Miracles House Inc. et al v. Secretary, Agency for Healthcare Administration et al

Filing 18

ORDER. Plaintiffs' Motion for Emergency Temporary Restraining Order and Preliminary Injunction (D.E. 7) is DENIED. Defendants' Partial Motion to Dismiss Plaintiff Miracles House, Inc. for Lack of Standing (D.E. 14) is GRANTED. Signed by Judge Federico A. Moreno on 11/9/2017. (da00)

UN I
TED STATES D I
STRI CO URT FO R THE
CT
SOUTHERN DI
STRI OF FLORI
CT
DA
M i m iD i son
a
vi i

Cas Num ber 17e
: 23582- V- ORENO
CI M
M I CLES HOUSE l C. J
M
N ; ANE DOE #1
;
J
ANE DOE #2;J
ANE DOE #3;J
ANE DOE #4;
J E D O E #5;a J HN D OE #1
AN
nd O
,
Pl i if ,
a ntf s
VS.

J
USTI SENI
N
OR,Sec e a y oft Age y f
rtr
he
nc or
H e t Ca e A dm i s r ton, a BA RBAR A
a1h r
ni ta i
nd
PALM ER,Die t oft Age f Perons
r cor he
ncy or s
wih D i a ltes
t s biii ,
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f
nt .

THI CAUSE c me befr t Cour upon () Pli if' M oi fr Eme ge y
S
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2) fnda s ri
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THE COURT ha co i r d t motons t r pons ,t r ples t pe tne
s nsde e he
i , he es es he e i , he ri nt

pori oft r or a b ng ot r s f l advie i t pr m ie ,i i
tons he ec d, nd ei he wie uly
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ADJUDG ED asf l
olows:
Pl i if ' M oton f Em e ge y Te por r R e t a ni
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m a y s r i ng

Or a Prlmi r lj ton( E.7)i DENI
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ED.
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Defnda s ParilM oi t Dimis Pli ifM ia es
e nt' ta ton o s s antf rcl
Hous l .f Lac ofStndi ( E.1 i GRANTED.
e,nc or k
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1

I
NTRODUCTI
ON
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si tons
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s biii s e ponsbl f
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2Pl ntfs s y M iacl pr ded M edi d s vi onl atisgr homes notatt Amazi
ai if a
r es ovi
cai er ces y t oup
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ng
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2

B. Sum m ar o Fac s
y f t

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ul ,
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F.
. ( ( )' Def ni ' s ) n t r ds he tt tr ne ha
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r l ' ines o ovi
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He lh Ca e Adm i sr ton t r f r t natd M ia l s M e cad Pr de Aut rz ton a
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s biii s o e m na e t diai ovi r r e nt t r c e .

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D ISC U SSIO N
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s

Pl ntfs c e t t () t Age y fr He t Cae Admi srton wr uly
ai if ontnd ha i he
nc o
a1h r
nitai
ongf l
t mi t M ia e M e cad Pr de Aut iai and (i t Age y f Perons wih
er naed rcls' di i ovi r horz ton,
i) he
nc or s
t
5

Dia ltes wr uly t mi td is M e c i Pr de Agr ment wih M ia l s
s biii
ongf l er nae t
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ee
s t
rce .
Spe tc l Pl ntfs s
ci aly, ai if ugge t t t t sa e t r naed M ia l s M ediai Pr de
i
s ha he tt e mi t
rce '
c d ovi r
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horzai n nd ovi r r e
s or e ons e aed o t ines o ro m af ,

efe tveme ca sr c avi ai oft feec c - - ovi rpr son. 42U. C.j
fci
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olton he r -hoieofpr de ovii See
S.

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3 6 ()2 )
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mi
r i ttng M ia e 'M e cad Pr de Aut rz ton a M e c d Pr vi rAgr eme s
ensa i
r cls
di i ovi r ho i a i nd diai o de
e nt .
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ncy or at r
nitai r s ha t i htuly er na e
r ls
Pr vi rAut i to be a e con r r t Pli if 'as e tons i de e m i t tM ia l s
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horzai n c us
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s or
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ma runde 42 C. R.j431. ( ( )'( f Se orsRes 4. And t Age y f Perons
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r
F.
51b)1.' De . ni ' p. )
he nc or s
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t
s biii ontnds t t i ha t tr nat t M ediai Pr de Agr e e onc
ha t d o e mi e he
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e m nt e
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s
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ul o lo he o ontnue o ec i
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ovi r
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onge

q lfe '( f Se orsRes 7 ,De . l rsRes 8.
uaiid. De . ni ' p. -8. f Pame ' p. )
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B. St nz t Enf c M e c d' Fr andi o or e diai s ee choi e ofpr derPr son
c - - ovi
ovii
The f de alM ediai saut i l
e r
c d t t e ncudesa fe c ce ofpr derpr vii Se 42 U. C.
r e- hoi - - ovi
o son. e
S.

