Humana Inc. et al. v. Department of Health and Human Services et al.

Docket No.
4:25-cv-00779
District Court
Texas Northern

Goal

  • Declaration that agency action is unlawful
  • Vacate agency action

Issues

Case History

Why This Matters:

Plaintiffs, a Medicare Advantage organization and trade association, allege the Department of Health and Human Services violated the Administrative Procedure Act in implementing regulations used to rate Medicare Advantage organizations. Plaintiffs ask the court to invalidate the low ratings they received as a result of allegedly dropped calls during an Accuracy and Accessibility Study. HHS conducts these studies to ensure Medicare Advantage organizations are providing accurate information to Medicare beneficiaries.

Potential Impact:

Medicare beneficiaries seeking information about Medicare Advantage plans rely on the agency’s ratings. Ensuring that these ratings are accurate helps beneficiaries find affordable plans and avoid unnecessary expenses.

21 Major Filings

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Related Litigation

Current Status

Appeal Filed

Legal Issues

Administrative Procedure Act - Notice and Comment Violation, Administrative Procedure Act - Arbitrary and Capricious

Date Filed
July 21, 2025
Case Type
Civil
Court Type
District Court
Court
Texas Northern
Court Division
Fort Worth
Judge
O'Connor, Reed C. Appointed By: George W. Bush
Plaintiff(s)
Humana Inc.; Americans for Beneficiary Choice
Lead Counsel For Plaintiff(s)
Winston & Strawn, LLP
Defendant(s)
Department of Health and Human Services; Centers for Medicare and Medicaid Services; Robert F. Kennedy Jr.; Mehmet C. Oz
Lead Counsel for Defendant(s)
Government