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GOP Health Reform

November 08, 2018 | Daily News

The Trump administration released two final rules on Wednesday (Nov. 7) that offer exemptions to the Affordable Care Act’s contraceptive mandate for entities that have either religious or moral objections to contraceptive services.

November 07, 2018 | Daily News

Texas District Judge Reed O' Connor is expected to rule any day on the high-profile case over the Affordable Care Act now that the election is over, and some legal experts believe he is likely to overturn as least the law's protections for preexisting conditions but could also move to an injunction that would end implementation of the entire law.

November 07, 2018 | Daily News

In the immediate aftermath of the midterm elections, House Minority Leader Nancy Pelosi (D-CA) asked the Trump administration to “withdraw from a lawsuit” to eliminate parts of the Affordable Care Act, and Senate Minority Leader Chuck Schumer (D-NY) told Inside Health Policy he would join Pelosi’s call for the GOP to scrap the suit.

November 07, 2018 | Daily News

Medicaid expansion could become a reality in Kansas, Maine and Wisconsin after Democrats won the governor’s mansions in those states Tuesday (Nov. 6).

November 07, 2018 | Daily News

Voters in Idaho, Nebraska and Utah chose Tuesday (Nov. 6) to expand Medicaid eligibility under the Affordable Care Act, but voters in Montana rejected a ballot initiative that would have made that state’s Medicaid expansion permanent.

November 07, 2018 | Daily News

Several Senate Finance members will not return to the committee, as Sens. Claire McCaskill (D-MO) and Dean Heller (R-NV) lost their reelection bids on Tuesday night (Nov. 7), while Florida Democrat Bill Nelson on Wednesday morning called for a recount after initial tallies showed him trailing the state’s outgoing Gov. Rick Scott (R) by less than half a point.

November 07, 2018 | Daily News

Prior to the midterm elections, Senate Democratic staffers prepared for a split Congress, with a GOP-controlled Senate and a Democratic House, by meeting with health care stakeholders and their House counterparts to coordinate next steps and make plans to re-frame the push for Obamacare market stabilization as a way to protect people with preexisting conditions, sources close to the Senate health committee say.

November 07, 2018 | Daily News

House Democrats promise to take on drug prices when they take control of the House next year, but the actual likelihood of aggressive measures becoming law depends largely on whether they will work with the president on legislation and, if so, whether the president can get Senate Republican leaders in line. However, President Donald Trump is pursuing administrative changes to lower drug prices that don't require Congress' blessing, and congressional Democrats may find themselves walking a fine line between not wanting to help Trump and delivering on their own promises to lower drug prices.

November 06, 2018 | Daily News

At least two of the four issuers that failed to convince a full panel of federal appeals court judges to rehear their suit over the ACA's risk corridor program plan to petition the Supreme Court to hear the case.

November 06, 2018 | Daily News

Arkansas’ controversial Medicaid work requirements should be halted for many of the same reasons that Kentucky’s proposed work requirements were blocked from taking effect earlier this year, advocates for beneficiaries told the federal judge who is presiding over both cases.

November 06, 2018 | Daily News

President Donald Trump’s claim that he was unaware that Attorney General Jeff Sessions urged a Texas federal court to eliminate coverage for preexisting conditions could come back to haunt the Trump administration during the case’s appeals process, legal experts say.

November 05, 2018 | Daily News

As third quarter earnings reports rolled out this past week, Molina Inc. reported moves into new states and low premium increases for 2019 and Anthem Inc. welcomed the Trump administration’s new rules regarding health reimbursement arrangements.

November 02, 2018 | Daily News

Idaho will move forward with its controversial state-based health plans without submitting a formal waiver to CMS, eschewing CMS' new offer to consider 1332 waivers that include health plans that don't strictly comply with the Affordable Care Act, Idaho Insurance Commissioner Dean Cameron told Inside Health Policy.

November 02, 2018 | Daily News

A Minnesota-based association health plan will extend its ACA-compliant coverage to residents of Nebraska under a new federal rule that broadened the definition of employers under ERISA and allowed certain AHPs to sell products across state lines.

November 02, 2018 | Daily News

State lawmakers in Maryland and Minnesota are planning to revamp and reintroduce legislation that would create rate-setting commissions for prescription drugs after bills in both states died last session.

November 02, 2018 | Daily News

The legal battle over the federal government's recent rule that broadened the definition of an employer in order to expand access to association health plans moved a step forward this week with the Department of Labor urging the U.S. District Court of the District of Columbia to throw out the suit, contending the plaintiffs lack standing.

November 01, 2018 | Daily News

Although CMS touts the availability of a much-anticipated enhanced direct enrollment pathway -- which lets private, web-based entities, including web-brokers and issuers, link to HHS' federal data hub to verify eligibility for ACA plan enrollment and subsidies -- the agency reveals to Inside Health Policy that no EDE entities had been approved as of the start of open enrollment Thursday (Nov. 1).

November 01, 2018 | Daily News

Health care advocates are prepped and ready for the sixth open enrollment that started Thursday (Nov. 1) in most states, despite the Trump administration's move to slash funding for outreach and education about the coverage.

November 01, 2018 | Daily News

State-based health insurance exchanges across the country continued to invest in technology upgrades and push policy changes designed to provide consumers with a smoother pathway to more affordable coverage ahead of the sixth open enrollment period that started Thursday (Nov. 1) in most states.

October 30, 2018 | Daily News

A coalition of stakeholders is urging CMS to increase its reliance on private health insurance exchanges that can link directly to the federal data hub during the upcoming open enrollment season, recommending in a recent report that the agency shift consumers to those exchanges during the hours that healthcare.gov is down for maintenance and eventually rely entirely on those exchanges.

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