CONSEJO DE SALUD v. GONZALEZ-FELICIANO

Nos. 11-1121, 11-1126, 11-1733.

695 F.3d 83 (2012)

CONSEJO DE SALUD DE LA COMUNIDAD DE LA PLAYNA DE LA PONECE, INC., CDT, d/b/a Centro de Diagnóstico y Tratamiento de la Playa de Ponce; Dr. José S. Belaval, Inc.; Concilio de Salud Integral de Loíza, Inc. (CSILO); Atlantic Medical Center, Inc.; Camuy Health Services, Inc.; Centro de Salud Familiar Dr. Julio Palmieri Ferri, Inc.; Ciales Primary Health Care Services, Inc.; Corporación de Servicios Médicos Primarios y Prevenciótion de Hatillo, Inc.; Corporación de Servicios Integrales de Salud Integral de la Montaña, Inc.; Corporación de Servicios de Salud y Medicina Avanzada, Inc.; El Centro de Salud de Lares, Inc.; El Centro de Servicios Primarios de Salud de Patillas, Inc.; Migrant Health Center, Inc.; Hospital General Castañer, Inc.; Morovis Community Health Center, Inc.; Rincón Health Center, Inc.; Gurabo Community Health Center, Inc., Plaintiffs-Appellees, Cross-Appellants, Toa Alta Comprehensive Urban/Rural Advanced Health Services, Inc.; Río Grande Community Health Center, Inc., Plaintiffs, v. Lorenzo GONZÁLEZ-FELICIANO, Substituted for Rosa Pérez-Perdomo, former Secretary, Department of Health, Commonwealth of Puerto Rico, Defendant-Appellant, Cross-Appellee, Commonwealth of Puerto Rico; Department of Health, Commonwealth of Puerto Rico; Michael O. Leavitt, Secretary of the U.S. Department of Health; U.S. Department of Health & Human Services, Defendants.

United States Court of Appeals, First Circuit.

Decided August 20, 2012.


Attorney(s) appearing for the Case

Caroline M. Brown , with whom Matthew J. Berns , Covington & Burling LLP, Eliezer Aldarondo-Ortiz , Eliezer Aldarondo-López , Marla Hadad-Orta , and Aldarondo & López-Bras was on brief, for appellant/cross-appellee.

Robert A. Graham , with whom James L. Feldesman , Nicole M. Bacon , and Feldesman Tucker Leifer Fidell LLP was on brief, for appellees/cross-appellants.

Before TORRUELLA, SELYA, and LIPEZ, Circuit Judges.


TORRUELLA, Circuit Judge.

We press on down the long and tedious road of litigation concerning the implementation of a federally-assisted Medicaid program by the Commonwealth of Puerto Rico (the "Commonwealth"), represented here by its Secretary of Health, Lorenzo González-Feliciano (the "Secretary"). In fact, these appeals mark the sixth time we have considered issues that are related to a dispute between the Commonwealth and several "federally qualified health...

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