Chianne D v. Weida

Issue: Do Florida’s Medicaid termination notices violate enrollees’ constitutional due process rights? 

Background:  A group of Medicaid enrollees sued Florida arguing that the state’s notices terminating their coverage violate their due process protections under the U.S. Constitution. They seek reinstatement of benefits for all people whose coverage was unconstitutionally terminated, as well as an overhaul of the state’s termination procedures. The plaintiffs include women in their 12-month postpartum period, children who have gone without regular vaccinations and well child care, and a child with serious chronic health conditions who has experienced adverse health consequences due to foregone care. The case was certified as a class action and a trial was held in summer 2024.

Current Status: Pending at trial court 

Trial Court Amicus Brief Part I, April 5, 2024 

Trial Court Amicus Brief Part II, April 5, 2024 

Amici: American Public Health Association and 102 public health deans and scholars

Argument Summary:  Due process requires states to provide adequate notice before terminating essential healthcare coverage provided to people in brutal need of medical assistance. Florida’s due process violations harm its most vulnerable residents. Florida’s Medicaid program covers the very poorest children, parents, pregnant people, seniors, and people with disabilities. Florida Medicaid enrollees are some of the most vulnerable populations in the state. Florida has failed to make notices accessible to a low health literacy population. Without Medicaid, Floridians will suffer poor health outcomes. Florida ranks near the bottom nationally in healthcare access, outcomes, and social determinants of health. Existing safety net providers cannot meet the current demand for affordable healthcare for uninsured Floridians, and this problem will grow due to Medicaid coverage loss.

Outside Counsel: Foley Hoag LLP

Related Resources:

Ku L, Musumeci M, Rosenbaum, S. Florida’s Medicaid Unwinding Lacks Fundamental Safeguards And Can Harm Population Health. Health Affairs Forefront. Dec. 1, 2023. https://www.healthaffairs.org/content/forefront/florida-s-medicaid-unwinding-lacks-fundamental-safeguards-and-can-harm-population

Funding Acknowledgment:

Supported by the Commonwealth Fund, a national, private foundation based in New York City that supports independent research on health care issues and makes grants to improve health care practice and policy. The views presented here are those of the authors and not necessarily those of the Commonwealth Fund, its directors, officers, or staff.