Neal Siegel, who lives with his girlfriend, Beth Wargo, is one of six disabled Iowans suing the state over its privatized Medicaid program.
Iowa is one of 38 states that radically changed the way it runs Medicaid over the past few years. The state moved about 600,000 people on the government-run health program into care that is managed by for-profit insurance companies.
The idea is that the private companies would save the state money, but it has been a rocky transition in Iowa, especially for people like Neal Siegel.
Siegel is one of six disabled Iowans suing the state, alleging that Medicaid managed care, as it is known, deprives thousands of Iowans with disabilities the right to live safely in their homes.
Medicaid serves people with disabilities, low income people, and people in nursing homes. A combination of federal and state funds pays for it. It covers
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