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March 7, 2023
Maldanado (formerly N.B.) v. District of Columbia, D.C. District Court, D.C. Circuit
Litigation Team Cases
Plaintiffs 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…
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February 16, 2023
AMICUS:United Stated v. Walgreens Co., United States Court of Appeals for the Fourth Circuit
Litigation Team Cases
The U.S. and Virginia filed suit against Walgreens for the submission of false claims seeking reimbursement for Hepatitis C medications provided to Medicaid beneficiaries who did not meet Virginia's criteria for coverage. The district court dismissed the case, and the U.S. and Virginia appealed. The National Health Law Program…
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February 16, 2023
U.S.C. Center for Health Journalism et al. v. Local Health Initiative, Los Angeles Superior Court
Litigation Team Cases
In this case, two Centers at the University of Southern California requested public records on provider performance from L.A. Care, the largest publicly operated Medicaid plan in the country. L.A. Care provided the records but heavily redacted them. Represented by NHeLP and USC's Gould School of Law, the Centers…
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February 16, 2023
AMICUS: Fain v. Crouch, United States Court of Appeals for the Fourth Circuit
Litigation Team Cases
Medicaid 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…
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February 16, 2023
Dekker v. Weida, Northern District of Florida
Litigation Team Cases
Four 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…
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November 2, 2022
Franklin v. Kinsley, Eastern District of North Carolina
Litigation Team Cases
This 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…
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Maldanado (formerly N.B.) v. District of Columbia, D.C. District Court, D.C. Circuit

AMICUS:United Stated v. Walgreens Co., United States Court of Appeals for the Fourth Circuit

U.S.C. Center for Health Journalism et al. v. Local Health Initiative, Los Angeles Superior Court

AMICUS: Fain v. Crouch, United States Court of Appeals for the Fourth Circuit

Dekker v. Weida, Northern District of Florida

Franklin v. Kinsley, Eastern District of North Carolina