The U.S. Supreme Court is considering a question that concerns Florida personal injury plaintiffs. Specifically, should the state’s Medicaid program be allowed to seek reimbursement for past medical care by siphoning personal injury lawsuit settlement funds that are expressly dedicated to future medical expenses?
As our Fort Lauderdale personal injury lawyers can explain, this could impact how we as attorneys approach settlement negotiations.
The case that kickstarted the dispute in Gallardo v. Marstiller is a tragic one. A 13-year-old girl has been left in a persistent vegetative state after she was hit by a truck while getting off a school bus. She received a settlement of $800,000 against the owner of the truck, the driver, and the school board. (The cost of catastrophic injuries like this for someone so young can easily stretch into many millions of dollars over her lifetime.)
But then, the Florida Agency for Healthcare Administration imposed a lien on her settlement money, asserting that it was entitled to seize $300,000 of the money that was set aside for past and future medical expenses. The district court in Florida ruled against the state, arguing the federal Medicaid Act barred the state from being reimbursed for past paid medical expenses from the portion of the settlement that is set aside for future medical expenses. In the summer of 2020, the U.S. Court of Appeals for the 11th Circuit reversed in favor of the state’s action.
It was appealed to the U.S. Supreme Court, which heard oral arguments in January and is expected to rule in the coming months. Continue reading