Legislation Details

File #: 26-1354    Version: 1 Name:
Type: Discussion Item Status: Passed
File created: 2/13/2026 In control: Commissioners Court
On agenda: 2/26/2026 Final action: 2/26/2026
Title: Request for approval authorizing Harris County to join amicus brief in Columbus v. Kennedy (4th Cir., No. 25-2012) regarding access to health care.

Primary Department: County Attorney

Primary Department Head/Elected Official: Jonathan Fombonne, County Attorney

 

Secondary Department: N/A

Secondary Department Head/Elected Official: N/A

 

Regular or Supplemental RCA: Regular RCA

Type of Request: Discussion Item

 

Project ID (if applicable):  N/A

Vendor/Entity Legal Name (if applicable):  N/A

 

MWBE Contracted Goal (if applicable): N/A

MWBE Current Participation (if applicable): N/A

Justification for 0% MWBE Participation Goal:  N/A - Goal not applicable to request

 

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Justification for 0% Grant Indirect Costs Rate (if applicable): N/A - Not a grant item

 

Request Summary (Agenda Caption):

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Request for approval authorizing Harris County to join amicus brief in Columbus v. Kennedy (4th Cir., No. 25-2012) regarding access to health care.

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Background and Discussion:

The County Attorney requests approval to join an amicus brief being filed by the City of New York and County of Santa Clara in Columbus v. Kennedy (4th Cir., No. 25-2012).  The plaintiffs in the case-City of Columbus, the City of Chicago, the Mayor and City Council of Baltimore, and two organizational plaintiffs-challenge a Rulemaking issued by the U.S. Department of Health and Human Services (“HHS”) in June that creates significant obstacles to patient enrollment in health insurance through the health exchanges. 

 

Among other things, the rule shortens the open-enrollment period, imposes additional fees, imposes new eligibility verification requirements on individuals seeking to purchase insurance, makes it more difficult for individuals to verify their household income for the purpose of obtaining subsidies, and allows insurers to deny coverage to individuals with past-due premiums.  HHS estimates that the rule will result in 750,000 to 2,000,000 patients losing coverage nationwide.

 

The amicus brief will discuss the strain the Rule will place on safety-net health care providers by drastically increasing the number of uninsured patients, and the resulting harm to community health.   

 

 

 

 

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Infrastructure Initiative (Goal 2):  N/A

Economy Initiative (Goal 3): N/A

Health Initiative (Goal 4): N/A

Climate/Resilience Initiative (Goal 5): N/A

Housing Initiative (Goal 6): N/A

 

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County Attorney’s Office Legal Review (for Harris County Code Items only)

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Anticipated Court Date: 2/26/2026

Anticipated Implementation Date (if different from Court date): Click or tap to enter a date.

 

Emergency/Disaster Recovery Note: Not an emergency, disaster, or ARPA related item

 

Contact(s) name, title, department: Andrea Mintzer, Executive Assistant, Office of the County Attorney, Jonathan Fombonne

 

Attachments (if applicable):  N/A