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. 

The court said that CMS “exceeded its statutory authority when it cut services at off-campus provider-based clinics.”

On the same date, 32 hospitals filed a complaint also in the U.S. District Court for the District of Columbia seeking to invalidate a CMS rule that reduces the Medicare reimbursement they receive for training medical fellows.