(November 15, 2017, 11:11 AM EST) -- WASHINGTON, D.C. — An Indian tribe’s self-insured health plan excluding coverage for services where government benefits provide for lower costs does not violate the payer of last resort provision enacted by the Patient Protection and Affordable Care Act (ACA), a federal judge in the District of Columbia held Nov. 7 in remanding a case to an agency for reconsideration (Redding Rancheria v. Eric D. Hargan, et al., No. 14-2035, D. D.C., 2017 U.S. Dist. LEXIS 184061)....