The federal courts ruled the insurance industry and markets throughout 2019. Much of the flexibility that the Trump administration introduced in 2018 allowing health insurers and states to skirt certain Affordable Care Act rules ended up debated in court this year.
Meanwhile, the 5th U.S. Circuit Court of Appeals in July heard oral arguments in a Republican-state challenge to the ACA that threatens to eliminate coverage for millions of Americans if a lower court ruling invalidating the landmark healthcare law is upheld. At deadline, there was still no decision in the case.
In March, a federal court struck down the Trump administration’s rule expanding access to association health plans, which don’t have to comply with all of the ACA’s consumer protections. The administration appealed and oral arguments were held in November.