Justia Health Law Opinion Summaries

The Supreme Court reversed the judgments of the court of appeals and the trial court concluding that the Health Care Liability Act, Tenn. Code Ann. 29-26-101 to -122, did not apply to Plaintiffs' medical battery and intentional misrepresentation claims, holding that Plaintiffs' claims fell within the definition of a "healthcare liability action" under the Act.Plaintiffs sued a doctor and his medical practice alleging medical battery and intentional misrepresentation. Defendants filed a motion to dismiss on the grounds that Plaintiffs did not comply with the Act's pre-suit notice and filing requirements. The trial court agreed, ruling that Defendants' misrepresentations were made before they rendered any health care services and therefore did not relate to the provision of health care services. The court of appeals affirmed. The Supreme Court reversed, holding that the Act applied to Plaintiffs' claims. View "Cooper v. Mandy" on Justia Law

Two cases were consolidated for the Mississippi Supreme Court's review. In the first appeal, Singing River MOB, LLC (MOB), argued that the leases between itself and Singing River Health System (SRHS) and the lease between Jackson County, Mississippi (County), and SRHS were valid and that the chancery court erred by finding the leases invalid under Mississippi’s “minutes rule.” In the second appeal, Jackson County and SRHS contended the chancery court erred by fashioning its own equitable relief as a result of the first ruling. MOB also raised its own objection as to the manner in which the equitable relief was fashioned. After careful review, the Supreme Court affirmed and remanded the partial summary-judgment order as to the first appeal (No. 2019-IA-01630-SCT); however, the Court reversed and remanded that order as to the second appeal (No. 2019-IA-01653-SCT). View "Singing River MOB, LLC v. Jackson County" on Justia Law

Magnolia, a managed care organization that contracted with the State to provide Medicaid services, applied what it saw as a statutory five percent reduction in Medicaid rates to Mississippi’s fourteen regional mental health providers. The regional providers responded by filing a complaint against Magnolia in which they sought injunctive relief and monetary damages. On February 18, 2020, Magnolia Health Plan, Inc., and Cenpatico Behavioral Health, LLC (collectively, “Magnolia”), filed a timely notice of appeal after a circuit court denied Magnolia’s motion to compel arbitration, and granted a preliminary injunction against it in favor of Defendants, Mississippi’s fourteen regional health commissions. The notice of appeal included both orders. As to the first, the order denying Magnolia’s motion to compel arbitration, at oral argument before the Mississippi Supreme Court panel, Magnolia abandoned the issue. As to the second, the order granting Magnolia’s request for a permanent injunction, the order was not a final, appealable judgment. Accordingly, the Supreme Court concluded it did not have jurisdiction for further review. View "Magnolia Health Plan, Inc. et al. v. Mississippi's Community Mental Health Commissions, et al." on Justia Law

A jury returned a $4 million verdict in favor of Plaintiff Jana Bracewell, Administratix of the Estate of Cameron Chase Hill, in a medical negligence/wrongful-death suit against Defendants, B. Michael Weber, M.D., and The OB-GYN Group of Laurel, P.A. Defendants appealed the judgment, claiming the trial court erred by denying their posttrial motion for a judgment notwithstanding the verdict (JNOV) or, in the alternative, a new trial. Plaintiff cross-appealed, claiming the trial court erred by reducing the jury’s noneconomic-damages award. Dr. Weber’s partner, Dr. Robert DeSantis, was Erica Shae Hill’s primary OB-GYN throughout her pregnancy. On November 23, 2001, Hill went into labor around 2:30 a.m.; she went to South Central Regional Medical Center in Laurel, Mississippi. Dr. Weber, who was on call for Dr. DeSantis that night, managed Hill’s care throughout labor, and he delivered Cameron Chase Hill by vaginal delivery at approximately 1:10 p.m. that afternoon. Cameron and Hill were discharged on November 25, 2001. The next day, Cameron was taken to Forrest General Hospital because he was not eating. Cameron ultimately was diagnosed with hypoxic ischemic encephalopathy (HIE), a neurological injury resulting from lack of oxygen to the brain. According to Defendants, Cameron’s Forrest General Hospital records for his admission shortly after birth included a secondary diagnosis of “viral meningits – NOS.” Cameron lived only to age five. Plaintiff filed a complaint in December 2002 on behalf of Cameron, alleging negligence on the part of Dr. Weber and The OB-GYN Group of Laurel. The complaint claimed that Dr. Weber breached the applicable standard of care by failing to recognize, appreciate, and respond to the signs and symptoms of fetal distress, ischemia, and/or hypoxia during the labor and delivery of Cameron. The Mississippi Supreme Court found no error in the trial court’s decision to deny Defendants’ motion for a JNOV or a new trial. As to Plaintiff’s cross-appeal, the Court agreed that the trial court erred by reducing the jury’s noneconomic-damages award, given that this action was filed before September 1, 2004, the date the amended version of Section 11-1-60(2)(a) went into effect. View "Weber, et al. v. Estate of Hill" on Justia Law

The Supreme Court dismissed this petition for review of a decision of the court of appeals affirming a circuit court order that certified a class and appointed Timothy Rave as class representative, holding that this case was moot.In the underlying action, Rave alleged that SVA Healthcare Services, LLC (SVA), a medical records vendor, improperly charged him and others similarly situated a fee for copies of medical records that exceeded the fee restrictions set forth in Wis. Stat. 146.83(3f)(b). At issue before the Supreme Court was whether the circuit court erred in granting Rave's motion for class certification. In Townsend v. ChartSwap, LL, 967 N.W.2d 21 (Wis. 2021), the Supreme Court held that fee restrictions in section 146.83(3f)(b) apply only to "health care providers" as that term is defined in Wis. Stat. 146.81(1). Following the issuance of Townsend, Rave filed a motion to dismiss. The Supreme Court granted the motion, holding that Townsend rendered this matter moot because no evidence showed that SVA met the definition of a health care provider in section 146.81(1). View "Rave v. SVA Healthcare Services, LLC" on Justia Law

