Ruling in Problem to Market Rule: Preliminary Evaluation and Implications for States 

By Jason Levitis* and Sabrina Corlette

On August 22, a federal District Courtroom decide in Maryland stayed, on a nationwide foundation, the implementation of a number of provisions within the Facilities for Medicare & Medicaid Providers (CMS) “Market Integrity” last rule. Among the stayed provisions are efficient instantly, creating the necessity for instant implementation selections by states. 

The plaintiffs within the case, Metropolis of Columbus v. Kennedy, sought reduction from eight provisions of the ultimate rule. The District Courtroom decide granted an emergency keep of six of the eight provisions, discovering that the plaintiffs had proven a “sturdy chance” of success of their claims towards these provisions. The federal authorities now has the choice to both attraction or search an emergency keep of the district courtroom’s ruling from the Fourth Circuit Courtroom of Appeals. 

Of their newest Professional Perspective for the Robert Wooden Johnson Basis’s State Well being & Worth Methods program, Jason Levitis and Sabrina Corlette overview the courtroom’s ruling and its implications for state-based Marketplaces and insurance coverage regulators. You may learn the complete put up right here.

*Jason Levitis is a Senior Fellow on the City Institute.