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Health-Exchange-Alert

January 18, 2019 | Daily News

Arizona is the eighth state to receive permission from the Trump administration to add work requirements to its Medicaid program, and after months of behind-the-scenes negotiations between state officials and CMS lawyers, CMS allowed the state to exempt some Native Americans from the requirements.

January 17, 2019 | Daily News

CMS on Thursday (Jan. 17) released its long-awaited exchange policy regulation, and while it avoided making changes to the silver-loading process, the agency did propose several other policies including allowing mid-year drug formulary changes, creating a new special enrollment period for people newly eligible for subsidies, increasing maximum out-of-pocket spending limits, and reducing the user fee by half of a percentage point.

January 17, 2019 | Daily News

CMS is calling for a legislative solution to reinstate cost sharing reduction payments to insurers and to end the silver-loading workaround by plan year 2021 as a part of the proposed 2020 Notice of Benefit and Payment Parameters.

January 17, 2019 | Daily News

CMS proposed letting exchange plans change formularies mid-year to speed generic drug uptake, the agency announced Thursday (Jan. 17).

January 17, 2019 | Daily News

The Senate on Thursday (Jan. 17) voted against proceeding with a GOP measure to codify the Hyde amendment to permanently ban federal funding for abortions.

January 17, 2019 | Daily News

The 2020 Notice of Benefit and Payment Parameters, the crucial rule that will set the requirements for next year’s Affordable Care Act marketplaces, cleared the review at the White House Office of Management and Budget on Wednesday (Jan. 16) and could be published soon.

January 16, 2019 | Daily News

Energy & Commerce Committee Democrats will soon push short-term fixes to stabilize the Affordable Care Act markets, such as reinstating cost-sharing reductions, establishing a permanent reinsurance program and extending risk corridor payments to insurers, newly appointed Energy & Commerce Oversight Subcommittee Chair Diana DeGette (D-CO) told reporters on Wednesday (Jan. 16).

January 16, 2019 | Daily News

Insurers tell CMS not to finalize the proposal to separately bill consumers the portion of their premium that goes toward abortion coverage, saying the policy would increase costs far beyond the agency’s estimates, would frustrate consumers and risk plan cancellations, and would be impossible to implement on the proposed timeframe.

January 16, 2019 | Daily News

The number of Arkansas Medicaid beneficiaries who lost coverage as a result of the state’s newly enacted work requirements grew to more than 18,000 last month, according to data released by the state Tuesday (Jan. 15).

January 15, 2019 | Daily News

Attorney General nominee William Barr in his Tuesday (Jan. 15) confirmation hearing told Sen. Kamala Harris (D-CA) that he is open to reconsidering the Department of Justice’s decision to not fully defend the Affordable Care Act against a constitutional challenge from 20 GOP-led states.

January 15, 2019 | Daily News

Two associations representing health plans tell CMS that with the annual exchange rule stalled at the White House Office of Management and Budget (OMB) due to the government shutdown, the agency should immediately issue informal guidance that the plans need to understand regulatory and operational changes for the 2020 plan year.

January 14, 2019 | Daily News

A Pennsylvania district court judge on Monday (Jan. 14) issued a nationwide injunction blocking the implementation of two Trump administration rules that would loosen the Affordable Care Act’s requirements that employers cover contraceptive services by allowing those employers to claim moral or religious exemptions.

January 14, 2019 | Daily News

Lawmakers on both sides of the aisle are interested in tackling legislation to curb surprise medical billing, but before any policy can see the light of day staffers say hospitals and insurers need to decide who is to blame for the problem that can leave patients with thousands of dollars in unexpected medical costs.

January 14, 2019 | Daily News

House and Senate Democratic leaders continued their expected oversight efforts on Thursday (Jan. 10) by demanding CMS explain why it continues to charge states using the federal technology a user fee of up to 3.5 percent of premiums even as the agency has slashed money for exchange advertising and outreach services that those funds are meant to support.

January 11, 2019 | Daily News

A bipartisan trio of senators reintroduced legislation that would fully repeal the Affordable Care Act’s health insurance tax.

January 11, 2019 | Daily News

A Utah lawmaker is pushing to attach work requirements to the state’s newly approved Medicaid expansion, and if the full legislature agrees, the proposal could delay the implementation of that expansion.

January 11, 2019 | Daily News

The Fifth Circuit Court of Appeals, as expected, granted the Department of Justice’s request to stay proceedings in the high-profile case over the constitutionality of the Affordable Care Act due to the ongoing government shutdown.

January 10, 2019 | Daily News

As a federal district judge’s ruling to repeal the Affordable Care Act moves through the court system, some House Republicans are taking steps to prevent the case, brought by GOP-led states, from eliminating protections for preexisting conditions.

January 10, 2019 | Daily News

As two new states prepare to implement Medicaid work requirements this spring, opponents of the policy issued a report Thursday (Jan. 10) arguing that there is no way for any state to integrate work requirements into Medicaid without causing serious unintended consequences.

January 09, 2019 | Daily News

Newly elected governors in states across the country are using their first days in office to push forward with Medicaid expansion and other significant changes to their states’ Medicaid programs.

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