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Texas Gray Panthers v. Shalala
, No. 99cv01557 (D.D.C. filed June 16, 1999) ; Clearinghouse Number: 52808
Description
Low-Income Elderly Plaintiffs Allege Inadequate Information, Counseling, and Assistance for Medicare Buy-In Program
Abstract
In this class action against Health and Human Services Secretary
and Social Security Administration Commissioner, plaintiffs allege
that defendants failed to implement explicit and mandatory
provisions of the Medicare statute requiring defendants to
establish a comprehensive plan of information, counseling, and
assistance to ensure that low-income Medicare beneficiaries learn
about the buy-in program and how to participate in it. The proposed
class consists of all individuals who are or will be eligible for a
Medicare buy-in program and who, for at least one month while they
are or have been eligible, will not be or were not enrolled in a
Medicare buy-in program. The Medicare buy-in program allows
statutorily defined groups of low-income people to have Medicaid
pay some or all of their financial obligations, such as premiums,
deductibles, and coinsurance payments, to the Medicare program.
Plaintiffs assert that, nearly a decade after Congress enacted the
Medicare buy-in program, about 4.5 million people—over
one-half of eligible individuals—are not participating and
therefore continue to pay monthly Medicare premiums even though
they are entitled to have the government pay those premiums.
Plaintiffs allege that defendants do not target information to
Medicare participants likely to be eligible; do not present
information to eligible beneficiaries in an understandable and
usable way; do not provide individual counseling or assistance; and
do not supply uniform information about individuals likely to be
eligible for the buy-in program to states as required by law.
Challenging defendants’ failure to carry out these duties as
agency action unlawfully withheld in violation of the
Administrative Procedure Act and the due process clause of the
Fifth Amendment, plaintiffs seek declaratory and injunctive relief.
