211826P.pdf   12/09/2022  Ginger Elder  v.  Cindy Gillespie
   U.S. Court of Appeals Case No:  21-1826
   U.S. District Court for the Eastern District of Arkansas - Northern   
   [PUBLISHED] [Smith, Author, with Wollman and Erickson, Circuit Judges] 
   Civil case - Civil rights. Plaintiffs, recipients of Medicaid benefits, 
   had their benefits terminated or reduced after the state implemented a new 
   assessment tool for determining the appropriate level of benefits for 
   recipients, and they brought this action alleging lack of notice and 
   denial of due process. Held: (1) the suit is not barred by the doctrine of 
   sovereign immunity; (2) plaintiffs had standing to bring the action as 
   there is no guarantee that the conduct that led to benefits interruption 
   will not occur again; (3) plaintiffs have a clearly established right to 
   be provided adequate notice of reduction, loss, or termination of 
   benefits; and (4) the defendants had direct involvement in the formation, 
   implementation and enforcement of the alleged policies and process, and 
   they were not entitled to qualified immunity.