Ruling in Challenge to Marketplace Rule: Initial Analysis and Implications for States 

By Jason Levitis* and Sabrina Corlette

On August 22, a federal District Court choose in Maryland stayed, on a nationwide foundation, the implementation of a number of provisions within the Centers for Medicare & Medicaid Services (CMS) “Marketplace Integrity” last rule. Some of the stayed provisions are efficient instantly, creating the necessity for speedy implementation choices by states. 

The plaintiffs within the case, City of Columbus v. Kennedy, sought reduction from eight provisions of the ultimate rule. The District Court choose granted an emergency keep of six of the eight provisions, discovering that the plaintiffs had proven a “strong likelihood” of success of their claims towards these provisions. The federal authorities now has the choice to both attraction or search an emergency keep of the district courtroom’s ruling from the Fourth Circuit Court of Appeals. 

In their newest Expert Perspective for the Robert Wood Johnson Foundation’s State Health & Value Strategies program, Jason Levitis and Sabrina Corlette evaluation the courtroom’s ruling and its implications for state-based Marketplaces and insurance coverage regulators. You can learn the total publish right here.

*Jason Levitis is a Senior Fellow on the Urban Institute.