CHA News Article

AHA Submits Amicus Brief Defending Providers’ Right to Enforce Requirement for “Sufficient” Medicaid Payments

The American Hospital Association (AHA) recently submitted an amicus curiae (“friend of the court”) brief to the U.S. Supreme Court arguing that Medicaid providers have the right to sue to challenge state regulations that fail to comply with Section 30(A) of the Medicaid Act. Section 30(A) requires states to reimburse health care providers at rates sufficient to ensure that Medicaid beneficiaries enjoy the same access to health care as the general population. In the case, Armstrong v. Exceptional Child Center, Inc., et al., the Supreme Court is expected to decide whether there is a “private right of action” on the part of Medicaid providers that allows them to sue a state to enforce Section 30(A). To assist in the preparation of AHA’s brief, CHA provided extensive information about the history of Medi-Cal rate cuts in California, which were imposed to achieve budgetary savings without consideration of the impact of rates on quality or access. Oral argument in the Armstrong case is today, and a decision is expected by the end of June.