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Steven Grigas

Steven Grigas

Partner, Healthcare

Tallahassee

T: +1 850 577 6739

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A former interim Medicaid Director, Assistant Deputy Secretary, Deputy General Counsel, and Chief Medicaid Counsel for the State of Florida, Steven Grigas has presided over the State of Florida's $15 billion Medicaid program with particular focus in managed care, disease management, pharmacy services, long term care, and hospital services. 

Steven is well-versed in Medicaid policies and procedures, reimbursement issues, program integrity, and fraud control. His deep healthcare sector knowledge is widely recognized, and he frequently conducts presentations at both the state and federal level. Steven is also an accomplished litigator with considerable experience in administrative, state, and federal courts. In addition to his legal education, he holds an MBA from the University of Miami, and has worked in various capacities in both federal and state government.

Notable Work

Reimbursement and Compliance Issues:

Represented managed care organizations,  hospitals, long-term care facilities, and provider groups in payment and compliance issues with the State

Licensure and Certification Matters:

Represented clinics, managed care organizations, and providers in change of ownership, licensure, and certification issues with the State.

Procurement/Bid Disputes:

Represented State in defense of multi-million dollar health services contract awards.  Represented providers in challenges to multi-million dollar health services contract awards.

Contracts and Agreements:

Drafted, reviewed, and revised significant number of contracts and agreements between Florida health care providers, managed care organizations, hospitals, pharmacies, and long-term care facilities.  Negotiated and drafted settlements, letters of intent, and plans of correction

Tobacco Litigation:

Represented the Florida Agency for Healthcare Administration in billion dollar litigation against the tobacco industry. 

Complex Litigation:

Represented the State of Florida in multi-million dollar breach of contract action for statewide healthcare computer system provided by national vendor.

Start-Up Implementation:

Represented national managed care organizations and health care providers in obtaining Florida licensure and certification necessary to enter the Florida marketplace.

Pharmacy Litigation:

Represented Agency for Health Care Administration in federal appeal by PhRMA of the validity of Florida's Value Added pharmacy program

Show all

Related Professional Experience

  • Florida Medicaid, Deputy Secretary
  • Florida Medicaid, Assistant Deputy Secretary
  • Florida Medicaid, Chief Medicaid Counsel
  • Florida Agency for Health Care Administration, Deputy General Counsel
  • Florida Agency for Health Care Administration, Senior Attorney
  • Florida Health and Rehabilitative Services Litigation Unit, Attorney
  • AIBC Financial (Investment Banking), Vice President of Operations
  • University of Miami, Department of Family Medicine, Clinic Administrator

Published Work and Lectures

  • Health Law Rx Blog, Editor & Contributor
  • The Florida Bar, Health Law Section Newsletter, Author, "Florida's Medicaid Expansion Debate: Cost Considerations and Implications for the Uninsured," February 2019
  • The Florida Bar, Meeting of the Board of Governors, Speaker, " Health Law Section Report," January 20, 2017
  • Healthcare Financial Management Association (HFMA), 6th Annual Healthcare CPE Forum, Speaker, "Legislative Update," January 19th, 2017
  • The Florida Bar, Health Law Section Newsletter, Author, "Notes From the Chair," Vol. XVII, No. 10, Fall 2016
  • The Florida Bar, Health Law Section Newsletter, Co-Author, "Healthcare Providers, Listen Up: Accommodating Patients Who Are Deaf, Hard of Hearing or of Limited English Proficiency," Vol. XVII, No.9, May 2016
  • The Florida Bar Health Law Section, Speaker, "2015 Legislative Update," June 25, 2015
  • The Florida Bar Health Law Section, Speaker, "2013 Legislative Update," July 9, 2013
  • House Health Care Appropriations Committee, Behavioral Health Services, February 2005
  • The Florida Bar Health Law Section, Speaker, "2012 Legislative Update," August 2012
  • House Future of Florida's Families Committee Meeting, Behavioral Health Services, February 2005
  • The Governor Reuben Askew FSU Center for Government, Medicaid Primer, November 2004

Affiliations

  • The Florida Bar Health Law Section, Executive Council, Chair, (2016-2017), Chair-elect (2015-2016), Treasurer (2014-2015), Secretary (2013-2014)
  • Law360, 2016-2018, Healthcare Editorial Advisory Board, Member
  • The Florida Bar, Administrative Law Section, Member
  • American Health Lawyers Association, Member
  • Florida Healthy Kids Corporation, Board Member
  • Transportation Disadvantaged Council, Commissioner

Honors and Distinctions

  • Chambers USA, 2021-2023, Ranked in Florida for Healthcare
  • The Best Lawyers in America, 2013-2024, Listed in Florida for Health Care Law, Litigation – Health Care, Administrative / Regulatory Law
  • Governor's Letter of Commendation, Tobacco Litigation
  • Davis Productivity Awards 1999, 2002, 2003

Areas of Experience

Education

  • J.D., Florida State University College of Law, 1993
  • M.B.A., University of Miami, 1986
  • B.A., Hood College, 1979

Admissions

Bars

  • Florida

Courts

  • U.S. Court of Appeals, Eleventh Circuit
  • U.S. District Court, Middle District of Florida
  • U.S. District Court, Northern District of Florida
  • U.S. District Court, Southern District of Florida
  • U.S. Supreme Court

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