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


By Jason Levitis* and Sabrina Corlette

On August 22, a federal District Court docket decide in Maryland stayed, on a nationwide foundation, the implementation of a number of provisions within the Facilities for Medicare & Medicaid Companies (CMS) “Market Integrity” closing 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 Court docket 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 enchantment or search an emergency keep of the district court docket’s ruling from the Fourth Circuit Court docket of Appeals. 

Of their newest Skilled Perspective for the Robert Wooden Johnson Basis’s State Well being & Worth Methods program, Jason Levitis and Sabrina Corlette evaluation the court docket’s ruling and its implications for state-based Marketplaces and insurance coverage regulators. You possibly can learn the total put up right here.

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

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