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- May 10, 2023
EPSDT Litigation Trends and Annotated Docket
Read moreThe Early and Periodic Screening, Diagnostic and Treatment (EPSDT) provisions are among the most specific in the Medicaid Act. Over the years, however, states have not adhered to their responsibilities, and litigation has resulted. This Fact Sheet summarizes the federal requirements for EPSDT and provides an annotated case docket.…
- 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 31, 2022
S.J, et. al v. Knodell, Western District of Missouri
Read moreThis case was formerly known as S.J v. Tidball. Nine children with medically complex conditions who are enrolled in Medicaid in Missouri challenged the Missouri Department of Social Services' failure to provide or arrange for medically necessary in-home nursing services as required by the Medicaid Act and the Americans…
- May 9, 2022
C.K. v. Bassett, Eastern District of N.Y.
Read morePlaintiffs are two children on Medicaid who have been deprived of the intensive mental health services necessary for them to remain safely at home and in their communities, as required under the Medicaid's Early and Periodic Screening, Diagnostic, and Treatment mandate. Plaintiffs filed this action on behalf of a…
- November 19, 2020
Amicus: N.R. v. Raytheon Company, U.S. Court of Appeals, First Circuit
Litigation Team CasesRead moreNational Health Law Program, Autism Legal Research Center and eight other organizations submitted an amicus brief in the First District of the U.S. Court of Appeals. The brief was filed to address the failure of insurance plans to fully disclose required information about behavioral health services and limitations on…
- September 23, 2020
Katie A. v. Los Angeles County, Central District of California/Western Division
Litigation Team CasesRead moreKatie A. v. Bonta is a class action lawsuit that was filed in July 2002 against California’s State Departments of Health Care Services and Social Services (the state case), as well as Los Angeles County and its child welfare agency (the county case). It challenges the State and County’s…
