Consejo de Salud de Puerto Rico, Inc. v. United States of America

1 IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF PUERTO RICO 2 3 CONSEJO DE SALUD DE PUERTO RICO, INC., et al. 4 Plaintiff, 5 CIVIL NO. 18-1045 (GAG) v. 6 UNITED STATES OF AMERICA, et al., 7 8 Defendants. 9 OPINION & ORDER 10 The Commonwealth of Puerto Rico once more brings a Spending Clause challenge to the 11 discriminatory territorial Medicaid cap imposed by Congress. A decade ago the Court held that the 12 Spending Clause applied to the territory. Consejo de Salud Playa de Ponce v. Rullán,

586 F. Supp. 13

2d 22 (D.P.R. 2008); Consejo de Salud Playa Ponce v. Rullán,

593 F. Supp. 2d…