Edwards v. Secretary of Health and Human Services

234ÿ5664748ÿ9 ÿ 64ÿÿ42ÿÿÿ ÿ52ÿ ÿ ÿ659 97ÿ2352ÿ4842ÿ898ÿ2ÿ 484ÿ2352ÿ5ÿ!594ÿ"429294ÿ449!48ÿ358ÿ5 48ÿ#$" ÿ58ÿ9ÿ$44%&4ÿ0'0ÿ234ÿ4956ÿ %524ÿ2ÿ(3%ÿ234ÿ54ÿ(5ÿ979566ÿ5 9748ÿ9 48ÿ5ÿ 697ÿÿ 29264%42ÿ9ÿ"429294)ÿ 5!ÿ 697ÿÿ 29264%42ÿÿÿ*ÿ52ÿ0ÿ ÿ +34ÿ5294ÿ &4,426ÿ42448ÿ92ÿ5ÿ64723ÿ4 ÿ ÿ46!97ÿ85%574ÿ#ÿ234ÿ 4ÿ  ÿ234ÿ4 2 ÿ4!456ÿ252 ÿ 444ÿ(44ÿ3468 ÿ58ÿ234ÿ4956ÿ%524ÿ4426ÿ9 48ÿ 348697ÿ84 ÿ4 64297ÿ39ÿ469%95ÿ!94( ÿ475897ÿ234ÿ4ÿ ÿ85%574ÿs84 ÿ9 48ÿ s2&4ÿ. ÿ0'0 ÿÿÿ/ 0ÿs84 ÿ9 48ÿ4& 5ÿ. ÿ0'01ÿÿÿ *0ÿs84 ÿ9 48ÿ 4& 5ÿ0 ÿ0'0 ÿÿÿ*1ÿÿ ÿ s ÿ234ÿ59ÿ ÿ234ÿ4956ÿ%524)ÿ4294%42 ÿ239ÿ54ÿ(5ÿ45 9748ÿ2ÿ%4ÿ9ÿ456ÿ 253ÿ ÿ239ÿ45ÿÿÿ* ÿ"9ÿ2ÿ239 ÿ3(4!4 ÿ58ÿ 66(97ÿ234ÿ4& 5ÿ0'01ÿ252 ÿ  444 ÿ234ÿ5294ÿ 9648ÿ5ÿ92ÿ252 ÿ42ÿ5225348ÿ3442ÿ5ÿ34894ÿ.ÿ(393ÿ98429 94ÿ 5566ÿ85%574 ÿ96897ÿ234ÿ2352ÿ234ÿ5294ÿ35!4ÿ57448ÿ ÿ5ÿ(466ÿ5ÿ234ÿ4ÿ849848ÿ&ÿ234ÿ 64956ÿ%52478ÿ2ÿ 59692524ÿ5ÿ 956ÿ85%574ÿ8499ÿ992ÿ:252 ÿ42ÿ59:8ÿÿÿ*/ÿ 52ÿ.0ÿ;<<ÿ>?;@ÿ3ÿ3ÿ92ÿ69 4ÿ54ÿ65ÿÿÿ*/A.0ÿ3ÿBÿ92ÿ5 297ÿ ÿ52ÿ 49%& 48ÿ444 4ÿÿÿ*/A0ÿ+39ÿ 5%4(Cÿ759D4ÿ%4 529ÿ92ÿ2344ÿ 74456ÿ524794Eÿ59ÿ58ÿ 497 ÿ52ÿ 49%& 48ÿ444 4 ÿ58ÿ 2 4ÿ69 4ÿ54ÿ444 4ÿ 362373ÿ234ÿ5294ÿ898ÿ2ÿ 66ÿ5744ÿ8 97ÿ234ÿ 4ÿ ÿ44897ÿ5ÿ2ÿ4!4ÿ52ÿ444 4ÿ 924% ÿ234ÿ9:ÿ24ÿ2352ÿ234ÿ4%5997ÿ8924ÿ(44ÿ844%48ÿ2ÿ35!4ÿ&44ÿ584,5246ÿ5884 48ÿ ÿ234ÿ&59ÿ ÿ234ÿ %4ÿ4956ÿ%524)ÿ92ÿ58ÿ%%42ÿ58ÿ4842ÿ234(94ÿ 44!48ÿ234ÿ9732ÿ2ÿ5456ÿ4259ÿ542ÿ ÿ85%574ÿ9:ÿ52ÿ0Aÿ+3 ÿ562373ÿ234ÿ9:ÿ84ÿ 2ÿ 29224ÿ5ÿ57448Aÿ296529ÿÿ 4 ÿ92ÿ4!423464 ÿ%4%9569D4ÿ(352ÿ5% 2ÿ 234ÿ5294ÿ479D4ÿ54ÿ2ÿ&4ÿ96848ÿ9ÿ5ÿ85%574ÿ8499ÿ ÿ

