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August 3, 2023
Recent Filing in Lawsuit Describes Medicaid Unwinding Harms in Tennessee
Sarah Grusin and Elizabeth Edwards Case Explainer, Fact Sheet, Issue Brief
Medicaid enrollees in Tennessee filed a lawsuit challenging the bureaucratic maze they have to navigate when trying to renew their Medicaid coverage under TennCare (Tennessee's Medicaid program). The case, A.M.C. v. Smith, was brought by the National Health Law Program, Tennessee Justice Center, National Center for Law & Economic Justice,…
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August 1, 2023
Case Explainer: Health & Hospital System of Marion Co., Indiana v. Talevski
Jane Perkins Case Explainer, Guide, Fact Sheet, Issue Brief
In Health and Hospital System of Marion County, Indiana v. Talevski, the Supreme Court addressed whether provisions of federal safety net programs can be enforced by individuals pursuant to 42 U.S.C. § 1983 and, if so, whether individuals can enforce provisions of the Medicaid Nursing Home Reform Act. The…
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May 15, 2023
Principles for Fairer, More Responsive Automated Decision-Making Systems
Elizabeth Edwards and David Machledt Case Explainer, Guide, Fact Sheet, Manual/Report, Issue Brief
Many government agencies use automated decision-making systems (ADS) for public benefits coverage and enrollment decisions, including Medicaid. By ADS we mean, broadly, systems that use standardized logic or algorithms to assess eligibility for and access to public benefits. This includes not only sophisticated “big data” systems, such as programs…
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May 10, 2023
EPSDT Litigation Trends and Annotated Docket
Jane Perkins and Amanda Avery Case Explainer, Fact Sheet
The 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.…
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April 25, 2023
Case Explainer: Braidwood Management v. Becerra
Jane Perkins Case Explainer
This case explainer concerns the district court opinion in Braidwood Management v. Becerra. The case could have tremendous repercussions on people’s access to hundreds of evidence-based preventive health services in the United States, from diabetes, high blood pressure, and cancer screening to HIV prevention medications, mammograms, and childhood vaccines.…
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November 8, 2022
Case Summary: Georgia v. Brooks-LaSure – Medicaid Work Requirements Reappear
Jane Perkins and Erica Turret* Fact Sheet, Guide, Case Explainer
A federal court in Georgia has set aside a decision by the Centers for Medicare & Medicaid Services (CMS) that had rescinded the work requirement and premium components of a section 1115 Medicaid project. The US Department of Justice did not appeal the ruling. Georgia becomes the only state…
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Recent Filing in Lawsuit Describes Medicaid Unwinding Harms in Tennessee

Case Explainer: Health & Hospital System of Marion Co., Indiana v. Talevski

Principles for Fairer, More Responsive Automated Decision-Making Systems

EPSDT Litigation Trends and Annotated Docket

Case Explainer: Braidwood Management v. Becerra

Case Summary: Georgia v. Brooks-LaSure – Medicaid Work Requirements Reappear