The federal government violated a statutory obligation created by Congress in the Affordable Care Act when it failed to provide Montana Health, an issuer of qualified health plans on the Montana and Idaho health insurance exchanges, its full cost-sharing reduction payments for 2017, a federal judge ruled yesterday. “That obligation was not vitiated by Congress’s failure to appropriate funds for that purpose,” wrote Judge Elaine Kaplan of the U.S. Court of Federal Claims, granting summary judgment to the insurer. The administration last October halted CSR payments to insurers, used to reduce out-of-pocket costs for low-income individuals purchasing coverage through the exchanges, prompting several lawsuits. AHA and others have urged Congress to continue funding the payments to help stabilize the individual health insurance market.  

Related News Articles

Headline
The U.S. Preventive Services Task Force today recommended a pill that helps prevent the spread of HIV to high-risk patients.
Perspective
Even with all the wrenches that have been thrown at it, the ACA has improved access to care, especially among those who needed it most.
Headline
The Fifth Circuit Court of Appeals said today that it will hear oral arguments July 9 in the appeal of a district court decision that struck down t
Headline
he House of Representatives last night voted 234-183 to pass legislation (H.R. 987) that combines several AHA-supported bills to help lower prescription drug…
Headline
The House of Representatives yesterday voted 230-183 to pass AHA-supported legislation (H.R. 986) that would rescind the administration’s latest guidance for…
Headline
The Department of Justice yesterday told the Fifth Circuit Court of Appeals that it should affirm a district court decision that struck down the entire…