Defendants, State of California and California Department of Corrections and Rehabilitation, provide medical services to inmates in California’s State prisons. Madera Multi Specialty Medical Group (MMSG) is a group of physicians in Madera County which was formed by Dr. Anwar for the purpose of negotiating medical specialty service contracts with the Defendants. MMSG’s physicians provide medical specialty services to inmates at two women’s prisons located in Madera County. These prisons are Central California Women’s Facility and Valley State Prison for Women. Written agreements exist concerning the provision of medical services to the prisoners in these correctional facilities. Dr. Anwar began providing services to Central California Women's Facility in 1990, and began with Valley State Prison for Women when it opened in 1995. Dr. Anwar then formed his MMSG (group of 30 - 40 specialists) upon the request of the state in 1998.