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Issue / Topic: Affordable Care Act

Copay Accumulators

Tracker Trends
Trends Overview ›
340B Program21
Equity53
  • Affordable Care Act (Section 1557)27
Federal Health Funding59
  • Funding Termination/Cuts30
  • Health Information2
  • Indirect Cost Rate Cuts7
  • Medicaid12
  • Reproductive Health12
Health Care Affordability63
  • Anticompetitive Practices28
    • Anticompetitive Contracting10
    • Insurer Practices5
    • Provider Consolidation11
  • Cost Containment15
  • Medical Debt4
  • Site-Neutral Payments9
  • Staffing Standards7
Medicare Advantage38
  • Artificial Intelligence2
  • Coding Practices10
  • Coverage Denials6
  • Enrollment Practices1
  • Star Ratings21
Prescription Drug Pricing42
  • Drug Specific Access Laws5
  • Drug Transparency Laws2
  • Medicare Drug Price Negotiation24
  • Prescription Drug Affordability Boards4
  • Price Gouging Laws7
Private Health Insurance115
  • Affordable Care Act46
    • Copay Accumulators3
    • Employer Mandate2
    • Marketplace Rules11
    • Non-ACA Coverage12
    • Preventive Services16
  • Artificial Intelligence1
  • Ghost Networks7
  • No Surprises Act59
    • Arbitration Awards/Conduct40
    • Arbitration Regulations10
    • Constitutional Challenges5
    • Qualifying Payment Amount5
Reproductive Health54
  • EMTALA7
  • Federal Health Funding12
  • HIPAA Privacy Protections5
  • Medication Abortion18
  • Right to Travel7
Transparency and Quality9
3 tracked cases

New cases tracked in the last 12 months

0 Nov
0 Dec
0 Jan
0 Feb
0 Mar
0 Apr
0 May
0 Jun
0 Jul
0 Aug
1 Sep
0 Oct
Sub Issues
  • Overview
  • No Surprises Act (59)
  • Affordable Care Act (46)
  • Ghost Networks (7)
  • Artificial Intelligence (1)
  • Overview
  • Preventive Services (16)
  • Non-ACA Coverage (12)
  • Marketplace Rules (11)
  • Copay Accumulators (3)
  • Employer Mandate (2)

Litigation trends for Copay Accumulators

Spotlight

Key quotes shaping this topic

“[T]he Court will set aside the 2021 [regulation] based on both its contradictory reading of the same statutory and regulatory language and the fact that the agencies have yet to offer a definitive interpretation of this language that would support their authorization of copay accumulators.”

HIV and Hepatitis Policy Institute et al. v. Department of Health and Human Services et al.

Federal District Court for the District of Columbia, 2023

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Geographic Trends

2 active district courts

1 active circuit court

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Not shown: Puerto Rico (First Circuit), the U.S. Virgin Islands (Third Circuit), and Guam and the Northern Mariana Islands (Ninth Circuit).

Court Level

Appellate District
1 (33%) 2 (67%)

Status

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District Court Cases by Appointing President

Reflects district court judges only.

All trend data is based solely on the cases on this website; if you want to recommend a new case to include, please let us know at hpli@georgetown.edu.

Copay Accumulators Cases We're Tracking

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3:26-cv-01705

Heinz v. United Healthcare Insurance Company Inc.

Filed:
September 30, 2026
Status
Briefing is ongoing
Court
Connecticut
Goal
Certify class +2 additional goal(s)
  • Private Health Insurance
  • Affordable Care Act
  • Copay Accumulators
Inactive Case

1:22-cv-02604

HIV and Hepatitis Policy Institute et al. v. Department of Health and Human Services et al.

Filed:
August 30, 2022
Status
Decision issued
Court
District of Columbia
Goal
Block enforcement of an agency action +1 additional goal(s)
  • Private Health Insurance
  • Affordable Care Act
  • Copay Accumulators
Inactive Case

23-05284

HIV and Hepatitis Policy Institute et al. v. Department of Health and Human Services et al.

Filed:
November 28, 2023
Status
Case Dismissed
Court
D.C. Circuit
Goal
Block enforcement of an agency action +1 additional goal(s)
  • Private Health Insurance
  • Affordable Care Act
  • Copay Accumulators

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