Health and Science

Here's what a judge can—and can't—do in ruling on the Justice Department's deal with CVS and Aetna

Key Points
  • Judge Richard Leon is considering halting the integration of CVS Health and Aetna.
  • CVS and Aetna closed their roughly $70 billion merger on Nov. 28.
  • The Justice Department's agreement with the companies needs to be approved by a judge but cannot be blocked outright, legal experts say.
In June, insurance giant Aetna announced it will be leaving its home office in Hartford and moving to Manhattan after 164 years in the Nutmeg State.
Michael Nagle | Bloomberg | Getty Images

A federal judge is considering halting the integration of CVS Health and Aetna — even though the two companies closed their merger last week.

Judge Richard Leon of the U.S. District Court for the District of Columbia in a hearing Monday floated the idea that CVS and Aetna keep their companies separate until he can determine whether the agreement the Justice Department struck with the companies clears anti-competitive concerns, according to a transcript of the hearing.

The judge pointed to concerns from groups, such as the American Medical Association, that have urged regulators to block the deal, saying the combination would reduce competition and leave consumers worse off.

The Justice Department in October said it would require CVS and Aetna to resolve overlap between their Medicare Part D plans in order to approve their roughly $70 billion deal. To satisfy these concerns, Aetna sold its business to WellCare Health Plans.

When the Justice Department strikes an agreement with companies, the deal must be cleared by a federal judge. This step has become somewhat procedural, with judges rarely questioning or opposing the terms. Companies typically don't wait for a judge to rule before closing a deal. So while it's not unusual for CVS to have already completed its acquisition of Aetna, it is unusual for a judge to consider keeping the companies from integrating while he completes his review.

"Unusual is almost too light of a word," said Andrea Agathoklis Murino, a partner in and co-chair of Goodwin's antitrust and competition law practice. "I can't recall another instance of a judge doing this."

Enacted in 1974, the Tunney Act slows the merger process and adds a layer of oversight in cases where the Justice Department negotiates with the companies seeking to combine. The law created a 60-day comment period and gave judges the final say on whether the agreements made are in the public's best interest.

Under the law, judges can conclude that the remedy proposed does not address anti-competitive concerns outlined in the complaint, said Jim Tierney, a partner in Orrick's antitrust practice. They can't, however, block the entire merger.

That means in the CVS-Aetna case specifically, Leon can decide whether the agreement the Justice Department struck with CVS and Aetna on their Medicare Part D businesses addresses anti-competitive issues, Tierney said. He can find the agreement sufficiently clears these concerns or not. If he finds it does not, the companies can renegotiate with the Justice Department or appeal the ruling.

Leon on Monday said he will order both parties to submit their arguments as to why he should not halt the integration pending his final ruling. He ordered the companies to submit filings by Dec. 14 and called another hearing for Dec. 18.

CVS and Aetna closed their roughly $70 billion deal on Nov. 28.

"CVS Health and Aetna are one company, and our focus is on transforming the consumer health experience," CVS said in a statement.

Correction: This story has been updated to clarify the judge's statement as to what order he will issue.