Written Memo from Lee to Counsel Re: Matthews Depositions

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Physicians should consider possi 

/ ble lead toxicity, and test accordingly, 

GE pl = particularly in children who are 25e 

gl } mic, have learning or behavioral prob- 

a Xa Jems, and who reside in older homes 

] possibly containing lead-based paint or 

| who live near environmental sources of 

  

 



    

a, Declare that the defendant's acts, omissions, policies, 

practices, and procedures in failing to provide eligible persons 

with the lead screening, diagnosis and treatment required by 42 

U.S.C. §§ 1396a(a)(43), 1396d(a) (4) (B), and 1396d(r) violate the 

Social Security Act. 

5. Retain jurisdiction over this action to ensure the 

defendant's compliance with the mandates of the federal Medicaid 

Act. 

6. Award plaintiffs their costs of suit, including out of 

pocket expenses and reasonable attorneys' fees. 

74 Award such other and further relief as this Court deems 

just 25d proper. 

Dated: December 20, 1990 

Respectfully submitted, 

NATURAL RESOURCES DEFENSE COUNCIL 
NATIONAL HEALTH LAW PROGRAM 
LEGAL AID SOCIETY OF ALAMEDA COUNTY 
NAACP LEGAL DEFENSE AND EDUCATIONAL FUND 
ACLU FOUNDATION OF SOUTHERN CALIFORNIA 
ACLU FOUNDATION OF NORTHERN CALIFORNIA 

  

el R Ug 

By \ The TF aia, 
Jane Perkins 

F 

  

Attorneys for Plaintiffs 

14. 

COMPLAINT 

  

 



  

  

plants or lead smelters.. Although 

, symptomatic lead poisoning in children 

K | is very uncommon, children having 

Ww : clinical signs or symptoms suggesuve 

¥ of lead poisoning (e.g. abdominal colic, 

RT 
irritability, lethargy, or encephalopathy) 

5 
must be appropriately tested. 

——- i Information about lead exposure 

: in California is rapidly evolving, so 

recommendations about lead testing 

may change in the future, especially 

insofar as children with elevated 

blood lead levels typically are asymp- 

tomatic or have nonspecific symp- — 

toms. Indeed, at this time, it would 4 I 

  
| 

pi 

\ DY Pg AS ’ 

| appear that the most prudent course \. ntl § 2 

A is for physicians to obtain blood lead l 
it 

| tests whenever there is any suspicion 
— LL ppp——————————E 

| or concern about a child's possible 
\ 

% . | lead exposure. CP 
\ 

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FOURTH CLAIM FOR RELIEF 

(Declaratory Relief) 
  

38. Paragraphs 1 through 37 are realleged and incorporated 

herein by reference. | 

39. There is a dispute between plaintiffs and defendant 

regarding the legal duties and responsibilities of defendant under 

the aforesaid provisions of law, in that: 

(a) Plaintiffs claim and contend that the defendant's 

actions described above violate the aforesaid provisions of 

law. 

(pb) Plaintiffs are informed and believe and thereupon 

allege that the defendant contends in all respects to the 

contrary. 

40. A declaration of the correct interpretation of the 

federal requirements set forth above is necessary and appropriate 

to determine the respective rights and duties hereto. 

PRAYER FOR RELIEF 
  

Wherefore, plaintiffs pray that this Court: 

l. Order that this action be maintained as a class action 

pursuant to Fed. R. Civ. P. 23 with respect to the class 

identified herein. 

2. Preliminarily and permanently enjoin defendant, his 

agents, successors, and employees from failing or refusing to 

comply with the federal statutes and guidelines outlined above. 

3. Preliminarily and permanently enjoin defendant, his 

agents, successors, and employees from failing or refusing to make 

needed EPSDT/CHDP lead blood screening and treatment immediately 

available to plaintiffs and the class they represent. 

13. 

COMPLAINT