HHS Appeals Court Ruling Invalidating 2025 ACA Marketplace Rule Provisions
The Department of Health and Human Services filed an appeal to reinstate portions of a 2025 Affordable Care Act rule that a federal judge invalidated in June 2026. The invalidated provisions include shortened enrollment periods and stricter eligibility verification requirements for marketplace coverage. The appeal seeks to restore these requirements, which originally applied to ACA marketplace plans beginning with the 2026 plan year. The outcome affects marketplace operations and enrollment procedures, with potential implications for Medicaid-marketplace coordination on eligibility determinations and transitions between coverage types.
The appeal affects how state Medicaid agencies coordinate eligibility determinations with marketplace exchanges, particularly for individuals transitioning between Medicaid and subsidized marketplace coverage during modified enrollment windows.
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