On July 24, 2025, CPR and the National Health Law Program (NHeLP) filed a friend of the court brief in support of litigation challenging the U.S. Department of Health and Human Services (HHS) Final Rule titled “Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability” (June 25, 2025). Amici are individuals enrolled in the Affordable Care Act (ACA) Marketplace and other state and national organizations with an interest in maintaining access to quality, affordable health care coverage through the ACA. Their brief describes the positive impact of the ACA and the significant barriers to future health care coverage created by the Final Rule, including increased premiums and out-of-pocket expenses, shortened enrollment periods, and additional hurdles in securing advanced premium tax credits. These and other coverage limits imposed by the Rule are expected to cause up to 1.8 million people to lose health insurance coverage in 2026 alone.
The complaint, brought by 21 states against Secretary Robert Kennedy and other administration officials, seeks to halt implementation of the Final Rule and to have it declared unlawful. A motion for preliminary injunction is pending.