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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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  • C.A. v. Garcia, United States District Court for the Southern District of Iowa

    Litigation Team

    Plaintiffs are Medicaid-eligible children with a serious emotional disturbance who need intensive home and community-based services to treat or ameliorate their mental and behavioral health conditions. This class action arises from the Iowa Department of Health and Human Services’ longstanding failure to provide the Plaintiff children with these legally-required…

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  • Franklin v. Kinsley, Eastern District of North Carolina

    Litigation Team

    This case was formerly known as Hawkins v. Cohen. Adults and children enrolled in Medicaid filed a class action in North Carolina challenging the State’s policy and practice of making automatic ex parte redeterminations of Medicaid eligibility and terminating Medicaid coverage without providing adequate notice or opportunity for a…

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  • S.J, et. al v. Knodell, Western District of Missouri

    This case was formerly known as S.J v. Tidball. Nine children with medically complex conditions who are enrolled in Medicaid in Missouri challenged the Missouri Department of Social Services' failure to provide or arrange for medically necessary in-home nursing services as required by the Medicaid Act and the Americans…

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  • AMICUS: Georgia v. Brooks-LaSure,Southern District of Georgia, Brunswick Division

    Litigation Team

    In late 2021, the Centers for Medicare & Medicaid Services rescinded its 2020 approval of work requirements and premiums in Georgia. Georgia filed suit to challenge the withdrawal. The National Health Law Program, along with the Southern Poverty Law Center, Georgians for a Healthy Future, Georgia Legal Services Program,…

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