Private Actions to Protect Medicaid Live to See Another Day

Document Type

Article

Publication Date

6-2023

ISSN

0098-7484

Publisher

JAMA Network

Language

en-US

Abstract

This JAMA Viewpoint explored the US Supreme Court's decision in Health and Hospital Corporation of Marion County et al v Talevski, which held that private parties can enforce federal Medicaid law against noncompliant states. The 7-2 majority held that the Federal Nursing Home Reform Act of 1987, which amended Medicare and Medicaid to protect nursing facility residents, could be enforced by patients and would not be restricted solely to federal agency actions. This essay explored why the majority's decision was the best of the possible outcomes, though it largely maintained the status quo, because of the litigation's potential to cause severe disruption in Medicaid and other social programs. Justice Ketanji Brown Jackson's opinion was especially attuned to the need for maintaining private civil rights actions but concurrences and dissents left the door open to further challenges.

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