City & County of S.F. v. Uscis ( 2020 )


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  •                  FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    CITY AND COUNTY OF SAN                  No. 19-17213
    FRANCISCO; COUNTY OF SANTA
    CLARA,                                     D.C. No.
    Plaintiffs-Appellees,     4:19-cv-04717-
    PJH
    v.
    UNITED STATES CITIZENSHIP AND
    IMMIGRATION SERVICES, a federal
    agency; U.S. DEPARTMENT OF
    HOMELAND SECURITY, a federal
    agency; CHAD F. WOLF, in his
    official capacity as Acting Secretary
    of the United States Department of
    Homeland Security; KENNETH T.
    CUCCINELLI, in his official capacity
    as Acting Director of United States
    Citizenship and Immigration
    Services,
    Defendants-Appellants.
    2       CITY & CTY. OF SAN FRANCISCO V. USCIS
    STATE OF CALIFORNIA; DISTRICT OF            No. 19-17214
    COLUMBIA; STATE OF MAINE;
    COMMONWEALTH OF                               D.C. No.
    PENNSYLVANIA; STATE OF OREGON,             4:19-cv-04975-
    Plaintiffs-Appellees,            PJH
    v.
    U.S. DEPARTMENT OF HOMELAND
    SECURITY, a federal agency; UNITED
    STATES CITIZENSHIP AND
    IMMIGRATION SERVICES, a federal
    agency; CHAD F. WOLF, in his
    official capacity as Acting Secretary
    of the United States Department of
    Homeland Security; KENNETH T.
    CUCCINELLI, in his official capacity
    as Acting Director of United States
    Citizenship and Immigration
    Services,
    Defendants-Appellants.
    Appeal from the United States District Court
    for the Northern District of California
    Phyllis J. Hamilton, Chief District Judge, Presiding
    CITY & CTY. OF SAN FRANCISCO V. USCIS             3
    STATE OF WASHINGTON;                    No. 19-35914
    COMMONWEALTH OF VIRGINIA;
    STATE OF COLORADO; STATE OF                D.C. No.
    DELAWARE; STATE OF ILLINOIS;            4:19-cv-05210-
    STATE OF MARYLAND;                           RMP
    COMMONWEALTH OF
    MASSACHUSETTS; DANA NESSEL,
    Attorney General on behalf of the         OPINION
    People of Michigan; STATE OF
    MINNESOTA; STATE OF NEVADA;
    STATE OF NEW JERSEY; STATE OF
    NEW MEXICO; STATE OF RHODE
    ISLAND; STATE OF HAWAII,
    Plaintiffs-Appellees,
    v.
    U.S. DEPARTMENT OF HOMELAND
    SECURITY, a federal agency; CHAD
    F. WOLF, in his official capacity as
    Acting Secretary of the United States
    Department of Homeland Security;
    UNITED STATES CITIZENSHIP AND
    IMMIGRATION SERVICES, a federal
    agency; KENNETH T. CUCCINELLI, in
    his official capacity as Acting
    Director of United States Citizenship
    and Immigration Services,
    Defendants-Appellants.
    4         CITY & CTY. OF SAN FRANCISCO V. USCIS
    Appeal from the United States District Court
    for the Eastern District of Washington
    Rosanna Malouf Peterson, District Judge, Presiding
    Argued and Submitted September 15, 2020
    San Francisco, California
    Filed December 2, 2020
    Before: Mary M. Schroeder, William A. Fletcher, and
    Lawrence VanDyke, Circuit Judges.
    Opinion by Judge Schroeder;
    Dissent by Judge VanDyke
    SUMMARY*
    Immigration
    In cases in which two district courts issued preliminary
    injunctions enjoining implementation of the Department of
    Homeland Security’s redefinition of the term “public charge,”
    which describes a ground of inadmissibility, the panel:
    1) affirmed the preliminary injunction of the District Court
    for the Northern District of California covering the territory
    of the plaintiffs; and 2) affirmed in part and vacated in part
    the preliminary injunction of the District Court for the
    Eastern District of Washington, vacating the portion of the
    injunction that made it applicable nationwide.
    *
    This summary constitutes no part of the opinion of the court. It has
    been prepared by court staff for the convenience of the reader.
    CITY & CTY. OF SAN FRANCISCO V. USCIS                5
    Under 
    8 U.S.C. § 1182
    (a)(4)(A), any alien who, in the
    opinion of the Secretary of Homeland Security, at the time of
    application for admission or adjustment of status, is likely at
    any time to become a “public charge,” is inadmissible. No
    statute has ever defined the term. In 1999, the Immigration
    and Naturalization Service issued guidance (Guidance)
    defining the term as one who “is or is likely to become
    primarily dependent on the government for subsistence.” The
    Guidance expressly excluded non-cash benefits intended to
    supplement income.
    In August 2019, the Department of Homeland Security
    (DHS) issued a rule (the Rule) that defines “public charge” to
    include those who are likely to participate, even for a limited
    period of time, in non-cash federal government assistance
    programs. The Rule defines the term “public charge” to
    mean “an alien who receives one or more [specified] public
    benefits . . . for more than 12 months in the aggregate within
    any 36-month period.” Inadmissibility on Public Charge
    Grounds, 
    84 Fed. Reg. 41,292
     (Aug. 14, 2019). The Rule
    also directs officials to consider English proficiency in
    making the public charge determination.
    States and municipalities brought suits in California and
    Washington, asserting claims under the Administrative
    Procedure Act. The District Court for the Northern District
    of California issued a preliminary injunction covering the
    territory of the plaintiffs, and the District Court for the
    Eastern District of Washington issued a nationwide
    injunction. A divided motions panel of this court granted
    DHS’s motion for a stay of those injunctions pending appeal.
    The panel first concluded that the plaintiffs had
    established Article III standing. The plaintiffs are states and
    6        CITY & CTY. OF SAN FRANCISCO V. USCIS
    municipalities that alleged that the Rule is causing them
    continuing financial harm, as lawful immigrants eligible for
    federal cash, food, and housing assistance withdraw from
    these programs and instead turn to state and local programs.
    The panel concluded that this constituted sufficient injury.
    Addressing whether the injury is apparent or imminent, the
    panel explained that: 1) the Rule itself predicts a 2.5 percent
    decrease in enrollment in federal programs and a
    corresponding reduction in Medicaid payments of over one
    billion dollars per year; 2) the Rule acknowledges that
    disenrollment will cause other indirect financial harm to state
    and local entities; and 3) declarations in the record show that
    such entities are already experiencing disenrollment.
    Next, the panel concluded that the interest of the plaintiffs
    in preserving immigrants’ access to supplemental benefits is
    within the zone of interests protected by the “public charge”
    statute. The panel rejected DHS’s suggestion that only the
    federal government and individuals seeking to immigrate are
    within the zone of interest. The panel also rejected DHS’s
    suggestion that the purpose of the public charge statute is to
    reduce immigrants’ use of public benefits. Addressing
    DHS’s contention that the statute’s overall purpose is to
    promote self-sufficiency, the panel concluded that providing
    access to better health care, nutrition, and supplemental
    housing benefits is consistent with precisely that purpose.
    The panel next concluded that the plaintiffs had
    demonstrated a high likelihood of success in showing that the
    Rule is inconsistent with any reasonable interpretation of the
    public charge statute and therefore contrary to law. The
    plaintiffs pointed to repeated congressional reenactment of
    the provision after it had been interpreted to mean long-term
    dependence on government support, noting that the statute
    CITY & CTY. OF SAN FRANCISCO V. USCIS                7
    had never been interpreted to encompass temporary resort to
    supplemental non-cash benefits. The plaintiffs contended that
    this repeated reenactment amounted to congressional
    ratification of the historically consistent interpretation.
    The panel concluded that the history of the provision
    supported the plaintiffs’ position, noting that: 1) from the
    Victorian Workhouse through the 1999 Guidance, the concept
    of becoming a “public charge” has meant dependence on
    public assistance for survival; 2) the term had never
    encompassed persons likely to make short-term use of in-kind
    benefits that are neither intended nor sufficient to provide
    basic sustenance; and 3) the Rule introduces a lack of English
    proficiency. The panel also noted that the opinions of the
    Second Circuit and the Seventh Circuit, in affirming
    preliminary injunctions of the Rule, agreed that the Rule’s
    interpretation was outside any historically accepted or
    sensible understanding of the term.
    The panel next concluded that the Rule’s promulgation
    was arbitrary and capricious, explaining that DHS: 1) failed
    to adequately consider the financial effects of the Rule;
    2) failed to address concerns about the Rule’s effect on public
    safety, health, and nutrition, as well its effect on hospital
    resources and vaccination rates in the general population; and
    3) failed to explain its abrupt change in policy from the 1999
    Guidance.
    The panel also concluded that the remaining preliminary
    injunction factors favored the plaintiffs. The panel explained
    that the plaintiffs had established that they likely are bearing
    and will continue to bear heavy financial costs because of
    withdrawal of immigrants from federal assistance programs
    and consequent dependence on state and local programs. The
    8       CITY & CTY. OF SAN FRANCISCO V. USCIS
    panel also observed that the public interest in preventing
    contagion is particularly salient during the current global
    pandemic, and noted the financial burdens on the plaintiffs
    and the adverse effects on the health and welfare of the
    immigrant as well as general population.
