medical-necessity

8 cases — ← All topics

Case Title Lower Court Docketed Status Flags Tags Question Presented
25-5354 Michael Joshua Henderson v. Pamela Bondi, Attorney General, et al. Second Circuit 2025-08-13 Denied IFP constitutional-rights due-process eighth-amendment first-amendment marijuana-scheduling medical-necessity A. Whether this Court should overrule Gonzales v. Raich, 545 U.S. 4, 125 S.Ct. 2145 (2005) in this present day and time? B. If so, whether in this pr…
23-1000 Therese M. Waters, on Behalf of Kelly E. Waters v. Xavier Becerra, Secretary of Health and Human Services Sixth Circuit 2024-03-12 Denied Response Waived administrative-deference benefit-coverage disability-discrimination enteral-nutrition medical-necessity medicare-act medicare-coverage organ-dysfunction prosthetic-devices secretary statutory-authority statutory-interpretation (1) Is the Secretary statutorily authorized, or entitled to deference, to deny benefit coverage for an entire group of benefits (here, enteral nutriti…
22-382 Yolanda Hamilton v. United States Fifth Circuit 2022-10-24 Denied Response Waived claims-extrapolation criminal-liability expert-testimony extrapolation lay-testimony medical-necessity medicare-fraud 1. Medicare reimburses healthcare providers who provide home-health services to qualifying Medicare patients. Congress requires a physician to certify…
20-1205 Gazelle Craig v. United States Fifth Circuit 2021-03-01 Denied Response Waived circuit-split controlled-substances criminal-distribution dispensing distributing medical-necessity prescription prescription-law statutory-interpretation When Dr. Craig wrote a prescription for a controlled substance that was not medically necessary, did her conduct constitute "dispensing," "distributin…
20-6784 Abdisalan Abulahab Hussein v. United States Eighth Circuit 2021-01-05 Denied Response WaivedIFP civil-rights due-process fraud insurance insurance-claims mail-fraud medical-necessity patient-referral scheme-to-defraud standing wire-fraud (1) Under the mail and wire fraud statutes, can a defendant be convicted where the purported victim insurance companies were not deprived of money or …
20-805 RollinsNelson LTC Corp., et al. v. United States, ex rel. Jane Winters Ninth Circuit 2020-12-14 Denied civil-rights due-process false-claims-act healthcare-provider inpatient-care medical-judgment medical-necessity medicare medicare-reimbursement objective-falsehood objective-falsity Whether the False Claims Act requires pleading and proof of an objectively false statement.
19-7797 Lonnie W. Hubbard v. United States Sixth Circuit 2020-02-27 Denied Response WaivedIFP burden-of-proof controlled-substances criminal-law criminal-procedure criminal-statute due-process medical-necessity medical-practice medical-purpose prescription-dispensing prescription-drugs professional-practice statutory-interpretation WHETHER THE COURT OF APPEALS ERRED BY HOLDING A JURY COULD RATIONALLY CONCLUDE THAT DEFENDANT PHARMACIST ABDICATED HIS DUTY UNDER §§ 1306.04(a) & 841(…
18-715 Cynthia Carpenter-Barker v. Ohio Department of Medicaid, et al. Sixth Circuit 2018-12-06 Denied Response Waived ada americans-with-disabilities-act civil-procedure civil-rights disability-discrimination due-process integration-mandate medical-necessity olmstead-v-lc rehabilitation-act rule-56-review standard-of-review This case involves a reduction in community-based nursing services that places claimant at risk of institutionalization in violation of Olmstead v. L.…