Justia Public Benefits Opinion Summaries

Before 1992, Chicago police officers received pension credit for time worked for the Cook County Sheriff’s Department. In 1992, the Retirement Board began denying pension credit to retiring officers for prior service with the Sheriff’s Department. In 2008, the Illinois Appellate Court ruled that this practice was improper under the Illinois Pension Code. Officers who had been denied pension credit sought reconsideration. The Board concluded that it lacked jurisdiction to reconsider the final rulings after the statutory 35‐day limit. The officers did not seek review in state court, but filed a federal suit on behalf of themselves and other similarly situated officers, alleging violations of procedural due process and equal protection rights under the U.S. and state constitutions. The district court dismissed. The Seventh Circuit affirmed, reasoning that the officers’ complaint is, essentially, that Illinois law provides no procedure for making the appellate decision retroactive Their sole remedy lies with the political branches of Illinois government. View "Rasario v. Ret. Bd. of the Policemens' Annuity & Benefit Fund" on Justia Law

Plaintiffs, on behalf of their daughter, filed suit challenging the district's implementation of a new individualized education program (IEP) for their daughter under the Individuals with Disabilities Education Act (IDEA), 20 U.S.C. 1400 et seq. Determining that the daughter's case was not moot, the court concluded that the court need not decide whether the various notice requirements were satisfied because whatever notice deficiencies there could have been in this case, they did not warrant relief; there was no error in requiring the parents to present a complaint and demand a due process hearing because they disagreed with the IEP team's decision; the district court correctly stated the Loren F. ex. rel. Fisher v. Atlanta Independent School System standard, fully reviewed the administrative record, and independently analyzed each of the parents' claims; the district court did not abuse its discretion when it issued the parents' proposed order and then decided the case on summary judgment; and the court held that 42 U.S.C. 1983 actions for denial of rights conferred by the IDEA were barred because the IDEA's comprehensive enforcement scheme provided the sole remedy for statutory violations and, therefore, the district court did not err in dismissing the parents' section 1983 claims. Accordingly, the court affirmed the judgment of the district court. View "K.A. v. Fulton County Sch. Dist." on Justia Law

Plaintiff first applied for social security disability insurance (SSI) benefits ten years ago. When the benefits were denied, plaintiff requested a hearing but the SSA ruled that her request was untimely and denied a subsequent application on the ground of res judicata. The SSA never explained why it rejected plaintiff's facially valid excuse for the delay in her hearing request. The district court then dismissed her action for lack of subject matter jurisdiction. The court reversed and remanded, concluding that the ALJ failed to consider whether plaintiff's facially valid reasons constituted good cause excusing the delay, and deprived plaintiff of her due process right to a meaningful opportunity to be heard and to seek reconsideration of an adverse benefits determination. View "Dexter v. Astrue" on Justia Law

Plaintiff and his wife appealed the denial of his application for Medicaid benefits, arguing that the Department wrongfully denied the application because it had improperly counted against the wife's eligibility an annuity owned by the wife. The district court ruled in favor of plaintiffs and the Department appealed. The court concluded that, because the wife had no right, authority, or power to liquidate the annuity, the annuity benefits were not a resource, but rather was income indicated by the federal statute defining "unearned income." Therefore, the Department applied a more restrictive methodology under state law by classifying the annuity benefits as a resource that counted against plaintiff's eligibility for Medicaid benefits. The court rejected the Department's counter-arguments and the remaining arguments, and affirmed the judgment of the district court. View "Geston, et al. v. Anderson" on Justia Law

The Secretary appealed the district court's order certifying a nationwide class of Medicare beneficiaries and granting summary judgment in the beneficiaries' favor. The beneficiaries raised two claims: (1) the Secretary's practice of demand "up front" reimbursement for secondary payments from beneficiaries who have appealed a reimbursement determination or sought waiver of the reimbursement obligation was inconsistent with the secondary payer provisions of the Medicare statutory scheme; and (2) the Secretary's practice violated their due process rights. The court concluded that Patricia Haro had Article III standing on behalf of the class; John Balentine, as counsel for Haro, had Article III standing on his individual claim; and the beneficiaries' claims for injunctive relief were not moot and Article III's justiciability requirements were satisfied. The court concluded, however, that the beneficiaries' claim was not adequately presented to the agency at the administrative level and therefore the district court lacked subject matter jurisdiction under 42 U.S.C. 405(g). On the merits of Balentine's claim, the court concluded that the Secretary's interpretation of the secondary payer provisions was reasonable. Therefore, the court vacated the district court's injunctions, reversed the district court's summary judgment order, and remanded for consideration of the beneficiaries' due process claim. View "Haro v. Sebelius" on Justia Law

