AMICUS: Fain v. Crouch, United States Court of Appeals for the Fourth Circuit
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By: Litigation Team
Executive Summary
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 state Medicaid plan is not entitled to deference, coverage of gender-affirming surgery is not optional, and no inferences about CMS’s opinions on Medicaid coverage of gender-affirming surgery can be drawn from its decision not to issue a national coverage policy for Medicare beneficiaries.
In a formal complaint filed January 31, the National Health Law Program (NHeLP), the Electronic Privacy Information Center (EPIC), and Upturn urge the Federal…
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