But experts said they believed that the California case was the first successful heart transplant for an inmate, yet probably not the last.
Nonetheless, the action today was a binding legal judgment on the merits of the California case.
But such an element was not present in the California case.
The California case included many other independence problems that regulators have said concern them.
How much the California case would apply is unclear.
The federal lawsuit is largely an antitrust claim; the California case was not.
The recent Texas and California cases have given them even more of a lift.
Most people have heard of prelims from the high-profile California cases.
Administration officials said that their position in the California case did not represent a change of policy.
All of the insurers declined to comment on the California case.