    Finally, the panel concluded that a nationwide injunction
    was not appropriate in this case because the impact of the
    Rule would fall upon all districts at the same time, and the
    same issues regarding its validity have been and are being
    litigated in multiple federal district and circuit courts.
    Accordingly, the panel vacated that portion of the District
    Court for the Eastern District of Washington’s injunction
    making it applicable nationwide.
    Dissenting, Judge VanDyke, wrote that for the reasons
    ably articulated by this court in a December 2019 published
    opinion in this case, by the Fourth Circuit in CASA de
    Maryland, Inc. v. Trump, 
    971 F.3d 220
     (4th Cir. 2020), and
    by a dissenting Seventh Circuit judge in Cook County v. Wolf,
    
    962 F.3d 208
    , 234–54 (7th Cir. 2020) (Barrett, J.,
    dissenting)—and implied by the Supreme Court’s multiple
    stays this year of injunctions virtually identical to those the
    majority today affirms—he must respectfully dissent.
    CITY & CTY. OF SAN FRANCISCO V. USCIS               9
    COUNSEL
    Gerard Sinzdak (argued), Daniel Tenny, Joshua Dos Santos,
    and Jack Starcher, Appellate Staff; David L. Anderson and
    William D. Hyslop, United States Attorneys; Joseph H. Hunt,
    Assistant Attorney General; Civil Division, United States
    Department of Justice, Washington D.C.; for Defendants-
    Appellants.
    H. Luke Edwards (argued), Raphael N. Rajendra, Julia B.
    Spiegel, and Hannah Kieschnick, Deputy County Counsels;
    Laura Trice, Lead Deputy County Counsel; Greta S. Hansen,
    Chief Assistant County Counsel; James R. Williams, County
    Counsel; Office of the County Counsel, County of Santa
    Clara, San Jose, California; Dennis J. Herrera, City Attorney;
    Jesse C. Smith, Chief Assistant City Attorney; Ronald P.
    Flynn, Chief Deputy City Attorney; Yvonne R. Mere, Chief,
    Complex & Affirmative Litigation; Sara J. Eisenberg, Chief
    of Strategic Advocacy; Matthew D. Goldberg, Deputy City
    Attorney; City Attorney’s Office, San Francisco, California;
    for Plaintiffs-Appellees City and County of San Francisco;
    County of Santa Clara.
    Xavier Becerra, Attorney General; Matthew Rodriguez, Chief
    Assistant Attorney General; Michael L. Newman, Senior
    Assistant Attorney General; Cherokee DM Melton,
    Supervising Deputy Attorney General; Jennifer C. Bonilla,
    Lisa Cisneros, Rebekah Fretz, Katherine Lehe, Marissa
    Malouff, Julia Harumi Mass, Anita Garcia Velasco, Brenda
    Ayon Verduzco, and Anna Rich, Deputy Attorneys General;
    Office of the Attorney General, Oakland, California; Karl A.
    Racine, Attorney General; Loren L. AliKhan, Solicitor
    General; Office of the Attorney General, Washington, D.C.;
    Aaron M. Frey, Attorney General; Susan P. Herman, Chief
    10      CITY & CTY. OF SAN FRANCISCO V. USCIS
    Deputy Attorney General; Office of the Attorney General,
    Augusta, Maine; Ellen Rosenblum, Attorney General;
    Benjamin Gutman, Solicitor General; Nicole DeFever and
    Patricia Garcia Rincon, Attorneys; Oregon Department of
    Justice, Salem, Oregon; Josh Shapiro, Attorney General;
    Michael J. Fischer, Chief Deputy Attorney General; Aimee
    D. Thomson, Deputy Attorney General; Office of the
    Attorney General, Philadelphia, Pennsylvania; for Plaintiffs-
    Appellees State of California, District of Columbia, State of
    Maine, Commonwealth of Pennsylvania and State of Oregon.
    Robert W. Ferguson, Attorney General; Noah G. Purcell,
    Solicitor General; Tera M. Heintz, Deputy Solicitor General;
    Jeffrey T. Sprung, Nathan K. Bays, and Joshua Weissman,
    Assistant Attorneys General; Office of the Attorney General,
    Seattle, Washington; Mark R. Herring, Attorney General;
    Michelle S. Kallen, Deputy Solicitor General; Jessica Merry
    Samuels, Assistant Solicitor General; Ryan Spreague Hardy,
    Alice Anne Lloyd, and Mamoona H. Siddiqui, Assistant
    Attorneys General; Office of the Attorney General,
    Richmond, Virginia; Phil Weiser, Attorney General, Eric R.
    Olson, Solicitor General; Office of the Attorney General,
    Denver, Colorado; Kathleen Jennings, Attorney General;
    Aaron R. Goldstein, State Solicitor, Monica A. Horton,
    Deputy Attorney General; Department of Justice,
    Wilmington, Delaware; Kwame Raoul, Attorney General;
    Liza Roberson-Young, Public Interest Counsel; Office of the
    Attorney General, Chicago, Illinois; Clare C. Connors,
    Attorney General; Lili A. Young, Deputy Attorney General;
    Department of the Attorney General, Honolulu, Hawaii;
    Brian E. Frosh, Attorney General; Jeffrey P. Dunlap,
    Assistant Attorney General; Office of the Attorney General,
    Baltimore, Maryland; Maura Healey, Attorney General;
    Abigail B. Taylor, Chief, Civil Rights Division; David Ureña,
    CITY & CTY. OF SAN FRANCISCO V. USCIS            11
    Special Assistant Attorney General; Angela Brooks, Assistant
    Attorney General; Office of the Attorney General, Boston,
    Massachusetts; Dana Nessel, Attorney General; Fadwa A.
    Hammoud, Solicitor General; Toni L. Harris, First Assistant
    Attorney General; Michigan Department of Attorney General,
    Lansing, Michigan; Keith Ellison, Attorney General; R.J.
    Detrick, Assistant Attorney General; Attorney General’s
    Office, St. Paul, Minnesota; Aaron D. Ford, Attorney
    General; Heidi Parry Stern, Solicitor General; Office of the
    Attorney General; Gurbir S. Grewal, Attorney General; Glenn
    J. Moramarco, Assistant Attorney General; Office of the
    Attorney General, Trenton, New Jersey; Hector Balderas,
    Attorney General; Tania Maestas, Chief Deputy Attorney
    General; Office of the Attorney General, Santa Fe, New
    Mexico; Peter F. Neronha, Attorney General; Lauren E. Hill,
    Special Assistant Attorney General; Office of the Attorney
    General, Providence, Rhode Island; for Plaintiffs-Appellees
    Washington, Virginia, Colorado, Delaware, Illinois,
    Maryland, Massachusetts, Michigan, Minnesota, Nevada,
    New Jersey, New Mexico, Rhode Island, and Hawaii.
    Edward T. Waters, Phillip A. Escoriaza, and Amanda N.
    Pervine, Feldesman Tucker Leifer Fidell LLP, for Amici
    Curiae Public Health, Health Policy, Medicine, and Nursing
    Deans, Chairs, and Scholars; American Public Health
    Association; and American Academy of Nursing.
    R. Adam Lauridsen, Chessie Thacher, Victor H. Yu, and
    Nicholas R. Green, Keker Van Nest & Peters LLP, San
    Francisco, California for Amici Curiae National Housing Law
    Project, Food Research & Action Center, and Center for Law
    & Social Policy, National Education Association, and Service
    Employees International Union.
    12      CITY & CTY. OF SAN FRANCISCO V. USCIS
    Nicholas Espíritu, Linton Joaquin, Alvaro M. Huerta, Mayra
    B. Joachin, and Max S. Wolson, National Immigration Law
    Center, Los Angeles, California; Allon Kedem, Graham
    White, Jayce Born, Hillary Anderson, Arnold & Porter Kaye
    Scholer LLP, Washington, D.C., for Amici Curiae Immigrant
    and Healthcare Service Organizations.
    Barbara J. Parker, City Attorney; Maria Bee, Chief Assistant
    City Attorney; Eric Bernstein, Senior Deputy City Attorney;
    Malia McPherson, Deputy City Attorney; Caroline Wilson,
    Fellow; Oakland, California; Michael N. Feuer, City
    Attorney; Kathleen A. Kenealy, Chief Deputy City Attorney;
    Danielle L. Goldstein, Deputy City Attorney, Los Angeles,
    California; Vince Ryan, County Attorney; Robert Hazeltine-
    Shedd, Assistant County Attorney; Harris County, Houston,
    Texas; Margaret L. Carter and Daniel R. Suvor, O’Melveny
    & Myers LLP, Los Angeles, California; Esteban A. Aguilar
    Jr., City Attorney, Albuquerque, New Mexico; Anne L.
    Morgan, City Attorney, Austin, Texas; Andre M. Davis, City
    Solicitor, Baltimore, Maryland; Mark A. Flessner,
    Corporation Counsel; Benna Ruth Solomon, Deputy
    Corporation Counsel, Chicago, Illinois; Barbara J. Doseck,
    Director of Law; John C. Muston, Chief Trial Counsel,
    Dayton, Ohio; Crystal Barnes, Acting City Solicitor,
    Holyoke, Massachusetts; Howard Phillip Schneiderman,
    Senior Deputy Prosecuting Attorney, King County, Seattle,
    Washington; Brian E. Washington, County Counsel, County
    of Marin, San Rafael, California; Charles J. McKee, County
    Counsel; William M. Litt, Anne K. Brereton, and Marina S.
