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Health-Exchange-Alert

July 30, 2019 | Daily News

Texas District Judge Reed O’Connor on Tuesday (July 30) rejected Nevada’s motion to intervene is a class action case over the Affordable Care Act’s contraceptive mandate and entered a final judgment blocking enforcement of the Affordable Care Act’s requirement that plans cover all FDA-approved birth control methods without cost-sharing for any individual or employer that objects to the mandate due to religious reasons.

July 30, 2019 | Daily News

Support for Medicare for All and public option proposals is losing favor as voters from both parties learn more about the policies, a new report from the nonpartisan Kaiser Family Foundation found.

July 29, 2019 | Daily News

A coalition of seven stakeholders appealed a federal district court’s decision to uphold the Trump administration’s rule expanding the scope of short-term health plans, arguing that the plans undermine consumer protections for people with preexisting conditions and can discriminate based on age, gender or health status.

July 29, 2019 | Daily News

The Trump administration will not allow states to receive enhanced federal Medicaid funding under the Affordable Care Act if they only partially expand Medicaid, a CMS spokesperson confirmed Saturday (July 27), dealing a blow to Utah and other red states that were hoping to adopt limited versions of expansion and still receive the ACA’s full 90% federal match rate.

July 26, 2019 | Daily News

The American Medical Association and America’s Health Insurance Plans are sparring over the arbitration policy in the House’s surprise billing fix as Senate health committee Chair Lamar Alexander (R-TN) weighs adding a similar policy to his bill.

July 25, 2019 | Daily News

Exchange technology firm GetInsured announced it is the first company CMS approved for phase 3 enhanced direct enrollment, which lets consumers enroll in coverage without having to first visit healthcare.gov, and it can handle 100% of enrollment scenarios end-to-end.

July 24, 2019 | Daily News

Air ambulance providers are pressing Senate health committee leaders to change the surprise billing policy in their cost-cutting legislation to better address out-of-network air ambulance bills by updating the Medicare reimbursement rate, requiring all insurers cover air ambulances and increasing the reimbursement rate above the median in-network rate for a geographic area.

July 23, 2019 | Daily News

The Center for American Progress (CAP) is touting an Avalere analysis that found the think tank’s universal health care proposal, under which Americans could choose between enrolling a beefed-up Medicare plan or keeping their existing coverage, would cost less than $3 trillion over 10 years and could be fully funded without having to levy taxes on the middle class.

July 23, 2019 | Daily News

The Trump administration on Tuesday (July 23) asked a federal judge to delay ruling on the legality of CMS’ approval of Medicaid work requirements in New Hampshire, but advocates for beneficiaries and a lawyer for New Hampshire urged the judge to rule quickly.

July 23, 2019 | Daily News

HHS Secretary Alex Azar is attempting to deflect attention away from the Affordable Care Act to the administration’s other health care priorities as a lawsuit, now backed by the administration, to unravel the health law moves through the courts.

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.

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