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993262P.pdf   05/04/2001  John Smith  v.  Jessie K. Rasmussen
   U.S. Court of Appeals Case No:  99-3262
   Northern District of Iowa   
Civil case - Medicaid Act. Assuming plaintiff, who qualified for a phalloplasty under the medically needy classification of Medicaid, had an enforceable federal right to reasonable standards for determination of the extent and scope of services that a state will provide under the Medicaid Act, the Iowa Department of Human Services regulation excluding sex reassignment surgery was not unreasonable, arbitrary or inconsistent with the Medicaid Act, and the district court erred in finding that the Department violated the Act by refusing to fund plaintiff's surgery.