HEALTHPROMED v. DEPT. OF HEALTH AND HUMAN SERV.

No. 17-1731, No. 17-1812.

982 F.3d 15 (2020)

HEALTHPROMED FOUNDATION, INC., f/k/a Dr. Jose S. Belaval, Inc.; Corp. de Servicios Integrales de Salud Integral en la Montaña, Inc.; Migrant Health Center, Inc.; NeoMed Center, Inc., f/k/a Gurabo Community Health Center, Inc.; Morovis Community Health Center, Inc.; Concilio de Salud Integral de Loiza, Inc. (CSILO); Corporacion de Servicios de Salud y Medicina Avanzada, Inc., (COSSMA), Plaintiffs, Appellants, and Camuy Health Services, Inc.; Atlantic Medical Center, Inc.; Centro de Salud Familiar Dr. Julio Palmieri Ferri, Inc.; Corporacion de Serv. Médicos Primarios y Prevencion de Hatillo, Inc.; Costa Salud, Inc., f/k/a Rincón Health Center, Inc.; El Centro de Salud de Lares, Inc.; Hospital General Castañar, Inc.; Rio Grande Community Health Center, Inc.; Toa Alta Comprehensive Urban/Rural Advanced Health Services, Inc., Plaintiffs, v. DEPARTMENT OF HEALTH AND HUMAN SERVICES; Department of Health for the Commonwealth of Puerto Rico; Lorenzo González-Feliciano, Secretary, Department of Health for the Commonwealth of Puerto Rico, Defendants, Appellees, and Commonwealth of Puerto Rico; Alex Michael Azar, II, as Secretary of United States Department of Health and Human Services, Defendants. Atlantic Medical Center, Inc.; Camuy Health Services, Inc.; Centro de Salud Familiar Dr. Julio Palmieri Ferri, Inc.; Ciales Primary Health Care Services, Inc.; Corporacion de Serv. Médicos Primarios y Prevención de Hatillo, Inc.; Costa Salud, Inc., f/k/a Rincón Health Center, Inc.; El Centro de Servicios Primarios de Salud de Patillas, Inc.; Hospital General Castañar, Inc.; El Centro de Salud de Lares, Inc., Plaintiffs, Appellants, and Rio Grande Community Health Center, Inc.; Toa Alta Comprehensive Urban/Rural Advanced Health Services, Inc.; Concilio de Salud Integral de Loiza, Inc. (CSILO); Corp. de Servicios Integrales de Salud Integral en la Montaña, Inc.; Corporacion de Servicios de Salud y Medicina Avanzada, Inc., (COSSMA); HealthproMed Foundation, Inc., f/k/a Dr. Jose S. Belaval, Inc.; Migrant Health Center, Inc.; Morovis Community Health Center, Inc.; NeoMed Center, Inc., f/k/a Gurabo Community Health Center, Inc.; Municipality of San Juan, Plaintiffs, v. Lorenzo González-Feliciano, as Secretary of Department of Health for Puerto Rico; Alex Michael Azar, II, as Secretary of United States Department of Health and Human Services, Defendants, Appellees, and Johnny Rullan; Commonwealth of Puerto Rico, Defendants.

United States Court of Appeals, First Circuit.

December 4, 2020.


Attorney(s) appearing for the Case

Nicole M. Bacon , with whom James L. Feldesman , Washington, DC, Khatereh S. Ghiladi , and Feldesman Tucker Liefer Fidell LLP were on brief, for appellants Atlantic Medical Center, Inc., Camuy Health Services, Inc., Centro de Salud Familiar Dr. Julio Palmieri Ferri, Inc., Ciales Primary Health Care Services, Inc., Corporacion de Serv. Médicos Primarios y Prevención de Hatillo, Inc., Costa Salud, Inc., El Centro de Salud de Lares, Inc., El Centro de Servicios Primarios de Salud de Patillas, Inc., and Hospital General Castañar, Inc.

Robert A. Graham , with whom Iyen A. Acosta , Washington, DC, and Reno & Cavanaugh, PLLC were on brief, for appellants HealthproMed, Salud Integral en la Montaña, Migrant Health Center, COSSMA, Morovis Community Health Center, NeoMed Center, and Concilio de Salud Integral de Loiza.

Carlos Lugo-Fiol , with whom Solicitor General of Puerto Rico Isaías Sánchez-Báez was on brief, for appellees Commonwealth of Puerto Rico and Lorenzo González-Feliciano, in his official capacity as Secretary of the Department of Health for Puerto Rico.

Before Lynch, Lipez, and Barron, Circuit Judges.


These consolidated appeals, and the companion appeal No. 19-1336, arise out of the long-running litigation between Puerto Rico and several Federally Qualified Health Centers (FQHCs) over the Commonwealth's failure to make payments to the FQHCs. The FQHCs assert new claims that the Commonwealth has again failed to pay in full...

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