Justia Massachusetts Supreme Court Opinion Summaries

Articles Posted in Health Law
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The Supreme Judicial Court answered questions reported by a single justice upon Petitioners' petition pursuant to Mass. Gen. Laws ch. 249, 4 asserting claims for mandamus, injunctive, and declaratory relief after the superintendent for each petitioner refused to review Petitioners' petitions for medical parole as submitted regardless of the superintendent's view as to the completeness or adequacy of the petition. Specifically, the Court answered that, when a prisoner submits a written petition for medical parole, the superintendent or sheriff of the facility where the prisoner is incarcerated must consider the petition even if the superintendent or sheriff does not consider the petition complete or adequate. Further, the superintendent or sheriff bears the burden of preparing or procuring a medical parole plan and recommendation as to the release of the prisoner. Lastly, the commissioner, on receipt of the petition and recommendation, is required to provide the prisoner with all supporting documents submitted by the superintendent or sheriff with the recommendation. View "Buckman v. Commissioner of Correction" on Justia Law

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In this case involving the indictments of Dr. Frank Stirlacci and his office manager, Jessica Miller, for violations of the Controlled Substances Act and for submitting false health care claims to insurance providers, the Supreme Judicial Court affirmed in part and reversed in part the superior court's judgment dismissing several of the indictments, holding that there was sufficient evidence to indict Shirlacci on twenty-six counts of improper prescribing and to indict both defendants on twenty of the twenty-two counts of submitting false health care claims. The charges against Defendants included twenty-six counts each of improper prescribing, twenty counts each of uttering a false prescription, and twenty-two charges each of submitting a false health care claim. The trial judge dismissed the indictments for improper prescribing and uttering false prescriptions and dismissed six of the indictments against each defendant for submitting false health care claims. The Supreme Judicial Court reversed in part, holding (1) the evidence was sufficient to indict Stirlacci on all counts of improper prescribing, but Miller's status as a nonpractitioner precluded her indictment on improper prescribing; (2) there was insufficient evidence to indict either defendant for uttering false prescriptions; and (3) there was sufficient evidence to indict both defendants on twenty counts of submitting false health care claims. View "Commonwealth v. Stirlacci" on Justia Law

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The Supreme Judicial Court reversed the decision of the trial court dismissing this case alleging that a Massachusetts assisted living residence's (ALR) charge to new residents of an upfront "community fee" violated the security deposit statute, Mass. Gen. Laws ch. 186, 15B, holding that if an ALR charges upfront fees that are not used to fund distinct assisted living services, it does so in violation of section 15B. Plaintiff alleged that the community fee, which was intended to cover upfront administrative costs, move-in assistance, an initial service coordination plan, and a replacement reserve for building improvements, violated section 15B because it exceeded the upfront costs allowed by the statute. Defendant filed a motion to dismiss, arguing that ALRs are not subject to section 15B. The trial court granted the motion to dismiss. The Supreme Judicial Court remanded this case, holding (1) ALRs may institute upfront charges beyond those permitted by Mass. Gen. Laws ch. 186, 15B(1)(b) to the extent those charges correspondent to the distinct services enumerated in Mass. Gen. Laws ch. 19D, 13 or to other services specifically designed for ALRs; and (2) further factual development was required to determine whether the fee at issue here was permissibly charged and used for services distinct to ALRs. View "Ryan v. Mary Ann Morse Healthcare Corp." on Justia Law

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In this case involving involuntary civil commitment due to mental illness, the Supreme Court held that an individual may not be said to have been "discharged" from a facility within the meaning of Mass. Gen. Laws ch. 123 if his iberty has not been restored. D.L. was held involuntarily at Pembroke Hospital on a temporary basis due to mental illness. When Pembroke's petition to extend D.L.'s confinement was denied, Pembroke purportedly "discharged" D.L. but also detained and transported him without his permission to a second hospital for another mental health evaluation. This evaluation led to an order for involuntary confinement. The Appellate Division found that there was no abuse of the involuntary commitment procedure under Mass. Gen. Laws ch. 123, 12. The Supreme Court disagreed, holding that Pembroke violated chapter 123 by failing to discharge D.L. after the denial of its petition to continue D.L.'s confinement. View "Pembroke Hospital v. D.L." on Justia Law

Posted in: Health Law
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The Supreme Judicial Court affirmed the judgment of a municipal court judge civilly committing M.C. for a period of two months, holding that the record contained sufficient evidence to support M.C.’s involuntary commitment and that M.C. was not denied due process of law despite the hearing being conducted at a hospital rather than at a court house and in the absence of a complete, verbatim transcript. Although M.C. sought to have the civil commitment hearing conducted at a court house, the hearing was held at the psychiatric facility where M.C. had been temporarily committed. At the beginning of the proceeding the court-owned recording equipment malfunctioned, and then two different alternate recording devices were used to record the remainder of the hearing. The Supreme Judicial Court affirmed the judge’s decision to civilly commit M.C., holding that the available transcript provided an adequate basis for appellate review and contained sufficient evidence to support M.C.’s involuntary commitment. View "In re M.C." on Justia Law

