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Congress

April 09, 2021 | Daily News

The House Congressional Progressive Caucus (CPC) Friday (April 9) floated its priorities for the next legislative package, which include lowering Medicare’s eligibility age and expanding the program’s benefits, and paying for the reforms with savings from policies it advocates to cut drug costs.

April 09, 2021 | Daily News

CMS plans to reinstate on May 10 three nursing homes requirements waived due to the pandemic, including one that eliminated the advance notice that facilities must give patients before moving them, but the agency plans to continue the nurse aide training and certification waiver that lawmakers and patient advocates have said are no longer necessary.

April 08, 2021 | Daily News

Hospitals are calculating whether it would be better for them to immediately repay their Medicare loans or have the payments taken out of their claims after CMS announced it’s beginning to recoup payments under the Medicare Accelerated and Advance Payment Program.

April 06, 2021 | Daily News

The Democratic leaders of congressional health care committees are asking HHS to make sure consumers that receive the six months of fully subsidized COBRA coverage available under the American Rescue Plan can enroll in an Affordable Care Act plan once the COBRA benefits end.

April 06, 2021 | Daily News

HHS Secretary Xavier Becerra faces a barrage of competing issues arising out of the pandemic, but children’s health care advocates’ priorities center around one central idea: thinking about kids first.

April 05, 2021 | Daily News

The Senate parliamentarian on Monday agreed that Democrats have at least one more shot at passing legislation via a simple majority this calendar year by revising the 2021 budget resolution.

April 02, 2021 | Daily News

Medicare Payment Advisory Commission staff estimate CMS’ policy of basing Medicare laboratory pay rates on commercial-payer rates will save 24% on average once it is fully implemented, but they say the savings will vary based on the test type and warn independent labs’ overrepresentation in the data collection might skew rates to the lower end and affect patient access.

April 01, 2021 | Daily News

LeadingAge on Thursday (April 1) released a wishlist for Congress’ upcoming infrastructure package that includes a permanent 10% increase in the federal Medicaid matching funds for both home- and community-based and nursing home services.

April 01, 2021 | Daily News

The Biden administration wants to increase access to medications for opioid use disorder and expand access to recovery support services, among a host of other reforms aimed at addressing the country’s resurging overdose and addiction epidemic, according to a Drug Control Policy statement released Thursday (April 1).

March 31, 2021 | Daily News

Rural providers are pushing Congress to include increased broadband access, health care workforce support and capital improvement funds in the infrastructure package instead of more provider relief -- stakeholders say it’s up to HHS to ensure the $8.5 billion in relief lawmakers recently allocated for rural providers is useable.

March 31, 2021 | Daily News

The Biden administration on Wednesday (March 31) unveiled a proposal to invest $30 billion over a four-year period in U.S. pandemic preparedness and response efforts that include shoring up the Strategic National Stockpile, developing and fielding tests and therapeutics for emerging outbreaks, and developing prototype vaccines through phase 1 and 2 trials.

March 30, 2021 | Daily News

A bicameral group of Democrats reinserted another version of the public option into the mix, reintroducing a bill that would require HHS to create a public option to complete on the individual market.

March 30, 2021 | Daily News

CMS will hold Medicare claims “for a short period” after April 1 so that providers don’t see the 2% Medicare sequestration cuts go into effect before lawmakers take final action to extend the moratorium on those cuts.

March 30, 2021 | Daily News

A group of Democratic Representatives urged President Joe Biden to stick to his campaign trail proposal to allocate $450 billion to home- and community-based services in a letter sent Tuesday (March 30), a day before Biden is expected to release his “Build Back Better” plan.

March 29, 2021 | Daily News

America’s Physician Groups say the infrastructure package expected to be unveiled later this week would be the perfect vessel to allocate additional provider relief, and specifically targeted at physicians, especially those in primary care, whom they feel have been largely left out of previous distributions in favor of relief for hospitals.

March 26, 2021 | Daily News

Children’s health care advocates say their push to make the Children's Health Insurance Program permanent now goes beyond concerns that Congress will use the program as a bargaining chip: Depending on how the Supreme Court rules on the Affordable Care Act, the Congressional Budget Office score of the cost to renew CHIP could drastically increase when the program is up for renewal in 2027 from the last assessment of nearly budget neutral.

March 25, 2021 | Daily News

As providers and lobbyists anticipated, the Senate on Thursday (March 25) passed an extension of the Medicare sequester moratorium through the end of the year, but the legislation doesn’t include a House provision that would also head off additional sequester cuts created by the American Rescue Plan.

March 25, 2021 | Daily News

Germany’s drug pricing model, which makes drug companies justify prices to an independent panel, got a lot of attention Tuesday (March 23) at a Senate subcommittee hearing that highlighted the higher prices Americans pay for drugs compared to prices in the rest of the world.

March 25, 2021 | Daily News

A bipartisan group of representatives introduced a bill Wednesday (March 24) that would allow Medicare Advantage plans to count diagnoses from audio-only telehealth services towards risk adjustment for at least plan years 2020 and 2021 and allow providers to be reimbursed at the same rate for audio-only telehealth and in-person care during the public health emergency.

March 24, 2021 | Daily News

Sen. Amy Klobuchar (D-MN) on Monday (March 22) reintroduced legislation to let Medicare negotiate drug prices, and the bill has 32 Democratic senator cosponsors, including Sen. Joe Manchin (D-WV), who has frustrated Democrats on other policies.

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