Ruling in Alameda County Medical Center, et al., v. Leavitt, et al.

 May 23, 2009 On March 11, 2008, the American Hospital Association, the Association of American Medical Colleges, and the National Association of Public Hospitals and Health Systems filed a lawsuit in Federal District Court challenging a Medicaid final rule published May 29, 2007. The rule, referred to as "the cost limits rule" changed the definition of a unit of government for the purposes of intergovernmental transfers (IGT), changed how states conducted IGTs, and limited reimbursements for Medicaid services provided by units of government to the cost of services. The plaintiffs argued that the rule was invalid because it violated a . . .