    Pantchenko, Deputy County Counsels; County of Monterey,
    Salinas, California; Marc. P. Hansen, County Attorney,
    Montgomery County, Rockville, Maryland; Marcel S. Pratt,
    City Solicitor, Philadelphia, Pennsylvania; Susana Alcala
    Wood, City Attorney, Sacramento, California; John C. Beiers,
    CITY & CTY. OF SAN FRANCISCO V. USCIS            13
    County Counsel; David A. Silverman, Chief Deputy County
    Counsel; Ilana Parmer Mandelbaum, Deputy County
    Counsel; County of San Mateo, Redwood City, California;
    Peter S. Holmes, City Attorney, Seattle, Washington; Michael
    Tubbs, Mayor, Stockton, California; Michael Jenkins, City
    Attorney, West Hollywood, California; for Amici Curiae 20
    Counties, Cities, and Municipalities.
    Denny Chan, Justice in Aging, Los Angeles, California;
    Regan Bailey and Natalie Kean, Justice in Aging,
    Washington, D.C.; Russel L. Hirschhorn and Christopher
    Spadaro, Proskauer Rose LLP, New York, New York; for
    Amici Curiae Justice in Aging, American Society on Aging,
    Caring Across Generations, Jewish Family Service of Los
    Angeles, Jewish Federations of North America, National
    Asian Pacific Center on Aging, National Council on Aging,
    National Hispanic Council on Aging, Mazon, Phi, and Center
    for Medicare Advocacy.
    Alexandra Wald, Cohen & Gresser LLP, New York, New
    York; Elizabeth B. Wydra, Brianne J. Gorod, and Dayna J.
    Zolle, Constitutional Accountability Center, Washington,
    D.C.; for Amici Curiae Legal Historians.
    Simon Sandoval-Moshenberg and Kelly Salzmann, Legal Aid
    Justice Center, Falls Church, Virginia; Ariel Nelson and Chi
    Chi Wu, National Consumer Law Center, Boston,
    Massachusetts; for Amici Curiae National Consumer Law
    Center, Legal Aid Justice Center, Public Citizen Inc.,
    Consumer Action, Equal Justice Society, Impact Fund,
    Secure Justice, Media Alliance, Americans for Financial
    Reform Education Fund, and New Economy Project.
    14      CITY & CTY. OF SAN FRANCISCO V. USCIS
    Richard L. Revesz, Jack Lienke, and Max Sarinsky, New
    York, New York, as and for Amicus Curiae Institute for
    Policy Integrity.
    Debra Gardner, Monisha Cherayil, Sally Dworak-Fisher, and
    Tyra Robinson, Baltimore, Maryland, as and for Amicus
    Curiae Public Justice Center.
    Paul J. Lawrence and Alanna E. Peterson, Pacifica Law
    Group, Seattle, Washington, for Amici Curiae Nonprofit
    Anti-Domestic Violence and Sexual Assault Organizations.
    Diana Kasdan, Pilar Herrero, Amy Myrick, and Elyssa
    Spitzer, New York, New York, as and for Amicus Curiae
    Center for Reproductive Rights.
    Robert M. Loeb, Thomas M. Bondy, Peter E. Davis, and
    Emily Green, Orrick Herrington & Sutcliffe LLP,
    Washington, D.C.; Douglas N. Letter, General Counsel; Todd
    B. Tatelman, Principal Deputy General Counsel; Megan
    Barbero, Josephine Morse, Adam A. Grogg, and William E.
    Havemann, Deputy General Counsel; Office of General
    Counsel, U.S. House of Representatives, Washington, D.C.,
    for Amicus Curiae United States House of Representatives.
    Harry Lee, Mary Woodson Poag, Johanna Dennehy, Steptoe
    & Johnson LLP, Washington, D.C., for Amici Curiae
    Immigration Law Professors.
    Emily Tomoko Kuwahara, Crowell & Moring LLP, Los
    Angeles, California; Austin J. Sutta, Crowell & Moring LLP,
    San Francisco, California; for Amici Curiae Asian Americans
    Advancing Justice, Asian American Legal Defense and
    CITY & CTY. OF SAN FRANCISCO V. USCIS          15
    Education Fund, National Women’s Law Center, and
    38 Other Amici Curiae.
    Sadik Huseny, Brittany N. Lovejoy, Joseph C. Hansen, Tess
    L. Curet, and Alexandra B. Plutshack, Latham & Watkins
    LLP, San Francisco, California, for Amici Curiae Fiscal
    Policy Institute, President’s Alliance on Higher Education
    and Immigration, and 12 Other Amici Curiae.
    Susan M. Krumplitsch, Elizabeth Stameshkin, and
    Priyamvada Arora, Cooley LLP, Palo Alto, California, for
    Amici Curiae American Academy of Pediatrics; American
    Medical Association; American College of Physicians;
    American College of Obstetricians and Gynecologists;
    California Medical Association; American Academy of
    Pediatrics, California; American Academy of Pediatrics,
    Hawaii Chapter; Alaska Chapter of the American Academy
    of Pediatrics; Arizona Chapter of the American Academy of
    Pediatrics; and Nevada Chapter, American Academy of
    Pediatrics.
    Paul W. Hughes, Michael B. Kimberly, and Matthew A.
    Waring, McDermott Will & Emery LLP, Washington, D.C.,
    for Amici Curiae 105 Businesses and Organizations.
    16       CITY & CTY. OF SAN FRANCISCO V. USCIS
    OPINION
    SCHROEDER, Circuit Judge:
    The phrase “public charge” enjoys a rich history in
    Anglo-American lore and literature, one more colorful than
    our American law on the subject. There have been relatively
    few published court decisions construing the phrase, even
    though our immigration statutes have barred admission to
    immigrants who are likely to become a “public charge” for
    more than a century. Until recently, the judicial and
    administrative guidance has reflected the traditional
    concept—rooted in the English Poor Laws and immortalized
    by Dickens in the workhouse of Oliver Twist—of incapacity
    and reliance on public support for subsistence. The first
    comprehensive federal immigration law barred entry to “any
    convict, lunatic, idiot, or any person unable to take care of
    himself or herself without becoming a public charge.”
    Immigration Act of 1882, 
    22 Stat. 214
    , Chap. 376 § 2 (1882).
    The 1999 Guidance (the Guidance) issued by the Immigration
    and Naturalization Service (INS), the predecessor of the
    current agency, defined a “public charge” as one who “is or
    is likely to become primarily dependent on the government
    for subsistence.” See Field Guidance on Deportability and
    Inadmissibility on Public Charge Grounds, 
    64 Fed. Reg. 28,689
     (May 26, 1999).
    In 2019, the Department of Homeland Security (DHS)
    changed direction, however, and issued a rule (the Rule) that
    defines the term to include those who are likely to participate,
    even for a limited period of time, in non-cash federal
    government assistance programs. The programs designated
    by the Rule are not intended to provide for subsistence but
    instead to supplement an individual’s ability to provide for
    CITY & CTY. OF SAN FRANCISCO V. USCIS               17
    basic needs such as food, medical care, and housing.
    
    8 C.F.R. § 212.21
    (b). Foreseeable participation for an
    aggregate of twelve months in any of the federal programs
    within a three-year span renders an immigrant inadmissible
    as a public charge and ineligible for permanent resident
    status. § 212.21(a). In other words, a single mother with
    young children who DHS foresees as likely to participate in
    three of those programs for four months could not get a green
    card.
    Litigation followed in multiple district courts against
    DHS and U.S. Citizenship and Immigration Services (USCIS)
    as states and municipalities recognized that the immediate
    effect of the Rule would be to discourage immigrants from
    participating in such assistance programs, even though
    Congress has made them available to immigrants who have
    been in the country for five years. According to the plaintiffs
    in those cases, the Rule’s effect would be to increase
    assistance demands on state and local governments, as their
    resident immigrants’ overall health and welfare would be
    adversely affected by non-participation in federal assistance
    programs.
    The challenges to the Rule in the district courts resulted
    in a chorus of preliminary injunctions holding the Rule to be
    contrary to law and arbitrary and capricious under the
    Administrative Procedure Act (APA). 
    5 U.S.C. § 706
    (2)(A).
    These included the two preliminary injunctions before us, one
    issued by the District Court for the Northern District of
    California (Northern District) covering the territory of the
    plaintiffs, and the other by the District Court for the Eastern
    District of Washington (Eastern District) purporting to apply
    nationwide. Our court became the first federal appeals court
    to weigh in when we granted DHS’s motion for a stay of
    18      CITY & CTY. OF SAN FRANCISCO V. USCIS
    those injunctions pending appeal. City and Cnty. of San
    Francisco v. USCIS, 
    944 F.3d 773
    , 781 (9th Cir. 2019).
    Preliminary injunctions were also issued by courts in the
    Northern District of Illinois and the Southern District of New
    York, and they were stayed by the United States Supreme
    Court before appeals could be considered by the circuit courts
    of appeals.
    When the Seventh Circuit and the Second Circuit did
    consider those preliminary injunction appeals, both courts
    affirmed the injunctions. Although their reasoning differed
    in some respects, both circuits concluded that the Rule’s
    definition was both outside any historic or commonly
    understood meaning of “public charge,” and arbitrary and
    capricious, in concluding that short-term reliance on
    supplemental benefits made immigrants dependent on public
    assistance within the meaning of the statutory public charge
    immigration bar. Cook Cnty., Ill. v. Wolf, 
    962 F.3d 208
    , 229,
    232–33 (7th Cir. 2020); New York v. DHS, 
    969 F.3d 42
    ,
    80–81 (2nd Cir. 2020). The Second Circuit opinion was
    unanimous, while a dissenting opinion in the Seventh Circuit
    agreed with DHS that those who receive such supplemental
    benefits could be considered public charges because, by
    receiving some assistance, they are not completely self-
    sufficient. Cook Cnty., 962 F.3d at 250–51 (Barrett, J.,
    dissenting).
