District Court, E.D. Pennsylvania August 3, 2007, Civil Action 06-3963 (Lewis Ex Rel. Young v. Rendell)

MEMORANDUM

DuBOIS, District Judge.

I. INTRODUCTION

“The Medicaid Act is an enormously complicated program. The system is a web; a tug at one strand pulls on every other. Given this complexity, there are untold ways in which a state plan might fail to comply with the Act and the governing regulations.”

West Virginia v. United States Dept. of Health and Human Services,

289 F.3d 281, 294 (4th Cir.