Medicaid and Beneficiary Enforcement: Maintaining State Compliance with Federal Availability Requirements

50 Pages Posted: 8 Aug 2008  

Jon Donenberg

Yale Law School

Date Written: May 2008

Abstract

When states accept federal funding to administer a joint federal-state program, what assurance is there that they will conform to the requirements of governing federal law? This question takes on a new urgency in the Medicaid context since the section 1983 lawsuits that have historically monitored state compliance with fundamental federal Medicaid requirements may now be impermissible due to recent legislative developments. Anticipating a scramble to find alternative means of enforcement, a novel solution - using administrative hearings to compel states to conform to the federal requirements - may prove to be the most appropriate remaining mechanism for bridging the impending accountability gap.

Keywords: Medicaid, Administrative Law, Health care, Benefits Enforcement, Section 1983, Gonzaga v. Doe, Suter v. Artist M., Deficit Reduction Act, Agency, Fair Hearing, Benefits, Accountability, Federalism, Cause of Action, Prerogative Writs, Centers for Medicare and Medicaid Services, Regulation

JEL Classification: H1, H10, H11, H5, H50, H51, H53, H55, H7, H70, H72, H77, I00, I10, I18, K32

Suggested Citation

Donenberg, Jon, Medicaid and Beneficiary Enforcement: Maintaining State Compliance with Federal Availability Requirements (May 2008). Yale Law Journal, Vol. 117, No. 7, 2008. Available at SSRN: https://ssrn.com/abstract=1211223

Jon Donenberg (Contact Author)

Yale Law School ( email )

127 Wall Street
New Haven, CT 06511
United States

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