medicaid

26 cases — ← All topics

Case Title Lower Court Docketed Status Flags Tags Question Presented
24-708 Zafar Iqbal v. BPOA Pennsylvania State Board of Medicine, et al. Third Circuit 2025-01-03 Denied Response WaivedRelisted (2) appeal circuit-court jurisdictional-statute medicaid preclusion supreme-court Can the 34 Circuit Court and DCWPA overrule jurisdictional statute of limitations set by US Supreme Court?
23-7132 Thomas G. O'Lear v. United States Sixth Circuit 2024-04-04 Denied Response WaivedIFP healthcare-fraud insurance-company medicaid medicare offense-level-enhancement sentencing-guidelines victim-definition vulnerable-victim Whether patients whose information was used in a healthcare fraud case, but who were not otherwise harmed, count as 'victims' for purposes of the vuln…
23-557 Shirley Carter v. Community Living Case Management, et al. Oregon 2023-11-22 Denied Response Waived americans-with-disabilities-act attendant-care-services disability-discrimination discrimination fair-labor-standards-act home-and-community-based-services medicaid medicaid-agency person-centered-plan rehabilitation-act social-security-act Whether the Medicaid agency Nullified or ignored its Federal and State statutory requirements
23-546 Corporate Management, Incorporated, et al. v. United States, ex rel. James Aldridge, et al. Fifth Circuit 2023-11-21 Denied Response Waived administrative-remedy cms due-process executive-compensation false-claims-act government-investigation materiality medicaid medicare medicare-reimbursement pay-and-chase Where the Centers for Medicare and Medicaid Services makes payments pursuant to a 'pay and chase' policy, are the certifications of Stone County Hospi…
22-534 Theresa Eagleson, Director, Illinois Department of Healthcare and Family Services v. St. Anthony Hospital, et al. Seventh Circuit 2022-12-09 GVR Amici (1)Response RequestedResponse WaivedRelisted (3) 42-usc-1983 contract-enforcement managed-care medicaid private-rights section-1983 spending-clause statutory-duty timely-payment Whether Spending Clause legislation, including Section u-2(f), can impliedly create private rights enforceable under 42 U.S.C. § 1983
21-1431 Robert M. Kerr, Director, South Carolina Department of Health and Human Services v. Planned Parenthood South Atlantic, et al. Fourth Circuit 2022-05-11 GVR Amici (6)Relisted (3) circuit-split civil-rights due-process medicaid medicaid-act private-right-of-action privately-enforceable-rights section-1983 spending-clause standing statutory-interpretation Whether Spending Clause statutes give rise to privately enforceable rights under § 1983
21-1308 J. Martin Robertson v. Larkspur Courts, et al. California 2022-03-31 Denied Response Waived due-process equal-protection fourteenth-amendment medicaid medicare medicare-reporting privacy settlement-disclosure social-security social-security-privacy Whether Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 requires settlement or judgment debtors to report the Social Security n…
21-806 Health and Hospital Corporation of Marion County, et al. v. Ivanka Talevski, Personal Representative of the Estate of Gorgi Talevski, Deceased Seventh Circuit 2021-12-01 Judgment Issued Amici (32)Response RequestedResponse WaivedRelisted (4) civil-rights due-process federal-jurisdiction medicaid medical-malpractice nursing-home-amendments nursing-homes private-rights section-1983 spending-clause statutory-interpretation third-party-beneficiaries Whether Spending Clause statutes give rise to privately enforceable rights under Section 1983
21-741 Thomas E. Parker, et al. v. Sea-Mar Community Health Center Ninth Circuit 2021-11-18 Denied appointment-billing dental dental-services double-billing false-claims-act fraud healthcare-billing medicaid medicaid-fraud standard-of-care Does a plaintiff state a claim under the False Claims Act by alleging a purposeful scheme to fraudulently double rates charged to Medicaid for pediatr…
21-6097 Dashon Hines v. Office of Temporary and Disability Assistance Staff, et al. Second Circuit 2021-10-28 Denied IFP administrative-law civil-procedure civil-rights disability-rights due-process medicaid Whether the Fourteenth Amendment's Due Process Clause requires a state to provide free legal assistance to a disabled individual seeking to challenge …
21-5345 Leonard Thurman v. Medical Transportation Management, Incorporated Fifth Circuit 2021-08-11 Denied Response WaivedRelisted (2)IFP administrative-regulation chevron-deference circuit-split civil-rights due-process federal-regulations federal-right medicaid medicaid-act section-1983 statutory-interpretation Whether an administrative regulation may establish a federal right enforceable under 42 U.S.C. § 1983
20-1692 Henry Evans v. United States Fifth Circuit 2021-06-07 Denied Response Waived administrative-law criminal-procedure criminal-prosecution expert-testimony health-care-fraud healthcare-fraud medicaid medicare medicare-regulations statutory-interpretation Whether Medicare regulations are controlling in a criminal prosecution under 18 U.S.C. § 1347
20-848 D. A. S. v. Madison County Department of Human Resources Alabama 2020-12-23 Denied Response Waived addiction-treatment due-process federal-law federal-regulations medicaid medicaid-expansion parental-rights remote-participation Whether the denial of a parent's request to participate remotely in a trial adjudicating parental rights violates due process
20-38 Arkansas v. Charles Gresham, et al. District of Columbia 2020-07-16 Judgment Issued Amici (2)Relisted (2) administrative-law agency-discretion experimental-projects health-benefits health-policy medicaid medicaid-expansion secretary-of-health-and-human-services social-welfare statutory-interpretation work-requirements Whether the Secretary's approval of the Arkansas Works Amendment was lawful
