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GOP Health Reform

July 19, 2018 | Daily News

House Majority Leader Kevin McCarthy (R-CA) on Thursday revealed plans to bring a permanent repeal of the medical device tax, a two-year delay of the health insurance tax, a reversal of the ACA's ban on using tax-preferred accounts for over-the-counter medicine and tweaks to health savings accounts (HSAs) to the floor next week, but sources say he doesn't plan a vote on legislation that would delay the 40 percent tax on high-cost plans (known as the Cadillac tax) or mitigate the employer mandate at this time.

July 19, 2018 | Daily News

Senate Democrats are urging their GOP colleagues to back a resolution calling for the Senate to intervene and defend the Affordable Care Act's preexisting conditions protections in the lawsuit brought by 20 GOP-led states challenging the constitutionality of the ACA, but Republicans, who have consistently said they support the consumer protections, have yet to agree to the resolution.

July 19, 2018 | Daily News

An interim final rule clarifying the Affordable Care Act's risk adjustment payment methodology, pending at the White House Office of Management and Budget as of Wednesday night (July 18), may not be finalized and is one of several options being considered as the courts sort out conflicting rulings, CMS told Inside Health Policy on Thursday.

July 19, 2018 | Daily News

The final version of the Trump administration’s long-awaited, controversial rule expanding short-term plans landed at the White House Office of Management and Budget for review on Wednesday (July 18) and could be released shortly.

July 18, 2018 | Daily News

Maryland Insurance Commissioner Al Redmer, Jr. announced Wednesday he will hold a public hearing July 30 on issuers' proposed rate increases in the small and large group market.

July 18, 2018 | Daily News

Justices of the Maine Supreme Judicial Court on Wednesday (July 18) were uncertain whether the court should -- or could -- intervene in a political impasse between the state's governor and the legislature over funding for the voter-approved Medicaid expansion.

July 18, 2018 | Daily News

A federal court in California on Wednesday dismissed a case brought by 18 Democratic attorneys general challenging the Trump administration's decision last year to end the ACA's cost-sharing reduction payments to insurers, but the court leaves the door open for the attorneys general to refile their case if HHS moves to block the silver-loading workaround that has made up for the lack of CSRs.

July 18, 2018 | Daily News

HHS Secretary Alex Azar announced Wednesday (July 18) that Center for Medicare and Medicaid Innovation (CMMI) Director Adam Boehler will also begin serving as senior advisor for Value-Based Transformation and Innovation.

July 17, 2018 | Daily News

House Ways & Means Chairman Kevin Brady (R-TX) said Tuesday (July 17) that he has been talking with HHS Secretary Alex Azar about possible ways to resume risk adjustment payments, but he has not yet decided by what means, and that he plans to bring a package of Affordable Care Act-related bills to the floor next week.

July 17, 2018 | Daily News

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.

July 17, 2018 | Daily News

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.

July 17, 2018 | Daily News

In the wake of the Trump administration’s decision to slash grants for the Affordable Care Act’s navigators, the Urban Institute and the Robert Wood Johnson Foundation suggest government officials could leverage other public resources, like schools and food assistance programs, to find and target hard-to-reach consumers who may be eligible for Medicaid, CHIP or large premium tax credits on the exchanges.

July 16, 2018 | Daily News

Judge Reed O'Connor is asking all parties in Texas v. United States to respond by July 30 with any reasons to oppose the Department of Justice's request that the federal district court offer a summary judgment finding that the individual mandate is unconstitutional and must be thrown out along with protections for consumers with pre-existing conditions.

July 16, 2018 | Daily News

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.

July 13, 2018 | Daily News

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.

July 13, 2018 | Daily News

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

July 13, 2018 | Daily News

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.

July 13, 2018 | Daily News

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.

July 13, 2018 | Daily News

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.

July 12, 2018 | Daily News

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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