Personal Injury Settlement Strategies: Navigating Medicaid's Anti-Lien Provisions
Contending With Expanded Sources of Reimbursement; Guidance From the Centers for Medicare & Medicaid Services

Welcome! Strafford is now BARBRI! The expert courses you know from the trusted global leader in legal education.
Course Details
- smart_display Format
Live Online with Live Q&A
- signal_cellular_alt Difficulty Level
Intermediate
- work Practice Area
Personal Injury and Med Mal
- event Date
Tuesday, November 11, 2025
- schedule Time
1:00 p.m. ET./10:00 a.m. PT
- timer Program Length
90 minutes
-
This 90-minute webinar is eligible in most states for 1.5 CLE credits.
-
Live Online
On Demand
This CLE course will discuss strategies for addressing the expanded sources of reimbursement ushered in under Gallardo v. Marstiller, 142 S.Ct. 1751 (2022). The panel will review the significant implications for trial lawyers on the structure and amounts of existing and pending settlements and review guidance from the Centers for Medicare & Medicaid Services (CMS).
Description
Gallardo held that the federal Medicaid anti-lien statutes do not prevent states from seeking reimbursement of Medicaid payments from settlements, judgments, or other awards of any kind, including payments allocated for future—and not just past—medical care. On Mar. 8, 2023, the CMS reminded states that they have an affirmative obligation to maximize all reimbursement rights.
After Gallardo Medicaid beneficiaries may receive less compensation from their personal injury cases. All parties must rethink settlement strategies, amounts and structures, and how cases are tried.
Attorneys must also address issues arising in existing settlements that were made under completely different assumptions regarding the source and amounts available for future medical expenses.
Listen as this stellar panel of lien resolution attorneys guides counsel through new challenges in settling personal injury cases and planning for future medical expenses.
Outline
I. Impact of Gallardo v. Marstiller
II. Effect on settled cases
III. Effect on future cases
IV. Strategies for mitigating the harshness of the holding
Benefits
The panel will review these and other key issues:
- How can counsel prevent the state(s) from taking a disproportionate share of any settlement recovery?
- Can settlements be structured to prevent overreaching?
- What other types of expenses or reimbursement scenarios might the case affect?
- Can states recover anticipated expenses for services it has not furnished?
- Will other exceptions to the anti-lien and anti-recovery provisions be challenged?
Unlimited access to premium CLE courses:
- Annual access
- Available live and on-demand
- Best for attorneys and legal professionals
Unlimited access to premium CPE courses.:
- Annual access
- Available live and on-demand
- Best for CPAs and tax professionals
Unlimited access to premium CLE, CPE, Professional Skills and Practice-Ready courses.:
- Annual access
- Available live and on-demand
- Best for legal, accounting, and tax professionals
Unlimited access to Professional Skills and Practice-Ready courses:
- Annual access
- Available on-demand
- Best for new attorneys
Related Courses

Protecting Personal Injury Claims in Bankruptcy Cases
Available On-Demand

Motor Vehicle and Premises Liability Complexities Resulting From Low-Light Conditions
Thursday, October 9, 2025
1:00 p.m. ET./10:00 a.m. PT

Personal Injury Settlement Strategies: Navigating Medicaid's Anti-Lien Provisions
Tuesday, November 11, 2025
1:00 p.m. ET./10:00 a.m. PT
Recommended Resources
Making Continuing Education Work for You, Anytime, Anywhere
- Learning & Development
- Career Advancement
Getting the Most Out of BARBRI Resources
- Learning & Development
- Business & Professional Skills
- Talent Development