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GOP Health Reform

November 27, 2018 | Daily News

CMS Administrator Seema Verma signaled the agency is still weighing whether to continue letting insurance plans mitigate the loss of cost-sharing reduction (CSR) reimbursements by increasing premiums on silver-level benchmark products, also known as "silver loading."

November 27, 2018 | Daily News

CMS is expected to release on Thursday (Nov. 29) some specific examples of potential Section 1332 waivers that could be approved under the administration’s revised guidance, according to CMS Administrator Seema Verma and another knowledgeable source.

November 27, 2018 | Daily News

The insurance industry is floating a dozen policy recommendations designed to improve affordability in the individual market, and among the suggestions is that Congress equalize the tax treatment of premiums by allowing unsubsidized consumers to deduct their costs from income.

November 26, 2018 | Daily News

MS proposed Monday (Nov. 26) letting Part D plans exclude drugs in protected classes from Part D formularies when their makers raise prices faster than inflation or when drug companies make new formulations of drugs already on the market.

November 26, 2018 | Daily News

A conservative group in Idaho is asking the state’s highest court to block the implementation of a Nov. 6 ballot initiative in which 61 percent of Idahoans chose to expand Medicaid.

November 26, 2018 | Daily News

SAN FRANCISCO -- Consumer advocates are urging state insurance regulators to use their positions to help get the word out about open enrollment since the federal government has slashed funding for marketing and outreach.

November 21, 2018 | Daily News

CMS on Tuesday (Nov. 20) re-approved a plan to allow Medicaid work requirements in Kentucky, five months after a federal judge struck down the agency’s initial approval of the program. Advocates for beneficiaries immediately pledged to challenge the new approval in court.

November 20, 2018 | Daily News

The Department of Justice asked Maryland to both withdraw its lawsuit to protect the Affordable Care Act and to dismiss its request that acting Attorney General Matthew Whitaker be removed from the case, arguing that Maryland doesn’t have a legal right to determine the law’s constitutionality.

November 20, 2018 | Daily News

The Department of Justice in a Nov. 16 motion asked a district court in Maryland to dismiss the state’s lawsuit to protect the Affordable Care Act, arguing that Maryland doesn’t have a legal right to determine the law’s constitutionality.

November 20, 2018 | Daily News

SAN FRANCISCO -- CMS director of exchange policy Randy Pate told state regulators that the agency will provide more specific examples of potential waivers under the new 1332 guidance but continued to stress state officials should bring ideas to the table.

November 19, 2018 | Daily News

Maine Deputy Attorney General Susan Herman says that the state’s outgoing Republican Governor Paul LePage does not have the authority to represent the interests of Maine as a plaintiff in the controversial court case that could determine the fate of the Affordable Care Act, Texas v. United States, because Maine Attorney General Janet Mills said she never consented to let the state be represented by the attorney general of Texas.

November 19, 2018 | Daily News

House and Senate Democratic leaders on health committees are calling for the Trump administration to withdraw its new guidance changing the purpose of 1332 waivers, arguing the guidance is inconsistent with congressional intent and could reduce patients’ access to care, especially for those with preexisting conditions, and increase health care costs by expanding the use of short-term plans.

November 16, 2018 | Daily News

Republican senators who introduced a bill to protect the Affordable Care Act’s coverage of preexisting conditions are waiting on a ruling in the controversial ACA case in Texas before charting their next steps, which could include adding a severability clause to the health law.

November 15, 2018 | Daily News

Another 3,815 Medicaid beneficiaries in Arkansas will be kicked off the program for failing to meet the state’s new work requirements, bringing the total to more than 12,000 people who have lost coverage since the work requirements kicked in this summer.

November 14, 2018 | Daily News

The new director of the Center for Medicaid and CHIP Services touted CMS’ commitment to work requirements in Medicaid in a speech Wednesday (Nov. 14), and said the agency is seeing “exciting results.”

November 14, 2018 | Daily News

CMS Administrator Seema Verma said Wednesday (Nov. 14) the administration is committed to giving drug plans more leverage to negotiate lower prices for drugs in protected classes.

November 14, 2018 | Daily News

A federal district court in Maryland is moving quickly in a high-profile Affordable Care Act case that challenges the legitimacy of President Donald Trump's decision to replace former Attorney General Jeff Sessions with Sessions' unconfirmed chief of staff Matthew Whitaker, and has set oral arguments for Dec. 19.

November 14, 2018 | Daily News

In the wake of leadership elections, newly re-elected Senate Minority Leader Chuck Schumer (D-NY) told reporters that his caucus plans to continue its focus on healthcare in the 116th Congress by using the Democratic majority in the House to press Senate Republicans to take up Democratic health legislation.

November 14, 2018 | Daily News

Radiation oncologists are concerned about the possibility of mandatory participation in a radiation oncology demonstration after HHS Secretary Alex Azar indicated such a model was on the way.

November 13, 2018 | Daily News

House Republicans may not have time during the lame-duck period to revisit a package of bills that would provide employers retroactive relief from a series of Affordable Care Act taxes, but Republicans still hope an end-of-year package in the House could offer relief from some employer taxes, outgoing Ways & Means Committee Chairman Kevin Brady (R-TX) said.

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