In Affinity Living Group v. StarStone Specialty Insurance, the Fourth Circuit held that the insurance claim of Affinity Living Group (an operator of adult care homes) for Medicaid reimbursements was an extension of its insurance policy with StarStone Specialty Insurance, which covered claims “‘arising out of a medical incident.’”

In CSX Transportation v. S.C. Department of Revenue, the Fourth Circuit held that South Carolina failed to justify its exclusion of railroads from a state law that caps the amount that appraisal values on commercial and industrial properties can increase, in a five-year period, at 15%.