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- February 16, 2023
AMICUS: Fain v. Crouch, Fourth Circuit
Litigation Team CasesRead moreMedicaid beneficiaries challenged a West Virginia policy excluding coverage of gender-affirming surgery. The district court granted summary judgment for the plaintiffs, and the State appealed. NHeLP and the Center for Medicare Advocacy filed an amicus brief in support of the plaintiffs. The brief argues that approval of West Virginia's…
- February 16, 2023
Dekker v. Marstiller, Northern District of Florida
Litigation Team CasesRead moreFour transgender Medicaid beneficiaries filed a lawsuit challenging a Florida regulation that prohibits coverage of medically necessary gender-affirming care. The plaintiffs allege that the discriminatory coverage exclusion violates: 1) the EPSDT requirements in the Medicaid Act; 2) the comparability requirement in the Medicaid Act; 3) Section 1557 of the…
- August 19, 2020
Doe v. Snyder, Ninth Circuit
Litigation Team CasesRead moreTwo transgender young people enrolled in Medicaid filed a class action lawsuit challenging an Arizona regulation that prohibits coverage of medically necessary gender-confirming surgery. The plaintiffs allege that the discriminatory coverage exclusion violates: (1) the EPSDT requirements in the Medicaid Act; (2) the comparability requirement in the Medicaid Act;…
- June 11, 2020
K.B. v. Michigan D.H.H.S., Eastern District of Michigan
Read moreA class of Medicaid-eligible children with intensive mental health care needs who are at risk of avoidable psychiatric hospitalizations or commitment to the juvenile delinquency system sued the Michigan Department of Health and Human Services for failing to provide needed mental health services in the community as required by…
- May 28, 2020
Schwartz v. Cal DHCS, Superior Court of California
Abbi Coursolle and Kimberly Lewis CasesRead moreAn adult California Medicaid (Medi-Cal) beneficiary is challenging the California Department of Health Care Services and her county Mental Health Plan after she experienced a mental health crisis and was turned away from evaluation and subsequent treatment without appropriate notice. The Plaintiff alleges that she was denied medically necessary…
- February 19, 2020
A.J. vs Gee, Middle District of Louisiana
Read moreMedicaid eligible children who require in-home nursing services challenged Louisiana’s failure to arrange for or provide those medically necessary services. The failure to provide in-home nursing services puts these children at serious risk of harm and institutionalization.
