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… results in Cases.
  • March 7, 2023

    Maldanado (formerly N.B.) v. District of Columbia, D.C. District Court, D.C. Circuit

    Litigation Team

    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 17, 2023

    Carr v. Becerra, District of Connecticut

    Litigation Team

    Plaintiffs in Carr v. Becerra challenged an Interim Final Rule that required states to trim their Medicaid rolls in violation of the “Families First Coronavirus Response Act,” passed by Congress in March 2020. In exchange for receiving billions of dollars of additional federal funding, states are forbidden under that…

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  • February 16, 2023

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

    Litigation Team

    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

    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

    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

    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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