Lewis v. Grinker

965 F.2d 1206 (1992)

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Lewis v. Grinker

United States Court of Appeals for the Second Circuit
965 F.2d 1206 (1992)

Facts

The Secretary of the US Department of Health and Human Services, William Grinker (defendant), implemented regulations under the Medicaid Act (the act) barring otherwise eligible women living in the United States without Immigration and Naturalization Service (INS) approval from receiving Medicaid-sponsored prenatal care, even if their children were born in the US and would become US citizens. Lydia Lewis and other individuals denied Medicaid coverage based on alienage status (plaintiffs) sued to prevent the secretary from enforcing the regulations. The district court concluded that the secretary’s policy was not authorized by statute. Thereafter, Congress enacted the Omnibus Budget Reconciliation Act of 1986 (OBRA), which amended the act to provide that a state plan must provide medical assistance to an alien who was not lawfully admitted for permanent residence or otherwise permanently residing under color of law (PRUCOL) only in accordance with § 1396b(v). Section 1396b(v) limited Medicaid coverage to emergency labor and delivery services. The secretary petitioned for rehearing, arguing that the amendment’s plain language mandated the denial of access to Medicaid-sponsored prenatal care for non-PRUCOL women.

Rule of Law

Issue

Holding and Reasoning (Walker, J.)

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