Kathryn Price v. Medicaid Director

KETHLEDGE, Circuit Judge.

OPINION

Ohio offers assisted-living coverage to its Medicaid beneficiaries on a prospective basis. The plaintiffs here, a class of Ohio Medicaid beneficiaries, sued Ohio’s Medicaid administrators on the claim that federal law requires Ohio to cover certain assisted-living services retrospectively. The district court granted summary judgment to the plaintiffs. We reverse.

I

A

In 1965, Congress used its Spending Clause power to establish Medicaid. See U.S. Const, art. I, § 8, cl. 1. Through Medicaid, the federal government gives money to the States for the purpose of paying…