TJOFLAT, Circuit Judge:
Carolyn Rush sued various federal and Georgia officials to secure Medicaid funding for transsexual surgery. The district court, on Rush's motion for summary judgment, ordered state defendants to pay for the surgery, holding that a state Medicaid program cannot, consistent with 42 U.S.C. § 1396 (1976), categorically deny funding for necessary medical services. The district court also ordered federal defendants to disapprove that portion...
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