- Docket No.
- 26-1938
- Appellate Court
- Fourth Circuit
Goal
- Block enforcement of an agency action
- Declaration that agency action is unlawful
Issues
Case History
Litigation Content
Why This Matters:
Why This Matters:
The plaintiffs, a group of cities and organizations representing health care professionals and small businesses, allege that a Trump Administration regulation limiting enrollment opportunities, raising consumer health care costs, and imposing new administrative burdens under the Affordable Care Act violates the Administrative Procedure Act. Among other provisions, the regulation shortens the open enrollment period, increases premium costs for most Marketplace enrollees, and imposes additional burdensome pre-enrollment requirements. On appeal, the Trump Administration challenges the plaintiffs’ standing to sue and the district court’s decision to vacate the rule’s provisions related to actuarial value, the requirement to file taxes and reconcile advance premium tax credits, an automatic 60-day extension to resolve data matching issues, and the length of the open enrollment period.
Potential Impact:
Potential Impact:
Roughly two million individuals could lose insurance coverage in 2026 alone, face higher insurance premiums, and pay increased out-of-pocket costs due to the federal regulation. This could result in reduced care utilization and greater uncompensated care, and such policies would disproportionately impact low-income families and communities of color.