As the federal health care reform law continues to be a flashpoint during the government shutdown, a federal appeals court in Boston is grappling with whether a state can push legal non-citizen residents out of its low-income medical assistance program.

The U.S. Court of Appeals for the First Circuit on October 9 heard oral arguments in Bruns v. Mayhew, a class action against the Commissioner of the Maine Department of Health and Human Services that says the state unfairly terminated medical assistance coverage for permanent residents who are lawfully in the country.

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