Update of the 2025 dollar amount in controversy required to sustain appeal rights for an Administrative Law Judge (ALJ) Hearing or Federal District Court Review

Section 1869(b)(1)(E) of the Social Security Act (the Act), as amended by Section 940 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), requires an annual reevaluation of the dollar amount in controversy required for an Administrative Law Judge (ALJ) hearing and Federal District Court review.

For ALJ hearing requests filed on or before December 31, 2024, the amount in controversy will remain at $180. ALJ hearing requests filed on or after January 1, 2025, the amount in controversy will increase to $190.

For reviews in Federal District Court requested on or before December 31, 2024, the amount in controversy remain at $1,840. Federal District Court appeals filed on or after January 1, 2025, the amount in controversy will increase to $1,900.