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A pharmacy has a limited legal duty to take reasonable steps to notify a patient and his or her prescribing physician of the need for prior authorization each time the patient tries to fill a prescription. Only the pharmacy, and not the physician or the patient, is notified by a health insurer when a prescribing physician must complete a prior authorization form and submit it to the insurer. In this case, prior authorization was necessary for Yarushka Rivera to obtain insurance coverage for Topamax, a medication she needed to control life-threatening seizures. When Rivera reached age nineteen, her insurer refused to pay for the prescription because it had not received the necessary prior authorization form. Rivera, who was unable to afford the medication without insurance, suffered a fatal seizure at the age of nineteen. Plaintiff brought this action for wrongful death and punitive damages against Walgreen Eastern Co., Inc. The superior court concluded that Walgreens had no legal duty to Rivera to notify Rivera’s prescribing physician of the need for prior authorization. The Supreme Court reversed, holding that Walgreens owed a legal duty of care to take reasonable steps to notify Rivera and her prescribing physician of the need for prior authorization each time Rivera tried to fill her prescription. View "Correa v. Schoeck" on Justia Law

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The Appellate Division erred in summarily dismissing F.C.’s appeal from a terminated commitment and treatment order as moot in reliance on Matter of N.L., 476 Mass. 632, 633 (2017). Following F.C.’s involuntary hospitalization, McLean Hospital filed a petition for F.C.'s commitment. F.C. was involuntarily committed and treated after a hearing. F.C. appealed, and his appeal was staying pending the decision in Matter of N.L. As the appeal was pending, F.C. was discharged from the facility. Citing Matter of N.L., the Appellate Division summarily dismissed the appeal as moot. The Supreme Judicial Court vacated the Appellate Division’s order and remanded for determination of the appeal on its merits, holding that appeals from expired or terminated commitment and treatment orders under Mass. Gen. Laws ch. 123, 7, 8, and 8B should not be dismissed as moot where the parties have a continuing interest in the case. View "In re F.C." on Justia Law

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At issue was the lawfulness of allowing a hospital to transfer a patient involuntarily to a skilled nursing facility in the absence of a guardianship. The Supreme Court held that the appointment of a guardian over an incapacitated person is necessary, but not by itself sufficient, to admit an incapacitated person to a nursing facility against his or her will, because such an admission requires an additional order by the court based on a specific finding that the admission is in the incapacitated person’s best interest. Specifically, the Court held that when a hospital patient refuses to consent to be transferred to a nursing facility, a judge may order the patient to be admitted to a nursing facility under the Massachusetts Uniform Probate Code only if the judge (1) finds the patient to be an incapacitated person; (2) makes the other findings necessary to appoint a guardian under Mass. Gen. Laws ch. 190B, 5-306(b); and (3) then grants the guardian specific authority under Mass. Gen. Laws ch. 190B, 5-309(g) to admit the incapacitated person to a nursing facility after finding that such admission is in the incapacitated person’s best interest. View "In re Guardianship of D.C." on Justia Law

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The dismissal of the criminal charge pending against Respondent, an incompetent defendant, did not require his release from commitment to Bridgewater State Hospital, where the charge was dismissed after the period of commitment had expired, and a petition to extend the commitment had yet to be decided. After the criminal charge against Respondent was dismissed, Bridgewater moved to file an amended petition to modify its pending Mass. Gen. Laws ch. 123, 16(c) petition to a petition for civil commitment pursuant to Mass. Gen. Laws ch. 123, 7 and 8. The district court concluded that Bridgewater had no authority to hold Respondent pursuant to Mass. Gen. Laws ch. 123, 16(c), denied Bridgewater’s petition to amend, and ordered Respondent discharged. The Supreme Judicial Court reversed, holding (1) the dismissal of the criminal charges did not require Respondent’s immediate release from commitment, and Bridgewater retained the statutory authority to hold Respondent while the Mass. Gen. Laws ch. 123, 16(c) petition was pending; and (2) the district court abused its discretion in denying Bridgewater’s request to amend its pending petition for an extension under Mass. Gen. Laws ch. 123, 16(c) to a petition for civil commitment under Mass. Gen. Laws ch. 123, 7 and 8. View "In re E.C." on Justia Law

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The right of an incompetent defendant to raise defenses in a proceeding pursuant to Conn. Gen. Laws ch. 123A, 15, which allows incompetent persons who are unable to stand trial for qualifying sex offenses to be deemed sexually dangerous based on the commission of those offenses, includes that of a lack of criminal responsibility. The Supreme Judicial Court reversed the trial judge’s denial of Defendant’s motion to admit expert testimony that he was not criminally responsible for his criminal acts and the judge’s allowance of the Commonwealth’s motion to preclude the testimony, holding that the statute allows incompetent defendants to raise any defenses that they could raise in a criminal trial, including that of a lack of criminal responsibility. View "Commonwealth v. Curran" on Justia Law