    The district court in Maryland also enjoined enforcement
    of the Rule and was reversed by a divided decision of the
    Fourth Circuit. The majority looked in large measure to the
    fact that the Supreme Court had stayed the injunctions in the
    Seventh and Second Circuits. CASA de Maryland, Inc. v.
    Trump, 
    971 F.3d 220
    , 230 (4th Cir. 2020). In dissent, Judge
    King viewed the Rule as outside the longstanding meaning of
    CITY & CTY. OF SAN FRANCISCO V. USCIS               19
    “public charge” and would have affirmed the injunction. He
    also disagreed with the majority about the significance of the
    Supreme Court’s stay, explaining that “[i]f the Court's
    decision to grant a stay could be understood to effectively
    hand victory to the government regarding the propriety of a
    preliminary injunction, there would be little need for an
    intermediate appellate court to even consider the merits of an
    appeal in which the Court has granted a stay.” 
    Id.
     at 281 n.16
    (King, J., dissenting) (citing Cook Cnty., 962 F.3d at 234).
    To understand the reason for this recent cascade of
    litigation after a relatively quiescent statutory and regulatory
    history, we review the historical background of the Rule.
    Such a review reveals the extent to which the Rule departs
    from past congressional and administrative policies.
    A. Statutory and Administrative Background
    This country has had a federal statutory provision barring
    the admission of persons likely to become a “public charge”
    since 1882. The Immigration Act of 1882 barred entry to,
    among others, “any convict, lunatic, idiot, or any person
    unable to take care of himself or herself without becoming a
    public charge.” The Immigration and Nationality Act now
    provides that “[a]ny alien who, . . . in the opinion of the
    [Secretary of Homeland Security] at the time of application
    for admission or adjustment of status, is likely at any time to
    become a public charge is inadmissible.” 
    8 U.S.C. § 1182
    (a)(4)(A). No statute has ever defined the term. For
    over a century, agencies have routinely applied these
    provisions in determining admissibility and removal as well
    as in issuing visas for entry.
    20       CITY & CTY. OF SAN FRANCISCO V. USCIS
    In 1996, however, Congress amended the statute to add
    five factors for agencies to consider in determining whether
    an individual is likely to be a public charge: the non-citizen’s
    age; health; family status; assets, resources and financial
    status; and education and skills. § 1182(a)(4)(B)(i).
    Congress also included a provision requiring applicants to
    produce an affidavit of support. See § 1182(a)(4)(C)–(D)
    (requiring most family-sponsored immigrants to submit
    affidavits of support); § 1183a (affidavit of support
    requirements).
    At nearly the same time, Congress enacted major reforms
    of public benefit programs that, as relevant here, made only
    non-citizens with five or more years of residency in the
    United States eligible for public benefits such as
    Supplemental Nutrition Assistance Program (SNAP) and
    Medicaid. Personal Responsibility and Work Opportunity
    Reconciliation Act (PRWORA), Pub. L. No. 104-193, 
    110 Stat. 2105
    , 2265 (1996). Previously, lawful immigrants had
    generally been eligible for such benefits. Congress thus
    simultaneously reduced the number of immigrants eligible for
    this assistance and spelled out the factors to be considered in
    a public charge determination. The fact that Congress
    delineated the factors relevant to the public charge
    determination at the same time it adjusted certain immigrants’
    eligibility to receive specific supplemental assistance strongly
    suggests that Congress did not intend for such assistance to be
    considered as one of the public charge factors.
    Judicial guidance in interpreting the phrase was
    apparently not in need or demand: There are relatively few
    such decisions. A leading early Supreme Court case resolved
    the important question of whether the adverse economic
    conditions in the location where the immigrant intends to live
    CITY & CTY. OF SAN FRANCISCO V. USCIS               21
    can render an immigrant likely to become a “public charge.”
    Gegiow v. Uhl, 
    239 U.S. 3
     (1915). The Supreme Court’s
    answer was no because the statute spoke to the permanent
    characteristics personal to the immigrant rather than to local
    labor market conditions. 
    Id. at 10
    . We followed Gegiow in
    Ex parte Sakaguchi, 
    277 F. 913
     (9th Cir. 1922), where we
    held that a person temporarily in need of family assistance
    should not have been excluded as likely to become a public
    charge. We so held because there was an absence of “any
    evidence whatever of mental or physical disability or any fact
    tending to show that the burden of supporting the appellant is
    likely to be cast upon the public.” 
    Id. at 916
    . Thus, our court
    in Sakaguchi understood the standard for determining
    whether someone is a public charge to be whether the
    “burden of support” falls on the public.
    Administrative decisions followed the Supreme Court’s
    lead by looking to the inherent characteristics of the
    individual rather than to external circumstances. The Board
    of Immigration Appeals thus held that only an individual with
    the inherent inability to be self-supporting is excludable as
    “likely to become a public charge” within the meaning of the
    statute. Matter of Harutunian, 14 I & N. Dec. 583, 589–90
    (BIA 1974); Matter of Vindman, 
    16 I. & N. Dec. 131
    , 132
    (B.I.A. 1977); see also New York, 969 F.3d at 69. There has
    been corollary administrative recognition that even if an
    individual has been on welfare, that fact does not in and of
    itself establish the requisite likelihood of becoming a public
    charge. An Attorney General decision collected authorities
    indicating that it is the totality of circumstances that must be
    considered in order to determine whether “the burden of
    supporting the alien is likely to be cast on the public.” Matter
    of Martinez-Lopez, 10 I & N. Dec. 409, 421–22 (BIA 1962;
    A.G. 1964) (citing Sakaguchi, 277 F. at 916). Likely receipt
    22       CITY & CTY. OF SAN FRANCISCO V. USCIS
    of some public benefits does not automatically render an
    immigrant a public charge because the public does not bear
    the “burden of support.”
    The 1996 amendments, which added factors to be
    considered and created the current public charge statutory
    provision, caused some confusion as to how big a change
    they represented. The INS, the agency then in charge of
    administering immigration, decided a regulatory definition
    would be helpful. It adopted the 1999 Guidance, the first
    regulatory guidance to interpret the rather ancient notion of
    “public charge” in light of the myriad, modern forms of
    public assistance. 
    64 Fed. Reg. 28,269
    .
    The Guidance defined a “public charge” as a non-citizen
    who depends on the government for survival, either by receipt
    of income or confinement in a public institution. It described
    persons “primarily dependent on the government for
    subsistence, as demonstrated by either (i) the receipt of public
    cash assistance for income maintenance or
    (ii) institutionalization for long term care at government
    expense.” 
    Id. at 28,689
    . It thus embodied the traditional
    notion of primary dependence on the government for either
    income or institutional care.
    The Guidance went on to identify the types of public
    assistance that would typically qualify as evidence of primary
    dependence: (1) Supplemental Security Income (SSI);
    (2) Temporary Assistance for Needy Families (TANF); (3)
    state and local cash assistance programs; and (4) programs
    supporting people institutionalized for long-term care. 
    Id. at 28,692
    . The Guidance expressly excluded non-cash benefits
    intended to supplement income and not to provide primary
    support. The explanation lay with the changing times that
    CITY & CTY. OF SAN FRANCISCO V. USCIS                23
    were bringing benefits to more and more families to improve
    their health and welfare. See 
    id.
     (“[C]ertain federal, state, and
    local benefits are increasingly being made available to
    families with incomes far above the poverty level, reflecting
    broad public policy decisions about improving general public
    health and nutrition, promoting education, and assisting
    working-poor families in the process of becoming self-
    sufficient. Thus, participation in such non-cash programs is
    not evidence of poverty or dependence.”).
    The Guidance actually encouraged non-citizens to receive
    supplemental benefits in order to improve their standard of
    living and to promote the general health and welfare. The
    Guidance drew a sharp distinction between the receipt of such
    supplemental benefits and dependence on the government for
    subsistence income that would render the individual a “public
    charge.” 
    Id. at 28
    ,692–93.
    The 2019 Public Charge Rule we review in this case
    effectively reversed that policy by making receipt of
    supplemental benefits the very definition of a public charge.
    See Inadmissibility on Public Charge Grounds, 
    84 Fed. Reg. 41,292
     (Aug. 14, 2019). The Rule defines the term “public
    charge” to mean “an alien who receives one or more
    [specified] public benefits . . . for more than 12 months in the
    aggregate within any 36-month period (such that, for
    instance, receipt of two benefits in one month counts as two
    months).” 
    Id. at 41,501
    . The public benefits specified by the
    Rule include most Medicaid benefits, SNAP benefits, Section
    8 housing vouchers and rental assistance, and other forms of
    federal housing assistance. 
    Id.
     Any receipt of such a benefit,
    no matter how small, will factor into the public charge
    determination. The Rule also directs officials to consider
    24       CITY & CTY. OF SAN FRANCISCO V. USCIS
    English proficiency in making           the   public   charge
    determination. 
    Id. at 41
    ,503–04.
