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). 

On Friday, July 20, 2019, U.S. District Court Judge Richard J. Leon in Washington, D.C. ruled that the expansion of short-term health plans by the Trump administration caused “minimal” difficulty and found that their “benefits are undeniable.” The expansion permits short-term health insurance plans that generally are less costly than those provided under the Affordable Care Act (ACA) but are less comprehensive.

On Monday, June 24, 2019, the U.S. Supreme Court agreed to hear the case involving risk corridors for insurance companies under the Affordable Care Act (ACA). A provision of the ACA established these so-called risk corridors, whereby the federal government would control gains and losses of insurance companies to help the companies cope with their risks when they participated in the ACA marketplaces from 2014 to 2016. 

On Monday, June 3, 2019, the U.S. Supreme Court upheld a Court of Appeals ruling that stated a 2014 regulation of the Centers for Medicare and Medicaid Services (CMS) – that reduced DSH payments to hospitals servicing indigent patients – should be removed for failure to follow proper notice and comment requirements.