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28 results in Case Explainer.

January 6, 2025
Case Explainer: Medina v. Planned Parenthood of South Atlantic— Certiorari Granted
Jane Perkins Case Explainer, Cases, Court Document
On December 18, 2024, the Supreme Court agreed to hear a case presenting the question: does the Medicaid free choice of provider provision, 42 U.S.C. § 1396a(a)(23)(A), unambiguously confers a right upon beneficiaries to choose a specific provider? After giving some background on enforcement of the Medicaid Act, this…
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September 4, 2024
Case Explainer: AMC v. Smith
Sarah Grusin and Elizabeth Edwards Case Explainer
On 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…
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February 2, 2024
Case Update: Supplemental Complaint file in Rose v. Becerra
Jane Perkins and Catherine McKee Case Explainer
This case update focuses on Rose v. Becerra, which challenges approval of a Section 1115 Medicaid project in Indiana. CMS has recently reapproved the project, which allows Indiana to continue imposing premiums on very low-income people and to waive retroactive coverage and non-emergency medical transportation. This case update provides…
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January 31, 2024
Explainer: FTC Complaint Requests Investigation into Deloitte’s Texas Medicaid Eligibility System
Elizabeth Edwards, Sarah Grusin, and Cassandra LaRose Case Explainer, Fact Sheet, Issue Brief
Hundreds of thousands of Texas Medicaid enrollees have been harmed by wrongful terminations and other errors in the state’s automated eligibility system developed by contractor Deloitte Consulting LLP (Deloitte), a new complaint to the Federal Trade Commission (FTC) alleges. The complaint filed by the National Health Law Program (NHeLP),…
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November 22, 2023
U.S. v. Florida Case Explainer
Arielle Linsey and Jane Perkins Case Explainer
On July 14, 2023, the Southern District of Florida issued a significant decision in United States v. Florida, a case brought by the United States to address deficiencies in Florida’s provision of in-home private duty nursing (PDN) and other in-home services for children with medically complex conditions (MCCs). The…
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September 18, 2023
EPSDT’s Legal Landscape & Implementation History
Amanda Avery and Jane Perkins Fact Sheet, Case Explainer, Regulations and Laws, Health Advocate, Court Document
This Fact Sheet provides essential information to help advocates become EPSDT experts. After giving an overview to EPSDT, we focus on: (1) legislative milestones; (2) notable federal agency guidance; and (3) precedent-setting cases from the judiciary. Next, we provide a snapshot of states’ performance implementing EPSDT, using government reports…
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Case Explainer: Medina v. Planned Parenthood of South Atlantic— Certiorari Granted

Case Explainer: AMC v. Smith

Case Update: Supplemental Complaint file in Rose v. Becerra

Explainer: FTC Complaint Requests Investigation into Deloitte’s Texas Medicaid Eligibility System

U.S. v. Florida Case Explainer

EPSDT’s Legal Landscape & Implementation History