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Health-Exchange-Alert

March 14, 2019 | Daily News

House Education & Labor Committee Democrats quickly rejected committee Republicans’ request for a hearing on the House Medicare for All bill (HR 1384), saying the committee will instead focus its energy on shoring up the Affordable Care Act.

March 14, 2019 | Daily News

A federal judge said he hopes to rule on the legality of Medicaid work requirements in Arkansas and Kentucky by the end of the month, unveiling his plan to decide quickly at the conclusion of back-to-back court hearings Thursday (March 14) that tested the reasoning behind one of the Trump administration’s most controversial health care priorities.

March 14, 2019 | Daily News

CMS released a long-awaited guidance to counsel states on how to implement and evaluate 1115 waivers in Medicaid, particularly work-requirement programs, including an implementation template, a monitoring report template and evaluation design guidance on Thursday (March 14).

March 14, 2019 | Daily News

HHS Secretary Alex Azar told Senate Finance Committee members Thursday (March 14) that the more than 18,000 Arkansas residents who lost Medicaid coverage after work requirements took effect is a normal level of churn.

March 14, 2019 | Daily News

The Department of Justice and the issuers suing the government for cutting off cost-sharing reduction (CSR) payments are both asking the U.S. Court of Appeals for the Federal Circuit to consider the separate cases as companions so that they can be heard by the same panel of judges on the same day.

March 14, 2019 | Daily News

HHS Secretary Alex Azar and House Republicans criticized the recently introduced Medicare For All bill at a House Energy & Commerce health subcommittee hearing Tuesday (March 12), saying it would eliminate Medicare Advantage (MA) plans, a claim that the office of Rep. Pramila Jayapal (D-WA) said was true, but the office said the bill would cover everything MA does.

March 13, 2019 | Daily News

House Energy & Commerce Committee Chair Frank Pallone (D-NJ) said Wednesday (March 13) that his focus in 2019 will be to block the Trump administration’s health care agenda, rather than to promote ambitious Democratic proposals to overhaul Medicare, which Pallone said have almost no chance of passing in the current Congress.

March 13, 2019 | Daily News

Democrats on the House Energy & Commerce Committee continued their effort to crack down on the Trump administration’s expansion of what they call “junk insurance,” launching an investigation into a dozen groups that market or offer short-term, limited-duration health plans.

March 13, 2019 | Daily News

The Department of Justice is asking a federal court to dismiss a lawsuit brought by five major cities who charge the administration is violating the Constitution through its efforts to sabotage the Affordable Care Act.

March 12, 2019 | Daily News

Major hospital groups came out swinging against Sen. Tim Kaine (D-VA) and Michael Bennett’s (D-CO) Medicare-X proposal and released a report showing that such a public option could result in a nearly $800 billion cut for hospital payments over a 10-year period with no additional revenue boosts.

March 11, 2019 | Daily News

The Trump administration is doubling down on some of its most controversial Medicaid policies by proposing in its 2020 budget to impose mandatory work requirements, make it easier for states to eliminate non-emergency medical transportation, and allow higher copayments when beneficiaries seek non-emergency care at the emergency room.

March 11, 2019 | Daily News

President Donald Trump’s 2020 budget, released Monday (March 11), would cut $1.5 trillion from Medicaid over the next decade by proposing mandatory work requirements nationwide, repealing Medicaid expansion and proposing block grants or per-capita caps for states.

March 11, 2019 | Daily News

The White House’s proposed 2020 fiscal year includes a proposal to end no-cost subsidized exchange plans, requiring every individual on the federal exchanges to contribute to their health coverage, and also a proposal to replace the Affordable Care Act modeled after the Graham-Cassidy-Heller-Johnson bill that would turn over much of health care to the states.

March 11, 2019 | Daily News

Lawmakers, insurers, hospital groups and advocates have asked the Trump administration not to finalize a proposal requiring insurers that offer Affordable Care Act plans that cover abortion to also offer at least one other identical plan that does not cover abortion.

March 08, 2019 | Daily News

Congressional Medicaid advisers agree that Congress should change the statutory definition of the so-called Medicaid shortfall in order to reinstate stricter limits on the amount of supplemental payments that disproportionate-share hospitals can receive, but the advisers have no consensus on precisely how the law should be changed.

March 08, 2019 | Daily News

Congressional Medicaid advisers said Friday (March 8) that HHS’ proposal to ban rebates should not apply to Medicaid rebates because the proposed rule likely would increase net drug prices for states.

March 08, 2019 | Daily News

The Depart of Justice immediately appealed a closely watched lawsuit worth potentially billions of dollars to dozens of insurers late Thursday (March 7) after a federal court formally ordered the government to pay Community Health Choices a total $71 million in cost-sharing reduction reimbursements for the 2017 and 2018 plan years.

March 08, 2019 | Daily News

A coalition of business groups and other stakeholders tell Senate health committee Chair Lamar Alexander (R-TN) and ranking Democrat Patty Murray (WA) that repealing the Affordable Care Act’s 40 percent tax on high-cost plans would be a critical first step in improving the health system, and also urge the lawmakers to reject any attempt to tax employer-sponsored coverage.

March 07, 2019 | Daily News

CMS is seeking feedback from stakeholders on how to eliminate barriers to selling insurance across state lines, which the agency says builds on the president’s October 2017 Executive Order seeking ways to increase health care choice and competition.

March 06, 2019 | Daily News

House Energy & Commerce health subcommittee Republicans debated the usefulness of Democratic legislation to prop up the Affordable Care Act markets via reinsurance and increased funding for exchange programs, arguing the Democrats’ reinsurance proposal would not give states enough flexibility and a boost in navigator funding would not be worth it because navigators don’t sign up enough people.

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