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Health-Exchange-Alert

January 24, 2020 | Daily News

Health care experts warn the Trump administration will face a tough legal battle if it approves Georgia’s recently submitted state innovation waiver that would let the state leave healthcare.gov in favor of web-based brokers, allow less generous “copper” plans on the market and turn federal subsidies into capped state-level credits.

January 24, 2020 | Daily News

The HHS Office for Civil Rights on Friday (Jan. 24) warned California that it risks losing funding from potentially several federal agencies in 30 days if the state doesn’t back away from its six-year policy of requiring that state plans and insurers cover abortion.

January 23, 2020 | Daily News

Democrats defending the Affordable Care Act still hope the Supreme Court will review the controversial case over the law’s future this term and urge the judges to the reject a GOP request to extend their filing deadline to March.

January 23, 2020 | Daily News

House Democrats are considering celebrating the upcoming 10th anniversary of the Affordable Care Act by voting on legislation to strengthen former President Barack Obama’s signature law, and in turn sending a pre-election message that Democrats will work to protect Americans’ health benefits, according to a well-placed lobbyist.

January 23, 2020 | Daily News

A new coalition of right-wing groups is lobbying Congress to adopt a surprise billing fix that doesn’t include a benchmark payment rate, like the policy in the compromise hammered out by the Senate health and House Energy & Commerce committees.

January 22, 2020 | Daily News

CMS will allow Texas to use federal funding for its family planning services for women not previously eligible for Medicaid, although those funds cannot be used by any organization in the state that provides abortions.

January 22, 2020 | Daily News

House Education & Labor Committee Democrats are gathering information from the Department of Labor that could lay the foundation for legislative action to bolster the federal government’s enforcement of mental health parity law when it comes to employer-sponsored plans.

January 22, 2020 | Daily News

Air ambulance executives told federal regulators last week that they must send patients expensive “surprise medical bills” to compensate for underpayment from private insurers, Medicare and Medicaid.

January 21, 2020 | Daily News

Hours after the Supreme Court rejected Democrats’ call to quickly review the constitutionality of the Affordable Care Act, the GOP attorneys general challenging the law asked for additional time, until March 17, to make their pitch that the case should stay out of the high court, regardless of the timing.

January 21, 2020 | Daily News

The Supreme Court on Tuesday (Jan. 21) rejected calls to fast-track its decision on whether to hear the latest constitutional challenge to the Affordable Care Act, essentially guaranteeing that the court will not weigh in on the case before the 2020 presidential election.

January 21, 2020 | Daily News

The Supreme Court said Friday (Jan. 17) that it will once again wade into the contentious fight over the Affordable Care Act’s requirement that employers provide coverage for birth control in employee health plans.

January 17, 2020 | Daily News

Illinois has submitted a waiver to CMS asking to extend Medicaid coverage up to one year after a Medicaid beneficiary has had a baby, as opposed to the current 60-day limit.

January 16, 2020 | Daily News

The administration has released the proposed rate review calendar and other technical guidance insurers need to prepare for the 2021 plan year, but midway through January stakeholders are becoming increasingly anxious because HHS is yet to release the draft exchange rule that sets policy on networks, open enrollment, drugs and other key issues.

January 16, 2020 | Daily News

CMS rejected Wyoming’s proposal to eliminate air ambulance surprise medical bills by making all residents Medicaid-eligible for ambulance services on the grounds that the proposal is at odds with the purposes of the Medicaid program.

January 15, 2020 | Daily News

The insurance industry, seniors’ organizations, hospitals, small businesses, health advocates and a bipartisan coalition of 56 economists back Democrats’ calls for the Supreme Court to review the Fifth Circuit’s ruling over the Affordable Care Act, arguing it is imperative to resolve the future of the health law as quickly as possible to remove the vast cloud of uncertainty created by the decision.

January 15, 2020 | Daily News

The debate over the future of the health care system will continue to be a key issue on the presidential trail in 2020, but as Tuesday’s winnowed-down Democratic debate highlighted, Sen. Bernie Sanders (I-VT) is now the lone top-tier presidential candidate still calling for a quick transition to Medicare for All, while the other Democratic candidates argue that their policy ideas are just as bold.

January 15, 2020 | Daily News

State legislators looking to fund initiatives to improve their health care markets have a new opening now that Congress has repealed the federal tax on health insurance plans effective 2021, says Chiquita Brooks-LaSure, managing director of Manatt Health.

January 14, 2020 | Daily News

House Majority Leader Steny Hoyer (D-MD) wants the House to vote on surprise billing legislation soon and said policy differences among the House committees of jurisdiction are small, despite evidence to the contrary.

January 14, 2020 | Daily News

The Trump administration wants the Supreme Court to let it start enforcing tougher immigration restrictions on people who use Medicaid or other forms of public assistance, even as litigation over the policy works its way through the lower courts.

January 14, 2020 | Daily News

Two top Democrats are asking the HHS Office of Inspector General to look at the legality of Tennessee’s Medicaid block grant proposal that is pending CMS’ approval, just weeks after key stakeholders said CMS lacks authority to approve the proposal.

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