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20 States Sue Trump Over ACA Rule That Could Cut Health Coverage for Millions

Attorneys general push back against changes they say will gut the Affordable Care Act

by thinktank
July 20, 2025
Reading Time: 1 min read
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20 States Sue Trump Over ACA Rule That Could Cut Health Coverage for Millions

20 States Sue Trump Over ACA Rule That Could Cut Health Coverage for Millions

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A coalition of 20 Democratic attorneys general filed a lawsuit challenging a Trump administration rule they say threatens access to affordable health coverage. Led by California, Massachusetts, and New Jersey, the suit argues the Department of Health and Human Services overstepped its authority with a rule expected to cause nearly 2 million people to lose insurance.

Filed in federal court in Massachusetts, the complaint targets changes that shorten enrollment periods, increase verification hurdles, and eliminate essential benefits like gender-affirming care.

“This rule is arbitrary, capricious, and unlawful,” the suit claims. “It erects unreasonable barriers to coverage while offering little justification beyond unverified concerns about broker fraud.”

California Attorney General Rob Bonta added, “Far from delivering on their promises to drive down costs and ‘make America healthier,’ the Trump Administration’s HHS and CMS are doing their best to make it harder and more expensive for Americans to obtain health insurance and access care.”

HHS defends the rule, claiming it curbs wasteful spending and could save $12 billion in 2026. But the attorneys general warn the cost will fall on individuals and states forced to manage the fallout.

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