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No. 20-1263October Term 2020Decided Jun 17, 2022

Docket 20-1263October Term 2020 (2020–2021)

Gallardo v. Marstiller

The key question is whether a state may take Medicaid reimbursement from the future-medical-expense part of an injury settlement.

Case status

Current stage
Decided
Latest event
Decision released Jun 17, 2022
Case Accepted
Arguments
Decision ReleasedJun 17, 2022
What it's about

The case asked whether Florida’s Medicaid program could take money from a personal-injury settlement not just for past medical expenses Medicaid already paid, but also from the portion of the settlement representing future medical expenses. The Supreme Court held that the federal Medicaid Act allows a state to seek that reimbursement from settlement funds allocated to future medical care.

Question presented

Whether the federal Medicaid Act provides for a state Medicaid program to recover reimbursement for Medicaid's payment of a beneficiary's past medical expenses by taking funds from the portion of the beneficiary's tort recovery that compensates for future medical expenses.

Case path

United States Court of Appeals for the Eleventh Circuit / Decision released Jun 17, 2022

Area

Decided Supreme Court case

Briefing

What it's about

This case asks whether Florida's Medicaid program can recover money from a personal-injury settlement for future medical expenses, not just past medical bills Medicaid already paid. The fight is over how much of an injured person's settlement a state may claim under the federal Medicaid Act.

Vote

The case is still pending, and no oral argument is scheduled yet. Gallardo argues Florida should be limited to money tied to past medical expenses, while the state argues the Medicaid Act also lets it reach funds set aside for future medical care.

Impact

The answer could affect Medicaid patients who win injury settlements and need money for long-term care. For example, a badly injured child or adult could have less settlement money left for future treatment if the state can reach that part of the award.

What's next

The next milestone is a scheduling move from the Supreme Court, such as setting oral argument. No decision window is available yet.

What exactly is the dispute in Gallardo v. Marstiller?

The case asks whether Florida's Medicaid program may recover from settlement money meant for future medical care. Gallardo says Medicaid should recover only from money for past care it already paid.

Who could feel the effects of this case in real life?

Medicaid beneficiaries who receive personal-injury settlements could be directly affected. If states can claim more of those settlements, injured people may have less money for future treatment.

What should readers watch for next in this case?

Watch for the Court to schedule oral argument or make another calendar move. The prompt does not provide any expected decision timing yet.

Decision

Decision record

What the Court decided

The key question is whether a state may take Medicaid reimbursement from the future-medical-expense part of an injury settlement.

Impact

The answer could affect Medicaid patients who win injury settlements and need money for long-term care. For example, a badly injured child or adult could have less settlement money left for future treatment if the state can reach that part of the award.

Not official Court text.

Opinion documents

Timing

Decided June 17, 2022

The Court released its decision on June 17, 2022 without hearing oral argument.