Since 1999, the District of Columbia has been subject to a consent decree, referred to as the Settlement Order, which enjoins the District to take actions to remedy its violations of the Medicaid statute. For over 25 years, the United States Court for the District of Columbia has provided oversight of the District’s compliance with the Settlement Order. Learn more about Salazar v. District of Columbia here.
In 2009 and 2013, the Court dismissed sections of the Settlement Order based on the District of Columbia’s compliance with timely Medicaid application processing and based on a change of law regarding Medicaid recertification processing. The two remaining sections of the Settlement Order cover reimbursement for out-of-pocket expenses for Medicaid recipients and the child health benefit called Early and Periodic, Diagnostic, Screening, and Treatment (EPSDT) services for children up to age 21. On October 31, 2025, the District of Columbia and the Plaintiff class, represented by class counsel, entered into a Settlement Agreement designed to end court oversight of the reimbursement and EPSDT sections of the Settlement Order within two years and to provide a durable remedy for the Plaintiff class.
On May 1, 2026, the Court entered an Order Preliminarily Approving the Settlement Agreement, Directing Notice to the Class, and Setting a Date for a Fair Hearing. The Settlement Agreement is available here.
Notice to Class members
This notice (posted below) is issued on May 8, 2026. If you are or your child(ren) are Medicaid-eligible and under 21 years of age, this notice may affect you.
The Parties have reached an agreement that will end the Court’s oversight of this class action case. The Settlement Agreement is not final until the Court approves it.
A fairness hearing will be held on August 13, 2026, at 10a.m. All objections must be submitted by July 30, 2026. For more information, you may contact the lawyers for the class by phone or email.
Notice to Class Members of Proposed Settlement Agreement (English)
Aviso a Miembros de Demanda Colectiva (Español)
For more detailed information about what will happen next, please contact counsel for the Plaintiff class at [email protected]/202-204-8484 (there is no charge for contacting us) and you may also read the responses to Frequently Asked Questions here.