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GOP Health Reform

April 25, 2018 | Daily News

HHS is actively exploring how to encourage more states to drop their full reliance on the federal government to run their exchanges, but isn't ready to offer the customized framework that many states have requested, the department says in the final 2019 exchange rule published April 9.

April 25, 2018 | Daily News

Insurance groups, issuers and stakeholders urged the Trump administration not to allow guaranteed renewability of short-term, limited duration health plans, and many argued that the short-term plans should not be renewable in any circumstance as such action could undermine the rest of the individual market.

April 25, 2018 | Daily News

Nevada's health exchange is urging HHS Secretary Alex Azar to let the state's exchange continue to pay a 2 percent user fee, rather than the 3 percent fee that states using the federal platform are required to start paying in 2019 under the final exchange payment rule, because the state is shifting back to a fully state-run marketplace for 2020.

April 24, 2018 | Daily News

CMS extended its deadline for Idaho to amend the state's proposed Affordable Care Act non-compliant health plans, as CMS and the Idaho Department of Insurance continue talks surrounding the controversial plans.

April 23, 2018 | Daily News

CMS is considering contracting directly with primary doctors by paying them a lump sum for the primary care services they provide to seniors who volunteer to be part of the pay model.

April 23, 2018 | Daily News

Insurance groups and issuers are largely united in their opposition to the Trump administration’s proposal to increase the duration of short-term plans and encourage CMS to change its proposed rule so as to curtail the growth of such plans.

April 23, 2018 | Daily News

Three more states -- one red and two purple -- advanced bills last week that seek to add work requirements to their Medicaid programs.

April 23, 2018 | Daily News

Rhode Island is the latest state to searching for a local solution, such as reinsurance or a state-based mandate, to blunt the impact of federal actions that could lead to premium increases, and last Wednesday (April 18) the newly formed Rhode Island Market Stability Workgroup held its first meeting.

April 20, 2018 | Daily News

CMS told congressional Medicaid advisers Friday (April 20) that the agency is enhancing its oversight of 1115 demonstration waivers after a February report from the Government Accountability Office identified shortcomings in how states and the federal government evaluate whether those demonstrations are successful.

April 20, 2018 | Daily News

A provision tucked into the farm bill moving through the House would authorize $65 million for the secretary of Agriculture to create up to 10 loans and grants to help support the creation of agricultural association health plans.

April 20, 2018 | Daily News

Wisconsin Governor Scott Walker submitted a 1332 waiver to HHS requesting a $200 million state reinsurance program, with the goal of lowering Affordable Care Act premiums for 2019 and beyond.

April 19, 2018 | Daily News

A group of 30 conservatives, led by former GOP Pennsylvania Senator Rick Santorum, are urging Republican lawmakers to shift their focus back to repealing and replacing the Affordable Care Act ahead of the November mid-term elections.

April 19, 2018 | Daily News

Federal Court of Claims Judge Margaret Sweeney on Tuesday (April 17) rejected the Justice Department's bid to block class action status in a lawsuit over the administration's decision to cut off cost-sharing reduction payments to insurers, instead certifying Common Ground Health Cooperative's case and requiring the government provide the plaintiff's a list of potential class members by May 18.

April 18, 2018 | Daily News

HHS Secretary Alex Azar appointed James Parker as his senior advisor for health reform and director of the Office of Health Reform to lead the agency’s initiative to address the cost and availability of health insurance.

April 18, 2018 | Daily News

Senators Chris Murphy (CT) and Jeff Merkley (OR) introduced a new Democratic health care proposal that would allow all individuals, regardless of age, with private or public insurance to buy into Medicare.

April 18, 2018 | Daily News

Virginia lawmakers moved closer Tuesday (April 17) to expanding Medicaid, with the House of Delegates passing a new state budget proposal that includes an expansion plan with work requirements that are more stringent than what the House had proposed previously.

April 18, 2018 | Daily News

CMS pushed back the 2019 rate filing deadline to July 25 for states with a rate review program and keep it at June 1 for the handful of states without a rate review program, and also approved a new rule allowing insurers to submit new, higher rates for insurance plans without government oversight, changing the rate review threshold from 10 to 15 percent.

April 17, 2018 | Daily News

The ongoing battle between the insurance industry and a charity that supports end-stage renal disease patients by covering their commercial insurance payments heated up Tuesday (April 17) with both parties seeking immediate action by HHS Secretary Alex Azar.

April 17, 2018 | Daily News

A referendum on Medicaid expansion in Utah is on the verge of being added to the state's November ballot, and three other red states may not be far behind.

April 16, 2018 | Daily News

Department of Labor Secretary Alex Acosta told President Donald Trump on Monday (April 16) that the final association health plans rule, which will expand the ability of small businesses and independent contractors to band together to purchase insurance, will be out by this summer.

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