F5!97ÿ4!94(48ÿ234ÿ%6424ÿ48ÿ58ÿ35!97ÿ3458ÿ %ÿ234ÿ5294ÿ8 97ÿ5ÿ%4ÿ 442ÿ252 ÿ 444 ÿ#ÿ79!4ÿ 9845&64ÿ(49732ÿ2ÿ234ÿ85%574ÿ 5%4(Cÿ42ÿ 23ÿ9ÿ234ÿ 9:ÿ5ÿ4 64297ÿ % ÿ46ÿ5(5848ÿ9ÿ239ÿ%5224ÿ"429294ÿ3566ÿ2344 4ÿ&4ÿ5(5848ÿ234ÿ 66(97ÿ85%574ÿ%42Eÿ ÿ

3ÿ"59ÿ58ÿ: 497ÿ "429294ÿ3566ÿ449!4ÿ234ÿ2522ÿ%549% %ÿ ÿH0 ' '''''ÿ9ÿ%4 529ÿ ÿ5256ÿ 59ÿ58ÿ 497ÿ9:ÿ52ÿ00ÿ;<<ÿ>?;@ÿ0ÿI:ÿJÿ''55A. 5ÿ+39ÿ9ÿ 9242ÿ(923ÿ234ÿ9ÿ 4956ÿ%524)ÿ!94(ÿKLML ÿs84 ÿ9 48ÿs2&4ÿ. ÿ0'0 ÿ52ÿ.ÿ56275C97ÿ92ÿ5 2ÿ234ÿ 4!492ÿ ÿ429294)ÿ9 ÿ58ÿ34ÿ49856ÿ9%59%42 ÿ#ÿ&4694!4ÿ2352ÿ234ÿ%549% %ÿ5% 2ÿ Oÿ ÿ #ÿ3468ÿ5ÿ252 ÿ 444ÿ9ÿ239ÿ%5224ÿÿ9 4ÿ ÿ0'01 ÿ58ÿ234ÿ5294ÿ %566ÿ659 948ÿ52ÿ2352ÿ29%4ÿ2352ÿ234ÿ9:ÿ 642ÿ234ÿ85%574ÿ%42ÿ2ÿ&4ÿ96848ÿ9ÿ5ÿ8499ÿ ÿ

0ÿ ÿ 234ÿ5678ÿ689ÿ 22478ÿ7ÿ644689ÿ494ÿ7 9ÿ464ÿ0ÿÿ6ÿÿ ÿ69 7 9ÿ ÿ5647 ÿ 6ÿ577384ÿ3!9ÿÿ66499ÿ ÿ2!!ÿ634ÿ6"38ÿ234ÿ5678ÿ689ÿ 22478ÿ494ÿ7 9ÿ 464ÿ#ÿ#ÿ6ÿÿ ÿ4"7899ÿ ÿ5647 ÿ6ÿ577384ÿ3!9ÿÿ66499ÿ ÿ2!!ÿ634ÿ 6"38ÿ234ÿ5678ÿ689ÿ 22478$ÿÿ ÿ %$ÿ'847"4 9ÿ()58 ÿ *77384ÿ +ÿ47"4 " 8ÿ234ÿ6ÿ 647ÿ32ÿ)58 ÿ78,449ÿ78,ÿs%.ÿ38 $ÿ 8ÿ 6!678ÿ ÿ,!67" ÿ ÿ6 ÿ,387949ÿ ÿ97, 738ÿ689ÿ867 ÿ4 3!738ÿ46, 9ÿ9478ÿ  ÿ54734ÿ96"6 ÿ543, 978 $ÿ ÿ7 ÿ 6876!ÿ 7 ÿ3ÿ64 " 8ÿ46, 9ÿÿ ÿ5647 ÿ689ÿ 3ÿ ÿ234" 4ÿ5,76!ÿ"64/ÿ)54 9ÿ 7 ÿ4 64978ÿ5647,!64ÿ)58 $ÿÿ 0,,34978!ÿ*77384ÿ7ÿ87!9ÿ3ÿ47"4 " 8ÿ32ÿ56ÿ847"4 9ÿ)58 ÿ78ÿ ÿ 6"38ÿ32ÿ12#$3ÿ,3878ÿ7ÿ ÿ,64ÿ66, 9ÿ 43ÿ6ÿ055897)ÿ0$ÿÿ ÿ

