United States First Circuit

In a dispute between the Commonwealth of Puerto Rico and several federally qualified health centers (FQHC) concerning the implementation of a federally assisted Medicaid program, district court's judgment is affirmed in part, reversed in part and remanded where: 1) the formula the district court set in place by way of a preliminary injunction to calculate payments that the Commonwealth owes the FQHCs for providing Medicaid services is not sufficiently supported by the factual record; 2) with regards to FQHCs' claim that the district court's preliminary injunction improperly denied them indemnification from debts owed to third party managed care organizations, this issue is not properly within the scope of this litigation; and 3) the district court properly held that the Eleventh Amendment precludes a federal court from imposing a judgment for money damages upon the Commonwealth to make payments for periods predating the date of the district court's preliminary injunction.

Appellate Information

• Decided 08/20/2012
• Published 08/20/2012

Judges

• Torruella

Court

• United States First Circuit

Counsel