Section 1557 Archive

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

    Litigation Team

    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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  • Dekker v. Weida, Northern District of Florida

    Litigation Team

    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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  • Amicus brief from National Health Law Program in CVS v. Doe

    In CVS v. Doe, individuals living with HIV challenge a decision by their health insurers to require access to HIV medications only through mail-order pharmacies while other medications are available in-store with pharmacist consultation available. NHeLP, joined by Disability Rights California, argues in this amicus brief ("friend of the…

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  • Amicus: State of N.Y., et al. v. U.S. Dep’t Health & Human Servs., Southern District of New York

    Litigation Team

    National Health Law Program (NHeLP), Justice in Aging, and the Disability Rights Education and Defense Fund (DREDF) submitted an amicus brief in the Southern District of New York on behalf of themselves and 47 partners. The brief supports the State of New York and 22 other states’ motion for partial summary…

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  • Doe v. Snyder, Ninth Circuit

    Litigation Team

    Two 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;…

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  • Amicus: State of Washington v. U.S. Dep’t Health & Human Servs., Western District of Washington

    Litigation Team

    The National Health Law Program filed this brief, signed by 11 other organizations in support of the State of Washington’s efforts to enjoin the Administration’s changes to the rules for the ACA’s non-discrimination provision, Section 1557. The 2020 Revised Rule regarding section 1557 of the Patient Protection and Affordable…

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