Federal Judge Vacates Most of 2025 ACA Enrollment and Eligibility Rule
A federal judge on Friday vacated the majority of CMS's 2025 ACA enrollment and eligibility rule, delivering a win for insurance advocates who challenged the regulation. The vacated provisions included controversial changes to enrollment processes and eligibility verification requirements. However, many of the rule's provisions have been incorporated into the GOP's reconciliation bill currently moving through Congress, limiting the practical impact of the court decision. The ruling does not affect state-based marketplaces or Medicaid operations directly.
Medicaid MCOs operating in dual-eligible or marketplace-adjacent programs should monitor whether state Medicaid agencies adopt similar enrollment or verification policies that were part of the vacated federal rule.
Managed Care
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