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Case Name Hiltibran v. Levy PB-MO-0002
Docket / Court 2:10-cv-04185-NKL ( W.D. Mo. )
State/Territory Missouri
Case Type(s) Disability Rights-Pub. Accom.
Public Benefits / Government Services
Special Collection Olmstead Cases
Attorney Organization Legal Services/Legal Aid
Case Summary
On August 23, 2010, several individuals with incontinence caused by disability filed this lawsuit in the U.S. District Court for the Eastern District of Missouri to challenge Missouri Medicaid's (MO HealthNet) policy of only covering incontinence briefs for those individuals residing in ... read more >
On August 23, 2010, several individuals with incontinence caused by disability filed this lawsuit in the U.S. District Court for the Eastern District of Missouri to challenge Missouri Medicaid's (MO HealthNet) policy of only covering incontinence briefs for those individuals residing in institutions. Each plaintiffs requires incontinence briefs to prevent skin deterioration and infections, which can pose serious health risks. Without access to the briefs, the plaintiffs risk institutionalization so that all of their needs could be met. The plaintiffs alleged that this policy reflected a preference for institutionalization, which violates the ADA (under the Supreme Court precedent Olmstead v. L.C.) and Section 504 of the Rehabilitation Act of 1973. The plaintiffs also claimed that this policy violated several provisions of the federal Medicaid act.

The plaintiffs moved for a preliminary injunction along with their plaintiff, and the United States (DOJ) filed a statement of interest supporting the motion. The defendants opposed this motion and claimed that incontinence briefs for non-institutionalized adults are personal hygiene items rather than medical supplies. Judge Nanette K. Laughrey granted a preliminary injunction on December 27, 2010. The December 27 order found that plaintiffs had shown a likelihood of success on the merits, and on February 17, 2011, the plaintiffs filed a motion for summary judgment. The United States also supported this motion. After oral arguments, Judge Laughrey granted summary judgment to the plaintiffs on June 24, 2011, finding that MO HealthNet's policy of excluding adult incontinence briefs from home health services coverage violated the federal Medicaid act, the ADA, and Section 504. The court ordered the state to change its policy to cover incontinence briefs.

The parties then briefed the issue of attorney's fees, and the court ultimately granted attorney's fees and closed the case in October 2011.

