Justia U.S. 1st Circuit Court of Appeals Opinion Summaries

Articles Posted in Health Law
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The First Circuit affirmed the judgment of the district court denying Appellants' request for a preliminary injunction to prevent enforcement of a regulation promulgated by Maine's Center for Disease Control requiring all workers in licensed healthcare facilities to be vaccinated against COVID-19, holding that the district court did not err.Under Maine law, a healthcare worker may claim an exemption from the vaccination requirement only if a medical practitioner certifies that vaccination "may be medically inadvisable." Appellants - several Maine healthcare workers and a healthcare provider - brought this action alleging that the vaccination requirement violated their rights under 42 U.S.C. 1985 and the Free Exercise Clause, Supremacy Clause, and Equal Protection Clause of the United States Constitution. The district court denied Appellants' motion for a preliminary injunction. The First Circuit affirmed, holding that the district court did not err in concluding that Appellants were unlikely to succeed on the merits of their claims. View "Does v. Mills" on Justia Law

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The First Circuit dismissed this appeal from the district court's denial of Plaintiff's request for injunctive relief, holding that Plaintiff's claims were moot.During the initial stages of COVID-19 vaccine distribution, the State of New Hampshire implemented a plan to allocate its supply. The overall plan earmarked up to ten percent of vaccines to an "equity plan" to reach certain vulnerable individuals. Before he obtained a vaccine appointment, Plaintiff sued to challenge the equity plan, arguing that the plan illegally discriminated on the basis of race. The district court denied Plaintiff's request for a preliminary injunction, and Plaintiff appealed. The First Circuit dismissed the appeal, holding that where Plaintiff no longer had any stake in how New Hampshire allocates its abundant supply of vaccines, his request for a preliminary injunction was moot. View "Pietrangelo v. Sununu" on Justia Law

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The First Circuit affirmed the district court's dismissal of this suit challenging Massachusetts Governor Charles Baker's COVID-19 Order No. 43 as unconstitutional, holding that the case was moot.Bit Bar, which owned and ran a restaurant/arcade in the city of Salem, Massachusetts, brought suit under 42 U.S.C. 1983, attacking Governor Baker's order, which temporarily closed the trade part of Bit Bar's business, as unconstitutional. The complaint alleged that the Governor's restriction violated Bit Bar's First and Fourteenth Amendment rights. Just days after Bit Bar filed suit, Governor Baker entered an order allowing arcades to reopen. The Governor then moved to dismiss the complaint as moot. The district court granted the motion to dismiss. The First Circuit affirmed, holding that the case was moot. View "Boston Bit Labs, Inc. v. Baker" on Justia Law

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In this action brought by a group of twenty-five acute-care hospitals in Puerto Rico that received disproportionate share hospital payments (DHS payments) from the government, the First Circuit affirmed the decision of the district court denying relief on Plaintiffs' allegations that the Secretary of the United States Department of Health and Human Services improperly calculated their DSH payments, holding that the district court did not err.When Congress included hospitals in Puerto Rico in providing coverage for the DSH reimbursement program, the DSH payments were often substantially less than the DSH payments provided to similarly-situated hospitals in the states. This disparity was the result of the application to hospitals in Puerto Rico of the existing statutory formula used to calculate DSH payments to hospitals in the states. Plaintiffs brought this action challenging the Secretary's interpretation and application of the statutory formula, arguing that it was inconsistent with the Medicare Act, the Administrative Procedure Act, and the Equal Protection Clause of the United States Constitution. The district court denied relief. The First Circuit affirmed, holding that the Secretary did not err in implementing the statute and that Plaintiffs failed to show that they were the victims of any unconstitutional discrimination by the Secretary. View "Asociacion Hospital del Maestro, Inc. v. Becerra" on Justia Law

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The First Circuit vacated the ruling of the district court denying Plaintiffs' motion for a preliminary injunction in this case, holding that record lacked necessary findings and that remand was required.This case arose from a decision by the Speaker of the New Hampshire House of Representatives to enforce a House rule precluding any representative from participating in proceedings involving the full House, including House matters, other than in person. Plaintiffs, including seven members of the House who claimed to suffer from medical conditions making them vulnerable to COVID-19, brought this action arguing that the Speaker was required to allow them to participate remotely under Title II of the Americans with Disabilities Act, 42 U.S.C. 12132, and section 504 of the Rehabiliation Act, 29 U.S. 794. The district court denied Plaintiffs' motion for a preliminary injunction. The First Circuit vacated the district court's decision, holding that the court erred in finding that the doctrine of legislative immunity shielded the Speaker from having to comply with the ADA and/or Section 504. View "Cushing v. Packard" on Justia Law

