In November 2015, the DHS demanded Nitta repay the $205,940.13 given to him via the Medicaid enhanced payments for services conducted in 2013 and 2014. "I could have just paid them back," said Nitta. "Instead, it's probably costing me more to fight them in court over and over and over. But that doesn't matter, because it's not right what they're doing." The lawsuit set off an ongoing battle that culminated in a win for Nitta back in February, when state Intermediate Court of Appeals published an opinion that - based on a previous ruling in a Tennessee case - stated the court wrongly concluded Nitta was ineligible for enhanced payments. The DHS appealed the decision, contending that Nitta was ineligible because his "primary specialty designation" was still OB/GYN. But when the appeal made its way to the Supreme Court, justices sided unanimously with Nitta. "We disagree with DHS … that Dr. Nitta was not eligible for the program under the statute," the ruling stated.