Beth Kurtz - 01/07/2013


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Issues and Causes of Action
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Issues
Benefit Source
Medicaid
Content of Injunction
Preliminary relief granted
Defendant-type
Hospital/Health Department
Jurisdiction-wide
Disability
disability, unspecified
Integrated setting
Least restrictive environment
Discrimination-basis
Disability (inc. reasonable accommodations)
General
Bathing and hygiene
Deinstitutionalization/decarceration
Public benefits (includes, e.g., in-state tuition, govt. jobs)
Plaintiff Type
Private Plaintiff
Causes of Action Title XIX of the Social Security (Medicaid) Act, 42 U.S.C §1396
Section 504 (Rehabilitation Act), 29 U.S.C. § 701
Americans with Disabilities Act (ADA), 42 U.S.C. §§ 12111 et seq.
Defendant(s) Missouri Department of Social Services
Plaintiff Description Plaintiffs are several individuals with disabilities who receive services in the community through Missouri Medicaid. As a result of their disabilities, the plaintiffs are incontinent.
Indexed Lawyer Organizations Legal Services/Legal Aid
Class action status sought No
Class action status granted No
Prevailing Party Plaintiff
Public Int. Lawyer Yes
Nature of Relief Attorneys fees
Injunction / Injunctive-like Settlement
Preliminary injunction / Temp. restraining order
Source of Relief Litigation
Form of Settlement None on record
Order Duration 2011 - n/a
Case Closing Year 2011
Case Ongoing No
Docket(s)
2:10-cv-04185-NKL (W.D. Mo.) 10/20/2011
PB-MO-0002-9000.pdf | Detail
PACER [Public Access to Court Electronic Records]
General Documents
Complaint 08/23/2010
PB-MO-0002-0001.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Plaintiffs' Motion for Preliminary Injunction 08/23/2010
PB-MO-0002-0003.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Plaintiffs' Memorandum in Support of Motion for Preliminary Injunction 08/24/2010
PB-MO-0002-0002.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Suggestions in Opposition to Motion for Preliminary Injunciton 09/30/2010
PB-MO-0002-0004.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Statement of Interest of the United States of America in Support of Plaintiffs' Motion for Preliminary Injunction 10/15/2010
PB-MO-0002-0005.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Plaintiffs' Reply Memorandum in Support of Motion for Preliminary Injunction 10/18/2010
PB-MO-0002-0006.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Order 12/27/2010 (2010 WL 6825306) (W.D. Mo.)
PB-MO-0002-0007.pdf | WESTLAW | Detail
Document Source: Westlaw
Plaintiffs' Motion for Summary Judgment 02/17/2011
PB-MO-0002-0008.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Plaintiffs' Suggestions in Support of Motion for Summary Judgment 02/17/2011
PB-MO-0002-0009.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Suggestions in Opposition to Plaintiffs' Motion for Summary Judgment 03/24/2011
PB-MO-0002-0010.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Plaintiffs' Reply Suggestions in Support of Motion for Summary Judgment 04/04/2011
PB-MO-0002-0012.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Statement of Interest of the United States of America 04/04/2011
PB-MO-0002-0013.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Order 06/24/2011 (793 F.Supp.2d 1108) (W.D. Mo.)
PB-MO-0002-0011.pdf | WESTLAW| LEXIS | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Judges Laughrey, Nanette Kay (E.D. Mo., W.D. Mo.)
PB-MO-0002-0007 | PB-MO-0002-0011 | PB-MO-0002-9000
Monitors/Masters None on record
Plaintiff's Lawyers Ammann, John J. (Missouri)
PB-MO-0002-0001 | PB-MO-0002-0002 | PB-MO-0002-0003 | PB-MO-0002-0006 | PB-MO-0002-0008 | PB-MO-0002-0009 | PB-MO-0002-0012 | PB-MO-0002-9000
Claggett, Daniel E. (Missouri)
PB-MO-0002-0001 | PB-MO-0002-0002 | PB-MO-0002-0003 | PB-MO-0002-0006 | PB-MO-0002-0008 | PB-MO-0002-0009 | PB-MO-0002-0012 | PB-MO-0002-9000
Ferber, Joel (Missouri)
PB-MO-0002-0001 | PB-MO-0002-0002 | PB-MO-0002-0003 | PB-MO-0002-0006 | PB-MO-0002-0008 | PB-MO-0002-0009 | PB-MO-0002-0012 | PB-MO-0002-9000
Kennedy, Thomas E. III (Illinois)
PB-MO-0002-0001 | PB-MO-0002-0002 | PB-MO-0002-0003 | PB-MO-0002-0006 | PB-MO-0002-0008 | PB-MO-0002-0009 | PB-MO-0002-0012 | PB-MO-0002-9000
Navarro, Heather B. (Missouri)
PB-MO-0002-0008 | PB-MO-0002-0009 | PB-MO-0002-0012 | PB-MO-0002-9000
Perkins, Jane (North Carolina)
PB-MO-0002-0001 | PB-MO-0002-0002 | PB-MO-0002-0003 | PB-MO-0002-0006 | PB-MO-0002-0008 | PB-MO-0002-0009 | PB-MO-0002-0012 | PB-MO-0002-9000
Perkins, Martha Jane (North Carolina)
PB-MO-0002-9000
Swearingen, Robert (Missouri)
PB-MO-0002-0001 | PB-MO-0002-0002 | PB-MO-0002-0003
Defendant's Lawyers Koster, Robert J. (Missouri)
PB-MO-0002-0010
Long, Mark (Missouri)
PB-MO-0002-0004 | PB-MO-0002-0010 | PB-MO-0002-9000
Thomas, Charles M. (Missouri)
PB-MO-0002-0005 | PB-MO-0002-9000
Other Lawyers Bagenstos, Samuel R. (District of Columbia)
PB-MO-0002-0005 | PB-MO-0002-0013
Barkoff, Alison (District of Columbia)
PB-MO-0002-0005 | PB-MO-0002-0013
Breen, Philip L. (District of Columbia)
PB-MO-0002-0005
Perez, Thomas E. (District of Columbia)
PB-MO-0002-0005 | PB-MO-0002-0013
Rush, Regan (District of Columbia)
PB-MO-0002-0005 | PB-MO-0002-0013
Wodatch, John L. (District of Columbia)
PB-MO-0002-0005 | PB-MO-0002-0013
Wohlenhaus, Renee M. (District of Columbia)
PB-MO-0002-0005 | PB-MO-0002-0013
Wolfe, Kathleen P. (District of Columbia)
PB-MO-0002-0013

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