--- title: District Court for District of Columbia Rules Retroactive 2023 Part C Rule is Impermissible description: District Court for District of Columbia rules retroactive 2023 Part C Rule is impermissible. image: https://public.govdataservices.com/hubfs/Hand%20about%20to%20bang%20gavel%20on%20sounding%20block%20in%20the%20court%20room-1.jpeg --- [Skip to content](https://public.govdataservices.com/the-scoop/district-court-for-district-of-columbia-rules-retroactive-2023-part-c-rule-is-impermissible#main-content) Close - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) SEARCH [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [![GDSlogo\_avenir\_2](https://public.govdataservices.com/hs-fs/hubfs/GDSlogo_avenir_2.png?width=1194&height=340&name=GDSlogo_avenir_2.png)](https://public.govdataservices.com/) - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) Oct 2, 2025, 5:48:06 PM 1 min read # District Court for District of Columbia Rules Retroactive 2023 Part C Rule is Impermissible [Previous](https://public.govdataservices.com/the-scoop/us-court-of-appeals-for-the-dc-circuit-decides-ssi-case) [Next](https://public.govdataservices.com/the-scoop/cms-2026-outpatient-pps-final-rule) Case: Montefiore Medical Center v. Robert F. Kennedy, JR. Court: U.S. District Court for the District of Columbia Decision Date: September 30, 2025 Overview: A 2023 Rule retroactively applied “entitled to benefits under Part A for pre 2014 adjustments.” The District Court decision this week determined “the 2023 Rule reflecting that interpretation is both impermissibly retroactive and arbitrary and capricious. Consequently, the rule is unlawful \[sic\]…” Remedy for the unlawful rule is pending further proceedings on supplemental briefs that are to be submitted this month. Implications for Providers: - Hospitals who have received pre-2014 adjustments may want to seek appeals. - Hospitals with realignments “in process” for pre-2014 years may want to seek injunction to prevent those requests from processing based on this case law to prevent a possible loss of reimbursement. - Hospitals who rushed to realign pre-2014 SSI ratios (“one time right”) may have foregone additional reimbursement and could consider legal action or could choose to wait and see if the remedy to this case provides them relief. - Hospitals should monitor the remedy in this case, which has not yet been determined by the court, and any related appeals of the case should they follow. If you have questions regarding Medicare DSH, SSI ratios, or 340B qualification please contact Adam Blackwell: [**adamblackwell@govdataservices.com**](mailto:adamblackwell@govdataservices.com) The CASE ruling can be found here: [Montefiore Case 1:2024cv01810](https://ecf.dcd.uscourts.gov/cgi-bin/show_public_doc?2024cv1810-31) ![avatar](https://public.govdataservices.com/hs-fs/hubfs/chriscusimano.jpg?width=290&name=chriscusimano.jpg) #### [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) ## RELATED ARTICLES ### [Chris Cusimano Sep 3, 2024, 4:00:00 PM 2 min read Medicare DSH: US District Court in TX Vacates 1115 Waiver "Exclusion Rule" Baylor All Saints Medical Center, ET AL. v. Xavier Becerra (“CASE”) was released August 15, 2024 in the United States District ... Start Reading](https://public.govdataservices.com/the-scoop/tx-vacates-1115-waiver-exclusion-rule) ### [Chris Cusimano Dec 15, 2025, 3:29:45 PM 1 min read Circuit Court Overturns District Court's Vacatur of Exclusionary Rule Regarding Certain 1115 Waiver Days On December 9, 2025, the Fifth Circuit (Case 24-10934) overturned the Northern District of Texas decision in Baylor All Saints ... Start Reading](https://public.govdataservices.com/the-scoop/circuit-court-overturns-district-courts-vacatur-of-exclusionary-rule-regarding-certain-1115-waiver-days) ### [Chris Cusimano Jan 11, 2023, 1:30:00 PM 2 min read District Court Rule January 10, 2023, to Allow HHS to Use Its Discretion to Determine How to Remedy the 340B Underpayments from January 1, 2018, through September 27, 2022 Tuesday, January 10, 2023, the District Court for the District of Columbia ruled to allow HHS to use its discretion to ... Start Reading](https://public.govdataservices.com/the-scoop/district-court-rule-january-10-2923-to-allow-hhs-to-use-its-discretion-to-determine-how-to-remedy-the-340b-underpayments-from-january-1-2018-through-se-1681184669749) [![gds-logo-1](https://public.govdataservices.com/hs-fs/hubfs/gds-logo-1.png?width=500&height=150&name=gds-logo-1.png)](https://public.govdataservices.com/) **Get