ACA ‘Maintenance Of Effort’ Requirement Constitutional, 1st Circuit Finds

Mealey's (June 15, 2015, 1:49 PM EDT) -- BOSTON — The Patient Protection and Affordable Care Act (ACA) regulation requiring that states maintain existing Medicaid services is not unconstitutional under two recent Supreme Court precedents, a First Circuit U.S. Court of Appeals panel held Nov. 17, 2014 (Mary C. Mayhew, in her capacity as Secretary of the Maine Department of Health and Human Services v. Sylvia M. Burwell, et al., No. 14-1300, 1st Cir.; 2014 U.S. App. LEXIS 21723).

(Opinion available. Document #93-141126-013Z.)

In 2012, the Maine Department of Health and Human Services (DHHS)...
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