AMERICAN CLINICAL LABORATORY ASSOCIATION v. AZAR

No. 18-5312.

931 F.3d 1195 (2019)

AMERICAN CLINICAL LABORATORY ASSOCIATION, Appellant v. Alex Michael AZAR, II, in His Official Capacity as Secretary of Health and Human Services, Appellee.

United States Court of Appeals, District of Columbia Circuit.

Decided July 30, 2019.


Attorney(s) appearing for the Case

Ashley C. Parrish , Washington, DC, argued the cause for appellant. With him on the briefs were Mark D. Polston , Elizabeth N. Swayne , and Amelia G. Yowell , Washington, DC.

R. Scott Caulkins , Arlington, VA, and Jeffrey J. Sherrin , Albany, NY, were on the brief for amicus curiae American Association of Bioanalysts in support of plaintiffs-appellant.

David McAloon , Washington, DC, was on the brief for amici curiae The College of American Pathologists, et al. in support of appellant.

Dennis Fan , Attorney, U.S. Department of Justice, argued the cause for appellee. With him on the brief were Abby C. Wright , Attorney, Robert P. Charrow , General Counsel, U.S. Department of Health & Human Services, Janice L. Hoffman , Associate General Counsel, Susan Maxson Lyons , Deputy Associate General Counsel, and Debra M. Laboschin , Attorney. Alisa B. Klein , Attorney U.S. Department of Justice, entered an appearance.

Before: Griffith, Millett and Pillard, Circuit Judges.


The Protecting Access to Medicare Act (PAMA, or the Act) seeks to align Medicare reimbursement rates for laboratory tests with rates paid for such tests in the private market. To enable the Secretary of Health and Human Services (HHS) to ascertain the private market's reimbursement rates, PAMA requires "applicable laboratories...

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