Source: http://www.ecases.us/case/ksd/c2291609/visser-v-taylor
Timestamp: 2020-07-03 22:42:31
Document Index: 800654162

Matched Legal Cases: ['§ 1331', '§ 1396', '§ 1396', '§ 1396', '§ 1396', '§ 440', '§ 1396', '§ 1396']

Visser v. Taylor, District of Kansas, US Federal District Court Cases, Federal Courts, COURT CASE
1. The court has subject matter jurisdiction over SRS's proposed Medicaid disallowance under 28 U.S.C. § 1331. Section 1331 of Title 28 provides district courts with jurisdiction over actions arising under the Constitution, laws, or treaties of the United States. See, e.g., Woodstock/Kenosha Health Center v. Schweiker, 713 F.2d 285, 288-89 (7th Cir.1983). SRS has not challenged the court's jurisdiction.
13. All participating states are required to cover the "categorically needy." The categorically needy are primarily those persons *506 who are receiving or are eligible for financial aid from the cash assistance programs established by the Social Security Act. 42 U.S.C. § 1396a(a)(10)(A)(ii). Participating states may also extend coverage to the "medically needy," that is, those persons whose income makes them ineligible for cash benefits, but who otherwise qualify for the cash assistance programs under the Social Security Act. 42 U.S.C. § 1396a(a)(10)(A)(ii). Kansas has elected to provide the more extended coverage to the "medically needy." K.A.R. 30-6-53.
14. States that participate in the Medicaid program must cover six mandatory services. 42 U.S.C. § 1396a(a)(10)(A). There are also a number of optional services which may be provided by a state. A state's discretion in providing optional services is not unbridled. Ledet v. Fischer, 638 F. Supp. 1288, 1291 (M.D.La.1986). A state must provide service of sufficient scope to achieve the purpose of the item in the scheme of the federal program. Dodson v. Parham, 427 F. Supp. 97, 110 (D.Ga. 1976).
15. One of these optional services is the furnishing of prescription drugs. 42 U.S.C. § 1396d(a)(12). Kansas has elected to provide prescription drug coverage under its Medicaid plan. K.A.R. 30-5-92. "Prescription drugs" are substances prescribed for the cure, mitigation or prevention of disease, or for health maintenance. 42 C.F.R. § 440.120(a). Prescription drugs covered by the Kansas Medicaid plan are limited to drugs which are included on a formulary listing adopted and distributed by SRS. K.A.R. 30-5-92(a)(2).
17. The standards that a state adopts for determining the extent of medical assistance must be reasonable and consistent with the objectives of Title XIX. 42 U.S.C. § 1396a(a)(17). The primary objective of Title XIX, broadly stated, is to enable each state, as far as practicable, to furnish medical assistance to individuals whose income and resources are insufficient to meet the costs of necessary medical services. 42 U.S.C. § 1396; Beal v. Doe, 432 U.S. 438, 444, 97 S. Ct. 2366, 2370, 53 L. Ed. 2d 464 (1977).
DocketNumber： 90-2280-O
Citation Numbers： 756 F. Supp. 501
Judges： Earl E. O'Connor
Filed Date： 9/10/1990
carolyn-rush-pseudonym-v-t-m-jim-parham-etc-david-poythress , 625 F.2d 1150 ( 1980 )
otero-savings-and-loan-association-majestic-savings-loan-association , 665 F.2d 275 ( 1981 )
kenai-oil-and-gas-inc-a-corporation-bow-valley-petroleum-inc-a , 671 F.2d 383 ( 1982 )
mississippi-hospital-association-inc-cross-appellees-v-margaret-m , 701 F.2d 511 ( 1983 )
11-socsecrepser-206-medicaremedicaid-gu-34993-jeanne-meyers-by-her , 776 F.2d 241 ( 1985 )