    The Rule was greeted with challenges in federal district
    courts throughout the country. We deal with those in this
    circuit.
    B. The District Court Injunctions
    On appeal are two district court decisions granting
    preliminary injunctions barring enforcement of the Rule. The
    Northern District considered the challenges of California, the
    District of Columbia, Maine, Pennsylvania, and Oregon,
    consolidated with the challenges brought by the City and
    County of San Francisco, and the County of Santa Clara. The
    Eastern District heard the challenges brought by Washington,
    Virginia, Colorado, Delaware, Hawaii, Illinois, Maryland,
    Massachusetts, Michigan, Minnesota, Nevada, New Jersey,
    New Mexico, and Rhode Island. Both district courts agreed
    that the plaintiffs had standing because they had shown that
    they would likely suffer economic harm and other costs and
    that their concerns were within the zone of interests of the
    statute. Both held that the new definition of “public charge”
    was likely not a permissible interpretation of the statute
    because it would depart from the longstanding, settled
    understanding that a person does not become a public charge
    by receiving short-term aid, and must instead demonstrate an
    inherent incapacity to provide subsistence. City and Cnty. of
    San Francisco v. USCIS, 
    408 F. Supp. 3d 1057
    , 1101 (N.D.
    Cal. 2019), Washington v. DHS, 
    408 F. Supp. 3d 1191
    , 1219
    (E.D. Wash. 2019). Both found the Rule to be likely arbitrary
    and capricious because the agency failed to consider the
    burdens the Rule would impose on states and municipalities.
    CITY & CTY. OF SAN FRANCISCO V. USCIS               25
    The Eastern District issued a nationwide injunction, and the
    Northern District declined to do so.
    Within a few weeks of the district court rulings, a divided
    motions panel of this court, however, stayed both injunctions
    pending this appeal. City and Cnty. of SF, 
    944 F.3d 773
    . The
    panel majority wrote that DHS was likely to prevail because
    the Rule would probably be viewed as a reasonable
    interpretation of a statute that had no consistent historical
    application and gave the agency “considerable discretion.”
    
    Id. at 796, 799
    . Judge Owens dissented in part and would
    have denied the stay. 
    Id.
     at 809–10 (Owens, J., dissenting).
    The stay was based on a prediction of what this panel
    would hold in reviewing the merits of the preliminary
    injunctions. The stay in this case was entered at a particularly
    early point, less than two months after the district court
    injunctions. Almost none of the extensive documentation
    relevant to this appeal was before the motions panel. The
    brief of the appellant DHS in the Northern District case had
    been filed only the day before the panel entered its stay, and
    the opening brief in the Eastern District case was not filed
    until the day after. Still to come were not only the answering
    and reply briefs in both appeals, but two dozen amicus briefs,
    many of which we have found very helpful.
    At least equally important, no other circuit court opinions
    had yet considered the issues. By now we have heard from
    three. One of those opinions even discussed and disagreed
    with the reasoning of this court’s motions panel stay opinion,
    pointing out that it “pinn[ed] the definition of ‘public charge’
    on the form of public care provided” in concluding that there
    was no consistent interpretation of the Rule. New York,
    969 F.3d at 73 (emphasis in original). The court there said
    26       CITY & CTY. OF SAN FRANCISCO V. USCIS
    our motions panel thereby went “astray.” Id. This was
    because the issue was not whether a “public charge” had
    always received similar assistance. Id. The issue should have
    been whether the “inquiry” under the statute had been
    consistent. Id. The Second Circuit concluded the public
    charge inquiry had always been whether the non-citizen “is
    likely to depend on that [assistance] system.” Id.
    We therefore turn to the appeal before us. We deal first
    with DHS’s arguments that the plaintiffs may not maintain
    the suit because they lack Article III standing or are outside
    the zone of interests of the immigration statute in question.
    C. Plaintiffs’ Capacity to Maintain the Action
    Plaintiffs are states and municipalities that allege the Rule
    is causing them to suffer continuing financial harm, as lawful
    immigrants eligible for federal cash, food, and housing
    assistance withdraw from these programs to avoid the impact
    of the Rule. Plaintiffs allege harm because such immigrants
    will instead turn to assistance programs administered by the
    state and local entities.
    DHS argues that such injuries are speculative and
    represent only plausible future injury. There is no question
    that to have Article III standing to bring this action, the
    plaintiffs must allege that they have suffered, or will
    imminently suffer, a “concrete and particularized” injury in
    fact. Lujan v. Defs. of Wildlife, 
    504 U.S. 555
    , 560 (1992).
    There is also no question that an increased demand for aid
    supplied by the state and local entities would be such an
    injury. The only question is whether such demand is, as of
    yet, apparent or imminent.
    CITY & CTY. OF SAN FRANCISCO V. USCIS               27
    That is not a difficult question to answer. The Rule itself
    predicts a 2.5 percent decrease in enrollment in public benefit
    programs and a corresponding reduction in Medicaid
    payments of over one billion dollars per year. Final Rule,
    84 Fed. Reg. at 41,302, 41,463. The Rule itself further
    acknowledges that disenrollment will cause other indirect
    financial harm to state and local entities by increasing the
    demand for uncompensated indigent care. Declarations in the
    record show that such entities are already experiencing
    disenrollment as a result of the Rule. See City and Cnty. of
    SF, 408 F. Supp. 3d at 1122.
    DHS nevertheless asserts that the Rule will result in a
    long-term cost savings after states compensate for the loss of
    federal funds by reforming their operations. But such long-
    term reforms would not remedy the immediate financial
    injury to the plaintiffs or the harms to the health and welfare
    of those individuals affected. As the Second Circuit
    explained, “this simplistic argument fails to account for the
    fact that the States allege injuries that extend well beyond
    reduced Medicaid revenue and federal funding to the States,
    including an overall increase in healthcare costs that will be
    borne by public hospitals and general economic harms.” New
    York, 969 F.3d at 60. Thus, plaintiffs have established Article
    III standing.
    Those suing under the APA, must also establish that the
    interest they assert is at least “arguably within the zone of
    interests to be protected or regulated by the statute” in
    question. Match-E-Be-Nash-She-Wish Band of Pottawatomi
    Indians v. Patchak, 
    567 U.S. 209
    , 224 (2012) (quoting Ass’n
    of Data Processing Serv. Orgs., Inc. v. Camp, 
    397 U.S. 150
    ,
    153 (1970)). The Supreme Court has described the test as
    “not meant to be especially demanding” and as “not
    28       CITY & CTY. OF SAN FRANCISCO V. USCIS
    requir[ing] any ‘indication of congressional purpose to
    benefit the would-be plaintiff.’” 
    Id. at 225
     (quoting Clarke v.
    Sec. Indus. Ass’n, 
    479 U.S. 388
    , 399–40 (1987)). A
    plaintiff’s interest need only be “sufficiently congruent with
    those of the intended beneficiaries that the litigants are not
    ‘more likely to frustrate than to further the statutory
    objectives.’” First Nat. Bank & Tr. Co. v. Nat’l Credit Union
    Admin., 
    988 F.2d 1272
    , 1275 (D.C. Cir. 1993) (quoting
    Clarke, 
    479 U.S. at
    397 n.12).
    The statute in question is, of course, the immigration
    statute that renders inadmissible an individual likely to
    become a “public charge.” 
    8 U.S.C. § 1182
    (a)(4)(A). DHS
    appears to contend that the only entities within the zone of
    interests are the federal government itself and individuals
    seeking to immigrate, because the provision deals with
    immigration and only the federal government controls
    immigration. If that were to define the zone of interests
    regulated by the statute, the scope of permissible immigration
    litigation against the government would be so narrow as to
    practically insulate it from many challenges to immigration
    policy and procedures, even those violating the Constitution
    or federal laws.
    DHS suggests that the purpose of the public charge
    exclusion is to reduce immigrants’ use of public benefits, and
    that the plaintiffs’ suit therefore contradicts this purpose by
    seeking to make more federal benefits available. But this
    assumes that Congress’s statutory purpose was the same as
    DHS’s purpose here, which is the very dispute before us. As
    the Second Circuit pointed out, “DHS assumes the merits of
    its own argument when it identifies the purpose of the public
    charge ground as ensuring that non-citizens do not use public
    benefits . . . . Understood in context, [the public charge bar’s]
    CITY & CTY. OF SAN FRANCISCO V. USCIS                29
    purpose is to exclude where appropriate and to not exclude
    where exclusion would be inappropriate.”) New York,
    969 F.3d at 62–63.
    Moreover, DHS maintains that the statute’s overall
    purpose is to promote self-sufficiency. Providing access to
    better health care, nutrition and supplemental housing
    benefits is consistent with precisely that purpose. See Cook
    Cnty., 962 F.3d at 220 (access to affordable basic health care
    may promote self-sufficiency); Hilary Hoynes, Diane
    Whitmore Schanzenbach & Douglas Almond, Long-Run
    Impacts of Childhood Access to the Safety Net, 106 Am.
    Econ. Rev. 903, 921 (2016) (access to food stamps in
    childhood significantly increases economic self-sufficiency
    among women). For these reasons, the interests of the
    plaintiffs in preserving immigrants’ access to supplemental
    benefits is within the zone of interests protected by the
    statute.
