On January 21, 2020, the U.S. Supreme Court refused to fast-track a review of requests appealing the Fifth Circuit decision holding the Affordable Care Act’s (ACA’s) “mandate” to be unconstitutional. 

On October 22, 2019, Chief Judge Margaret M. Sweeney held that a class of health insurers were entitled to nearly $1.6 billion from the U.S. government pursuant to a provision of the ACA. 

On September 16, 2019, a federal district court judge in the District of Columbia removed a policy of the Centers for Medicare and Medicaid Services (CMS) that lowered the amounts off-campus, hospital-based clinics can receive for treating Medicare patients. 

On July 29, 2019, U.S. District Court Judge James E. Boasberg, D.C., held that work requirements intended to go into effect in New Hampshire could not be implemented because of a failure to adequately consider the effect on Medicaid coverage. Judge Boasberg previously blocked work requirements scheduled in Kentucky and Arkansas. Those cases were Gresham v. Azar, No. 18-1900 (JEB) (D.D.C. Mar. 27, 2019) and Stewart v. Azar, No. 18-152 (JEB) (D.D.C. Mar. 27, 2019).