Justia Nebraska Supreme Court Opinion Summaries
Articles Posted in Health Law
Kuehn v. Pillen
An individual Nebraska resident, voter, and taxpayer sought declaratory and injunctive relief challenging the constitutionality of two medical cannabis laws enacted by voter-approved initiatives in the November 2024 general election. He named as defendants the Governor, other state officials, members of the Nebraska Medical Cannabis Commission, and the sponsors of the initiatives. The plaintiff alleged the laws violated the federal Supremacy Clause, improperly delegated regulatory authority in violation of Nebraska’s separation of powers, and were otherwise unconstitutional. He further claimed public officials and agencies would expend state funds and resources to implement these laws, and that this expenditure was unlawful.Previously, before the laws passed, the same individual brought a preelection challenge to the legal sufficiency of the initiative petitions in the District Court for Lancaster County. That challenge was rejected, and the Nebraska Supreme Court affirmed. After the election, he filed a new action in the same district court, seeking to enjoin the Governor from certifying the measures. The district court denied his request for a temporary restraining order. Once the laws were certified and enacted, he amended his complaint several times, ultimately alleging taxpayer standing, standing for a matter of great public concern, and standing under a Nebraska statute governing initiative challenges. The defendants moved to dismiss, contending he lacked standing.The Nebraska Supreme Court reviewed the district court’s dismissal de novo. The Supreme Court held that the plaintiff lacked standing to bring the suit. Specifically, it concluded he did not have taxpayer standing, as his allegations of incidental expenditures and government employee time spent implementing the laws did not amount to illegal expenditures sufficient to confer standing under Nebraska law. The Court also found he did not qualify for any exception for matters of great public concern. The order dismissing his complaint without prejudice was affirmed. View "Kuehn v. Pillen" on Justia Law
State v. Cook
A woman brought her nearly two-year-old son to a hospital in Lincoln, Nebraska, where he was found with multiple injuries, including bruises, swelling, and a fractured leg. Subsequent medical examinations revealed further injuries, such as broken ribs, a lung contusion, brain swelling, and ultimately, the child died from his injuries. The mother, who had left the child in the care of her boyfriend and others, admitted to noticing symptoms and injuries over a period of weeks but did not seek medical care, citing reasons such as believing the injury was minor and fear of involvement with Child Protective Services. Evidence at trial included interviews, witness testimony, text messages, and internet searches indicating the mother was aware of the child’s worsening condition.The District Court for Lancaster County reviewed the case and presided over a jury trial. The jury found the mother guilty of intentional child abuse resulting in death, intentional child abuse resulting in serious bodily injury, and possession with intent to deliver or delivery of a controlled substance near a school. The court denied pretrial motions to exclude certain photographic evidence and sentenced her to consecutive prison terms totaling 70 years to life for the most serious charges, and additional years for the drug offense.The Nebraska Supreme Court examined claims of insufficient evidence, improper admission of photographs, ineffective assistance of counsel, and excessive sentencing. Applying the appropriate standards of review, the court held that there was sufficient evidence for the convictions, the photographs were relevant and not unduly prejudicial, and the sentences were within statutory limits and not an abuse of discretion. Claims of ineffective assistance were rejected as either unsupported or not prejudicial. The court affirmed the judgment of the district court. View "State v. Cook" on Justia Law
In re Interest of M.S.
