ASOCIACIÓN HOSP. DEL MAESTRO, INC. v. BECERRA

No. 19-1475.

10 F.4th 11 (2021)

ASOCIACIÓN HOSPITAL DEL MAESTRO, INC.; Hospital Alejandro Otero Lopez, a/k/a Manati Medical Center Dr. Otero Lopez; Hospital Bella Vista; Hospital Buen Samaritano, a/k/a Hospital Comunitario Buen Samaritano; Hospital Damas; Hospital De La Concepción; Hospital Doctor's Center; Hospital Dr. Cayetano Coll Y Toste; Hospital Dr. Perea; Hospital Episcopal Cristo Redentor; Hospital Episcopal San Lucas I; Hospital Episcopal San Lucas II; Hospital General Menonita (Aibonito); Hospital General Menonita (Cayey); Hospital Metropolitano Dr. Tito Mattei, a/k/a Hospital Pavia Yauco; Hospital Dr. Susoni; Hospital Metropolitano Rio Piedras; Hospital Pavia Hato Rey; Hospital Pavia Santurce; Hospital Ryder Memorial; Hospital San Carlos Borromeo; Hospital San Francisco; Hospital San Pablo; Hospital San Pablo Del Este; Hospital Wilma N. Vazquez, a/k/a Centro Medico Wilma N. Vazquez, Plaintiffs, Appellants, v. Xavier BECERRA, in his official capacity as Secretary of the United States Department of Health and Human Services Defendant, Appellee.

United States Court of Appeals, First Circuit.

August 18, 2021.


Attorney(s) appearing for the Case

Robert L. Roth , with whom Hooper, Lundy & Bookman, P.C., was on brief, for appellants.

Courtney L. Dixon , Attorney, Appellate Staff, Civil Division, U.S. Department of Justice, with whom Joseph H. Hunt , Assistant Attorney General, and Mark B. Stern , Attorney, Appellate Staff, Civil Division, U.S. Department of Justice, were on brief, for appellee.

Before Howard, Chief Judge, Barron, Circuit Judge, and McAuliffe, District Judge.


American hospitals provide critical medical care to many people who are uninsured, underinsured, and otherwise unable to pay. Recognizing the financial burden borne by those hospitals, Congress has developed programs that aim to mitigate it. This appeal presents issues related to the implementation of one such program...

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