4$ÿ572ÿ464ÿ*!68ÿ

6 ÿ5647 /ÿ54353 9ÿ247,64ÿ,3"586738ÿ7ÿ42!,9ÿ78ÿ 74ÿ8378ÿ!72ÿ,64ÿ5!68ÿ 66, 9ÿ 43ÿ6ÿ055897)ÿÿ 7,ÿ28,738ÿ6ÿ ÿ35467 ÿ!72ÿ,64ÿ5!68ÿ689ÿ,344 538978ÿ 56" 8ÿ, 9!ÿ78ÿ7ÿ"64$ÿ6 7ÿ93," 8ÿ798727 ÿ ÿ,6 347 ÿ32ÿ24ÿ,64ÿ689ÿ 5534ÿ 94"789ÿ3ÿÿ46386!ÿ8, 64ÿ6ÿ6ÿ4 !ÿ32ÿ*77384/ÿ,3"586!ÿ7884ÿ78,!978ÿ 5438,9ÿ" 97,6!ÿ,64ÿ69657 ÿ975" 8ÿ689ÿ 55!7 ÿ689ÿ6797,64ÿ 4 7, $ÿ6 ÿ93," 8ÿ 69977386!!ÿ42!,ÿ ÿ7"78ÿ689ÿ4,4ÿ32ÿ54353 9ÿ,3"586738ÿ234ÿ3 ÿ7" ÿ78,!978ÿ 6886!ÿ,3"586738ÿ64ÿ43ÿ46 ÿ3ÿÿ78,3453469ÿ783ÿ ÿ6887ÿ4,4ÿ689ÿ 836738ÿ4 64978ÿ7" ÿ)5,9ÿ3ÿÿ,3 49ÿ43 ÿ78 468,:; 97,64$ÿÿ ÿ<.=ÿ6 ÿ6ÿ >6?!!ÿ7" ÿ32ÿ,3"586738ÿ7987279ÿ78ÿ ÿ!72ÿ,64ÿ5!68ÿ64ÿ 55349ÿÿ ÿ 798,ÿ689ÿ64ÿ7!! 469ÿÿ ÿ,64ÿ6ÿ7ÿ055897)ÿ$ÿ<.=ÿ6ÿ$ÿ6 ÿ5647 ÿ 24 4ÿ454 89ÿ6ÿ ÿ,3"586738ÿ42!,9ÿ 478ÿ78,3453469ÿ3ÿ64 97538ÿ24ÿ ,64ÿ7" ÿ689ÿ ÿ234" 4ÿ5,76!ÿ"64/ÿ54734ÿ 7968,$ÿ 8ÿ ÿ<.=ÿ ÿ54353 9ÿ,3"586738ÿ ÿ"69ÿ78ÿ564ÿ43 ÿ24ÿ6887ÿ56" 8ÿ 6ÿ7!!ÿ543 79ÿ56" 8ÿ234ÿ ÿ!72ÿ,64ÿ 7" ÿ,386789ÿ78ÿ ÿ!72ÿ,64ÿ5!68ÿ 055897)ÿÿ7ÿ68ÿ6"38ÿ 227,78ÿ3ÿ54,6 ÿ68ÿ 6887ÿ,3846,ÿ234ÿ6ÿ5453 $ÿ@A$ÿ6ÿ07B$ÿ

C6 78ÿ4 7 9ÿ ÿ!72ÿ,64ÿ5!68878ÿ"6476!ÿ78ÿ5647,!64ÿ689ÿ ÿ4,349ÿ6ÿ6ÿ 3!ÿ ÿ 2789ÿ6ÿ ÿ247,64ÿ7" ÿ42!,9ÿ78ÿ055897)ÿÿ64ÿ46386!ÿ 227,78!ÿ 55349ÿÿ  ÿ 798,ÿ689ÿ,3878ÿ7ÿ ÿ,3"586738ÿ6 67!6!ÿ894ÿ ÿD6,,78ÿ0,$ÿÿ ÿ

0ÿ ÿ 2342567834ÿ ÿ ÿÿÿÿÿÿ ÿ   ÿÿ ÿÿ ÿ ÿÿÿ!ÿ"ÿ#$#%ÿ  ÿ&ÿ'ÿ ÿ()ÿ *+,ÿ s  ÿ ÿ&ÿ./01%10+1"ÿ ÿ  ÿ&ÿ&ÿ 2  ÿ2ÿÿ ÿÿÿÿ& ÿÿ&ÿ3 ÿ4.*"#*15+506  ÿÿ &&ÿ4.#/$$$$+$$6ÿÿ ÿ  ÿ2  ÿ4.#$5/$*+*16 ÿ ÿ ÿÿÿ,7 ÿ ÿÿ( ÿ  ÿ'89:,ÿÿ&  ÿ   ÿÿ(;ÿ #+,ÿ ÿ &&ÿÿ ÿÿÿÿ  3ÿÿÿ   ÿÿ<ÿ''+=ÿ&ÿÿ!<>ÿ4,2ÿ*6ÿÿÿ ÿ  ÿ& ÿ&ÿÿ ÿÿÿÿ&ÿÿÿ ÿ ÿ ÿÿÿ ,2ÿ#ÿ ÿÿÿ&ÿ ÿ ÿ& ÿÿÿÿÿ   + : ÿ ÿ  ÿ  ÿ&ÿÿ  ÿÿÿ ÿ  ÿÿ <ÿ*/46ÿ&ÿÿ? ÿ,+ÿÿ :ÿ7@ÿ&ÿ7ÿ ÿÿÿÿ3 ÿÿÿÿ ÿA +/ÿ 8Bÿ87ÿ73ÿ3CDECEDFÿÿ

G Gÿ=ÿ+ÿ7ÿÿ =ÿ+ÿ7ÿÿ 7&ÿ< ÿH ÿ

/ÿ ( ÿÿ? ÿ>ÿ**46ÿÿ&ÿ3 ÿÿ ÿ2 ÿ ÿÿ ÿ3ÿ&ÿ&ÿÿÿ ÿÿÿ @ÿ +ÿ