ACA Lacks Private Enforcement, But Out-Of-Network Suit Largely Proceeds, Judge Says

(January 20, 2017, 9:04 PM EST) -- NASHVILLE, Tenn. — The Patient Protection and Affordable Care Act (ACA) lacks a private enforcement measure, but a suit challenging an insurer’s alleged failure to make a timely decision on out-of-network mental health care coverage can largely proceed otherwise, a federal judge in Tennessee held Jan. 9 (Marlena Mills, David Mills and Julia Mills v. BlueCross BlueShield of Tennessee Inc., No. 15-552, E.D. Tenn.; 2017 U.S. Dist. LEXIS 2730)....