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 August 13, 2019, the D.C. Circuit Court of Appeals overturned a lower court’s nationwide injunction order that had vacated a Centers for Medicare and Medicaid Services (CMS) final rule that permitted payments from Medicare and private insurers to be included in calculating the hospital-specific limit on Medicaid DSH payments.

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 Monday, May 13, 2019, Governor Larry Hogan (R) signed a bill into law, which will automatically assist individuals to become enrolled in the state’s Medicaid program. The new law will permit a taxpayer to check a box on the state tax return which will cause the state’s health care exchange to determine if the person qualifies for Medicaid, based on the information in the tax return.