in Touch** Government Data Services 3200 W. Market St., Ste. 102 Akron, OH 44333-3324 Government Data Services 117 Seaboard Lane, F270 Franklin, TN 37067 Toll Free: (800) 370-7397 Email: [info@govdataservices.com](mailto:info@govdataservices.com) ![soc](https://public.govdataservices.com/hs-fs/hubfs/soc.jpg?width=44&name=soc.jpg)[![digicert](https://public.govdataservices.com/hs-fs/hubfs/digicert.png?width=117&name=digicert.png)](https://seal.digicert.com/seals/popup/?tag=VtfrmabA&url=www.govdataservices.com) © 2026 - Government Data Services LLC. All rights reserved - [Site Use Agreement](https://public.govdataservices.com/terms-of-use) - [Confidentiality and Privacy](https://public.govdataservices.com/privacy) ```json { "@context" : "http://schema.org", "@type" : "Organization", "knowsLanguage" : "en", "name" : "", "url" : "https://public.govdataservices.com/the-scoop/district-court-for-district-of-columbia-rules-retroactive-2023-part-c-rule-is-impermissible" } ``` ```json { "@context" : "http://schema.org", "@type" : "BlogPosting", "abstract" : "District Court for District of Columbia rules retroactive 2023 Part C Rule is impermissible.", "author" : { "@type" : "Person", "name" : "Chris Cusimano" }, "dateModified" : "October 2, 2025 9 PM", "datePublished" : "October 2, 2025 9 PM", "headline" : "District Court for District of Columbia Rules Retroactive 2023 Part C Rule is Impermissible", "image" : "https://21378692.fs1.hubspotusercontent-na1.net/hubfs/21378692/Hand%20about%20to%20bang%20gavel%20on%20sounding%20block%20in%20the%20court%20room-1.jpeg", "inLanguage" : "en", "keywords" : "[Legal News]", "mainEntityOfPage" : { "@type" : "WebPage" }, "name" : "District Court for District of Columbia Rules Retroactive 2023 Part C Rule is Impermissible", "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "" }, "name" : "" }, "text" : "Case: Montefiore Medical Center v. Robert F. Kennedy, JR. Court: U.S. District Court for the District of Columbia Decision Date: September 30, 2025 Overview: A 2023 Rule retroactively applied “entitled to benefits under Part A for pre 2014 adjustments.” The District Court decision this week determined “the 2023 Rule reflecting that interpretation is both impermissibly retroactive and arbitrary and capricious. Consequently, the rule is unlawful [sic]…” Remedy for the unlawful rule is pending further proceedings on supplemental briefs that are to be submitted this month. Implications for Providers: Hospitals who have received pre-2014 adjustments may want to seek appeals. Hospitals with realignments “in process” for pre-2014 years may want to seek injunction to prevent those requests from processing based on this case law to prevent a possible loss of reimbursement. Hospitals who rushed to realign pre-2014 SSI ratios (“one time right”) may have foregone additional reimbursement and could consider legal action or could choose to wait and see if the remedy to this case provides them relief. Hospitals should monitor the remedy in this case, which has not yet been determined by the court, and any related appeals of the case should they follow. If you have questions regarding Medicare DSH, SSI ratios, or 340B qualification please contact Adam Blackwell: adamblackwell@govdataservices.com The CASE ruling can be found here: Montefiore Case 1:2024cv01810", "url" : "https://public.govdataservices.com/the-scoop/district-court-for-district-of-columbia-rules-retroactive-2023-part-c-rule-is-impermissible", "wordCount" : "324" } ``` ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Chris Cusimano", "url" : "https://public.govdataservices.com/the-scoop/author/chris-cusimano" }, "dateModified" : "2025-10-02T21:49:33.138Z", "datePublished" : "2025-10-02T21:48:06.000Z", "headline" : "District Court for District of Columbia Rules Retroactive 2023 Part C Rule is Impermissible", "image" : [ "https://public.govdataservices.com/hubfs/Hand%20about%20to%20bang%20gavel%20on%20sounding%20block%20in%20the%20court%20room-1.jpeg" ], "mainEntityOfPage" : { "@id" : "https://public.govdataservices.com/the-scoop/district-court-for-district-of-columbia-rules-retroactive-2023-part-c-rule-is-impermissible", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject" } } } ```