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San Francisco ChronicleCalifornia acted illegally by trying to cut Medi-Cal fees by 10 percent last year for doctors, pharmacists and others who treat 7.1 million poor people, a federal appeals court ruled Thursday.
The decision by the Ninth U.S. Circuit Court of Appeals in San Francisco was a victory for health professionals and their patients but a blow to the state, which is mired in a $26.3 billion budget deficit. Gov. Arnold Schwarzenegger and state legislators have imposed further Medi-Cal reductions this year, which could be thwarted by the ruling.
... In Thursday's 3-0 decision, the court said California had violated a federal law that requires states to set rates at levels that will pay for quality care and lead to equal access to health services for poor people. The federal government pays half the costs of the Medicaid program, which is called Medi-Cal in California.
... "We do not doubt the severity of the fiscal challenge facing the state of California," Judge Milan Smith said in the court ruling. But, he added, "a budget crisis does not excuse ongoing violations of federal law."
... The court also broadened a judge's ruling against the state last year by adding seven weeks of retroactive payments.
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