29 F.3d 886 63 USLW 2079, 45 Soc.Sec.Rep.Ser. 88,Medicare & Medicaid Guide P 42,538 PENNSYLVANIA MEDICAL SOCIETY; Dr. James B. Regan, M.D.,v.Karen F. SNIDER, Individually and in her Official Capacityas Secretary of Public Welfare; Donna E. Shalala,Secretary of the United StatesDepartment of Health and Human Services,Pennsylvania Medical Society; James B. Regan, M.D., Appellants. No. 93-7775. […]