Court Blocks 'Illegal' Trump Rule That Created Barriers to Affordable Care Act Coverage
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Court Blocks Illegal Trump Rule That Created Barriers to Affordable Care Act Coverage
With eligibility verification and fees, the rule was projected to force 2 million people to drop their insurance, said cities and advocacy groups that sued the administration.
JULIA CONLEY
Jun 12, 2026
Officials in several cities joined advocacy groups in celebrating a federal court ruling Friday that blocked the Trump administrations rule which, they argued in a lawsuit, illegally imposed new fees and created barriers that would make it harderand in some cases impossiblefor people to get and keep affordable health insurance.
The cities of Columbus, Ohio; Baltimore; and Chicago were among the plaintiffs in a case filed last week in the US District Court of Maryland against Health and Human Services Secretary Robert F. Kennedy and other Trump officials, arguing that the so-called Marketplace Integrity and Affordability rule would destabilize the insurance market and penalize vulnerable families, rather than promoting affordability.
Cloaked in the pretense of government efficiency and fraud prevention, the 2026 rule creates numerous barriers to affordable insurance coverage, negating the ACAs goal of extending affordable health coverage to all Americans, and instead increasing the population of underinsured and uninsured Americans, the plaintiffs said in the lawsuit.
In the ruling on Friday, US District Judge Brendan Hurson vacated several provisions of the rule, including ones that revoked guaranteed insurance coverage for people with past-due premiums; required eligibility verification for the special ACA enrollment period; and imposed a $5 premium penalty on people who automatically reenrolled in their plans.
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