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- September 4, 2024
Case Explainer: AMC v. Smith
Read moreOn August 26, 2024, a federal court handed down a major victory for Medicaid enrollees in Tennessee, including people with disabilities, in the case A.M.C. v. Smith. The case was brought by the Tennessee Justice Center, National Health Law Program, National Center for Law and Economic Justice, and pro…
- August 23, 2023
Chianne D. et al v. Jason Weida, Middle District of Florida
Read moreThree Floridians, represented by the Florida Health Justice Project and the National Health Law Program, have filed a lawsuit against the Florida Agency for Health Care Administration and the Department of Children and Families. At issue in the suit are the notices these agencies are using to alert people that their Medicaid coverage is…
- April 20, 2023
AMICUS: J.R. v. Horizon NJ Health, New Jersey Superior Court, Appellate Division
Litigation Team CasesRead moreJ.R. is a young child who requires nursing services and appealed a significant reduction in her Medicaid nursing services that was based on the results of a secret scoring tool and care guidelines. The notice provided to J.R. reducing their services only provided the end result of the tool…
- March 7, 2023
Maldanado (formerly N.B.) v. District of Columbia, D.C. District Court, D.C. Circuit
Litigation Team CasesRead morePlaintiffs filed this class action case on behalf of Medicaid beneficiaries in the District of Columbia whose requests for outpatient prescription drugs are denied by pharmacy providers without written notice or opportunity to be heard. Plaintiffs claim that the failure to provide individualized written notice violates the Due Process…
- November 2, 2022
Franklin v. Kinsley, Eastern District of North Carolina
Litigation Team CasesRead moreThis case was formerly known as Hawkins v. Cohen. Adults and children enrolled in Medicaid filed a class action in North Carolina challenging the State’s policy and practice of making automatic ex parte redeterminations of Medicaid eligibility and terminating Medicaid coverage without providing adequate notice or opportunity for a…
- June 11, 2021
L.S. by and through Ron S. v. Delia, Eastern District of North Carolina and Fourth Circuit Court of Appeals
Litigation Team CasesRead moreThis class action was filed on behalf of a class of North Carolinians with intellectual and developmental disabilities who received letters from their regional managed care organization, Piedmont Behavioral Health (known as PBH and later Cardinal Innovations Healthcare), informing them that, based on their Supports Intensity Scale (SIS) assessment,…
