HHS Appeals Ruling Vacating Portions of 2025 Marketplace Integrity Rule
HHS and CMS filed an appeal in July 2026 challenging a Maryland federal district court's June 2026 decision that vacated portions of CMS's 2025 Marketplace Integrity and Affordability Rule. The underlying case was brought by the city governments of Columbus, Baltimore, and Chicago, along with other plaintiffs. The district court ruled on summary judgment to strike down specific provisions of the rule. The appeal will determine whether those provisions remain enforceable or are permanently set aside.
The appeal could restore marketplace rule provisions that may affect Medicaid-eligible populations at the ACA marketplace interface, particularly for states with Bridge programs or enrollment pathways between exchange and Medicaid coverage.
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