32 Soc.sec.rep.ser. 600, Medicare&medicaid Gu 39,215independent Nursing Home Association, Plaintiff-appellee, v. J. Clinton Smith, M.d., in His Official Capacity As Directorof the State of Mississippi Division of Medicaidin the Office of the Governor,defendant-appellant.mississippi Health Care Association, Plaintiff-appellee, v. J. Clinton Smith, M.d., in His Official Capacity As Directorof the State of Mississippi Division of Medicaidin the Office of the Governor,defendant-appellant, 928 F.2d 181 (5th Cir. 1991)