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Latest Cases & Developments
Date:
Kadel v. Well (4th Cir. Apr. 29, 2024)
Opinion affirming judgments of the district courts. Appellees in cases consolidated on appeal, transgender individuals who are beneficiaries of either the North Carolina State Health Plan for Teachers and State Employees (NCSHP) or the Medicaid program in West Virginia, brought equal protection and Medicaid Act and ACA claims against their respective States and relevant officials, challenging the exclusion of coverage for medically necessary services for treatment of gender dysphoria. The district courts granted summary judgment in favor of the appellees and enjoined enforcement of the coverage exclusions. In affirming summary judgment in favor of appellees on their equal protection claims, the Fourth Circuit found that the exclusions of treatments for gender dysphoria, though they target only a subset of transgender individuals, discriminate on the basis of a proxy for gender identity and do so facially. Further, because some patients are eliminated from coverage of certain types of treatments (e.g., mastectomies or chest-reconstruction surgeries) based on their sex assigned at birth and gender stereotypes about how men and women should present, the court found this was also sex discrimination. The court then found that this treatment could not survive intermediate scrutiny because the States’ anecdotal evidence challenging only some of appellees’ contentions was insufficient to show that the treatments in this developing area of medicine are ineffective. The court also held that these exclusions violate the Medicaid Act’s availability and comparability provisions and the ACA’s anti-discrimination provision.
Topics:
Discrimination, Accommodation, & Diversity | Employee Benefits | Faculty & Staff | Gender Identity & Sexual Orientation Discrimination | Health Care & InsuranceDate:
ACE Summary of the Antisemitism Awareness Act (May 3, 2024)
American Council on Education (ACE) Bill Summary of the Antisemitism Awareness Act of 2023 (H.R. 6090/S. 4127). The summary highlights key features of the Act, which has passed the House and has been introduced in the Senate, that “would codify a reference to the International Holocaust Remembrance Alliance’s (IHRA) working definition of antisemitism including its contemporary examples and would require the Department of Education to take it ‘into consideration’ when ‘reviewing, investigating, or deciding whether there has been a violation of Title VI’ of the Civil Rights Act.” The summary restates the definition and highlights several of the IRHA contemporary example.
Topics:
Discrimination, Accommodation, & Diversity | Race and National Origin Discrimination | Religious Discrimination & AccommodationDate:
Doe v. The Trs. of Ind. Univ. (7th Cir. Apr. 26, 2024)
Opinion vacating summary judgment in favor of the University and remanding. Plaintiff, a former medical student at Indiana University-Purdue University Indianapolis (IUPUI) brought Title IX and due process claims against the University and individual defendants after the University initially suspended him for dating violence, but then expelled him for misrepresenting his disciplinary status in an application the University’s School of Business. As relevant here, when the medical school dean learned plaintiff had withheld pertinent information in his application to the business school, he him as unfit to practice medicine. In granting summary judgment to the University on his due process claim, the district court found that the medical school dean’s decision was an academic decision based on the requirement of honesty and integrity for admission to the medical profession and that the dean’s letter informing plaintiff of his dismissal was sufficient notice. The Seventh Circuit vacated and remanded, finding that plaintiff had a property interest in remaining a student and that he was, accordingly, entitled also to “some kind of hearing” on his expulsion.
The court also held that “[t]he district judge abused his discretion when permitting ‘John Doe’ to conceal his name without finding that he is a minor, is at risk of physical harm, or faces improper retaliation,” noting “Title IX litigation is not an exception to the norm that adult litigants are identified by name.” Accordingly, it ordered that “[i]f Doe elects to continue with the suit, his true name must be disclosed to the public.”
Topics:
Students | Title IX & Student Sexual MisconductDate:
HHS Final Rule on Nondiscrimination in Health Programs and Activities (May 6, 2024)
U.S. Department of Health and Human Services (HHS) Final Rule and Interpretation on Nondiscrimination in Health Programs and Activities. HHS issued this Final Rule and Interpretation under section 1557 of the Affordable Care Act (ACA), which “prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities.” The Final Rule is effective July 5, 2024.
Topics:
Discrimination, Accommodation, & DiversityDate:
EEOC Enforcement Guidance on Harassment in the Workplace (Apr. 29, 2024)
U.S. Equal Employment Opportunity Commission Updated Guidance on Harassment in the Workplace. The updated guidance “presents a legal analysis of standards for harassment and employer liability applicable to claims of harassment under the equal employment opportunity (EEO) statutes enforced by the Commission, which prohibit work-related harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions; sexual orientation; and gender identity), national origin, disability, genetic information, and age (40 or over).”
