Class of Medicaid recipients challenged Florida’s failure to provide basic due process when denying coverage of prescription drugs. Recipients were simply told by a pharmacist that Medicaid would not pay for a prescription drug, without any written explanation of why coverage was denied, or how they could challenge the decision. Plaintiffs alleged that this practice violated the Medicaid Act and the requirements of constitutional due process.
Section 1557 generally prohibits different treatment (also referred to as “intentional discrimination”) and discriminatory effects (also referred to as…
