The Nansemond Indian Nation and its Tribal health program, Fishing Point Healthcare, filed a federal lawsuit against the Commonwealth of Virginia and its agencies and high-level officials, including Governor Glenn Youngkin, alleging multiple violations of federal law.

The suit accuses the Commonwealth of withholding Medicaid reimbursements and discriminating against Tribal healthcare providers to protect the financial interests of powerful Managed Care Organizations (MCOs) at the expense of low-income patients.