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No. 18-1023October Term 2019Decided Apr 27, 2020

Docket 18-1023October Term 2019 (2019–2020)

Maine Community Health Options v. United States

This case was about whether the federal government had to pay health insurers money they were owed under the Affordable Care Act’s temporary Risk Corridors program after the insurers lost money on exchange plans.

Case status

Current stage
Decided
Latest event
Decision released Apr 27, 2020
Case Accepted
Arguments
Decision ReleasedApr 27, 2020
What it's about

This case was about whether the federal government had to pay health insurers money they were owed under the Affordable Care Act’s temporary Risk Corridors program after the insurers lost money on exchange plans. The dispute centered on whether later spending riders blocked or canceled that payment obligation and whether the insurers could sue the government to recover the unpaid amounts.

Question presented

1. Given the "cardinal rule" disfavoring implied repeals-which applies with "especial force" to appropriations acts and requires that repeal not be found unless the later enactment is "irreconcilable" with the former-can an appropriations rider whose text bars the agency's use of certain funds to pay a statutory obligation, but does not repeal or amend the statutory obligation, and is thus not inconsistent with it, nonetheless be held to impliedly repeal the obligation by elevating the perceived "intent" of the rider (drawn from unilluminating legislative history) above its text, and the text of the underlying statute? 2. Where the federal government has an unambiguous statutory payment obligation, under a program involving reciprocal commitments by the government and a private company participating in the program, does the presumption against retroactivity apply to the interpretation of an appropriations rider that is claimed to have impliedly repealed the government's obligation?

Case path

United States Court of Appeals for the Federal Circuit / Decision released Apr 27, 2020

Area

Administrative Law

Timing

Decided April 27, 2020

The Court released its decision on April 27, 2020 without hearing oral argument.