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- August 1, 2023
Case Explainer: Health & Hospital System of Marion Co., Indiana v. Talevski
Read moreIn Health and Hospital System of Marion County, Indiana v. Talevski, the Supreme Court addressed whether provisions of federal safety net programs can be enforced by individuals pursuant to 42 U.S.C. § 1983 and, if so, whether individuals can enforce provisions of the Medicaid Nursing Home Reform Act. The…
- May 15, 2023
Principles for Fairer, More Responsive Automated Decision-Making Systems
Read moreMany government agencies use automated decision-making systems (ADS) for public benefits coverage and enrollment decisions, including Medicaid. By ADS we mean, broadly, systems that use standardized logic or algorithms to assess eligibility for and access to public benefits. This includes not only sophisticated “big data” systems, such as programs…
- May 10, 2023
EPSDT Litigation Trends and Annotated Docket
Read moreThe Early and Periodic Screening, Diagnostic and Treatment (EPSDT) provisions are among the most specific in the Medicaid Act. Over the years, however, states have not adhered to their responsibilities, and litigation has resulted. This Fact Sheet summarizes the federal requirements for EPSDT and provides an annotated case docket.…
- April 25, 2023
Case Explainer: Braidwood Management v. Becerra
Read moreThis case explainer concerns the district court opinion in Braidwood Management v. Becerra. The case could have tremendous repercussions on people’s access to hundreds of evidence-based preventive health services in the United States, from diabetes, high blood pressure, and cancer screening to HIV prevention medications, mammograms, and childhood vaccines.…
- November 8, 2022
Case Summary: Georgia v. Brooks-LaSure – Medicaid Work Requirements Reappear
Jane Perkins and Erica Turret* Case Explainer, Guide, Fact SheetRead moreA federal court in Georgia has set aside a decision by the Centers for Medicare & Medicaid Services (CMS) that had rescinded the work requirement and premium components of a section 1115 Medicaid project. The US Department of Justice did not appeal the ruling. Georgia becomes the only state…
- September 28, 2022
Summary of Amicus Briefs Supporting Ivanka Talevski in Health & Hospital Corporation of Marion County v. Talevski (No. 21-806)
Jane Perkins, Amanda Avery, and Erica Turret* Case Explainer, Fact Sheet, Court DocumentRead moreThe Supreme Court is deciding whether individuals can enforce the Medicaid Act through 42 USC 1983. Section 1983 has been the primary method for individuals to enforce the Act for more than 40 years. Losing this right would be a tremendous blow to individual enforcement and government accountability. Last…