    We therefore conclude that the district courts correctly
    determined that the plaintiffs are entitled to maintain this
    action. All of the circuits to consider the validity of this Rule
    have reached a similar conclusion. See Cook Cnty., 962 F.3d
    at 219–20, CASA de Maryland, 971 F.3d at 240–241, New
    York, 969 F.3d at 62–63. We now turn to the question
    whether they were entitled to the preliminary injunctions
    entered by the district courts.
    D. Contrary to Law
    Both district courts concluded that the plaintiffs are likely
    to prevail in their contention that the Rule violates the
    statute’s public charge provision, and that such a conclusion
    supports the entry of preliminary injunctions. See Winter v.
    30      CITY & CTY. OF SAN FRANCISCO V. USCIS
    Nat. Res. Def. Council, Inc., 
    555 U.S. 7
    , 20 (2008). On
    appeal, DHS contends, as it has throughout the litigation, that
    the Rule is a permissible interpretation of the statute. The
    plaintiffs maintain that the Rule violates the statute because
    the Rule is not a reasonable interpretation of the meaning of
    “public charge.”
    History is a strong pillar supporting the plaintiffs’ case.
    Plaintiffs point to repeated congressional reenactment of the
    provision after it had been interpreted to mean long-term
    dependence on government support, and had never been
    interpreted to encompass temporary resort to supplemental
    non-cash benefits. Plaintiffs contend that this repeated
    reenactment amounts to congressional ratification of the
    historically consistent interpretation. DHS disagrees, arguing
    that the repeated reenactments reflect congressional intent to
    have a flexible standard subject to various executive branch
    interpretations.
    Our review of the history of the provision in our law
    suggests the plaintiffs have the better part of this dispute.
    From the Victorian Workhouse through the 1999 Guidance,
    the concept of becoming a “public charge” has meant
    dependence on public assistance for survival. Up until the
    promulgation of this Rule, the concept has never
    encompassed persons likely to make short-term use of in-kind
    benefits that are neither intended nor sufficient to provide
    basic sustenance. The Rule also, for the first time, introduces
    a lack of English proficiency as figuring into the equation,
    despite the common American experience of children
    learning English in the public schools and teaching their
    elders in our urban immigrant communities. 
    8 C.F.R. § 212.22
    (b)(5)(ii)(D). Indeed, in Gegiow, 
    239 U.S. 3
    , the
    Supreme Court found that the individuals in that case were
    CITY & CTY. OF SAN FRANCISCO V. USCIS               31
    not likely to become public charges even though they spoke
    only Russian.
    In New York, 
    969 F.3d 42
    , the Second Circuit essentially
    agreed with plaintiffs’ historical analysis. The court
    recognized and explained the line of settled judicial and
    administrative interpretations of a public charge as one who
    is primarily dependent on the government for subsistence. 
    Id.
    at 65–70. The court traced that history in far more detail than
    we have outlined and was “convinced” that there was a well-
    settled meaning of “public charge” even before congressional
    passage of the Illegal Immigration Reform and Immigrant
    Responsibility Act (IIRIRA) in 1996, and that was a person
    “unable to support herself, either through work, savings, or
    family ties.” 
    Id. at 71
    . Receipt of cash benefits may be
    considered in deciding whether a person is dependent on the
    government but has never been determinative. The Second
    Circuit persuasively summarized:
    The Plaintiffs do not argue, and we do not
    hold, that the receipt of various kinds of
    public benefits is irrelevant to the
    determination of whether a non-citizen is
    likely to become a public charge. But
    defining public charge to mean the receipt,
    even for a limited period, of any of a wide
    range of public benefits – particularly . . . ones
    that are designed to supplement an
    individual's or family's efforts to support
    themselves, rather than to deal with their
    likely permanent inability to do so – is
    inconsistent with the traditional understanding
    32       CITY & CTY. OF SAN FRANCISCO V. USCIS
    of what it means to be a “public charge,”
    which was well-established by 1996.
    
    Id. at 78
     (emphasis removed).
    A few months earlier, the Seventh Circuit had come to a
    similar conclusion that the Rule violates the statutory
    meaning of public charge. Cook Cnty., 
    962 F.3d 208
    . The
    Seventh Circuit differed somewhat in its analysis. After a
    historical survey of court decisions and secondary sources, it
    determined that the phrase “public charge” was susceptible to
    various interpretations. 
    Id. at 226
    . It concluded, however,
    that DHS’s interpretation, quantifying the definition to mean
    receipt of twelve months’ worth of benefits within three
    years, represented an understanding of its authority to define
    the phrase that “has no natural limitation.” 
    Id.
     at 228–29. If
    DHS’s interpretation were to be accepted, then there is
    nothing in the statutory text that would prevent a zero-
    tolerance rule, where foreseeable receipt of a single benefit on
    one occasion would bar entry or adjustment of status. The
    majority forcefully rejected such an interpretation, stating:
    We see no warrant in the Act for this
    sweeping view. Even assuming that the term
    “public charge” is ambiguous and thus might
    encompass more than institutionalization or
    primary, long-term dependence on cash
    benefits, it does violence to the English
    language and the statutory context to say that
    it covers a person who receives only de
    minimis benefits for a de minimis period of
    CITY & CTY. OF SAN FRANCISCO V. USCIS               33
    time. There is a floor inherent in the words
    “public charge,” backed up by the weight of
    history.
    
    Id. at 229
    .
    Although the opinions of the Second Circuit in New York
    and the Seventh Circuit in Cook County reflect some
    disagreement over whether there was any historically
    established meaning of the phrase “public charge,” they
    agreed that the Rule’s interpretation of the statute was outside
    any historically accepted or sensible understanding of the
    term. In commenting on the difference between its historical
    review in New York and that of the Seventh Circuit in Cook
    County, the Second Circuit noted that the Seventh Circuit had
    not included the significant administrative rulings that
    preceded the 1996 statute. New York, 969 F.3d at 74.
    The New York opinion was unanimous, but the Cook
    County opinion was not. The lengthy dissenting opinion in
    Cook County focused on other statutory provisions aimed at
    preventing entry of persons who could become dependent on
    the government. The most significant of these provisions is
    the requirement that family-sponsored immigrants, and
    employment-sponsored immigrants whose employment is
    tied to a family member, must furnish an affidavit from the
    sponsor. 
    8 U.S.C. §§ 1182
    (a)(4)(C)–(D). In the affidavit, the
    sponsor must agree to support the immigrant at annual
    income of at least 125 percent of the poverty level and pay
    back the relevant governmental entity in the event the
    immigrant receives “any means-tested public benefit.”
    8 U.S.C. § 1183a(a)(1)(b).
    34       CITY & CTY. OF SAN FRANCISCO V. USCIS
    The dissent focused on the fact that the affidavit provision
    forces sponsors to bear responsibility for “any means-tested
    public benefit” that an immigrant may receive. It concluded
    that the affidavit provision reflects Congress’s view that
    “public charge” may encompass receipt of supplemental
    benefits as well as primary dependence. See Cook Cnty.,
    962 F.3d at 246 (Barrett, J., dissenting).
    In its focus on the provisions in a related but different
    section of the statute, the dissent did not address the
    significance of the history of the public charge provision
    itself, nor did it address the majority’s objection to the
    duration of the receipt of benefits as a standard having no
    limiting principle. The dissent concluded only that the choice
    of an aggregate of twelve months is “not unreasonable.” Id.
    at 253. Moreover, the dissent’s interpretation of the affidavit
    requirement’s application here seems to suggest that it would
    approve a public charge rule excluding individuals who
    received “any means-tested benefit,” no matter how small, as
    in line with congressional intent.
    In this appeal, DHS also relies upon the affidavit of
    support provisions to contend that the Rule is consistent with
    the statutory public charge bar. The public charge bar and
    affidavit of support provisions were parts of two separate
    acts. The two have no historic or functional relationship to
    each other. The public charge bar dates back to the 19th
    century, embodying an age-old concept of excluding those
    who may become primarily dependent on the government.
    Congress enacted the affidavit of support provision, however,
    in 1996 as part of more recent specific immigration reforms
    including the financial responsibilities of families and
    employers sponsoring individual immigrants. See PRWORA,
    Pub. L. No. 423, 
    110 Stat. 2271
     (1996); IIRIRA, Pub. L. No.
    CITY & CTY. OF SAN FRANCISCO V. USCIS               35
    104-208, 
    110 Stat. 3009
     (1996). The section of the affidavit
    provision that refers to public benefits serves as a post-
    admission remedy to help local and federal governments
    recoup funds. § 1183a(b). The changes to the affidavit
    provisions were aimed at problems with the unenforceability
    of such affidavits prior to 1996. Michael J. Sheridan, The
    New Affidavit of Support and Other 1996 Amendments to
    Immigration and Welfare Provisions Designed to Prevent
    Aliens from Becoming Public Charges, 
    31 Creighton L. Rev. 741
    , 743-44, 752-53 (1998) (article by INS Associate General
    Counsel).
    DHS also points to the provision that permits entry of
    battered women without regard to receipt of “any benefits.”
    See 
    8 U.S.C. § 1182
    (s). DHS argues that this reflects
    Congress’s belief that the receipt of any public benefits would
    be a consideration in admission for most other public charge
    determinations. Had Congress intended to make non-cash
    benefits a factor for admission or permanent residence, it
    would have done so directly and not through this ancillary
    provision. See Whitman v. Am. Trucking Ass’ns, 
    531 U.S. 457
    , 468 (2001) (Congress does not “hide elephants in
    mouseholes”). It is more likely that Congress created this
    provision in order to provide sweeping protections for
    battered migrant women, as it did throughout Section 1182.
