On Tuesday, November 10, 2020, the U.S. Supreme Court heard oral arguments on the third case challenging the constitutionality of the ACA.  The case brought by a number of Republican State Attorney Generals arose because Congress reduced the penalty attached to the individual mandate to zero. 

On Friday, September 25, 2020, the U.S. District Court for the Northern District of Illinois held that the Centers for Medicare and Medicaid Services (CMS) improperly disallowed claims for $140 million in Medicaid reimbursements, because the method used by Illinois to adjust the particular payments was a reasonable interpretation of the Illinois state Medicaid plan. 

On Friday, August 14, 2020, the U.S. Federal Court of Appeals held that the Trump Administration violated the Affordable Care Act (ACA) when it suddenly stopped paying for subsidies intended to reduce healthcare costs for low-income individuals who buy coverage on the exchanges.

On Friday, July 31, 2020, the U.S. Court of Appeals for the Fifth Circuit overturned a lower court decision and upheld the provider fee that states are required to pay under Section 9010 of the ACA, on behalf of MCOs, in order for the states to receive federal reimbursement for payments to the MCOs.