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- January 6, 2025
Case Explainer: Medina v. Planned Parenthood of South Atlantic— Certiorari Granted
Read moreOn 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…
- June 12, 2024
Fact Sheet Exhaustion, Abstention, Preclusion: Considerations for Filing Fair Hearings
Read moreMedicaid applicants and beneficiaries have a choice of forum when eligibility or services are denied, terminated, or reduced. They have the right to a state administrative hearing to challenge a denial, termination, or reduction of eligibility or services, with a right to appeal an adverse decision to state court.…
- February 7, 2024
AMICUS: Planned Parenthood of Montana v. Montana, Supreme Court of the State of Montana
Read moreIn 2023, Montana imposed severe restrictions on coverage of abortion services for individuals enrolled in Medicaid. Reproductive health providers filed suit, arguing that the restrictions violate the Montana Constitution. The lower court granted the Plaintiffs' motion for a preliminary injunction, and the State appealed. NHeLP filed an amicus brief…
- September 18, 2023
EPSDT’s Legal Landscape & Implementation History
Amanda Avery and Jane Perkins Case Explainer, Fact Sheet, Regulations and Laws, Health Advocate, Court DocumentRead moreThis 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…
