- Docket No.
- 6:22-cv-00450
- District Court
- Texas Eastern
Goal
- Invalidate all or part of a federal regulation
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 (3)
20 Major Filings
- NOTICE OF APPEAL (Oct 20, 2023)
- FINAL JUDGMENT (Aug 24, 2023)
- MEMORANDUM OPINION AND ORDER (Aug 24, 2023)
- NOTICE OF SUPPLEMENTAL AUTHORITY (Aug 10, 2023)
- Defendants REPLY in Support of Cross Motion for Summary Judgment (Apr 14, 2023)
- Air Ambulance Opposition to Defendants Motion for Summary Judgment (Mar 24, 2023)
- TMA Opposition to Defendants Motion for Summary Judgment (Mar 24, 2023)
- AMICUS BRIEF American Benefits Council et al. (Mar 17, 2023)
- AMICUS BRIEF America’s Health Insurance Plans (Mar 17, 2023)
- AMICUS BRIEF Patient and Consumer Advocacy Organizations (Mar 17, 2023)
- Defendants' CROSS-MOTION for Summary Judgment (Mar 3, 2023)
- Order Setting Hearing (Feb 13, 2023)
- AMICUS BRIEF American Medical Association (Jan 31, 2023)
- AMICUS BRIEF American Society of Anesthesiologists (Jan 31, 2023)
- AMICUS BRIEF Emergency Department Practice Management Association (Jan 31, 2023)
- MOTION for Summary Judgment (Jan 17, 2023)
- MOTION for Summary Judgment and Memorandum in Support (Jan 17, 2023)
- ORDER CONSOLIDATING CASES AND SETTING SUMMARY JUDGMENT BRIEFING SCHEDULE (Jan 12, 2023)
- Joint MOTION to Consolidate Cases AND TO SET A SUMMARY JUDGMENT BRIEFING SCHEDULE (Dec 23, 2022)
- COMPLAINT (Nov 30, 2022)