j1 9 aa ( 3 .sh t r v so ma d tst tln idiiu l l i l frme ia a ssa c . .
3 6 ()2 ) ûr a p o ii n n ae ha a y n vd a ei be o dc l sitn e .
g
m a obt n s h as itnc fom a i tt i ag y, co muniy pha mac or pe s
y ai uc ssa e r
ny nsiuton, enc
m
t
r y,
r on,
qualfed t pe f m t s r i or s r ce r quie ...who unde tkes t pr de hi s h
ii o ror he e vce
e vi s e r d
ra
o ovi
m uc

sr ie .'Pln e Pa e t o do l a tI c v Ge , 6 F.d4 5 45 ( t Ci. 01 )
e vc s' a n d r n h o fGufco s, n . . e 8 2 3 4 , 8 5h r 2 7 .
'
Co t a e t tt fe c ce ofpr de pr son cr a e aprva erghte or e e
urs gr e ha he r e- hoi - - ovi r ovii
e t s i t i nf c abl

un rj 1 Se Pl dPar nt d Se,I .v Be ly,1 F.Supp.3d 1 1 3 ( .
de 983. e anne
e hoo . nc . nte 41
207, 21 M D.
Al.201 (ii c es r ogni ng t s prvae rght of a ton) Howe r o y M e cad
a
5) ctng as ec zi hi i t i
ci .
ve , nl
di i
r c pi nt not M edi ai pr i r m ay e or e t f e c ce of pr de rght Se
ei e s
c d ov de s
nf c he r e- hoi - - ovi r i . e

Nutii Su tSers,L. v Milr,8 F.
rtonal ppor v . P. . le 26 supp.467, -70( D. 1 (oncudi
468
N. Ga. 993) c l ng
t M e c d pr desha no enfr e ntrghtunde t fe c c - - o de pr sonl
hat diai ovi r d
o c me i
r he re-hoieofpr vi r ovii ;
6

s alo Siv r v Baggi 80 F. 1 11 1 17 ( 1h Ci.1 6) ( di t tM e c i
ee s le .
ano, 4 2d 2 , 2 1 t r 98 hol ng ha diad
rci e s ha e or a e rght unde j 1396aa( , but de lni t de de wheher
e pint ve nf ce bl i s
r
()23)
ci ng o ci
t
M e c dpr de sha t smerght)
diai ovi r ve he a i s.
Def nda s a gue i t i c e
e nt r
n her ont mpor ne l fl d moton t dim is t be us
a ousy ie
i o s s hat ca e

Pl nifM iacesHous I i a(o me)M e c dpr vi r i lc sa ngt asetacli
aitf r l
e, nc.s fr r diai o de, t a ks tndi o s r am

u d r4 U. C. 1 9 ()2 ) I d e (th sau es a so l i tr o r cpin s rg t
n e 2 S. j 3 6aa( 3 . n e d,i l e ttt pe k ny n e ms f e i e t' ih s
g
r te ta p o ie s rg t,s t erg tg aa te b j 1 9 aa( )i v se i M e iad
ah r h n r v d r' ih s o h ih u rn e d y 3 6 ()23 s e td n d c i

rcp e t rte t np o ies'Pln e Pa e to d o l a tI c v Ge , 6 F.d4 ,
e iin s ah r ha r vd r. a n d r nh o fGufco s, n . . e 8 2 3 45
'
460 (t Ci.201 . ca et rghtguaant dby t feec c - - o de pr son vet
5h r 7) Be us he i
r ee
he r -hoieofpr vi r ovii ss
onl i M e c i r ci ent r t r t n pr de s t Cour GR ANTS Def nda s moton t
y n di ad e pi s a he ha ovi r , he
t
e nt ' i o
di m i sM ia e Hous I
s s r cl s
e, nc.