The case involves a woman, M.S., who was the subject of a petition filed by the State in May 2024, alleging she was mentally ill and dangerous under Nebraska law. The petition was supported by statements from M.S.’ daughter, who described recent concerning behavior, including M.S. bringing a gun to her daughter’s home, appearing paranoid, and exhibiting signs of being out of touch with reality. M.S. was admitted to a psychiatric facility pending commitment proceedings, and a hearing was held before the Mental Health Board of the Fourth Judicial District. During the proceedings, M.S. was represented by counsel and objected to certain testimony on confrontation and hearsay grounds.The Mental Health Board overruled M.S.’ motion for a continuance and proceeded with the commitment hearing, where it heard testimony from a psychiatrist, M.S.’ daughter, and M.S. herself. The Board found, by clear and convincing evidence, that M.S. suffered from bipolar I disorder, manic with psychosis, and was dangerous to herself and others. The Board ordered inpatient treatment and authorized forced medication. M.S. appealed to the District Court for Douglas County, arguing that her rights to confrontation were violated, that inadmissible hearsay was admitted, and that the evidence was insufficient to support her commitment. The district court affirmed the Board’s decision, ruling that any errors in admitting certain evidence were harmless because the facts were otherwise established in the record.On further appeal, the Nebraska Supreme Court reviewed the district court’s decision. It held that confrontation rights under both the U.S. and Nebraska Constitutions, as extended by statute to mental health commitment proceedings, are trial rights that do not apply to pretrial hearings. The court further found that the challenged statements by family members were admissible under the medical purpose exception to the hearsay rule. The court concluded that clear and convincing evidence supported the findings that M.S. was mentally ill and dangerous, and that the treatment ordered was the least restrictive alternative. The district court’s order was affirmed. View "In re Interest of M.S." on Justia Law
Posted in:
Civil Procedure, Health Law
State v. Jones
A self-described "lay midwife" was charged by the State of Nebraska with practicing a profession without a credential after being ordered to cease and desist. The midwife, who did not hold a state-issued credential, provided prenatal and postnatal care and assisted with childbirth. The charges were based on her alleged violation of the Uniform Credentialing Act (UCA).In Madison County, the district court sustained the midwife's plea in abatement, finding that "nurse midwives" were not required to hold credentials under the UCA. The court also suggested that the UCA would be unconstitutionally vague if it required a credential for practicing "nurse midwifery." Similarly, in Douglas County, the district court sustained a plea in abatement on the same grounds, dismissing the charges against the midwife.The Nebraska Supreme Court reviewed the case and found that the district courts had misconstrued the UCA. The court held that the UCA requires individuals to hold a credential to engage in practices such as attending childbirth and providing related care, which fall under the scope of medicine and surgery, advanced practice registered nursing, and certified nurse midwifery. The court also found that the evidence presented was sufficient to show probable cause that the midwife had committed the charged crime.The Nebraska Supreme Court reversed the district courts' orders sustaining the pleas in abatement and dismissing the charges. The case was remanded for further proceedings consistent with the opinion, including consideration of the midwife's motions to quash and demurrers. View "State v. Jones" on Justia Law
In re T.W.
In this case brought under the Developmental Disabilities Court-Ordered Custody Act (DDCCA) the Supreme Court affirmed the judgment of the district court concluding that T.W. was a person in need of court-ordered custody and adopting the custody and treatment plan prepared by the Nebraska Department of Health and Human Services (DHHS) with additional restrictions, holding that the district court was entitled to modify the terms of the treatment plan if the additional terms are supported by sufficient evidence.The State filed a petition under the DDCCA for court-ordered custody of T.W., an adult male. The district court found that T.W. was a person in need of court-ordered custody and treatment and, in accordance with Neb. Rev. Stat. 71-1124, ordered DHHS to prepare a written custody and treatment plan. After a hearing, the district court adopted DHHS' treatment plan and added conditions to T.W.'s placement that were not part of the plan offered by the State. The Supreme Court affirmed, holding that the court's order, including the added conditions, conformed to the law, was supported by competent evidence, and was not arbitrary, capricious or unreasonable. View "In re T.W." on Justia Law
Posted in:
Health Law
In re Interest of K.C.
