John B. Ex Rel. L.A. v. Goetz
This memorandum addresses the Defendants' motion to vacate a Consent Decree concerning the provision of medical services to over 500,000 Medicaid-eligible children in Tennessee. The Plaintiffs, John B. and other minors, had previously filed an action under 42 U.S.C. § 1983, alleging the state failed to provide Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services under the Medicaid Act. Defendants sought to vacate or modify the Consent Decree, citing new legal developments from Westside Mothers II and Brown v. Tennessee Dept. of Finance & Admin. The Court acknowledges these cases but ultimately denies the Defendants' motion to vacate and their alternate argument for modification, finding that the Consent Decree's provisions for outreach services and mandated medical assistance remain enforceable under federal law. The memorandum details the state's historical non-compliance and the ongoing necessity of the decree to ensure children receive essential healthcare.