BIGGS v. BETLACH

No. CV-17-0130-PR.

404 P.3d 1243 (2017)

Andy BIGGS, et al., Plaintiffs/Appellants, v. Thomas J. BETLACH, Defendant/Appellee, Edmundo Macias; Gary Gorham; Daniel McCormick; and Tim Ferrell, Intervenor-Defendants/Appellees.

Supreme Court of Arizona.

Filed November 17, 2017.


Attorney(s) appearing for the Case

Christina Sandefur (argued), Aditya Dynar , Scharf-Norton Center for Constitutional Litigation at the Goldwater Institute, Phoenix, Attorneys for Andy Biggs, Andrew Tobin, Nancy Barto, Judy Burges, Chester Crandell, Gail Griffin, Al Melvin, Kelli Ward, Steve Yarbrough, Kimberly Yee, John Allen, Brenda Barton, Sonny Borrelli, Paul Boyer, Karen Fann, Eddie Farnsworth, Thomas Forese, David Gowan, Rick Gray, John Kavanagh, Adam Kwasman, Debbie Lesko, David Livingston, Phil Lovas, J. D. Mesnard, Darin Mitchell, Steve Montenegro, Justin Olson, Warren Petersen, Justin Pierce, Carl Seel, Steve Smith, David Stevens, Bob Thorpe, Kelly Townsend, Michelle Ugenti, Jeanette Dubreil, Katie Miller, and Tom Jenney.

Douglas C. Northup , Timothy Berg (argued), Patrick Irvine , Carrie Pixler Ryerson , Fennemore Craig, P.C., Phoenix, Attorneys for Thomas J. Betlach, Timothy M. Hogan, Joy Herr-Cardillo, Arizona Center for Law in the Public Interest, Phoenix, and Ellen Sue Katz, William E. Morris Institute for Justice, Phoenix, Attorneys for Edmundo Macias, Gary Gorham, Daniel McCormick, and Tim Ferrell.

Roopali H. Desai , D. Andrew Gaona , Coppersmith Brockelman PLC, Phoenix and Ann-Marie Alameddin , Arizona Hospital and Healthcare Association, Phoenix, Attorneys for Amicus Curiae Arizona Hospital and Healthcare Association and Amicus Curiae American Cancer Society Cancer Action Network.

James S. Burling , Pacific Legal Foundation, Sacramento, CA, Attorneys for Amici Curiae Pacific Legal Foundation and Howard Jarvis Taxpayers Association.

Brett W. Johnson , Andrew Sniegowski , Snell and Wilmer LLP, Phoenix, Attorneys for Amicus Curiae Health System Alliance of Arizona.

CHIEF JUSTICE BALES authored the opinion of the Court, in which VICE CHIEF JUSTICE PELANDER and JUSTICES BRUTINEL, TIMMER, GOULD, and LOPEZ and JUDGE STARING joined.


¶ 1 In 2013, by a simple majority vote, the legislature enacted H.B. 2010 to expand coverage under Arizona's indigent health care program, Arizona Health Care Cost Containment System ("AHCCCS"), with federal monies funding most of the costs. To fund the remaining costs, the legislature provided in...

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