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CORP. DE SERVICIOS INTEGRALES v. PUERTO RICO

No. 19-1336.

981 F.3d 147 (2020)

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); Ciales Primary Health Care Services, Inc.; Corporacion de Serv. Médicos Primarios y Prevención de Hatillo, Inc.; Costa Salud, Inc., f/k/a Rincon Health Center, Inc.; Centro de Servicios Primarios de Salud de Patillas, Inc.; Atlantic Medical Center, Inc.; Camuy Health Services, Inc.; Centro de Salud Familiar Dr. Julio Palmieri Ferri, Inc.; Hospital General Castañar, Inc.; Centro de Salud de Lares, Inc., Plaintiffs, Appellees, and Rio Grande Community Health Center, Inc.; Toa Alta Comprehensive Urban/Rural Advanced Health Services, Inc.; HealthproMed Foundation, Inc., f/k/a Dr. Jose S. Belaval, Inc.; Municipality of San Juan, Plaintiffs, v. Commonwealth of PUERTO RICO, Defendant, Appellant, and Johnny Rullan; Department of Health and Human Services; Department of Health Commonwealth of Puerto Rico; Alex Michael Azar, II, as Secretary of United States Department of Health and Human Services, Defendants.

United States Court of Appeals, First Circuit.

December 4, 2020.

Attorney(s) appearing for the Case

Carlos Lugo-Fiol , with whom Solicitor General of Puerto Rico Isaías Sánchez-Báez was on brief, for appellant.

Nicole M. Bacon , with whom James L. Feldesman , Washington, DC, Khatereh S. Ghiladi , and Feldesman Tucker Liefer Fidell LLP were on brief, for appellees 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 appellees HealthproMed, Salud Integral en la Montaña, Migrant Health Center, COSSMA, Morovis Community Health Center, NeoMed Center, and Concilio de Salud Integral de Loiza.

Before Lynch, Lipez, and Barron, Circuit Judges.

This is an appeal by the Commonwealth from two orders by the district court in the Commonwealth's long-running litigation with Federally Qualified Health Centers (FQHCs). We refer to our opinion in the companion cases — the consolidated appeals in case Nos. 17-1731 and 17-1812. For the reasons stated in the companion...

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