"Tucked away on page 466" is a provision that quietly replaces states' obligation to make sure doctors are paid to deliver services to the poor with a new obligation to make sure the services are in fact delivered. "'With the expanded definition, it leaves every state vulnerable to a new wave of lawsuits any time someone cannot access a service, even if that service is limited by virtue of the rates we pay,' said Alan Levine, Louisiana's secretary of health and hospitals, in a recent memo prepared for fellow state government officials." [Jon Ward, Daily Caller](cross-posted from Overlawyered)