| 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 |
1.Can the 34 Circuit Court and DCWPA overrule, Jurisdictional statute of limitations set by US Supreme Court as 10/18/2022 in case no.22-624?
2. Did … |
| 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 |
United States Sentencing Guideline § 3A1.1 provides for a base offense level increase where the victim of the offense was vulnerable. In a case involv… |
| 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 by withholding attendant care service payment that were … |
| 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 |
1. Where the Centers for Medicare and Medicaid
Services (CMS) makes paym ents pursuant to a "pay
and chase" policy, are the certifications of Stone Co… |
| 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 |
1. Whether Spending Clause legislation, including Section u-2(f), can impliedly create private rights enforceable under 42 U.S.C. § 1983.
2. Whether,… |
| 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 |
1. Whether Spending Clause statutes ever give rise to privately enforceable rights under § 1983, and if so, what is the proper framework for deciding … |
| 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 |
1. Whether Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 as amended by Section 204 of the Medicare IVIG Access and Strengthen… |
| 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 |
1. Whether, in light of compelling historical evidence to the contrary, the Court should reexamine its holding that Spending Clause legislation gives … |
| 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 |
Question not identified. |
| 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 |
Petitioner Leonard Thurman filed suit against Respondent Medical Transportation Management, Inc. for failure to provide transportation, which is guara… |
| 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 |
1.) Are the Medicare rules, regulations, and policies "controlling" in a criminal prosecution under 18 U.S.C. § 1347; i.e. is evidence of compliance o… |
| 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 |
An indigent parent relocated to a State with expanded Medicaid to get addiction treatment, because his home State, which was adjudicating his parental… |
| 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 court of appeals erred in concluding that the Secretary may not authorize demonstration projects to test requirements that are designed to… |
| 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 |
In 2010, Congress enacted the Patient Protection and Affordable Care Act (ACA). ACA legislation that sought to significantly address matters concernin… |
| 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 |
Because of Medicaid's low reimbursement rates, hospitals with large Medicaid patient populations have a statutory right to supplemental "Disproportion… |
| 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 |
1) Whether the applicable "plain and unambiguous " language in light of Hauser v.
IdahoDWP and of Congress 's federal statute 42 U.S.C. 1396a(aa) and… |
| 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 |
The first question presented is: whether the pleading standard should be different for False Claims Act claims against public sector Medicaid provider… |
| 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 |
Animated by concerns over fraud and rising costs in federal healthcare reimbursement programs like Medicare and Medicaid, Congress enacted an anti-kic… |
| 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 |
Federal law requires Medicaid recipients to pay
from their income received a portion of their monthly
nursing home bill, called the resident's "liabil… |
| 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 |
Question not identified. |
| 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 by concluding in In re Victoria and Stephen Carlson (A18-1578, Minn. 2018)--in conflict with the decision of… |
| 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 … |