A 2010 fire at an apartment in Erie, Pennsylvania took the lives of a tenant and her guest. The third-floor bedroom purportedly lacked a smoke detector and an alternate means of egress, both of which are required under the Section 8 housing choice voucher program (42 U.S.C. 1437f) in which Richardson participated. The district court rejected a defense of qualified immunity in a suit under 42 U.S.C. 1983 by the estates of the deceased. The Third Circuit reversed. State officials’ approval and subsidization of the apartment for the Section 8 program, even though the apartment allegedly failed to comply with Section 8’s standards, did not constitute a state-created danger toward the apartment’s tenant and her guest in violation of their constitutional substantive due process rights. View "Henry v. City of Erie" on Justia Law

Planned Parenthood and others filed suit challenging Ariz. Rev. Stat. 35-196.05(B) as a violation of the federal Medicaid Act, 42 U.S.C. 1396a. Ariz. Rev. Stat. 35-196.05(B) barred patients eligible for the state's Medicaid program from obtaining covered family planning services through health care providers who performed abortions in cases other than medical necessity, rape, or incest. The court concluded that the district court's entry of final judgment and a permanent injunction mooted Arizona's appeal of the district court's preliminary injunction. Therefore, the court dismissed that appeal (Case No. 12-17558), and considered only Arizona's appeal of the summary judgment order and permanent injunction (Case No. 13-15506). The court held that the Medicaid Act's free-choice-of-provider requirement conferred a private right of action under 42 U.S.C. 1983. The court also held that the Arizona statute contravenes the Medicaid Act's requirement that states give Medicaid recipients a free choice of qualified provider. Accordingly, the court affirmed the district court's summary judgment and permanent injunction. View "Planned Parenthood v. Betlach" on Justia Law

Plaintiff filed suit against the district alleging claims for disability discrimination and failure to accommodate under the Americans with Disabilities Act of 1990 (ADA), 42 U.S.C. 12101-12213. On appeal, plaintiff challenged the district court's grant of summary judgment in favor of the district. The court concluded that the district court did not abuse its discretion by reconsidering its prior order denying summary judgment where the district court found that it had committed clear error by not considering whether plaintiff gave a sufficient explanation for the conflict between her ADA claim and her Nevada Public Employees' Retirement Systems (PERS) application under the Supreme Court's decision in Cleveland v. Policy Mgmt. Sys. Corp. Under the standard set forth in Cleveland, the court concluded that plaintiff gave sufficient explanations for the inconsistencies between her ADA claim and her PERS and Family Medical Leave Act (FMLA), 29 U.S.C. 2601, applications to survive summary judgment. Accordingly, the court affirmed in part and reversed in part, remanding for further proceedings. View "Smith v. Clark County School District" on Justia Law

Plaintiff, a severely disabled student, filed suit arguing that he was entitled to remain at a private school he had been attending since the age of seven. The Department issued a formal notice that plaintiff's special education placement at the school would end when he turned 20 years old. Plaintiff argued that he was entitled to remain at the school until he was 22 years old. At issue on appeal was whether the "stay put" provision in the Individuals with Disabilities Education Act (IDEA), 20 U.S.C. 1415j, applied to a student who has exceeded a state-imposed age limit on eligibility for public education. The court affirmed the judgment of the district court, concluding that the district court correctly granted plaintiff's motion for stay put. Plaintiff was entitled to remain at the school as his stay-put placement from the date he filed his administrative complaint and he was entitled to remain there until his case was finally resolved. View "A.D. v. State of Hawaii Dep't of Educ." on Justia Law

Plaintiffs filed a due-process complaint against the DOE seeking tuition reimbursement after plaintiffs enrolled their autistic child in a private school because the DOE failed to provide the child with a free and appropriate public education under the Individuals with Disabilities Education Improvement Act (IDEA), 20 U.S.C. 1400 et seq. The court affirmed the state review officer's determination that the hearing record did not support the impartial hearing officer's determination that the lack of a functional behavior assessment (FBA) rose to the level of denying the child a free and appropriate public education (FAPE) where the individualized education program (IEP) addressed behavioral needs. Further, the IEP's failure to include parental counseling did not deny the child a FAPE; the SRO did not rely upon impermissible retrospection and the court deferred to her analysis; and the court found plaintiffs' remaining arguments to be without merit. Accordingly, the court affirmed the grant of summary judgment in favor of defendants. View "M.W. v. New York City Dep't of Educ." on Justia Law