Sonia Montes Zepeda v. County of Stanislaus — Federal Claims Failed at the Pleading Stage
The district court dismissed the challenged claims with prejudice.
The district court dismissed the challenged claims with prejudice.
The court affirmed the Commissioner. Normal respiratory and pulmonary examinations supplied substantial evidence for the ALJ’s functional assessment, and Nunn did not identify a concrete additional restriction that the record required.
Bombardini v. Board of Psychology: Challenge to Discipline Was Untimely and Probation Ruling Stands.
A California federal court vacated a Social Security denial because the administrative law judge selectively read the medical record when rejecting the claimant’s pain testimony.
The Ninth Circuit held that a hospital proved undue hardship from allowing an unvaccinated mother-and-baby-unit nurse to remain in her role.
A federal judge refused to dismiss a healthcare False Claims Act suit, allowing the whistleblower’s government-billing allegations to proceed.
A Northern District court allowed a prisoner’s Eighth Amendment claims to proceed where staff allegedly removed mobility equipment and forced him to crawl.
The Massachusetts Appeals Court held that DALA may decide a provider dispute over EOHHS’s interpretation of a valid rate regulation and that a 23-year delay did not require dismissal.
The court affirmed a disability-benefits denial because substantial evidence and valid credibility reasons remained despite limited errors in the ALJ’s analysis.
A disability denial was reversed because the ALJ misread medical testimony and improperly treated travel as proof of six-hour standing and walking capacity.
A federal judge ruled the No Surprises Act gives out-of-network providers no right to sue in court to enforce arbitration awards against health plans like Blue Shield of California.
The court allowed most consumer and warranty claims over Walmart’s benzoyl peroxide products to proceed while dismissing negligent-misrepresentation and one unjust-enrichment theory.
The Southern District of California compelled individual arbitration of a putative class action over preimplantation genetic testing, holding that a broad delegation clause sent even the plaintiffs’ unconscionability and scope arguments to the arbitrator.
The Ninth Circuit required a new disability analysis because an ALJ misused the claimant’s work history, daily activities, treatment record, and corroborating lay testimony.
The Northern District reversed a Social Security denial because the ALJ overlooked extensive evidence that the claimant needed a cane.
The court reversed and remanded. It found that the administrative decision mentioned competing evidence but did not build a reasoned connection between activities such as shopping, reading, watching television, or using transit and the assessed capacity for sustained work.
The court allowed significant portions of the case to continue while dismissing others with leave to amend. It rejected a wholesale attack on claims premised on the alleged gap between the promised mental-health network and the network actually available to members.
The court granted the claimant’s summary-judgment motion, denied the Commissioner’s cross-motion, and remanded. It concluded that the administrative evaluation did not comply with the governing standards for weighing the evidence and explaining the resulting limitations.
The court granted the claimant’s motion, denied the Commissioner’s motion, and sent the matter back to the agency. The decision found the analysis insufficient under the rules requiring obesity to be considered in combination with other medically determinable impairments.
The court granted the claimant’s motion and denied the Commissioner’s cross-motion. It concluded that the evidence had not been properly evaluated and that the resulting decision could not stand on the reasoning the agency supplied.
The court dismissed all claims without leave to amend. It held that Congress did not create an express or implied private right of action allowing providers to sue directly to enforce No Surprises Act payment determinations, and that the statutory IDR process is not an arbitration award confirmable
court holds that disagreement over pain medication does not establish deliberate indifference.
court remands hospital payment dispute because an independent state-law promise was not completely preempted by ERISA.
A federal court reversed a Social Security disability denial because the administrative analysis of the claimant’s migraine limitations required further proceedings.