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Congress

May 16, 2019 | Daily News

A bipartisan group of senators that has been working on a plan to curb surprise billing released legislation Thursday (May 16) that calls for a baseball-style arbitration process for settling disputes between providers and insurers -- a process opposed by the White House and not included in the recently released House draft legislation.

May 15, 2019 | Daily News

Much to the chagrin of Sen. Dick Durbin (D-IL), FDA Acting Commissioner Ned Sharpless plans to stick with FDA’s plan to not enforce premarket compliance dates for e-cigarettes until 2021, according to the senator, who met with Sharpless Tuesday (May 14).

May 15, 2019 |

Federal Trade Commissioner Rebecca Kelly Slaughter said FTC faces many challenges in antitrust enforcement– including falling resources, the inability to study the insurance industry without explicit congressional authorization, lack of authority to review non-profit hospitals’ activities, a reliance on insurers’ data and the large amount of evidence courts require to show a merger could be harmful.

May 15, 2019 | Daily News

Federal Trade Commissioner Rebecca Kelly Slaughter said FTC faces many challenges in antitrust enforcement– including falling resources, the inability to study the insurance industry without explicit congressional authorization, lack of authority to review non-profit hospitals’ activities, a reliance on insurers’ data and the large amount of evidence courts require to show a merger could be harmful.

May 14, 2019 | Daily News

House Democrats have delayed a floor vote on the Energy & Commerce-passed reinsurance bill because they hope to package it with legislation to lower Affordable Care Act premiums, a senior House Democratic aide told Inside Health Policy.

May 14, 2019 | Daily News

Rep. Mark Green (R-TN) introduced a bill Tuesday (May 14) that would allow Medicaid enrollees to choose to use a pre-paid “swipe card” to purchase medical care -- a proposal Green said would drive down costs and introduce more competition into the health sector, but one policy analyst said might instead drive up costs.

May 14, 2019 | Daily News

The House Energy & Commerce Committee released a draft bipartisan proposal to tackle surprise medical billing that ties a benchmark payment rate for out-of-network services to the average in-network rate for that geographic area -- a move opposed by hospitals and providers, who don’t like rate setting.

May 14, 2019 | Daily News

The House Energy & Commerce Committee will hold a hearing next week on a package of bipartisan drug-pricing bills, sources say.

May 14, 2019 | Daily News

The majority of the House – about 300 lawmakers – is asking House leadership to move legislation delaying by an additional two years the Medicaid Disproportionate Share Hospital Payment cuts set to kick in Oct.1 – though, on the other side of Capitol Hill, Senate Finance Committee Chair Chuck Grassley (R-IA) has said Congress should revamp the payment system instead of simply delaying the cuts again.

May 14, 2019 | Daily News

House Oversight Committee Chair Elijah Cummings (D-MD) and Sen. Bernie Sanders (I-VT) are looking into reports in a newly filed lawsuit that allege generic drug companies obstructed the lawmakers’ 2014 investigation into price fixing.

May 13, 2019 | Daily News

CMS would be prevented from moving forward with a planned rule cutting back on non-emergency transportation benefits in Medicaid if a spending restriction pushed by the Congressional Black Caucus and supported by the House Appropriations Committee becomes law.

May 13, 2019 | Daily News

Progressive Democrats have made clear they do not want an arbiter to mediate disputes between drug makers and Medicare over drug prices, but their opposition to arbitration goes beyond the pharmaceutical space.

May 10, 2019 | Daily News

Senate health committee ranking Democrat Patty Murray (WA) sent letters to three duodenoscope makers -- Olympus, Pentax and Fujifilm -- asking about their plans to respond to FDA’s findings that the number of high-concern organisms found on reprocessed duodenoscopes is nearly 2.5% more than what the agency originally reported back in 2018.

May 09, 2019 | Daily News

House Democrats voted Thursday to reverse the Trump administration’s guidance that allows states to use Affordable Care Act 1332 waivers to navigate around the law's coverage requirements, but no states have applied for the new waivers and few have shown interest.

May 09, 2019 | Daily News

The White House pressured Congress to act to curb surprise medical bills and said it would support a solution protects the patient in both emergency situations and when a facing a surprise bill after scheduling an in-network procedure.

May 09, 2019 | Daily News

The Government Accountability Office (GAO) said it still hasn’t received documents from the White House Office of National Drug Control Policy (ONDCP) needed to adequately assess the administration’s national drug policy strategy, while some House Democrats said the goals outlined by the drug control office on medication-assisted treatment (MAT) are too modest.

May 09, 2019 | Daily News

The American Hospital Association is praising legislation it says would undo cuts to Medicare pay for clinic visits at certain facilities exempted from site-neutral policy in the Bipartisan Budget Act of 2015 -- cuts that AHA is separately seeking to overturn through the federal courts.

May 08, 2019 | Daily News

House Speaker Nancy Pelosi’s (D-CA) office is working on a drug-price negotiation bill that would use arbitration as a backstop to price negotiations between HHS and drug makers on high-cost drugs, and the resulting price could be available to other payers, not just to Medicare plans, sources briefed on the plan told Inside Drug Pricing.

May 08, 2019 | Daily News

The House will vote next week on legislation that combines key drug-pricing and Affordable Care Act bills, House Majority Leader Steny Hoyer (D-MD) said Wednesday (May 8).

May 08, 2019 | Daily News

Two key employer groups suggest Congress consider outlawing profit-sharing agreements and inappropriate kickbacks between hospitals and physician staffing firms as part of lawmakers’ bid to curb surprise billing practices.

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