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Justia Weekly Opinion Summaries

Health Law
January 17, 2020

Table of Contents

Palm Valley Health Care, Inc. v. Azar

Government & Administrative Law, Health Law

US Court of Appeals for the Fifth Circuit

Walker v. Corizon Health

Constitutional Law, Criminal Law, Government & Administrative Law, Health Law, Medical Malpractice

US Court of Appeals for the Tenth Circuit

State ex rel. Kelly v. Inman

Criminal Law, Health Law

Supreme Court of Missouri

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Health Law Opinions

Palm Valley Health Care, Inc. v. Azar

Court: US Court of Appeals for the Fifth Circuit

Docket: 18-41067

Opinion Date: January 15, 2020

Judge: Costa

Areas of Law: Government & Administrative Law, Health Law

The Fifth Circuit affirmed HHS's decision that extrapolating the Medicare underpayment rate to all claims paid over the relevant time period resulted in a repayment demand of more than $12 million. The court held that the district court correctly rejected Palm Valley's due process claim; Palm Valley failed to exhaust its challenge to the "homebound" standard and thus the court could not consider the issue; substantial evidence supported HHS's determination that many beneficiaries were not homebound; and there was no error in the extrapolation methodology.

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Walker v. Corizon Health

Court: US Court of Appeals for the Tenth Circuit

Docket: 19-3070

Opinion Date: January 14, 2020

Judge: Michael R. Murphy

Areas of Law: Constitutional Law, Criminal Law, Government & Administrative Law, Health Law, Medical Malpractice

Marques Davis was an inmate at the Hutchinson Correctional Facility (“HCF”) from June 2016 until his death in April 2017. During the course of his confinement, Davis suffered from constant neurological symptoms, the cause of which went untreated by HCF medical personnel. When he eventually died from Granulomatous Meningoencephalitis, Davis’s estate (“the Estate”) brought federal and state law claims against Corizon Health, Inc. and numerous health care professionals who interacted with Davis during his incarceration. One such medical professional, Dr. Sohaib Mohiuddin, filed a qualified-immunity-based motion to dismiss the Estate’s 42 U.S.C. 1983 claim. The district court denied the motion, concluding the complaint set out a clearly established violation of Davis’s right to be free from deliberate indifference to the need for serious medical care. Mohiuddin appealed, arguing the district court erred in determining the complaint’s conclusory and collective allegations stated a valid Eighth Amendment claim as to him. Upon de novo review, the Tenth Circuit concluded the complaint did not state a valid deliberate indifference claim as to Mohiuddin. Thus, it reversed the denial of Mohiuddin’s motion to dismiss and remanded the matter to the district court for further proceedings.

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State ex rel. Kelly v. Inman

Court: Supreme Court of Missouri

Docket: SC97744

Opinion Date: January 14, 2020

Judge: Mary R. Russell

Areas of Law: Criminal Law, Health Law

The Supreme Court vacated Defendant's guilty by mental disease or defect (NGRI) plea that the circuit court accepted after finding Defendant lacked competence to continue with the criminal proceedings, holding that the circuit court exceeded its authority under Mo. Rev. Stat. 552.020.8 and violated Defendant's due process rights. Defendant was charged with first-degree robbery and armed criminal action. After accepting Defendant's NGRI plea the circuit court found Defendant lacked competence to proceed and committed him to the department of mental health. The Defendant sought a writ of habeas corpus arguing that, pursuant to section 552.020.8, upon finding him incompetent, the circuit court was required to suspend the proceedings and commit him to the department of mental health. The Supreme Court agreed, holding that, by accepting Defendant's NGRI plea despite finding him incompetent to proceed, the circuit court exceeded its authority pursuant to section 552.020.8 and violated Defendant's due process rights.

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