Health Care Ruling Could Be Costly for Government

FILE -- A product adviser at Montana Health Co-op, which sells coverage on the federal insurance exchange created under the Affordable Care Act, in Helena, Mont., Oct. 15, 2013. A federal judge ruled in Sept. 2018 that the insurer is entitled to federal compensation for subsidy payments under the ACA that President Donald Trump abruptly ended in October 2017. (Rich Addicks/The New York Times)