The Supreme Court dismissed this purported appeal brought by K.C. after the district court ordered an evaluation of K.C. and preparation of a plan pursuant to the Development Disabilities Court-Ordered Custody Act (DDCCA), Neb. Rev. Stat. 71-1101 to 71-1134, holding that the order was not final or appealable.The State filed a petition pursuant to the act seeking court-ordered custody and treatment for K.C., alleging that K.C. was a person with a developmental disability who posed a threat of harm to others and was in need of court-ordered custody and treatment. After a hearing, the district court issued an order adjudicating K.C. under the DDCCA. Prior to submission of any plan or dispositional hearing, K.C. filed an appeal. The Supreme Court dismissed the appeal, holding that the Court lacked jurisdiction over the appeal. View "In re Interest of K.C." on Justia Law
Posted in:
Health Law
Ramaekers v. Creighton University
The Supreme Court dismissed this appeal from a district court's order denying injunctive relief, holding that this Court lacked jurisdiction to hear the appeal.Plaintiffs were ten students at Creighton University who brought this petition seeking to enjoin Creighton from administratively withdrawing students who did not comply with its COVID-19 vaccine policy. After a hearing, the district court denied the petitions, concluding that Plaintiffs failed to show irreparable harm or a likelihood of success on the merits. Plaintiffs appealed. The Supreme Court dismissed the appeal, holding that the court's denial of a temporary injunction was not a final order, and therefore, this Court lacked jurisdiction over the appeal. View "Ramaekers v. Creighton University" on Justia Law
Baker-Heser v. State
The Supreme Court affirmed the judgment of the judgment of the district court dismissing Plaintiffs' claims against the Nebraska Department of Health and Human Services (DHHS) alleging violations of the Health Care Facility Licensure Act (HCFLA), Neb. Rev. Stat. 71-401 to -476, and granting summary judgment to DHHS on the claims alleging violations of the Nebraska Fair Employment Practice Act (NFEPA), Neb. Rev. Stat. 48-1101 to -1125, holding that there was no error.Plaintiffs were two former employees of a state hospital who highlighted inadequate record keeping for hospital psychiatrists. Plaintiffs were subsequently fired. Plaintiffs brought this action alleging violations of the NFEPA and the HCFLA. The district court dismissed Plaintiffs' claims based on the HCFLA on sovereign immunity grounds and then granted summary judgment in favor of DHHS on the NFEPA claims. The Supreme Court affirmed, holding (1) because Plaintiffs did not establish that they engaged in protected activity, the district court properly entered summary judgment against them on the NFEPA claims; and (2) because the State did not waive its sovereign immunity to suit under the HCFLA, the court properly dismissed those claims. View "Baker-Heser v. State" on Justia Law
Posted in:
Health Law, Labor & Employment Law
In re Guardianship of Nicholas H.
The Supreme Court reversed the order of the county court purporting to discharge the Office of Public Guardian (OPG) and appoint the ward's parents as successor coguardians over their objection, holding that the parents had standing to appeal and that the Public Guardianship Act, Neb. Rev. Stat. 30-4101 to 30-4118, did not permit the discharge of the OPG.Nicholas was an adult with severe mental illness who was in need of a guardian. His parents served as his court-appointed coguardians until they petitioned to have the OPG appointed as Nicholas's guardian pursuant to the Act. The county court appointed the OPG as Nicholas's guardian, but OPG later filed a motion for discharge, asserting that Nicholas's parents should be named successor guardians. After a hearing, the court granted the OPG's motion for discharge and directed that Nicholas's parents be appointed his successor coguardians. The Supreme Court reversed, holding that the OPG failed to prove that its services were no longer necessary, and therefore, the county court erred in discharging the OPG under section 30-4117. View "In re Guardianship of Nicholas H." on Justia Law
Posted in:
Family Law, Health Law
In re Guardianship & Conservatorship of Alice H.
The Supreme Court reversed the portion of the county court's decision ordering Douglas County to pay the balance of the attorney fees owed by a former guardian-conservator to the successor guardian-conservator, holding that the county court's order did not conform to the law and was not supported by competent evidence.In 2007, a guardian-conservatorship was established for Alice H. In Douglas County. Pamela Grimes was appointed her guardian-conservator. In 2012, the court appointed Jodie McGill to serve as Alice's guardian-conservator. In 2016, the county court surcharged Grimes $37,505.70 in attorney fees to McGill. Grimes paid only a portion of the fees. In 2018, McGill asked the county court to order Douglas County to pay the balance. The court granted that request. The Supreme Court reversed, holding that the order neither conformed to the law nor was supported by competent evidence. View "In re Guardianship & Conservatorship of Alice H." on Justia Law
Posted in:
Health Law