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- March 7, 2023
Maldanado (formerly N.B.) v. District of Columbia, D.C. District Court, D.C. Circuit
Litigation Team CasesRead morePlaintiffs 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…
- June 11, 2021
Salazar v. District of Columbia, D.C. District Court, D.C. Circuit
Litigation TeamRead moreThis class action was originally brought in 1996 on behalf of children and adults who had applied for Medicaid, with claims including that the Medicaid agency failed to: issue decisions and provide coverage within 45 days of a submitted application, provide advance notice of termination of benefits; provide or…
- June 11, 2021
Demanding Ascertainable Standards: Medicaid as a Case Study
Read moreState Medicaid agencies and their contractors are increasingly relying on preset guidelines or assessment tools or both to make coverage decisions. Problems arise when the use of these tools results in program enrollees and advocates being refused access to the standards and procedures that govern the operation of the…
- September 23, 2020
Amicus: State of N.Y., et al. v. U.S. Dep’t Health & Human Servs., Southern District of New York
Litigation Team CasesRead moreNational Health Law Program (NHeLP), Justice in Aging, and the Disability Rights Education and Defense Fund (DREDF) submitted an amicus brief in the Southern District of New York on behalf of themselves and 47 partners. The brief supports the State of New York and 22 other states’ motion for partial summary…
- July 18, 2019
National Health Law Program Comments on D.C. 1115 Waiver Application
Read moreIn comments to the Department of Health and Human Services (HHS), The National Health Law Program urges HHS to reject the District of Columbia’s proposed Section 1115 Medicaid Behavioral Health Transformation Demonstration Program. As part of the demonstration, the District seeks to waive the Institutions for Mental Diseases (IMD)…
- March 7, 2016
NHeLP Comments to the Senate Finance Committee on the High Price of Prescription
Read moreNHeLP letter to the Senate Finance Committee in response to the request for public comment on policy issues including the financial impact of high prices of breakthrough drugs, data on prescription drug costs, and ensuring patient access, particularly for low income and vulnerable populations. Commments follow after an 18 month investigation…