Ninth Circuit upholds school policy on special education children
National News
The US Court of Appeals for the Ninth Circuit on Tuesday upheld a California public school district's policy that parents may only observe their disabled children in the classroom for twenty minutes in order to evaluate the school's proposed education plan. The parents of a student with autism filed suit after the psychologist they hired to evaluate the proposed plan was allowed only twenty minutes in the classroom, even though the district's own experts viewed L.M. in his home for three hours. The court rejected the parents' allegations that the district's policy violated the Individuals with Disabilities Education Act by denying their child access to a free and appropriate public education. The court also ruled against the parents' argument that the policy infringed upon their right to due process by interfering with their ability to participate in a placement hearing. The court explained:
The District’s policy...was harmless because Parents nevertheless had a full opportunity to participate in the process to fashion an appropriate educational plan for L.M. with help from an informed and knowledgeable expert. There is no evidence to support a finding that Parents’ right to participate was significantly affected.The court also denied the parents' request for a "stay put" order which would allow their child to remain in his current private educational program until litigation of the matter concluded, because the program did not constitute "current educational placement" under IDEA.
Earlier this month, the US Court of Appeals for the Tenth Circuit found that a district court erred when it refused to grant qualified immunity to school officials who placed a child in a special education program designed to control his repeated outbursts. The child's mother had originally sought relief under IDEA because her child suffered from severe mental and emotional health problems, but this claim was dismissed by a lower court. In 2007, the US Supreme Court held that parents of special needs children have independent, enforceable rights under IDEA, overturning a Sixth Circuit decision holding that rights under IDEA are held only by the child. When US President George W. Bush signed IDEA into law in 2004, he stated that it had been designed to ensure that students with disabilities would have special education teachers with the necessary skills and training. Bush was subsequently criticized for underfunding the related programs.
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Workers’ Compensation Subrogation of Administrative Fees and Costs
When a worker covered by workers’ compensation makes a claim against a third party, the workers’ compensation insurance retains the right to subrogate against any recovery from that third party for all benefits paid to or on behalf of a claimant injured at work. When subrogating for more than basic medical and indemnity benefits, the Texas workers’ compensation subrogation statute provides that “the net amount recovered by a claimant in a third‑party action shall be used to reimburse the carrier for benefits, including medical benefits that have been paid for the compensable injury.” TX Labor Code § 417.002.
In fact, all 50 states provide for similar subrogation. However, none of them precisely outlines which payments or costs paid by a compensation carrier constitute “compensation” and can be recovered. The result is industry-wide confusion and an ongoing debate and argument with claimants’ attorneys over what can and can’t be included in a carrier’s lien for recovery purposes.
In addition to medical expenses, death benefits, funeral costs and/or indemnity benefits for lost wages and loss of earning capacity resulting from a compensable injury, workers’ compensation insurance carriers also expend considerable dollars for case management costs, medical bill audit fees, rehabilitation benefits, nurse case worker fees, and other similar fees. They also incur other expenses in conjunction with the handling and adjusting of workers’ compensation claims. Workers’ compensation carriers typically assert, of course, that, they are entitled to reimbursement for such expenditures when it recovers its workers’ compensation lien. Injured workers and their attorneys disagree.