    See § 1182(a)(6)(ii), (a)(9)(B)(iii)(IV).
    For these reasons we conclude the plaintiffs have
    demonstrated a high likelihood of success in showing that the
    Rule is inconsistent with any reasonable interpretation of the
    statutory public charge bar and therefore is contrary to law.
    36       CITY & CTY. OF SAN FRANCISCO V. USCIS
    E. Arbitrary and Capricious
    Both district courts also ruled that the plaintiffs were
    likely to succeed in their contention that the Rule is arbitrary
    and capricious. The APA standard in this regard is inherently
    deferential. The task of the courts is to ensure that the
    agency’s action relied on appropriate considerations,
    considered all important aspects of the issue, and provided an
    adequate explanation for its decision. The Supreme Court
    summed it up in its leading decision, Motor Vehicle Mfrs.
    Ass'n, Inc. v. State Farm Mut. Auto. Ins. Co. (“State Farm”),
    
    463 U.S. 29
     (1983). The Court explained the general rule:
    Normally, an agency rule would be arbitrary
    and capricious if the agency has relied on
    factors which Congress has not intended it to
    consider, entirely failed to consider an
    important aspect of the problem, offered an
    explanation for its decision that runs counter
    to the evidence before the agency, or is so
    implausible that it could not be ascribed to a
    difference in view or the product of agency
    expertise.
    
    Id. at 43
    .
    The plaintiffs argue that DHS failed the test in three
    principal respects: It failed to take into account the costs the
    Rule would impose on state and local governments; it did not
    consider the adverse effects on health, including both the
    health of immigrants who might withdraw from programs and
    the overall health of the community; and it did not adequately
    explain why it was changing the policy that was thoroughly
    explained in the 1999 Guidance.
    CITY & CTY. OF SAN FRANCISCO V. USCIS               37
    1. Disenrollment and Financial Costs
    We first turn to DHS’s consideration of the financial
    impact of the proposed Rule. During the comment period,
    there was repeated emphasis on the financial burdens that
    would befall state and local governments because immigrants
    fearing application of the Rule would disenroll from the
    supplemental programs, even if the Rule did not apply to
    them. DHS’s response was a generality coupled with an
    expression of uncertainty. It said that, despite these effects,
    the Rule’s “overriding consideration” of self-sufficiency
    formed “a sufficient basis to move forward.” 84 Fed. Reg. at
    41,312. DHS added that there was no way of knowing with
    any degree of exactitude how many individuals would
    disenroll or how much of a burden it would place on the state
    and local governments. Id. at 41,312–13.
    DHS provided no analysis of the effect of the Rule on
    governmental entities like the plaintiffs in these cases. As the
    Northern District found, DHS had not “grapple[d] with
    estimates and credible data explained in the comments.” City
    and Cnty. of SF, 408 F. Supp. 3d at 1106.
    Our law requires more from an agency. A bald
    declaration of an agency’s policy preferences does not
    discharge its duty to engage in “reasoned decisionmaking”
    and “explain the evidence which is available.” State Farm,
    
    463 U.S. at 52
    . The record before DHS was replete with
    detailed information about, and projections of, disenrollment
    and associated financial costs to state and local governments.
    See, e.g., Ninez Ponce, Laurel Lucia, & Tia Shimada, How
    Proposed Changes to the ‘Public Charge’ Rule Will Affect
    Health, Hunger and the Economy in California, 32 (Nov.
    2018), https://healthpolicy.ucla.edu/newsroom/Documents/
    38       CITY & CTY. OF SAN FRANCISCO V. USCIS
    2018/public-charge-seminar-slides-nov2018.pdf (estimating
    over 300,000 disenrollments from Medicaid in California
    alone); Fiscal Policy Institute, Only Wealthy Immigrants
    Need Apply: The Chilling Effects of “Public Charge,”
    5 (Nov. 2019), http://fiscalpolicy.org/wp-content/uploads/2
    019/11/FINAL-FPI-Public-Charge-2019-MasterCopy.pdf
    (estimating over $500 million combined in lost state tax
    revenue). DHS was required to “reasonably reflect upon” and
    “grapple with” such evidence. Fred Meyers Stores, Inc. v.
    NLRB, 
    865 F.3d 630
    , 638 (D.C. Cir. 2017). But DHS made
    no attempt to quantify the financial costs of the Rule or
    critique the projections offered.
    Similarly, DHS’s repeated statements that the Rule’s
    disenrollment impacts are “difficult to predict” do not satisfy
    its duty to “examine the relevant data” before it. State Farm,
    
    463 U.S. at 43
    . The Supreme Court held in State Farm that
    an agency may not, without analysis, cite even “‘substantial
    uncertainty’ . . . as a justification for its actions.” 
    Id. at 52
    ;
    see also Ctr. for Biological Diversity v. NHTSA, 
    538 F.3d 1172
    , 1200 (9th Cir. 2008) (rejecting as arbitrary and
    capricious agency’s characterization of greenhouse gas
    reductions as “too uncertain to support their explicit valuation
    and inclusion” in analysis). DHS’s analysis thus fell short of
    the standard established by the Supreme Court and
    recognized by our circuit. DHS did not adequately deal with
    the financial effects of the Rule.
    2. Health Consequences
    Although DHS wrote the Rule was intended to make
    immigrants healthier and stronger, commenters stressed the
    Rule’s likely adverse health consequences for immigrants and
    the public as a whole, including infectious disease outbreaks
    CITY & CTY. OF SAN FRANCISCO V. USCIS              39
    and hospital closures. While acknowledging these comments,
    DHS concluded, without support, that the Rule “will
    ultimately strengthen public safety, health, and nutrition.”
    84 Fed. Reg. at 41,314. The Northern District aptly found
    that DHS impermissibly “simply declined to engage with
    certain, identified public-health consequences of the Rule.”
    City and Cnty. of SF, 408 F. Supp. 3d at 1111–12.
    Commenters provided substantial evidence that the Rule
    would in fact harm public safety, health, and nutrition. DHS
    itself repeatedly acknowledged that hospitals might face
    financial harms as a result of the Rule, but DHS repeatedly
    declined to quantify, assess, or otherwise deal with the
    problem in any meaningful way. See, e.g., 84 Fed. Reg. at
    41,313–14, 41,384, 41,475, 41,476. This is inadequate and
    suggests that DHS’s position was intractable. As the D.C.
    Circuit has observed, making some mention of evidence but
    then coming to a contrary, “unsupported and conclusory”
    decision “add[s] nothing to the agency’s defense of its thesis
    except perhaps the implication that it was committed to its
    position regardless of any facts to the contrary.” Chem. Mfrs.
    Ass’n. v. EPA, 
    28 F.3d 1259
    , 1266 (D.C. Cir. 1994). DHS
    responded by excluding certain programs for children and
    pregnant women from the ambit of the Rule, but never
    addressed the larger concerns about the Rule’s effect on
    health as well as on hospital resources.
    There were other serious health concerns. For example,
    comments demonstrated that the Rule would endanger public
    health by decreasing vaccination rates in the general
    population. DHS insisted that vaccines would “still be
    available” to Medicaid-disenrolled individuals because “local
    health centers and state health departments” would pick up
    the slack, id. at 41,385, despite objections voiced by such
    40       CITY & CTY. OF SAN FRANCISCO V. USCIS
    local health centers and state health departments themselves
    showing that the Rule will put the populations they
    serve—citizens and non-citizens alike—in danger. See, e.g.,
    Mass. Dep’t of Pub. Health, Comments on Inadmissibility on
    Public Charge Grounds (Dec. 2018), https://www.regulations.
    gov/document?D=USCIS-2010-0012-45697; Hilltown Cmty.
    Health Ctr., Comments on Inadmissibility on Public Charge
    Grounds (Dec. 2018), https://www.regulations.gov/docume
    nt?D=USCIS-2010-0012-45675. A decision that “runs
    counter to the evidence” or “is so implausible that it could not
    be ascribed to a difference in view or the product of agency
    expertise” is arbitrary and capricious. State Farm, 
    463 U.S. at 43
    . The promulgation of this Rule is such a decision. DHS
    claims no expertise in public health, unlike the scores of
    expert commenters who weighed in against the Rule.
    3. Reversal of Position
    Above all, DHS failed to explain its abrupt change in
    policy from the 1999 Guidance. An agency reversing a prior
    policy “must show that there are good reasons for the new
    policy” and provide “a reasoned explanation . . . for
    disregarding facts and circumstances that underlay or were
    engendered by the prior policy.” FCC v. Fox Television
    Stations, Inc., 
    556 U.S. 502
    , 515–16 (2009). The district
    courts below found that DHS had failed to satisfy this
    standard. City and Cnty. of SF, 408 F. Supp. 3d at 1111–12;
    Washington v. DHS, 408 F. Supp. 3d at 1220.
    The 1999 Guidance had been issued after the 1996
    statutory amendments setting out the general factors to be
    taken into account in making a public charge determination.
    The Guidance considered all of the different types of public
    assistance governments offered, including programs
    CITY & CTY. OF SAN FRANCISCO V. USCIS               41
    providing subsistence income and those providing
    supplemental benefits. The Guidance expressly provided that
    receipt of supplemental assistance for food, healthcare and
    housing were not to be considered in assessing an
    immigrant’s likelihood of becoming a public charge. As
    discussed above, this provision was consistent with over a
    century of judicial and administrative decisions interpreting
    the public charge bar. The Rule, however, provides that the
    prospect of receiving those same supplemental benefits, for
    even a few months, renders an individual inadmissible. This
    is directly contrary to the 1999 Guidance.