Howeve ,t i vi
r he ndi dualM ia l sPli if i t sa ton asM e c i r ci e s ha
r c e a ntfs n hi c i
di ad e pint
ve

sa dn t p ru te rq e td r l fu d rt efe -h ieo - r v d rp o iin. U. C.j
tn ig o u s e h e u se ei n e h re c o c - fp o i e r v so 42 S.
e
1 9 aa( 3 . s c t Co r mus a d e swh t rt e eI dvd a Plitfsaee t ldt
3 6 ()2 ) As u h,he u t t d r s ehe h s n iiu l an if r n ie o
t
ap ei nayij n to
rlmi r nu cin.
C. Prei nar I unc i
lmi v ni ton

Pr lmi Ijunci St ar
ei nav n ton and d

h plitf s e i a p ei n r ij ncin u d rF d rlRul o Ci lP o e u e 6
an if e kng r l ay nu to n e e ea e f vi r c d r 5
mi
mus esabls ea h oft f l ng:ç 1 t r i as tntallkelhood t heuli t ywil
t t ih c
he olowi i ) hee s ubsa i i i
(
hat tmael l

p e alo te meis o te cam;( )h wils fe ir p rbl ij r u e s te ij n to
r v i n h rt f h li 2 e l u fr re aa e nu y nls h nu cin

is e ;( ) t e trae e ij r t te mo a t o t ih wh tv r d ma e t p o sd
su s 3 h l e tn d nu y o h
l
v n u weg s ae e a g he r po e
ij n to ma c u e te o p sn p ry a d ()te p bi itr s wilno beh nne i t
n u cin y a s h p o ig a t; n 4 h u lc nee t l t a d f he
ij n to s o l is e' Ca ev Olh m,7 7 F.d 1 7 ,1 8 ( 1h Ci.1 8 ) Thep an if
nu cin h u d su . t . d a 0 2 1 6 1 5 1 t r 9 3 .
'
litf
m us pr a lf e e e s b or t co tm a gr ntt s i xt a di r a dr tc r m e '
t ove l our l m nt ef e he ur y a hi i r or na y nd as i e dy.
e
'

Sige v fe e,234 F. 11 11 ( 1h Ci.2000 ;s alo M c nal s Cor v
e l . por
3d 63, 76 1 t r
) ee s
Do d' p. .

Robe ton,1 F. 1 ,1 ( 1hCi.1 .
rs 47 3d 301 306 1 t r 998)

J Le A nal s
. gal
ysi
a. Fr - hoi - - ovi R i s
ee c ce of pr der ght

M e cad' fe c ce ofpr derpr son gua a ee M edi i r i e sS herg t
di i s r e- hoi - - ovi
ovii
r nt s
cad ecpint t i ht o
t
c
hoos a ong a r nge of qualfe pr vi r w ihout g r nt i e f r nc ' O '
e m
a
ii d o de s t
ove mne nt r e e e. Bannon v.
'

Town Cou tNurig Ct 447U. 773,78 1 S. .
r sn r,
S.
5, 00 Ct2467,65L. 2d 506(1 ) Howe r
Ed.
980 .
ve ,

a Dee da t e h sz ,t s rg tt c o e i lmi d t qu l d p o i es Th S p e
s fn ns mp a ie hi ih o ho s s i t o a se r v d r. e u rme
e
Cour esa ihe l ng a t t a M e cad r ci e f
t t bls d o
go ha
di i e pi nt f no enf c bl e c a i of
has
or ea e xpe t ton
c i d be tt t pa f c e i a i tt i t tha bee de e m i d t be unqua ii d.
ontnue neis o y or ar n n nsiuton ha s n t r ne o
lfe '
'
O'
Bannon,447 U . a 786.
S. t

St t havet rghte or em i mum sa r ofc ef M e c d pr de s W he ea
aes
he i nf c ni
t nda ds ar or di ai ovi r .
r

ç iq l iain d cso gs c n e td t te sae s e f r e n o is h at a d sf t
k s uai c to e ii n i) o n ce o h tt' n o c me t f t e lh n a ey
d
f
r ulto , t tde son doe notvi a e M edi i r ci e s rght unde t fee c c - eg ai ns' ha cii
'
s
olt
cad e pint ' i s
r he r - hoi e of

pr i rpr son.1 a 461Cd- sma s sns I i wee ohe wie,patent c d feey
ovde ovii d. t
-hi ke e e: f t r t r s
l
i s oul r l

i e v nei saee or menta i a ns fciii t tvi aeheat a s ft sa r .).
ntr e n tt nf ce
ctons gai t a ltes ha olt lh nd aey tndads'
On t ot r ha
he he nd, a s a e vi a es t f ee c c of pr de pr s on i is de s on t
t t ol t he r - hoi e- - ovi r ovi i f t ci i o

diquaiy aM e c i pr de i k z aed t t pr de ' ft st te tM e c i pa int .
s lf
dia d ovi r s l elt o he ovi r s ines o r a
un
di a d te s'
'

