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Daily News

November 06, 2019

Senate Finance Committee Chair Chuck Grassley suggested  Tuesday (Nov. 5) that he plans to file an updated drug pricing bill next week, and a White House official said the administration is working with the Iowa Republican and ranking Finance Democrat Ron Wyden (OR) on provisions to limit seniors’ monthly out-of-pocket costs and to help seniors with sharply rising insulin list prices.

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FDA will start picking leaders for newly formed review divisions as part of the second phase of its reorganization of the Office of New Drugs, the agency announced Wednesday (Nov. 6).

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November 05, 2019

South Carolina likely violated federal law when it attempted to prevent Planned Parenthood from receiving any Medicaid funding, a federal appeals court recently ruled.

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Hospitals called on CMS to release final guidance on how hospitals can avoid violating Medicare conditions of participations when creating policies to reduce risk in patients who may cause harm to themselves and others or sharing locations with other providers.

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The White House budget office on Monday (Nov. 4) completed its review of FDA’s highly anticipated guidance laying out enforcement priorities for e-cigarettes and other electronic nicotine delivery systems.

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Medicaid expansion under the Affordable Care Act reduced preventable hospitalizations in states that opted into the expanded program in 2014, according to a new report published in Health Affairs.

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Problems with the federal marketplace that stopped consumers from enrolling in coverage on the first day of open enrollment have been fixed, CMS says, and navigators also tell Inside Health Policy that healthcare.gov now seems to be running smoothly.

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The American Kidney Fund (AKF) and Dialysis Patient Citizens (DPC) and two kidney failure patients have sued California over legislation enacted last month that the advocates say will cause irreparable harm to patients with end-stage renal disease.

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November 04, 2019

Georgia Gov. Brian Kemp (R) released his partial Medicaid expansion plan Monday (Nov. 4) that also would implement work requirements, despite court challenges to work requirements in several states and refusals by CMS to provide full federal funding matches for partially expanded state Medicaid programs.

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Medicaid policy is a central issue in state elections being held Tuesday (Nov. 5) in Kentucky, Mississippi and Virginia, as well as in Louisiana, which has a runoff for governor later this month.

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Nearly 68 million women and girls with preexisting conditions risk facing discriminatory insurance pricing or losing coverage if the Affordable Care Act is repealed in the high-profile Texas v. United States case, according to a new report from the Center for American Progress and National Partnership for Women & Families.

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Congress’ Medicaid advisors are putting maternal health into focus with several planned analytical reports on Medicaid’s role in maternal health, access to maternal health in rural areas, and substance use in pregnant women.

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The White House on Sunday vowed to vigorously defend the president’s demand that immigrants show they can cover their own health costs or can purchase certain coverage prior to entering the country after a federal judge in Oregon barred the government from implementing the policy for 28 days.

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Staffers on the House and Senate committees working on surprise billing legislation say they are open to including an air ambulance fix in their final policy, but some providers and lobbyists are pushing the committees to leave air ambulance policy out of the bill and deal with it separately.

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Consumers and enrollment assisters faced myriad problems with healthcare.gov on the first day of open enrollment that slowed or stopped the application process, and CMS says it is trying to fix the issues.

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Senate health committee ranking Democrat Patty Murray (WA) plans to press FDA commissioner nominee Stephen Hahn to commit to act quickly on a flavor ban on e-cigarettes and on other tobacco issues if he’s confirmed to lead the agency, the lawmaker said in a statement Friday (Nov. 1).

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The White House budget office is reviewing FDA’s proposal to allow institutions conducting research through multiple sites in the United States to rely on approval by a single Institutional Review Board.

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November 01, 2019

CMS on Friday (Nov. 1) finalized changes to the Physician Fee Schedule that will simplify documentation and coding requirements for office visits, add a new Part B benefit for opioid treatment programs and increase pay for care management services provided to beneficiaries after they leave the hospital.

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CMS on Friday (Nov. 1) finalized controversial proposals in the 2020 hospital outpatient pay rule to continue cuts to 340B drug reimbursement and to pay for clinic visits at certain off-campus facilities, despite federal district judges ruling against both polices.

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The National Home Infusion Association pushed back after CMS finalized a new home infusion benefit for 2021 as part of a home health pay rule out Thursday (Oct. 31) that excludes pharmacists, instead reimbursing them under the durable medical equipment benefit.

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