    Yet DHS promulgated the Rule without any explanation
    of why the facts found, and the analysis provided, in the prior
    Guidance were now unsatisfactory. This is a practice the
    Supreme Court has rejected: an agency about-face with no
    “reasoned explanation . . . for disregarding” the findings
    underlying the prior policy. Fox, 
    556 U.S. at 516
    . Here is an
    illustration of the about-face. The 1999 Guidance had found
    that deterring acceptance of “important health and nutrition
    benefits” had yielded “an adverse impact . . . on public health
    and the general welfare.” 64 Fed. Reg. at 28,692. In contrast,
    DHS now says that the new Rule “will ultimately strengthen
    public safety, health, and nutrition.” 84 Fed. Reg. at 41,314.
    DHS provides no basis for this conclusion or for its departure
    from the empirical assessments underlying the prior policy.
    In light of this policy change, coupled with the “serious
    reliance interests” engendered by over two decades of
    reliance on the Guidance, DHS was required to provide a
    “more detailed justification” for the Rule. Fox, 
    556 U.S. at 515
    . DHS provides no justification, other than the repeated
    conclusory mantra that the new policy will encourage self-
    sufficiency. DHS in effect says that by creating a
    42       CITY & CTY. OF SAN FRANCISCO V. USCIS
    disincentive for immigrants to use available assistance, the
    Rule will “ensur[e] that [admitted immigrants] be self-
    sufficient and not reliant on public resources.” 84 Fed. Reg.
    at 41,319. DHS does not substantiate, and the record does not
    support, this empirical prediction. See, e.g., Hilary Hoynes,
    Diane Whitmore Schanzenbach & Douglas Almond, Long-
    Run Impacts of Childhood Access to the Safety Net, 106 Am.
    Econ. Rev. 903, 930 (finding that having access to food
    stamps during childhood leads to “significant improvement
    in adult health” and “increases in economic self-sufficiency,”
    including decreased welfare participation). Plaintiffs urge
    that their experience is contrary to DHS’s conclusion. Also
    to the contrary is the experience related in multiple amicus
    briefs. See, e.g., Brief for the Institute for Policy Integrity as
    Amicus Curiae Supporting Petitioners at 9 (citing evidence
    that reductions in SNAP participation increase homelessness);
    Brief for National Housing Law Project et al. as Amici Curiae
    Supporting Petitioners at 13 (citing evidence that Medicaid
    made it easier for recipients to work and find work).
    4. Arbitrary and Capricious
    In sum, DHS adopted the Rule, reversing prior,
    longstanding public policy, without adequately taking into
    account its potential adverse effects on the public fisc and the
    public welfare. We must conclude that the Rule’s
    promulgation was arbitrary and capricious as well as contrary
    to law within the meaning of the APA. 
    5 U.S.C. § 706
    (2)(A).
    CITY & CTY. OF SAN FRANCISCO V. USCIS               43
    F. Remaining Injunction Factors
    1. Irreparable Harm
    Plaintiffs have shown a likelihood of success on the
    merits of their claim that the Rule violates the standards of
    the APA in that it is both contrary to law and arbitrary and
    capricious. To support entry of an injunction, Plaintiffs must
    also show a likely threat of irreparable injury in the absence
    of an injunction. Winter, 
    555 U.S. at 22
    . Plaintiffs have
    established that they likely are bearing and will continue to
    bear heavy financial costs because of withdrawal of
    immigrants from federal assistance programs and consequent
    dependence on state and local programs.
    There is no dispute that such economic harm is sufficient
    to constitute irreparable harm because of the unavailability of
    monetary damages. See California v. Azar, 
    911 F.3d 558
    ,
    581 (9th Cir. 2018); 
    5 U.S.C. § 702
     (providing for relief
    “other than monetary damages”). DHS counters that such
    harm in this case is speculative, amounting to no more than
    the possibility of future injury. See Park Vill. Apartment
    Tenants Ass’n v. Mortimer Howard Tr., 
    636 F.3d 1150
    , 1160
    (9th Cir. 2011).
    We have, however, already seen that in this case such
    harm is more than speculative. Plaintiffs have presented
    evidence that they are already experiencing harm and DHS
    itself has projected significant disenrollment from federal
    programs, likely leading to enrollments in state and local
    ones. The district courts both made factual findings as to
    harm that DHS does not refute with citations to the record.
    44       CITY & CTY. OF SAN FRANCISCO V. USCIS
    2. Balance of Equities and Public Interest
    There was no error in finding that the balance of equities
    and public interest support an injunction. The Northern
    District pointed to the need for “continuing the provision of
    medical services through Medicaid to those who would
    predictably disenroll absent an injunction” in light of the
    explanations given by “parties and numerous amici . . . [of
    the] adverse health consequences not only to those who
    disenroll, but to the entire populations of the plaintiff states,
    for example, in the form of decreased vaccination rates.” City
    and Cnty. of SF, 408 F. Supp. 3d at 1127. The public interest
    in preventing contagion is particularly salient during the
    current global pandemic.
    Although DHS nevertheless argues that it is harmed by
    not being able to implement its new definition of public
    charge, if it is ultimately successful in defending the merits of
    the Rule, the harm will amount to no more than a temporary
    extension of the law previously in effect for decades. Given
    the financial burdens that plaintiffs have persuasively
    demonstrated will befall them as a result of disenrollment
    from federal programs, coupled with adverse effects on the
    health and welfare of the immigrant as well as general
    population, we cannot say the district courts abused their
    discretion in finding that the balance of equities and public
    interest weigh in favor the injunction.
    G. Propriety of a Nationwide Injunction
    The Northern District issued a preliminary injunction
    limited to the territory of the plaintiff state and local entities
    before it. The Eastern District issued a nationwide injunction,
    explaining that a more limited injunction would not prevent
    CITY & CTY. OF SAN FRANCISCO V. USCIS               45
    all the harms alleged. The court was concerned about
    protecting immigrants from harm if they moved outside of the
    plaintiff jurisdictions, about the economic impact on plaintiff
    states if immigrants moved to them to evade the
    consequences of the Rule, and about lawful immigrants being
    subject to the Rule at points of entry after travel abroad.
    Washington, 408 F. Supp. 3d at 1223.
    The appropriateness of nationwide injunctions in any case
    has come under serious question. See, e.g., DHS v. New York,
    140 S Ct. 599, 599–601 (2020) (Gorsuch, J., concurring);
    Trump v. Hawaii, 
    138 S. Ct. 2392
    , 2424–29 (2018) (Thomas,
    J., concurring). In explaining the limited scope of its
    injunction, the Second Circuit questioned the propriety of one
    court imposing its will on all:
    It is not clear to us that, where contrary views
    could be or have been taken by courts of
    parallel or superior authority entitled to
    determine the law within their own
    geographical jurisdictions, the court that
    imposes the most sweeping injunction should
    control the nationwide legal landscape.
    New York, 969 F.3d at 88.
    Whatever the merits of nationwide injunctions in other
    contexts, we conclude a nationwide injunction is not
    appropriate in this case. This is because the impact of the
    Rule would fall upon all districts at the same time, and the
    same issues regarding its validity have been and are being
    litigated in multiple federal district and circuit courts.
    46       CITY & CTY. OF SAN FRANCISCO V. USCIS
    Accordingly, we vacate that portion of the Eastern
    District’s injunction making it applicable nationwide, but
    otherwise affirm it.
    H. Rehabilitation Act
    The plaintiffs also contend that the Rule violates the
    Rehabilitation Act, which bans discrimination on the basis of
    disabilities. 
    29 U.S.C. § 794
    (a). The Seventh Circuit looked
    favorably on this contention, and the Second Circuit
    expressly did not address it. Cook Cnty., 962 F.3d at 228,
    New York, 969 F.3d at 64 n.20. Because we have held that
    the Rule violates the APA as contrary to law and arbitrary
    and capricious, we similarly do not address the Rehabilitation
    Act.
    I. Conclusion
    The order of the District Court for the Northern District
    of California is AFFIRMED. The order of the District Court
    for the Eastern District of Washington is AFFIRMED in
    part and VACATED in part. Costs are awarded to the
    plaintiffs.
    VANDYKE, Circuit Judge, dissenting:
    For the reasons ably articulated by our court in a
    December 2019 published opinion,1 by the Fourth Circuit in
    1
    City & County of San Francisco v. USCIS, 
    944 F.3d 773
     (9th Cir.
    2019).
    CITY & CTY. OF SAN FRANCISCO V. USCIS                     47
    an August 2020 opinion,2 and by a dissenting Seventh Circuit
    judge in a June 2020 opinion (particularly notable for its
    erudition)3—and implied by the Supreme Court’s multiple
    stays this year of injunctions virtually identical to those the
    majority today affirms4—I must respectfully dissent.
    2
    CASA de Maryland, Inc. v. Trump, 
    971 F.3d 220
     (4th Cir. 2020).
    3
    Cook County v. Wolf, 
    962 F.3d 208
    , 234–54 (7th Cir. 2020) (Barrett,
    J., dissenting).
    4
    Dep’t of Homeland Sec. v. New York, 
    140 S. Ct. 599
     (2020); Wolf
    v. Cook County, 
    140 S. Ct. 681
     (2020).