{"ID":63386,"name":"Gallardo v. 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She eventually recovered $800,000 in a court-approved settlement, which applied to her past medical expenses, future medical expenses, lost wages, and other damages. However, the settlement amount covered only a fraction of each type of damages.\u003C\/p\u003E\n\u003Cp\u003EMedicaid had paid $862,688.77 toward her past medical expenses, so in an attempt to recover reimbursement for its payments, pursuant to Florida law, the State of Florida asserted a lien over the compensation for past medical expenses, which Medicaid had paid, as well as the compensation for future medical expenses.\u003C\/p\u003E\n\u003Cp\u003EGallardo\u2019s counsel filed a lawsuit asking the court to enjoin the state from asserting its lien over the portion of her tort recovery compensating for future medical expenses and to declare that Florida\u2019s reimbursement statute violates the Medicaid Act. The district court ruled for Gallardo, finding that the Medicaid Act preempted the Florida law to the extent that the law allows the State to satisfy its lien for past medical expenses from the portion of the beneficiary\u2019s tort recovery that compensates for future medical expenses. The U.S. Court of Appeals for the Eleventh Circuit reversed.\u003C\/p\u003E\n","question":"\u003Cp\u003EDoes the federal Medicaid Act provide for a state Medicaid program to recover reimbursement for Medicaid\u2019s payment of a beneficiary\u2019s past medical expenses by taking funds from the portion of the beneficiary\u2019s tort recovery that compensates for future medical expenses?\u003C\/p\u003E\n","conclusion":"\u003Cp\u003EThe Medicaid Act permits a state to seek reimbursement from settlement payments allocated for future medical care. Justice Clarence Thomas authored the 7-2 majority opinion.\u003C\/p\u003E\n\u003Cp\u003ESection 1396p(a)(1) of the Medicaid Act prohibits states from recovering medical payments from a beneficiary\u2019s \u201cproperty,\u201d that is, from settlement amounts other than those allocated for past medical care paid for by Medicaid. But that provision does not apply to state laws expressly authorized under the Act. Florida\u2019s Medicaid Third-Party Liability Act falls squarely within this exception to Section 1396p(a)(1). The plain text of the provision, as well as the statutory context, support this interpretation. The language granting rights to payment of \u201cany medical care\u201d includes both past medical payments and future medical payments.\u003C\/p\u003E\n\u003Cp\u003EJustice Sonia Sotomayor authored a dissenting opinion, in which Justice Stephen Breyer joined. Justice Sotomayor argued that the majority \u201cread[s] one statutory provision in isolation while giving short shrift to the statutory context, the relationships between the provisions at issue, and the framework set forth in precedent. As such, Justice Sotomayor argued, its holding \u201cis inconsistent with the structure of the\u201d Medicaid program and will cause needless unfairness and disruption.\u003C\/p\u003E\n","advocates":[{"advocate":{"ID":17670,"name":"Bryan S. 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