Tomei went to Parkwest Hospital after he injured his foot and leg. He is deaf and communicates using American Sign Language. He asked for an interpreter. Parkwest never provided one. Medical staff gave him an antibiotic and ibuprofen and sent him home. Days later he went to the emergency room, where doctors determined he had blood clots in his leg. Parkwest offered only to connect Tomei with an off-site interpreter via webcam. The connection was so glitchy that Tomei could not effectively communicate. After surgery, Tomei could not tell the medical staff that he was still experiencing pain. Tomei was sent home. Tomei’s family doctor sent him to the University of Tennessee Medical Center, where interpreters helped him through a second surgery. Ultimately, doctors amputated nearly one-third of his leg. About 15 months after he was first denied an interpreter, Tomei sued under section 1557 of the Patient Protection and Affordable Care Act (ACA).The Sixth Circuit rejected an argument that the suit was untimely under Tennessee’s one-year statute of limitations for personal injury suits. Unless federal law provides otherwise, a civil action “arising under” a federal statute enacted after December 1, 1990, is subject to a four-year statute of limitations. 28 U.S.C. 1658(a). Tomei brought his discrimination claim under the ACA—not the Rehabilitation Act. No statute or regulation explicitly sets a statute of limitations for violating the ACA’s discrimination bar. View "Tomei v. Parkwest Medical Center" on Justia Law

The DC Circuit affirmed the district court's dismissal of RICU's complaint alleging that the Department's determination that critical care telehealth services provided by physicians who are outside of the United States are ineligible for Medicare reimbursement. The court concluded that RICU seeks to avoid well-settled authority requiring administrative exhaustion under the Medicare Act by presenting a concrete claim for payment of rendered services to the Department for decision. Because RICU has neither satisfied the channeling requirement of 42 U.S.C. 405(g) nor demonstrated that the Illinois Council exception applies, the court dismissed based on lack of subject matter jurisdiction. The court has no jurisdiction to consider the merits of RICU's motion for a preliminary injunction. View "RICU LLC v. Department of Health and Human Services" on Justia Law

Coffey was employed by the Railway as a locomotive engineer. In 2012, a train that Coffey was operating derailed; a drug test revealed the presence of amphetamines in Coffey’s system. Coffey was permitted to continue working, but he was subject to follow-up drug testing for five years. In 2016, a test showed the presence of amphetamines and codeine. Coffey explained that he had prescriptions for Adderall, which he took for ADHD, and codeine (Tylenol #3), which he took for a back condition. Railway requested that Coffey provide medical records. Six weeks later, Coffey ruptured his Achilles tendon and took medical leave for 10 months. When his physician cleared him to return to work, Railway again requested the records it had previously requested. After two more demands, Railway received some records but was unsatisfied because they failed to include specifically requested information such as medication side effects. In anticipation of a disciplinary hearing, Coffey submitted approximately 400 pages of medical records. Upon determining that those records still did not address much of the required information, Railway terminated Coffey’s employment.The EEOC concluded that there was reasonable cause to believe that Railway’s demands violated the ADA, 42 U.S.C. 12112(a). The district court and Fourth Circuit rejected Coffey’s subsequent suit. Railway made a lawful request under the ADA. Its inquiries were related to Coffey’s job and were required by federal regulation. Complying with federal regulations is, by definition, a business necessity. View "Coffey v. Norfolk Southern Railway Co." on Justia Law

Through a bankruptcy proceeding, Bristol became the successor-in-interest to Haven, an accredited mental-health and substance-abuse treatment center that regularly serviced patients insured by Cigna. Bristol alleged that Cigna violated the Employee Retirement Income Security Act of 1974 (ERISA) and state law by denying Haven’s claims for reimbursement for services provided. Haven was out-of-network for Cigna’s insureds. The district court dismissed Bristol’s ERISA claim, as an assignee of a healthcare provider, for lack of derivative standing, or lack of authority to bring a claim under ERISA, 29 U.S.C. 1132(a)(1)(B).The Ninth Circuit reversed. Under ERISA, a non-participant health provider cannot bring claims for benefits on its own behalf but must do so derivatively, relying on its patients’ assignments of their benefits claims. Other assignees also may have derivative standing if extending standing would align with the goal of ERISA. Refusing to allow derivative standing for Bristol would create serious perverse incentives that would undermine the goal of ERISA. Denying derivative standing to health care providers would harm participants or beneficiaries because it would discourage providers from becoming assignees and possibly from helping beneficiaries who were unable to pay up-front. View "Bristol SL Holdings, Inc. v. Cigna Health and Life Insurance Co." on Justia Law

A patient sued a hospital after learning that a hospital employee intentionally disclosed the patient’s health information in violation of the Health Insurance Portability and Accountability Act (HIPAA). The patient alleged the disclosure breached the hospital’s contractual obligations to him. The superior court instructed the jury to return a verdict for the hospital if the jury found that the employee was not acting in the course and scope of employment when she disclosed the patient’s information. The jury so found, leading to judgment in the hospital’s favor. The Alaska Supreme Court found the jury instruction erroneously applied the rule of vicarious liability to excuse liability for breach of contract. "A party that breaches its contractual obligations is liable for breach regardless of whether the breach is caused by an employee acting outside the scope of employment, unless the terms of the contract excuse liability for that reason." The Court therefore reversed judgment and remanded for further proceedings, in particular to determine whether a contract existed between the patient and hospital and, if so, the contract’s terms governing patient health information. View "Guy v. Providence Health & Services Washington" on Justia Law