Appellees then filled out two separate actions against the president, with plaintiffs in the first case coming from the City of New York, two hospital associations, and two unions that represented health care workers. The second case's plaintiffs were made up of a farmer's association representing about 30 different individuals. The District Court consolidated the two cases, and determined that each individual affected had a standing in the case. The District Courts declared the Act unconstitutional through Article 1, Section 7 (Separation of Powers), and was brought to Supreme Court through Writ of Certiorari upon expedited appeal (A case where the appellant is appealing the decision of an administrative law judge/agency board to speed up an appeal). The decision was made by District Courts in favor of the City of New York, health care workers, hospitals, and farmer's association with 6 votes for, and 3 votes against. .
As stated above, the litigants involved in the lawsuit were President Bill Clinton against the City of New York, two hospitals, health care workers, and farmer's association. Also as stated above, there were originally two cases that were filed against the President (eventually merged into two). The first action was taken by New York, the hospital associations, and the health care workers. This came from President Clinton nullifying a portion of the Balanced Budget Act of 1997 which relinquished the Federal Government's ability to collect $2.6 billion in tax payer dollars. This action affected Medicaid providers and workers in the State of New York in the way that many health care providers were protected from many liabilities and accidents that could have occurred as stated in section S4722© of the Balanced Budget Act. Through the cancelation of the line by President Clinton, all Medicate providers and employees were now subject to unfair liabilities and therefore more prone to risk of losing a job.