Pln e Pa e t o o I da a I c v Co ' o l da a Stt De ' He lh 6 9 F.d 9 2
a n d r nho d f n in , n . . mm r f n in ae p t at , 9 3 6 ,
978 ( h Ci.201 ( i t tthetr t iid'a us i j 1
7t r 2) notng ha s em qualfe s ed n 396a()23)una guousy
t
a(
mbi
l
rlt t apr de ' tt st peror t me c lsr c t paintr quie '.
eaes o ovi rs ines o f m he dia e vies he te e rs'
)
b. Li lhoo ofSuc es on t M e i s
ke i d
c s
he r t

Asds u s d t i Co r c n o g a tap ei n r ij n to u ls Plitfse tb ih
ic se , h s u t a n t r n r l ay n u cin ne s anif sa ls
mi
$ s b tn illk lh o t a (h y ulmaey wil r v i o temeisoft ecam. Olh m,
t u sa ta ieio d h t t e ) t tl l p e al n h rt h li ' d a
a
i
'
707 F. a 11 H e e,t tr quies Pl i if t s
2d t 85. r ha e r
a ntf s o how a s t nta lke i
ubs a i l i lhood t t
ha --du i t
r ng he

m e is sa of t c e t y wilpr t sa e tr i t d M ia es M e cad Pr de
rt tge
he as he
l ove he tt e m na e
r cl ' di i ovi r
Aut i to dnde
horzai n t pende ofany a ton t e or e saut y a r ul t y sanda ds'Pl d
i
nt
c i o nf c t t or nd eg aor t r .' anne

Pa e to do l a tI c, 6 F.da 4 0
r nh o fGufco s, n . 8 2 3 t 6 .
8

Howe r t l vi lPli if i t s c s a e unlkey t s e on t me is of
ve , he ndi dua antfs n hi a e r
i l o ucc ed
he rt

t r cai be us of 42 U. C.j 1 - S c e Re ton a Excuson' whih
hei l m ca e
S.
320a7 t ens vocai nd l i '
Li
c
sat
t es:

(
b)

Pemisve Excuson: The Se rtr ma e ude t
r si
li
ceay y xcl
he
f l ng i vi l a e iis fom pari pa i i a
olowi ndi dua s nd ntte r
tci ton n ny
Fede a heat c r pr r m
r l lh a e og a

(
4)

Lie eRe ai a Sus nson.Any i vi lo
c ns voc ton nd pe i
ndi dua r
e iy
ntt

(
A)

whos lc ns t pr de heat cae has be n
e ie e o ovi
lh r
e
r vo d or s pende by a St t lc nsng
e ke
us
d
ny a e i e i
au hort or w ho ot r i e l t s h a lc ns
t iy,
he w s os uc
i e e,
f r as be rng on t i vi lsore iy'
or e ons a i
he ndi dua '
ntt s
pr e s ona
of s i l
co pe e e,
m t nc
pr e s onal
of s i
pe f m a e orfnanc ali e iy;or
r or nc , i i nt grt

(
B) wh s re d rd s c a lc n e wh l a f r l
o u r n ee u h ie s ie o ma
di c plna y pr e ng w as pe ng bef e s h
s i i r oc edi
ndi
or uc
a a hort a t pr e ng c
n ut iy nd he oc edi once ned t
r
he
i vi lsore iy' pr e sona compe e ,
ndi dua '
ntt s of s i l
t nce
pr e sona pe f ma ,orfnanc a i eg iy.
of s i l ror nce
i i l nt rt

42 U. C.j 1 - s alo 42 C. R.j 1 3 ( ovi ng t t; Stt ma e ude a
S.
320a 7; ee s
F.
002. pr di ha f ae y xcl n
a
i vi lor e iy fom pa tci ton i t M e c i pr r m f a r s f r whih t
ndi dua
ntt r
ri pa i n he dia d og n or ny ea on o
c he
Se r tr c d e l t i vi l or e iy fom pa tci ton i Fe a he lh ca e
c ea y oul xc ude hat ndi dua
ntt r
ri pa i n der l at r

