Justia U.S. 9th Circuit Court of Appeals Opinion Summaries

Plaintiff appealed the district court's dismissal of claims he brought against Board Members, in their individual capacities, under 42 U.S.C. 1983. Plaintiff alleged that the Board Members deprived him of his constitutional rights when, in an ex parte emergency proceeding, they summarily suspended his authority to prescribe medication. The court held that the Board Members were absolutely immune from plaintiff's claims for money damages where they were functionally comparable to judges and their summary suspension authority was comparable to a judicial act. The court also held that Younger abstention barred plaintiff's claims for equitable relief. Accordingly, the court affirmed the judgment.

Plaintiffs brought several state causes of action in Arizona state court against Medtronic for injuries sustained by Richard Stengel from his use of a pain pump manufactured by Medtronic. Medtronic timely removed the case to the United States District Court for the District of Arizona and the district court dismissed plaintiffs' claims as preempted by federal law. The court held that even if some of plaintiffs' claims could be interpreted to escape express preemption, they could not be interpreted to escape implied preemption. Therefore, the district court correctly held that plaintiffs' proposed amendment was futile and thus did not abuse its discretion in denying leave to amend.

Appellant filed a declaratory judgment action seeking a declaration that AHCCCS had no right to recover from her father's annuity at all or, alternatively, had no right to recover for any costs incurred for the care of her mother received after her father's death. Appellant subsequently appealed the district court's judgment granting summary judgment to AHCCCS. The court held that the 2006 amendment to 42 U.S.C. 1396p(c)(1)(F)(i) created a right in the State to recover as a remainder beneficiary against a community spouses' annuity for an institutionalized spouse's medical costs. The court further held that the State's recovery was not limited to the amount it paid for the institutionalized spouse's medical costs as of the date of the community spouse's death. Accordingly, the court affirmed the judgment, concluding that AHCCCS could be reimbursed as the primary remainder beneficiary from the father's annuity for the cost of the medical assistance it paid on the mother's behalf after the father's death.

Plaintiffs, Washington Medicaid beneficiaries with severe mental and physical disabilities, appealed the district court's denial of their motion for a preliminary injunction. Plaintiffs sought to enjoin the operation of a regulation promulgated by Washington's DSHS that reduced the amount of in-home "personal care services" available under the state's Medicaid plan. The court concluded that plaintiffs have demonstrated a likelihood of irreparable injury because they have shown that reduced access to personal care services would place them at serious risk of institutionalization. The court further concluded that plaintiffs have raised serious questions going to the merits of their Americans with Disabilities Act, 42 U.S.C. 12132, and Rehabilitation Act, 29 U.S.C. 794(a), claims, that the balance of hardships tipped sharply in their favor, and that a preliminary injunction would serve the public interest. Accordingly, the court remanded for entry of a preliminary injunction.

Plaintiffs challenged the constitutionality of the ban on compensation for human organs in the National Organ Transplant Act, 42 U.S.C. 274e, as applied to bone marrow transplants. Plaintiffs sought declaratory and injunctive relief to allow harvesting of hematopoietic stem cells which would be extracted by peripheral blood stem cell apheresis (the same technique sometimes used to collect plasma or platelets). The court concluded that Congress made a distinction between body material that was compensable and body material that was not. The distinction had a rational basis, so the prohibition on compensation for bone marrow donations by the aspiration method did not violate the Equal Protection Clause. The court also concluded that when the peripheral blood stem cell apheresis method of bone marrow transplantation was used, it was not a transfer of a "human organ" or a "subpart thereof" as defined by the statue and regulation, so the statue did not criminalize compensating the donor. Therefore, the court need not decide whether prohibiting compensation for such donations would be unconstitutional.

Defendant appealed the district court's preliminary injunction precluding enforcement of California Welfare and Institutions Code 14105.191(f), which amended California's Medicaid Plan and set provider reimbursement rates for the 2009-2010 rate year, and for each year thereafter. Plaintiffs challenged the law under 42 U.S.C 1983 and the Supremacy Clause because the State did not obtain federal approval of its State Plan Amendment (SPA) prior to implementing the rate changes. The court vacated the preliminary injunction and held that plaintiffs have not shown that they have an unambiguously conferred right to bring a section 1983 claim.

Plaintiff, the personal representative of the Estate of Gaye S. Glaser, appealed the district court's affirmance of the Medicare Appeals Council's (MAC) ruling that Kaiser was not required to pay for Glaser's liver surgery. Plaintiff contended that by refusing to cover the procedure, Kaiser failed to comply with 42 C.F.R. 422.112(a)(3), which required Medicare Advantage plans to make their services available, accessible, and adequate, and 42 C.F.R. 422.112(a)(9) and 422.113(b)(iii), which required the plans to cover "urgently needed services." The court held that substantial evidence supported the MAC's decision and affirmed the judgment.

Plaintiffs, representing a putative class of purchasers of contact lens solutions, appealed the district court's order granting summary judgment for defendant. Plaintiffs brought suit alleging that defendant violated California's Unfair Competition Law (UCL), Cal. Bus. & Prof. Code 17200 et seq., and False Advertising Law (FAL), Cal. Bus. & Prof. Code 17500 et seq., by marketing Complete MoisturePlus as a product that cleaned and disinfected lenses. The district court ruled that plaintiffs lacked standing. Defendant argued that the ruling was not in error and that even if it was, the suit was properly dismissed because the class' claims were preempted by 21 U.S.C. 360k(a) of the Medical Devices Amendments of 1976 (MDA), 21 U.S.C. 360(c) et seq. The court held that the district court was incorrect to conclude that this class of plaintiffs lacked standing where they had demonstrated economic harm, but the court held that it could affirm the district court's summary judgment on any ground supported by the record. Therefore, the court held that the record demonstrated that the class' claims were preempted, so the court affirmed the grant of summary judgment.

The State of Arizona appealed the district court's order granting a preliminary injunction to prevent a state law from taking effect that would have terminated eligibility for healthcare benefits of state employees' same-sex partners. The district court found that plaintiffs demonstrated a likelihood of success on the merits because they showed that the law adversely affected a classification of employees on the basis of sexual orientation and did not further any of the state's claimed justifiable interests. The district court also found that plaintiffs had established a likelihood of irreparable harm in the event coverage for partners ceased. The court held that the district court's findings and conclusions were supported by the record and affirmed the judgment.

Plaintiff, 37-years-old, suffered from anorexia nervosa for more than twenty years. At issue was whether defendant was required to pay for her care at a residential treatment facility, either under the terms of her insurance plan or under California's Mental Health Parity Act (Parity Act), Cal. Health & Safety Code 1374.72. The court held that plaintiff's plan did not itself require that defendant pay for residential care for her anorexia nervosa. The court held, however, that the Parity Act provided that defendant "shall provide coverage for the diagnosis and medically necessary treatment" of "severe mental illnesses," including anorexia nervosa. Therefore, defendant was foreclosed from asserting that plaintiff's residential care was not medically necessary. Accordingly, the court held that defendant was obligated under the Parity Act to pay for plaintiff's residential care, subject to the same financial terms and conditions it imposed on coverage for physical illnesses.