Opinion by Judge DAVID R. THOMPSON; Dissent by Judge SNEED.
DAVID R. THOMPSON, Circuit Judge:
OVERVIEW
Eighteen hospitals located outside of California ("the plaintiffs") brought suit against S. Kimberly Belshe ("Belshe"), Director of the California Department of Health Services ("CDHS"). The plaintiffs alleged that CDHS's method for reimbursing out-of-state hospitals that treat California's Medicaid ("Medi-Cal") patients violates the portion of...
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