pr a t rs ctons11 ,11 A,or1 b)2)oft Ac' .
ogrms mde e i
28 28
866( (
he t'
)
De e nt as e tt tt Age y f He 1h Ca e Admi sr ton s pe d t lc ns
f nda s s r ha he
nc or a t r
nita i us nde he i e e
ofM ia es dM im iba ed a sse lvi f iiy be aus ofsgniia defcincis r l t t
r cl ' d a - s s it d i ng ac lt c e
i fc nt i e e e aed o

t eh at, aeya dwefr o te(s itdlvn fcl y'lr sd n s'( f S n o ' Re p. )
h e lh s ft n la e f h a sse iig a ii s e ie t. De . e i rs s 4.
t
'
And at ug Pli if ma obec t t s pe i t c edet t()t saes pe d
lho h antfs y j t o he us nson, hey onc ha i he tt us nde
Amazng W onde s As it Li ng Li ns ,(i M ia es hed t tAsitd Li ng Lie e,
i
r ' ssed vi ce e i) rcl ' l ha sse vi
c ns

a (i)Ama i W ondesi as i ay ofM ia e .( .sRe y2. Furhemor t sae'
nd ii
zng
r s ubsdir
rcls P1' pl ) t r e,he tt s
r s f s pe ng M ia es As it d Li ng Li ns Le. t t t lvi condii ns a
ea ons or us ndi
r cl ' sse vi
ce e
, ha he i ng
to t

9

Ama ng W onde sS r nots eorde e ' bea on M iac e 'ç of so lcompe e e'a
zi
r t e
we
af
c nt'
r
r l s i es i na
pr
t nc ' nd
û r es i lpe f
s of s ona r onna .'
P
nce '

l s o tDee d nsh v a(o - a s 'j tfc to r ltd t me ia c mp tn y f r
n h r, fn a t a e E rc u e'usiiain, eae o dc l o ee c , o
f
de e mi ng t M ia es S
t r ni hat r cl t no l r quaii d unde f r and sa e l t f r s
was
onge
lfe
r ede al
tt aw o u nih

Mediad s ni st anyone' ( f Seni ' Rep.4-5. Ass h,Pli if ae notlkey t
c i e ce o
.' De. ors s
) uc antfs r
i l o
pr vai on t i cli t tt sa e' t nni ton ofM ia l 'M e c d Pr de Au horzai
e l her a m ha he tt s e nai
r ces
diai ovi r t i ton

v oae t fe -h ieofp o i e prviin Se 4 U. C.j 1 9 aa ( 3 . c u ePlitfs
i ltd he r ec o c - - r v d r o so . e 2 S.
3 6 ()2 ) Be a s anif
ar notlkey t s c d on t me is oft i c am ,t i M oton f Emer nc Te r r
e
i l o uc ee
he rt
her l i her
i or
ge y mpo a y

Re tann Or e a Pr l n r lj n t n i DENI 4
sriig d r nd ei ay n u ci s
mi
o
ED.
CONCLUSI
ON

Ba ed ont f egoi i i he e
s
he or ng,t s r by
O R DER ED AN D A D JU DG ED asf l s
olow :

Pli if ' M oton f Eme genc Te
antfs
i or
r y mpor r Re ta ni
a y sr i ng

Or e a dPr l n r Ij ncin ( E. )i DENI
d r n ei ay nu to D. 7 s
mi
ED.
De e nt' Pa ta M oton t Dimis Pl i if M ia l s
f nda s ril
i o s s antf
rce

Hous ,l f La kofStndi ( E.14 i GRANTED.
e nc.or c
a ng D. ) s

(, &j, '
b
)
'

r
DON E AND ORDERED i Cha be sa M i ,Fl i ,t s w-' o Novembe 2017.
n
m r t ami orda hi y ? f
y--

...'M .

.
:

L> >
f
,

- --- '

FEDERI A .
C
NO
UNI
TED STATES DI
STRI J
CT UDGE
Copi s f ihe t
e um s d o:
Couns lofRe d
e
cor

4To t ext Pl ntfscl m t ar entted t a çpr de i ton hearnp 't y ar i r t
he ent ai if ai hey e il o s e- prva i
i ' he e ncorec .

Th Su e Co trjce ta pe ie ag n i O' nn hodig ta a a ves i c on
e prme ur ee td h t rcs rume t n Ba on, l n h t n d re mpat

M edi d r pi s r tng f om t gover
cai eci ent esuli r he
nments enf cementofm i mum sandar ofcar d
' or
ni
t
ds
eç
does
notamountt ade i i ofany it es i lf lbe t orpr t 'See O ' annon, 447 U . at787.
o
prvaton
n er t n ie, i ry,
opery.
'
B
S.

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