20-37 Xavier Becerra, Secretary of Health and Human Services, et al. v. Charles Gresham, et al. District of Columbia 2020-07-16 Judgment Issued Relisted (2) administrative-law agency-discretion civil-rights demonstration-projects health-care-coverage medicaid medicaid-demonstration-projects statutory-interpretation work-requirements Whether the Secretary may authorize demonstration projects to test requirements designed to promote the provision of health-care coverage by facilitat…
19-8774 Benjamin J. Gutierrez v. The Texas Health and Human Services Commission Texas 2020-06-22 Denied Response WaivedIFP child-custody constitutional-law constitutional-rights custody-determination due-process family-law government-agency medicaid medicaid-eligibility parental-rights Is it reasonable for a government agency to utilize a joint conservator's court ordered periods of possession of a child to determine that parent is n…
19-8739 Carl Womack v. Johanna Finkelstein, Assistant Clerk, Superior Court of North Carolina, Buncombe County Fourth Circuit 2020-06-18 Denied Relisted (2)IFP americans-with-disabilities-act civil-procedure civil-rights constitutional-rights due-process judicial-misconduct medicaid medicaid-recovery standing unauthorized-judgment Did a Martin Reidinger, district court judge rule against a US SUPREME COURT decision known as the Olmstead Act, and does his ruling contradict anothe…
19-1203 Children's Hospital Association of Texas, et al. v. Alex M. Azar, II, Secretary of Health and Human Services, et al. District of Columbia 2020-04-09 Denied Amici (4) administrative-law agency-deference agency-interpretation chevron-deference disproportionate-share-hospital medicaid medicaid-reimbursement regulatory-policy statutory-interpretation supplemental-payments Whether an agency may receive Chevron deference when it erroneously denies that its current interpretation marks a change in position
19-7538 Victoria Carlson, et vir v. Jodi Harpstead, Commissioner, Minnesota Department of Human Services, et al. Minnesota 2020-02-04 Denied Response WaivedRelisted (2)IFP administrative-procedure administrative-procedures breast-cancer-treatment civil-rights constitutional-rights due-process federal-statute medicaid medicaid-coverage medical-assistance medicare state-statute statutory-interpretation Whether the applicable language requires or allows removal of Victoria from Medicaid breast cancer treatment coverage
19-892 United States, ex rel. Andrew Gelbman v. City of New York, et al. Second Circuit 2020-01-17 Denied Response Waived false-claims-act fraud inference-drawing medicaid medicaid-fraud pleading-standard private-sector public-sector public-sector-providers rule-9b-dismissal Whether the pleading standard should be different for False Claims Act claims against public sector Medicaid providers than it is for such claims agai…
19-866 Emmanuel E. Ubinas-Brache v. Surgery Center of Texas, LP Texas 2020-01-10 Denied Response Waived anti-kickback-statute healthcare-fraud limited-partnership medicaid medicare partnership-agreement preemption state-contract-law surgical-center Does applying state contract law to enforce a partnership agreement's clause permitting expulsion 'for any reason or no reason' obstruct Congress's ef…
19-181 Lance Patterson v. Indiana Family and Social Services Administration Indiana 2019-08-09 Denied administrative-interpretation agency-deference federal-law federal-regulation garnished-income garnishment income-calculation income-received medicaid medicaid-liability nursing-home nursing-home-payment state-agency-deference Whether a state Medicaid agency must include garnished income in 'income received' when calculating a nursing home resident's liability
18-9439 Danea M. Addison v. Indiana, dba Family and Social Services Administration Seventh Circuit 2019-05-28 Denied Response WaivedRelisted (2)IFP ada civil-rights constitutional-law due-process equal-protection jurisdiction medicaid standing statutory-interpretation Whether the state of Indiana's 'Indiana Medicaid' program violates the ADA and the U.S. Constitution against the petitioner
18-1446 Lettie Sexton, ex rel. Appalachian Regional Healthcare, Inc. v. Kentucky Cabinet for Health and Family Services, et al. Kentucky 2019-05-20 Denied Response RequestedResponse WaivedRelisted (2) beneficiary-rights due-process fair-hearing federal-regulations medicaid medicaid-benefits medicaid-program medical-coverage personal-liability standing state-agency statutory-interpretation statutory-right Whether 42 U.S.C. § 1396a(a)(3) requires a state participating in the Medicaid program to provide a 'fair hearing' to a beneficiary when coverage of h…
18-8511 Victoria Carlson, et vir v. Emily Johnson Piper, Commissioner, Minnesota Department of Human Services, et al. Minnesota 2019-03-21 Denied Response WaivedIFP abstention administrative-appeal breast-cancer breast-cancer-treatment civil-rights constitutional-challenge due-process equal-protection federal-rights medicaid medicaid-benefits Whether the Minnesota Supreme Court erred
18-7041 Mark P. Donaldson v. Michigan Department of Health and Human Services, et al. Michigan 2018-12-17 Denied IFP administrative-hearing administrative-procedure cms-compliance due-process federal-preemption federal-regulations hearing-rights medicaid medicaid-regulations preemption procedural-due-process state-agencies supremacy-clause Whether Mr. Donaldson's procedural due process rights afforded him under Medicaid including 45 C.F.R. 155.530 (a), (b)(1) - (3) have been violated by …