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Health-Exchange-Alert

July 22, 2019 | Daily News

Some residents in Colorado could see premiums drop by 33.5% in 2020 and Californians may see decreases of up to 10 % compared to 2019 prices based on preliminary rates, and both states attributed the cost reduction to state-level actions to shore up the marketplace.

July 19, 2019 | Daily News

The Trump administration told a federal appeals court Thursday (July 18) that states should be able to continue testing Medicaid work requirements even as the administration acknowledged problems in how Arkansas initially implemented its first-in-the-nation work requirement program.

July 19, 2019 | Daily News

CMS recently revealed that a system glitch blocked consumers eligible for cost-sharing reductions (CSRs) from enrolling in silver-level exchange policies, which is the only way they could access additional financial assistance, but the agency says the problem was fixed as of early May and consumers were provided recourse.

July 19, 2019 | Daily News

Stakeholders plan to appeal federal DC district Judge Richard Leon’s Friday (July 19) ruling that upholds the Trump administration’s rule expanding short-term health plans.

July 18, 2019 | Daily News

Sen. Bill Cassidy (R-LA) said that the arbitration backstop plan the House added to its surprise billing policy could lead to artificially inflated rates, and he is lobbying the Senate to add a different arbitration approach to its surprise billing measure.

July 18, 2019 | Daily News

Delaware and Rhode Island recently submitted state innovation waivers to establish reinsurance programs, and CMS has informed the states that their applications are complete, triggering the federal comment period.

July 18, 2019 | Daily News

Patients’ groups and some Medicaid policy experts are urging the Trump administration to backtrack from a planned CMS guidance letter that is expected to invite states to use 1115 waivers to accept federal Medicaid money through block grants.

July 17, 2019 | Daily News

The House late Wednesday passed 419 to 6 legislation to fully repeal the Affordable Care Act’s 40% tax on high-cost health plans, also known as the Cadillac tax, a key priority for a broad array of health care stakeholders, including issuers, employers, unions and others.

July 17, 2019 | Daily News

The House Energy & Commerce Committee added an arbitration backstop to its surprise billing legislation, making the House bill notably different from the Senate version, which could cause problems when the bill goes to conference.

July 17, 2019 | Daily News

The Supreme Court likely will hear arguments in December over whether the government is obligated to pay out about $12 billion owed to issuers participating in the ACA’s risk corridors program, presuming the court agrees to a recently proposed briefing schedule.

July 17, 2019 | Daily News

The Treasury Department on Wednesday (July 17) issued guidance listing 14 preventive drugs and services used for common chronic conditions -- including insulin, statins and beta-blockers -- that now can be covered pre-deductible by health plans linked to health savings accounts (HSAs), responding quickly to President Trump’s June 24 executive order that directed the department explore the change.

July 16, 2019 | Daily News

Senate Republican leadership hotlined the health committee’s broad cost-cutting package in order to ascertain GOP concerns and discovered several senators were prepared to hold up floor action over the surprise billing provisions -- signaling that Senate leaders have work cut out for them before they can move broader legislation that is expected to merge the health committee's bill with drug-pricing measures from the Finance and Judiciary committees.

July 16, 2019 | Daily News

The Trump administration announced Monday evening (July 15) it will begin enforcing its rule that prevents health care providers providing or referring for abortions from receiving Title X family planning grants, even though stakeholders are still challenging the rule in court.

July 15, 2019 | Daily News

Senate Finance ranking Democrat Ron Wyden (OR) put Republicans on notice that they’ll soon be asked to prove their stated support of protections for people with preexisting conditions now that the Government Accountability Office has said the Trump administration’s updated 1332 waiver guidance should have been issued as a rule.

July 15, 2019 | Daily News

Democratic presidential candidate Joe Biden proposed a Medicare-like public health insurance option that would be offered at no-cost for people in states that have not expanded Medicaid under the Affordable Care Act and would increase premium tax credits for middle-income individuals to purchase exchange coverage.

July 15, 2019 | Daily News

Democratic presidential candidate Joe Biden proposed a Medicare-like public health insurance option that would be offered at no-cost for people in states that have not expanded Medicaid under the Affordable Care Act and would increase premium tax credits for middle-income individuals to purchase exchange coverage.

July 15, 2019 | Daily News

The Department of Justice on Friday (July 12) urged a federal appeals court to reverse a lower court’s demand that the government pay billions in cost-sharing reductions ACA issuers say they are owed for 2017 and 2018, arguing Congress never said issuers could incur damage for non-payment.

July 15, 2019 | Daily News

The Department of Justice on Monday (July 15) said it will “continue to vigorously defend religious freedom,” after a federal appeals court upheld a lower court ruling that blocked the Trump administration from implementing new rules broadening employers’ ability to sidestep the ACA’s contraceptive coverage mandate.

July 12, 2019 | Daily News

The House is scheduled to vote next Wednesday (July 17) on Rep. Joe Courtney’s (D-CT) legislation to repeal the Affordable Care Act’s 40 percent tax on high-cost health plans, known as the “Cadillac Tax.”

July 11, 2019 | Daily News

House Energy & Commerce health subcommittee Chairwoman Anna Eshoo (D-CA) said she is interested in adding an arbitration backstop to surprise billing legislation the panel unanimously advanced Thursday (July 11), but committee Chairman Frank Pallone (D-NJ) seemed more hesitant.

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