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The First Circuit affirmed the judgment of the district court denying the Municipality of Canovanas's Fed. R. Civ. P. 60(b) motion to overturn the default judgment entered for Plaintiffs on Plaintiffs' claims brought under the Emergency Medical Treatment and Labor Act (EMTALA), 42 U.S.C. 1395dd, and Puerto Rico law, holding that Canovanas's arguments were unavailing.Plaintiffs, Julio Carrasquillo-Serrano (Carrasquillo) and his family, alleged that Canovanas owned, operated, and/or managed CDT of Canovanas, the emergency medical facility that provided medical services to Carrasquillo and that Carrasquillo was permanently disabled as a result of Defendants' negligence. The district court entered judgment for Plaintiffs. The First Circuit affirmed, holding (1) the judgment was not void for lack of jurisdiction; (2) service of process was sufficient; (3) a statutory limitation of liability is an affirmative defense; and (4) the district court had jurisdiction to determine the merits of Plaintiffs' EMTALA claims. View "Carrasquillo-Serrano v. Municipality of Canovanas" on Justia Law

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The First Circuit affirmed the decision of the district court refusing to enter Plaintiffs' requested preliminary injunction, holding that the district court correctly held that Plaintiffs failed to demonstrate a likelihood of success on the merits of their right to travel claim.Plaintiffs, three individuals who intended to travel from New Hampshire to Maine and certain businesses that relied on out-of-state customers, filed suit in response to an executive order issued by the Governor of Maine in response to the COVID-19 pandemic. The order required persons traveling to Maine to self-quarantine upon their arrival for fourteen days before going out in public. Plaintiffs sought a preliminary injunction prohibiting the requirement's enforcement, alleging that the self-quarantine requirement violated their constitutional rights to interstate travel and to procedural due process. The district court rejected the request. The First Circuit affirmed, holding that the district court correctly held that Plaintiffs failed to meet their burden to show that they had a likelihood of success on the merits. View "Bayley's Campground Inc. v. Mills" on Justia Law

Posted in: Health Law
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The First Circuit dismissed this appeal without prejudice for lack of appellate jurisdiction, holding that the appeal was premature.In the early weeks of the COVID-19 pandemic, the Governor of Maine responded to the threat of contagion by issuing executive orders limiting all non-essential activities and gatherings. Plaintiff Calvary Chapel of Bangor brought this action arguing that those orders violated the First Amendment's Free Speech, Free Exercise, Assembly, and Establishment protections. The district court refused Plaintiff's request for a temporary restraining order. Plaintiff appealed. The First Circuit dismissed the appeal, holding that this case did not display the criteria this Court has previously identified as characterizing a de facto denial of injunctive relief and that the remaining requirements for appealability were not satisfied. View "Calvary Chapel of Bangor v. Mills" on Justia Law

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In this case concerning arbitration agreements, nursing homes, and wrongful death claims under Massachusetts law, the First Circuit affirmed the judgment of the district court compelling arbitration after first certifying two questions to the Massachusetts Supreme Judicial Court (SJC), holding that the SJC's decision compelled the First Circuit to affirmed the judgment compelling arbitration.The personal representative of a deceased former nursing home resident brought a state wrongful death action against a set of organizations that oversaw the nursing home (collectively, nursing home). The nursing home sued to compel arbitration. The federal court compelled arbitration. On appeal, the personal representative argued that she was not bound by the decedent’s agreement to arbitrate with the nursing home because her wrongful death right of recovery was independent of the decedent’s wrongful death claim. The First Circuit certified questions of law to the SJC. After the SJC answered that claims of statutory beneficiaries under the state's wrongful death statute are derivative of the decedent's own cause of action, the First Circuit affirmed the district court's judgment, holding that the SJC's decision required this Court to affirm the judgment compelling arbitration. View "GGNSC Chestnut Hill LLC v. Schrader" on Justia Law

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The First Circuit affirmed the judgment of the district court finding that Plaintiffs, patients whose healthcare providers used eClinicalWorks, LLC (ECW) software to record and store their medical records, lacked standing to bring this case, holding that, without further injury, Plaintiffs lacked standing to bring this case.Plaintiffs were the estates of two deceased patients whose medical records were kept and stored by healthcare providers using ECW. Plaintiffs alleged that ECW's system was riddled with bugs that showed healthcare providers false and incomplete data about patients' medical problems and treatments and that ECW hid the glitches from government regulators. Plaintiffs brought several state common-law claims and sought to represent a class of millions of other similarly-situated patients. The district court dismissed the case under Fed. R. Civ. P. 12(b)(1). The First Circuit affirmed, holding that the arguments as presented sought redress based on a moot risk of misdiagnosis or mistreatment that no statute or common-law claim makes suable. Therefore, Plaintiffs lacked standing to bring this case. View "Amrhein v. eClinical Works, LLC" on Justia Law