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 Whether the scheduling of marijuana as a Schedule I substance violates constitutional rights and should be overruled in the present day and time
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 Is the Secretary statutorily authorized to deny benefit coverage for an entire group of benefits (here, enteral nutrition) which the Medicare Act reco…
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 Whether a physician can be criminally liable for Medicare fraud when the Government fails to produce medical expert testimony and instead relies solel…
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 a licensed physician writes a prescription for a controlled substance that is not medically necessary, does that conduct constitute 'dispensing,'…
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 Whether a defendant can be convicted of mail and wire fraud where the purported victim insurance companies were not deprived of money or property beca…
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 Whether a state agency is entitled to deference of its fact opinion of medical necessity in a Fed. R. Civ. P. 56 de novo review?