OPINION
FLOYD, Circuit Judge:
In 2010, the North Carolina General Assembly voted to impose stricter eligibility requirements for in-home personal care services (PCS), an optional Medicaid program that assists disabled adults with daily tasks such as eating and bathing. Appellees — thirteen North Carolina residents who lost access to in-home PCS due to the statutory change (collectively "the PCS Recipients") — brought suit, contending that the...
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