his safety and well-being." The Supreme Court vacated the judgment, holding (1) Me. Rev. Stat. 18-A, 5-307(d) sets forth the burden of proof applicable to L.'s petition for termination of guardianship; and (2) the probate court in this case failed to apply the proper statutory standard of proof in denying L.'s petition. View "In re Adult Guardianship of L." on Justia Law

by
The Supreme Judicial Court vacated the judgment of the probate court denying the petition filed by Michael Zani and Peter Zani to be appointed co-guardians of Patricia S., their mother and an incapacitated adult, and instead appointing Karin Beaster and Nancy Carter as co-guardians, holding that Beaster and Carter had not fulfilled the pretrial filing requirements of Me. Rev. Stat. 18-A, 5-303(a).The probate court appointed Beaster and Carter as co-guardians of Patricia even though Beaster and Carter had not filed petitions to be appointed. The Supreme Judicial Court vacated the judgment, holding that the superior court erred by appointing Beaster and Carter when they had not complied with the requirements applicable to a guardianship petition under section 5-303(a). View "In re Patricia S." on Justia Law

by
The Supreme Judicial Court affirmed the judgment of the probate court appointing the Department of Health and Human Services as David P.’s limited public guardian pursuant to Me. Rev. Stat. 18-A, 5-601, holding that any error on the part of the probate court was harmless and that there was sufficient competent evidence in the record to support the probate court’s judgment.On appeal, David argued that there was insufficient evidence to support the probate court’s decision and that the court erred in admitting a written report drafted by a psychologist in violation of the rule against hearsay. The Supreme Judicial Court held (1) it was error for the probate court to admit the psychologist’s written report in its entirety, but the error was harmless; and (2) the evidence was sufficient to support the judgment. View "Guardianship of David P." on Justia Law

by
After correcting one aspect of the judgment, the Supreme Judicial Court affirmed the judgment of the superior court granting Defendants’ motions to dismiss Plaintiff’s complaint stemming from a hospital’s decision not to employ her, holding that the superior court correctly granted the hospital's and a physician's separate motions to dismiss the complaint for failure to state claims upon which relief could be granted because some counts failed due to the absolute immunity provisions of the Maine Health Security Act, Me. Rev. Stat. 24, 2501-2988, and other counts were legally insufficient.Plaintiff filed a second amended complaint against a physician and a hospital, asserting various claims. The superior court dismissed the counts against the physician, determining he was entitled to immunity pursuant to Me. Rev. Stat. 24, 2511, and dismissed the claims against the hospital for failure to state claims upon which relief could be granted. On appeal, the Supreme Judicial Court held that the superior court correctly dismissed all claims against the physician because he was immune from civil liability, but the judgment dismissing the claims against the physician for defamation, slander per se, and negligent infliction of emotional distress was corrected as dismissals with prejudice. View "Argereow v. Weisberg" on Justia Law

by
In this professional negligence action, the Supreme Judicial Court affirmed the judgment of the superior court concluding that Defendant, a medical center, was not negligent when it discharged Plaintiffs’ father, who died the night he was discharged.After a bench trial, the superior court concluded that Defendant was not negligent when it discharged the decedent over the objection of his guardians and that the discharge plan met the standard of care. The Supreme Judicial Court affirmed, holding that the superior court (1) did not err in concluding that, at the time he was discharged, Defendant had regained capacity to make his own health-care decisions and that Defendant’s discharge plan met the standard of care; and (2) did not err in denying Defendant’s request for costs for expert witness fees and expenses incurred during the prelitigation screening panel process. View "Oliver v. Eastern Maine Medical Center" on Justia Law

by
The Supreme Judicial Court affirmed the judgment of the superior court denying Appellant’s petition for release and discharge from the custody of the Commissioner of Health and Human Services pursuant to Me. Rev. Stat. 15, 104-A. The Court held that, contrary to Appellant’s argument on appeal, the superior court applied the correct standard when it denied Appellant’s petition for release and discharge and properly denied the petition where Appellant failed to prove that he “may be released or discharged without likelihood that [he] will cause injury to [himself] or to others due to a mental disease or mental defect.” View "Begin v. State" on Justia Law

by
The Supreme Judicial Court vacated the judgment of the superior court concluding that a provider’s participation in MaineCare constitutes a “license,” the revocation of which invokes the district court jurisdiction. The superior court declared that the district court, and not the Department of Health and Human Services, had exclusive original jurisdiction over the decision to terminate a doctor’s participation in, and reimbursement from, MaineCare and any other medical assistance programs in the state of Maine. The Supreme Judicial Court vacated the judgment entered in favor of the doctor and remanded the matter, holding that the Department’s decision to terminate the doctor’s participation in the MaineCare program did not fall within the licensing decisions over which the legislature gave the district court original and exclusive jurisdiction. View "Doane v. Department of Health & Human Services" on Justia Law

by
The Supreme Judicial Court affirmed the judgment of the superior court dismissing Plaintiffs’ constitutional and statutory claims against the Commissioner of the Department of Health and Human Services and two Department employees. Plaintiffs alleged the same facts in an earlier action filed in federal court arising out of the same allegedly wrongful acts. The federal court dismissed all claims against the Commission for failure to state a claim upon which relief could be granted and dismissed the claims against one of the employees for Plaintiffs’ failure timely to serve her. Approximately one year later, Plaintiffs filed this action. The superior court dismissed all of Plaintiffs’ claims, concluding that the claims against all three defendants were barred by the claim preclusion component of the doctrine of res judicata. The Supreme Judicial Court affirmed, holding that the superior court did not err by dismissing Plaintiffs’ claims against the two employees on claim preclusion grounds because the employees had a sufficiently close relationship to the Commissioner to satisfy the requirement of claim preclusion of “sufficient identically between the parties in the two actions.” View "Estate of Paul F. Treworgy v. Commissioner, Department of Health & Human Services" on Justia Law

by
The Supreme Judicial Court affirmed the judgment of the superior court denying Mark Gessner’s petition for release from the Riverview Psychiatric Center. On appeal, Gessner argued that the statute governing his opportunity for release from institutional inpatient residency, Me. Rev. Stat. 15, 104-A, was unconstitutionally vague as applied to him. Because Gessner did not raise the vagueness issue to the trial court, the Supreme Judicial Court reviewed for obvious error. The court held (1) considering Gessner’s history of mental illness and violence and his refusal to acknowledge his mental illness or to participate in treatment, the statute’s terms were not unconstitutionally vague for purposes of addressing the individual circumstances at issue in this case; and (2) therefore, Gessner failed to meet his burden of demonstrating that the court committed obvious error. View "Gessner v. State" on Justia Law