California Court of Appeal

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Keffeler v. Partnership Healthplan, A135536

Dismissal of plaintiff-pharmacists' complaint alleging that defendant-health plan's failure to plaintiff's costs into account violates the "quality of care" and "equality of access" provisions of Section 1902(a)(30)(A) of the Social Security Act is affirmed, where regardless of whether Section 30(A) is applicable in the context of managed care, plaintiffs' Section 30(A) claims are no longer viable in the wake of the Ninth Circuit's decision in Managed Pharmacy Care v. Sebelius (9th Cir. 2013), which held that Section 30(A) does not require states to consider provider costs in setting payment rates.

Appellate Information

  • Decided 03/03/2014
  • Published 03/03/2014

Judges

  • BANKE

Court

  • California Court of Appeal

Counsel