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Democratic Mayors Challenge Trump’s New ACA Enrollment Rule

The lawsuit says the policy breaches federal procedures, threatening coverage for nearly two million people.

FILE - Columbus Mayor Andrew Ginther speaks during a news conference, Sept. 23, 2021, in Columbus, Ohio. (AP Photo/Jay LaPrete, File)
FILE - Chicago Mayor Brandon Johnson takes his seat at the witness table during a House Committee on Oversight and Government Reform hearing with Sanctuary City Mayors on Capitol Hill, March 5, 2025, in Washington. (AP Photo/Rod Lamkey, Jr.,File)
FILE - Baltimore Mayor Brandon M. Scott speaks, Oct. 29, 2024, at the Dundalk Marine Terminal in Baltimore. (AP Photo/Daniel Kucin Jr., File)
The Healthcare.gov website is displayed on a laptop computer arranged for a photograph in Washington, D.C., U.S., on Monday, Nov. 4, 2013.

Overview

  • Democratic mayors from Chicago, Baltimore, and Columbus, Ohio, joined by Doctors for America and Main Street Alliance, filed a federal lawsuit in Maryland on July 1 to block the administration’s new rule.
  • Finalized on June 25, the policy shortens open enrollment to November 1–December 15, ends a monthly income-based special enrollment period, and requires tougher income verification.
  • It imposes a $5 fee for some automatic plan renewals and bars roughly 100,000 immigrants brought to the U.S. as children from enrolling in marketplace coverage.
  • CMS projects between 725,000 and 1.8 million Americans could lose their health insurance under the tighter rules.
  • The lawsuit alleges HHS violated the ACA and federal rulemaking procedures by ignoring public comments and asks the court to void the contested provisions.