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October 2022    Volume 3 Issue 10
Health Law Connections

Medicaid Liens and Gallardo

AHLA thanks the leaders of the Health Care Liability and Litigation Practice Group for contributing this feature article.
  • October 01, 2022
  • Hannah Berkman , Horvitz & Levy LLP
  • H. Thomas Watson , Horvitz & Levy LLP
  • Peder Batalden , Horvitz & Levy LLP
Medicaid

In February 2020, a trial court in Los Angeles ruled that federal law preempted a state Medicaid lien on a tort settlement. Medicaid beneficiary L.Q.—a child whose catastrophic birth injuries rendered her disabled—sued her health care providers for negligence and settled for $3 million. The California Department of Health Care Services (DHCS) asserted a lien on the settlement to recover medical expenses it had paid, a standard procedure under the state’s Medicaid scheme. But the trial court denied the lien,1 ruling that a state statute on which DHCS has long relied to assert such liens was preempted by the federal Medicaid Act’s2 anti-lien provision.

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