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Health Exchange Alert Weekly Report - 07/18/2018

  • Dems Seek Answers On RA Suspension, Demand Interim Final Rule

    The ranking Democrats of the Senate and House committees of jurisdiction over health care on Monday (July 16) demanded the Trump administration immediately reverse its decision to halt the Affordable Care Act's risk adjustment program, and sought more information on the timing and justification for the decision, including whether the White House was involved.

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  • Dem AGs Ask Court To Put CSR Case On Hold In Light Of Silver-Loading

    The group of 18 Democratic attorneys general who filed suit after the administration ended cost-sharing reduction (CSR) payments last October are now asking the federal court in Northern California to put the case, California v. Trump, on hold so long as a silver-loading work-around continues.

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  • Colorado Insurers Request Only Slight Rate Hikes

    Affordable Care Act insurers in Colorado have requested for 2019 an average rate hike of 5.94 percent across all insurers and all metal levels, representing the smallest premium increase the state has seen in several years, according to the Colorado Department of Regulatory Agencies.

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  • AHIP Welcomes New Members

    America’s Health Insurance Plans on Monday (July 16) announced the addition of four new member organizations, Priority Health of Michigan, Health Plan of San Joaquin, CareOregon and CalOptima, which participates in Medicare Advantage and Medicaid in Orange County, CA.

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  • CMS Issues Guidance On RA, Other Programs In Light Of NM Court Ruling

    CMS Thursday released additional, largely technical, guidance to issuers in light of the New Mexico court's order to vacate the risk adjustment program, reiterating the 2017 payments and collections will be halted, but also noting the agency will still collect user fees from issuers for the plan year since they are not reliant on the budget-neutral methodology rejected by the court.

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  • Alexander Hopes For Quick Court Ruling On Risk Adjustment, Has No Plan To Revisit Stabilization Bill

    Senate health committee Chair Lamar Alexander (R-TN) said he hopes a federal court in New Mexico will decide soon whether CMS can resume the ACA's risk adjustment program to avert further premium hikes.

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  • CMS, In Quick Turnaround, Says NJ 1332 Application Complete

    CMS on Friday (July 13) informed New Jersey officials that it has deemed the state's recent State Innovation Waiver application to be complete.

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  • W&M Sends 11 Health Bills To Floor After Two-Day Contentious Markup

    The House Ways & Means Committee wrapped up a two-day, often fiery, health care markup on Thursday (July 12), ultimately sending to the floor 11 bills that collectively would change rules on tax-favored health savings accounts, offer retroactive relief from the ACA's employer mandate, delay the Cadillac tax until 2023 and allow consumers to use tax credits for off-exchange products.

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  • Returning Tennessee Insurers Request Rate Decreases For 2019

    Two of the three insurers returning to the Tennessee Affordable Care Act marketplaces for 2019 have requested rate decreases, and two new carriers are seeking to enter the state’s ACA exchanges.

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  • House Approps Approves 2019 HHS Funding Bill Banning New ACA Funds

    The House Appropriations Committee approved 30-22 a fiscal 2019 HHS funding bill, following a marathon 13-hour markup, that includes a provision blocking any new funding for the Affordable Care Act and prohibiting the use of funding for existing navigator programs.

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  • Idaho Submits Final State-Level Plans, May Share Publicly If CMS Doesn't Act Soon

    Idaho submitted to CMS on June 28 the finalized version of its Affordable Care Act non-compliant plans, Idaho Insurance Commission Dean Cameron told Inside Health Policy on Thursday (July 12).

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