- Docket No.
- 6:22-cv-00450
- District Court
- Texas Eastern
Goal
- Block enforcement of an agency action
- Declaration that agency action is unlawful
- Vacate agency action
Issues
Case History
Litigation Content
Why this Matters
The plaintiffs argue that regulations outlining the methodology used to calculate the No Surprises Act’s qualifying payment amount (the basis for determining individual cost sharing for items and services covered by the balance-billing protections) are invalid under the Administrative Procedure Act. The design of the qualifying payment amount is critical to the No Surprises Act’s mission to promote lower health care premiums and costs, both for consumers directly for out-of-network services as well as through the arbitration process.
Potential Impact
Setting aside the methodology to calculate the qualifying payment amount for health care services in virtually all settings could expose patients to higher cost sharing and make the arbitration process more likely to raise health care costs and premiums.
News And Analysis (5)
23 Major Filings
- APPELLATE ORDER (Dec 17, 2024)
- PLAINTIFFS LIFENET ET AL.'S NOTICE OF APPEAL (Nov 3, 2023)
- PLAINTIFFS TMA ET AL.'S NOTICE OF APPEAL (Oct 31, 2023)
- DEFENDANTS' NOTICE OF APPEAL (Oct 20, 2023)
- JUDGMENT (Aug 24, 2023)
- OPINION (Aug 24, 2023)
- DEFENDANTS' NOTICE OF SUPPLEMENTAL AUTHORITY (Aug 10, 2023)
- DEFENDANTS' REPLY RE: CROSS-MOTION FOR SUMMARY JUDGEMENT (Apr 14, 2023)
- PLAINTIFFS LIFENET ET AL.'S RESPONSE TO CROSS-MOTION FOR SUMMARY JUDGEMENT (Mar 24, 2023)
- PLAINTIFFS TMA ET AL.'S RESPONSE TO CROSS-MOTION FOR SUMMARY JUDGEMENT (Mar 24, 2023)
- AMICUS BRIEF [AMERICA'S HEALTH INSURANCE PLANS] (Mar 17, 2023)
- AMICUS BRIEF [AMERICAN BENEFITS COUNCIL ET AL.] (Mar 17, 2023)
- AMICUS BRIEF [PATIENT AND CONSUMER ADVOCACY ORGANIZATIONS] (Mar 17, 2023)
- DEFENDANTS' CROSS-MOTION FOR SUMMARY JUDGEMENT (Mar 3, 2023)
- SCHEDULING ORDER (Feb 13, 2023)
- AMICUS BRIEF [AMERICAN MEDICAL ASSOCIATION] (Jan 31, 2023)
- AMICUS BRIEF [AMERICAN SOCIETY OF ANESTHESIOLOGISTS ET AL.] (Jan 31, 2023)
- AMICUS BRIEF [EMERGENCY DEPARTMENT PRACTICE MANAGEMENT ASSOCIATION] (Jan 31, 2023)
- PLAINTIFFS LIFENET, INC. ET AL.'S MOTION FOR SUMMARY JUDGEMENT (Jan 17, 2023)
- PLAINTIFFS TMA ET AL.'S MOTION FOR SUMMARY JUDGEMENT (Jan 17, 2023)
- ORDER ON MOTION TO CONSOLIDATE AND SETTING BRIEFING SCHEDULE (Jan 12, 2023)
- JOINT MOTION TO CONSOLIDATE CASES AND SET BRIEFING SCHEDULE (Dec 23, 2022)
- COMPLAINT (Nov 30, 2022)