On February 14, 2019, the U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), outlined a new model for emergency medical triage, treatment, and transportation services. CMS will offer Medicare reimbursement through the new model to transport patients to hospital emergency departments as well as other destinations appropriate to patient needs, such as primary care physicians and urgent care clinics.

On January 18, 2019, 38 hospitals filed a lawsuit in the U.S. District Court for the District of Columbia challenging a final rule of the Department of Health and Human Services (HHS), which went into effect on January 1, 2019.

On November 13, 2018, the Centers for Medicare and Medicaid Services (CMS) released a letter to state Medicaid directors outlining a wide range of opportunities for states to design innovative delivery systems for adults and children with serious mental health conditions.

On October 26, 2018, Judge Ketanji Jackson of the U.S. District Court for the District of Columbia ruled that certain patient days for individuals in the Commonwealth Care program should be included in calculating DSH Medicare reimbursement for 12 Massachusetts hospitals serving large numbers of poor patients.