The United States alleged that Florida’s Medicaid system unnecessarily institutionalized children with complex medical needs and failed to provide the community services and transition planning required by Title II of the ADA and Olmstead. After a lengthy bench trial, the Eleventh Circuit upheld the core finding of systemic discrimination and most of the injunction. It vacated provisions that exceeded the violations proved for particular plaintiffs and remanded for a narrower, plaintiff-specific remedy rather than a system-wide formula based on sampling.