Rio Grande Community Health Center, Inc. v. Armendáriz

After a decade of litigation over the Commonwealth of Puerto Rico’s failure to make “wraparound” payments under federal Medicaid law, 42 U.S.C. § 1396a(bb), the district court entered an order compelling the payment of amounts due plaintiffs according to a lawful, prospective injunction. 1 When the defendant failed to make those payments in accord with the terms of the order, and after exhausting efforts to secure defendant’s voluntary compliance, the district court entered additional orders, one directed to the Commonwealth-owned Government Development Bank of the Commonwealth of Puerto Rico…