ACA Mandates Cost-Sharing Payments, Appeals Court Says

Mealey's (August 20, 2020, 1:59 PM EDT) -- WASHINGTON, D.C. — The Patient Protection and Affordable Care Act (ACA) mandated cost-sharing payments for which the government is liable, even where Congress failed to appropriate funding, but damages must be offset where insurers raised premiums in response, a federal appeals court said in a pair of Aug. 14 opinions (Sanford Health Plan, et al. v. United States, Nos. 19-1290, 19-1302, Community Health Choice Inc. v. United States, No. 19-1633, Maine Community Health Options v. United States, No. 19-2102, Fed. Cir.)....