Federal District Court Judge Rules FL Medicaid Program Violates Federal Laws

On December 31, 2014, Judge Adalberto Jordan of the U.S. District Court for the Southern District of Florida ruled that Florida’s Medicaid program violated federal laws, including those pertaining to the EPSDT program and the requirement in 42 U.S.C. section 1396a(30)(A) that providers be sufficiently compensated to ensure access by Medicaid recipients to services equal to others in the same geographical area.  See Case1:05-cv-23037-AJ Document 1294 entered on FLSD Docket.


The case was originally brought in 2005 by the Florida Pediatric Society/ The Florida Chapter of the American Academy of Pediatric Dentistry and a number of individual children in the Medicaid program against the Florida Agency for Health Care Administration (AHCA) and the Florida Department of Children and Family Services (DCF). 


Judge Jordan indicated he would set a hearing later in January, 2015, to determine how to proceed with the state toward a resolution.  The attorney who litigated the lawsuit on behalf of the plaintiffs has stated that the Florida legislature would have to appropriate about $200 million to fix the state’s Medicaid program.