Topics:
Discrimination, Accommodation, & DiversityDate:
ACE Regulation Summary of the Title IX Final Rule (Apr. 29, 2024)
Regulation Summary from the American Council on Education (ACE) of the U.S. Department of Education’s Title IX Final Rule. The summary highlights key provisions in of the Final Rule, including its effective date, scope and jurisdiction changes, protections for transgender students, the change to the standard for when the institution is on notice, updated reporting obligations, major changes to investigation and adjudication procedures, new pregnancy-related provisions, training requirements, and expanded Title IX Coordinator responsibilities.
Topics:
Discrimination, Accommodation, & Diversity | Employee Sexual Misconduct | Sex Discrimination | Students | Title IX & Student Sexual MisconductDate:
United States ex rel. Ruggeri v. Magee-Women’s Research Inst. & Found. (W.D. Pa. Apr. 24, 2024)
Opinion granting-in-part and denying-in-part Defendants’ Motions to Dismiss. Plaintiff, a former Director of Grants and Contracts at the Magee-Women’s Research Institute and Foundation (Foundation), brought this qui tam action against the Foundation, the University of Pittsburgh, the University of Pittsburgh Medical Center (UPMC), and the UPMC Magee-Women’s Hospital, alleging accounting practices that were falsely certified as compliant with National Institutes of Health grants requirements. She further alleged that her termination was in retaliation for her negative assessment of the grants compliance. The court dismissed the claims against UPMC and the Hospital, finding that although they leased employees and provided space and administrative services to the Foundation, plaintiff failed to allege with specificity any action beyond association taken in the alleged false claim scheme. In permitting her fraud claims to proceed, the court found plaintiff had alleged with sufficient particularity (1) that the Foundation knew that its accounting systems were inadequate to meet NIH requirements and (2) that Foundation and University officials, including Principal Investigators from the University, improperly transferred other costs to the grants in order to spend them down. The court further found that plaintiff’s assertion that NIH investigated her allegations and altered how it interacted with the Foundation sufficient to allege materiality. In permitting her retaliation claim to proceed, the court noted the close temporal proximity of her termination to her delivery of her compliance assessment to a member of the Foundation’s Board.
Topics:
Discrimination, Accommodation, & Diversity | False Claims Act (FCA) | Research | RetaliationDate:
Doe v. Trs. of Hamilton Coll. (N.D. N.Y. Apr. 18, 2024)
Decision and Order granting-in-part and denying-in-part Defendant’s Motion for Summary Judgment. Plaintiff, a former student at Hamilton College, brought Title IX and contract claims against the College after he was expelled for sexual misconduct. In denying summary judgment on his Title IX erroneous outcome claim, the court noted plaintiff’s assertions of (1) a possible conflict of interest for the hearing officer in his case based in her role as an investigator in a previous sexual misconduct case in which plaintiff was a witness and (2) potential external pressures arising from an open OCR investigation and an on-campus rally two years earlier “promoting solidarity with survivors of sexual violence.” Turning to his contract claim, the court found plaintiff’s assertions that (1) the hearing officer did not cite extraordinary circumstances when she permitted a new witness to testify against him at the hearing and (2) the hearing panel departed from the preponderance of the evidence standard sufficient to defeat summary judgment. The court dismissed his promissory estoppel claim, noting the parties agreed there was an implied contract for the College to conduct its proceedings according to its policies.
Topics:
Students | Title IX & Student Sexual MisconductDate:
Adebiyi v. S. Suburban Coll. (7th Cir. Apr. 17, 2024)
Opinion affirming summary judgment in favor of the College. Plaintiff, a former Vice President of Student Services at South Suburban College who is African American, brought discrimination and retaliation claims against the College after a new president declined to renew her contract, citing in her nonrenewal recommendation to the board numerous managerial lapses and leadership concerns. After performance concerns began to emerge, plaintiff filed a charge of harassment with the EEOC and the Illinois Department of Human Rights (IDHR), and she was terminated three days before a scheduled meeting with the IDHR and the College. The district court granted summary judgment in favor of the College, and plaintiff appealed with respect to her retaliation claim. In affirming summary judgment on that claim, the Seventh Circuit first held that plaintiff failed to present a theory or evidence as to why the timing of her termination prior to the IDHR meeting was suspicious. It further held that plaintiff failed to raise a question of pretext, noting that (1) her overall rating of “satisfactory” on her most recent annual evaluations did not outweigh the specific performance concerns and (2) the director, two managers, and faculty member plaintiff proposed as comparators were not similarly situated.
Topics:
Discrimination, Accommodation, & Diversity | Race and National Origin Discrimination | Retaliation
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