9th Circuit Vacates Ruling That TPA Discriminated By Enforcing Exclusions

( November 18, 2025, 2:13 PM EST) -- PASADENA, Calif. — Citing the U.S. Supreme Court’s split June 18 ruling in United States v. Skrmetti, the Ninth Circuit U.S. Court of Appeals on Nov. 17 vacated and remanded for reconsideration a class action ruling that the third-party administrator (TPA) of a self-funded health plan violated the Patient Protection and Affordable Care Act (ACA)’s antidiscrimination provision by administering exclusions of gender-affirming care....