{"argument_date":"2022-03-01T00:00:00Z","arguments":[{"argument_date":"2022-03-01T00:00:00Z","heading":"What happened at the argument","official_detail_url":"https://www.supremecourt.gov/oral_arguments/argument_transcript/2021","official_transcript_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","paragraphs":["The hospital plan claims Congress prioritized private payment for dialysis.","The dialysis provider claims the law sets a thirty-month coordination period.","justice_question"],"reargument":false,"sequence":1,"sources":[{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 10, lines 41-45","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 10, lines 41-45"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 10, lines 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29-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 47, lines 29-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 5, lines 11-23","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 5, lines 11-23"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 5, lines 25-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 5, lines 25-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 61, lines 25-27","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 61, lines 25-27"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 13-15","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 13-15"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 17-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 17-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 35-37","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 35-37"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 41-7","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 41-7"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 69, lines 11-13","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 69, lines 11-13"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 7, lines 49-53","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 7, lines 49-53"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 7, lines 7-25","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 7, lines 7-25"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 70, lines 23-49","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 70, lines 23-49"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 70, lines 53-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 70, lines 53-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 71, lines 43-49","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 71, lines 43-49"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 71, lines 53-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 71, lines 53-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 71, lines 9-39","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 71, lines 9-39"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 72, lines 55-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 72, lines 55-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 73, lines 11-17","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 73, lines 11-17"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 73, lines 23-25","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 73, lines 23-25"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 9, lines 17-21","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 9, lines 17-21"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 9, lines 27-31","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 9, lines 27-31"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 9, lines 39-43","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 9, lines 39-43"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 9, lines 47-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 9, lines 47-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 9, lines 7-11","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 9, lines 7-11"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 91, lines 47-51","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 91, lines 47-51"}]}],"caption":"Marietta Memorial Hosp. v. Davita Inc.","case_history":[{"changed_at":"2026-08-29T20:06:17.689969Z","explanation":"An official oral-argument transcript was verified.","status":"argued"},{"changed_at":"2026-08-29T20:06:17.719498Z","explanation":"An official oral-argument transcript was verified.","status":"argued"},{"changed_at":"2026-08-29T23:56:18.055064Z","explanation":"An official Court opinion was verified.","status":"decided"}],"case_status":"decided","dek":"A hospital plan and a dialysis provider dispute who must pay first for end-stage renal disease patients.","dek_sources":[{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 47, lines 29-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 47, lines 29-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 5, lines 25-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 5, lines 25-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 61, lines 25-27","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 61, lines 25-27"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 17-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 17-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 91, lines 47-51","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 91, lines 47-51"}],"dispositions":[],"latest_court_document_date":"2022-03-01T00:00:00Z","maturity":"post_opinion","official_detail_url":"https://www.supremecourt.gov/oral_arguments/argument_transcript/2021","official_disposition_urls":["https://www.supremecourt.gov/opinions/21pdf/596us2r53_l6h1.pdf"],"official_docket_url":"https://www.supremecourt.gov/docket/docketfiles/html/public/20-1641.html","primary_docket":"20-1641","revisions":[{"correction_note":"Rewritten to the concise citizen-facing editorial standard.","created_at":"2026-08-30T16:53:19.683788Z","maturity":"post_opinion","revision_number":1},{"correction_note":"Migrated to the dated official Court activity contract without model use.","created_at":"2026-09-05T03:22:24Z","maturity":"post_opinion","revision_number":2}],"schema_version":"1.1","sections":[{"heading":"What this case is about","paragraphs":["The case tests whether a private health plan must pay before Medicare for dialysis patients."],"sources":[{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 47, lines 29-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 47, lines 29-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 5, lines 25-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 5, lines 25-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 61, lines 25-27","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 61, lines 25-27"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 17-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 17-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 91, lines 47-51","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 91, lines 47-51"}]},{"heading":"How the case got here","paragraphs":["The Supreme Court heard oral argument in this case on March 1, 2022."],"sources":[{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 5, lines 11-23","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 5, lines 11-23"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 35-37","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 35-37"}]},{"heading":"What each side wants","paragraphs":["The hospital plan wants the lower court to reverse its loss.","The dialysis provider wants the lower court to affirm its win."],"sources":[{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 47, lines 29-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 47, lines 29-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 5, lines 25-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 5, lines 25-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 61, lines 25-27","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 61, lines 25-27"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 17-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 17-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 91, lines 47-51","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 91, lines 47-51"}]},{"heading":"What each side says","paragraphs":["The hospital plan argues Congress required private plans to pay first for dialysis.","The dialysis provider argues the law only coordinates benefits for thirty months."],"sources":[{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 47, lines 29-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 47, lines 29-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 5, lines 25-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 5, lines 25-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 61, lines 25-27","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 61, lines 25-27"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 17-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 17-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 91, lines 47-51","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 91, lines 47-51"}]},{"heading":"What the justices asked","paragraphs":["Justice Sotomayor asked if the plan encourages people to join Medicare.","Justice Breyer asked if Tier I applies to specific buildings."],"sources":[{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 10, lines 41-45","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 10, lines 41-45"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 10, lines 51-9","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 10, lines 51-9"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 11, lines 19-21","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 11, lines 19-21"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 11, lines 33-45","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 11, lines 33-45"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 12, lines 15-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 12, lines 15-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 13-15","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 13-15"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 35-37","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 35-37"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 41-7","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 41-7"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 69, lines 11-13","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 69, lines 11-13"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 7, lines 49-53","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 7, lines 49-53"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 7, lines 7-25","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 7, lines 7-25"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 70, lines 23-49","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 70, lines 23-49"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 70, lines 53-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 70, lines 53-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 71, lines 43-49","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 71, lines 43-49"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 71, lines 53-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 71, lines 53-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 71, lines 9-39","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 71, lines 9-39"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 72, lines 55-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 72, lines 55-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 73, lines 11-17","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 73, lines 11-17"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 73, lines 23-25","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 73, lines 23-25"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 9, lines 17-21","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 9, lines 17-21"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 9, lines 27-31","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 9, lines 27-31"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 9, lines 39-43","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 9, lines 39-43"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 9, lines 47-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 9, lines 47-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 9, lines 7-11","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 9, lines 7-11"}]},{"heading":"Why it matters","paragraphs":["This dispute determines who pays for dialysis when two insurers cover a patient."],"sources":[{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 47, lines 29-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 47, lines 29-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 5, lines 25-1","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 5, lines 25-1"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 61, lines 25-27","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 61, lines 25-27"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 68, lines 17-29","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 68, lines 17-29"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 91, lines 47-51","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 91, lines 47-51"}]},{"heading":"What happens next","paragraphs":["This article currently covers the argument record. Use the official docket link for later case activity."],"sources":[{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 10, lines 41-45","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 10, lines 41-45"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 10, lines 51-9","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 10, lines 51-9"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 11, lines 19-21","official_url":"https://www.supremecourt.gov/oral_arguments/argument_transcripts/2021/20-1641_j5f0.pdf","page_label":"file page 11, lines 19-21"},{"evidence_type":"Transcript","label":"Official Supreme Court Transcript — file page 11, lines 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