The U.S. Supreme Court has granted the state of California's petition for writ of certiorari in three cases where the Ninth Circuit Court of Appeals granted injunctions prohibiting the state from implementing pay cuts to the Medi-Cal program. The high court consolidated the three cases and limited the state's appeal to whether Medicaid recipients and providers may sue a state under the Supremacy Clause to enforce the federal Medicaid law that preempts a state law. The lawsuit is a result of California legislation passed in 2008 that would cut Medicaid reimbursement rates to some providers by up to ten percent. The providers were successful in securing an injunction in the Ninth Circuit on the grounds that the rate cuts were preempted by 42 U.S.C. § 1396a(a)(30)(A), which requires state Medicaid programs to "assure that payments are consistent with efficiency, economy, and quality of care and are sufficient to enlist enough providers so that care and services are available under the plan at least to the extent that such care and services are available to the general population in the geographic area." This issue remains relevant across the country as state legislatures engage in contentious budget debates. After the lower courts' rulings, CMS denied California's State Plan Amendments that would implement the rate cuts. HHS has announced its intention to promulgate a notice of proposed rulemaking this month with respect to the statutory provision at issue, which was added to the Medicaid Act in 1989.