City of Columbus v. Kennedy, 2025 WL 2426382 (D. Md. 2025)
Available at https://www.govinfo.gov/content/pkg/USCOURTS-mdd-1_25-cv-02114/pdf/USCOURTS-mdd-1_25-cv-02114-0.pdf
A federal trial court has temporarily blocked portions of final regulations issued by HHS in June 2025 that were intended to ensure the integrity of the Affordable Care Act (ACA) Exchanges (also known as Marketplaces) and the affordability of health coverage. The regulations, which included changes to annual cost-sharing limits, eligibility and enrollment procedures, and the definition of essential health benefits, were scheduled to take effect on August 25, 2025, with many provisions impacting insurance plans available in 2026. A group of cities and nonprofit organizations sued, claiming that certain provisions were contrary to law or arbitrary and capricious. Finding that the challengers were likely to succeed on the merits with respect to the following provisions, the court delayed their effective date pending the outcome of the litigation:
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