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GOP Health Reform

November 30, 2018 | Daily News

The parent company of Blue Cross Blue Shield of Florida and its subsidiaries recently filed suit in the U.S. Court of Federal Claims seeking reimbursement for cost-sharing reduction payments due in benefit years 2015 through 2017, when the administration shut off the payments.

November 30, 2018 | Daily News

Although Capitol Hill leaders have expressed little interest in doing anything health care-related during the remaining two weeks of the lame-duck session, a bipartisan group of senators is calling for a Senate vote on legislation to delay the health insurance tax.

November 30, 2018 | Daily News

A case that could define the extent of CMS’ authority to issue legal interpretations without conducting notice-and-comment rulemaking will be argued before the Supreme Court on Jan. 15.

November 30, 2018 | Daily News

Consumer advocacy group Families USA Thursday (Nov. 30) launched a new National Center for Coverage Innovation (NCCI) with a “two-track” strategy of developing and supporting near-term, pragmatic health insurance reforms, while also laying the groundwork for larger-scale federal changes.

November 29, 2018 | Daily News

The Trump administration released four policy concepts that states could pursue under the controversial new Section 1332 guidance out last month, including an accounts-based system that lets state direct public funds into a consumer account for the purchase of coverage and other health expenses.

November 29, 2018 | Daily News

The incoming Democratic chairman of the House health care committees allege the Trump administration stepped outside the law by issuing guidance that gives states broad flexibility to use the law’s 1332 waivers to get around longstanding Obamacare guardrails, and they ask the agency to produce background information justifying its actions.

November 28, 2018 | Daily News

House Speaker-nominee Nancy Pelosi (D-CA) welcomed a Democratic-led caucus with a health care mandate, proclaiming the party’s campaign focus on protecting the Affordable Care Act helped Democrats secure the chamber. Pelosi, who faces a formal vote to be speaker in January, vowed the House would spend the next two years continuing that focus while combatting the Trump administration’s past two years of action to unravel parts of the ACA.

November 28, 2018 | Daily News

Senate health committee ranking Democrat Patty Murray (WA) called for the Senate to return to legislation that would shore up the Affordable Care Act marketplaces, and committee Chairman Lamar Alexander (R-TN), Murray’s co-author of the failed ACA stabilization bill, said he would be open to revisiting the measure.

November 28, 2018 | Daily News

CMS has approved HealthSherpa as its first partner to use the new enhanced direct enrollment pathway that will allow consumers, including those eligible for subsidies, to purchase exchange plans from web entities, including web-brokers, private exchanges and insurers, without having to visit healthcare.gov, sources tell Inside Health Policy.

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.

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