[20171026]LSB10018_卫生和公共服务部停止支付成本分摊削减（CSR）款项.pdf

CRS INSIGHT Prepared for Members and Committees of Congress Legal SidebarLegal Sidebari i Department of Health and Human Services Halts Cost-Sharing Reduction (CSR) Payments October 26, 2017 Over the past three years, the House of Representatives and the Department of Health and Human Services (HHS) have been adverse parties in a suit challenging HHSs payment of cost-sharing reduction (CSR) subsidies under Section 1402(c)(3) of the Patient Protection and Affordable Care Act (ACA). CSR payments are made to compensate those insurers that are required by the ACA to reduce out-of-pocket costs (such as co-pays and deductibles) for lower-income enrollees. After the House obtained a judgment against HHS from the U.S. District Court for the District of Columbia in 2016, an appeal has been pending before the U.S. Court of Appeals for the District of Columbia (D.C. Circuit). However, the case, currently captioned House of Representatives v. Hargan, took a sharp turn on October 13, 2017, when HHS informed the D.C. Circuit that the agency would immediately comply with the Houses demand and cease cost-sharing reduction (CSR) payments to insurers. After HHS gave its notice to the court, attorney