Health care facilities across the country are fighting insurance providers’ refusal to compensate the costs of COVID testing, and a recent federal court decision in Texas may be the catalyst for an influx of similar suits.

The various suits are filed by out-of-network providers of COVID-19 testing against insurance companies for declining to provide reimbursement for tests the plaintiffs conducted. The suits allege, among other counts, violations of the Families First Coronavirus Response Act and Coronavirus Aid, Relief and Economic Security Act, which require insurers to cover COVID testing regardless of whether it is conducted by in-network or out-of-network providers.