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Health-Exchange-Alert

February 06, 2020 | Daily News

The non-profit foundation funded by billionaire couple John and Laura Arnold is stepping up its efforts to tackle high health costs in the commercial sector, recently funding health policy consultant Billy Wynne’s Public Option Institute to explore the potential for public option programs to rein in prices.

February 06, 2020 | Daily News

One of the Colorado state representatives working to craft public option legislation tells Inside Health Policy the lawmakers are gathering input from key stakeholders and are on track to introduce a bill by mid-to-late February.

February 05, 2020 | Daily News

The Bipartisan Policy Center is floating what it touts as a consensus, middle-of-the-road health reform plan aimed at lowering costs and stabilizing the market by building on the current system instead of repealing the health law or replacing it with a single-payer system.

February 05, 2020 | Daily News

The Supreme Court signaled it will consider whether to take up the high-profile ACA case during its Feb. 21 conference as Democrats had repeatedly urged, leaving open the possibility the case could be decided this term if the high court opts to review it.

February 05, 2020 | Daily News

President Donald Trump in his Tuesday State of the Union address once again pledged to support people with preexisting conditions even as the Department of Justice supports axing the protections in a high-profile lawsuit, Texas v. USA.

February 03, 2020 | Daily News

The three GOP parties challenging the Affordable Care Act in Texas v. USA all ask the Supreme Court to deny Democrats’ Jan. 3 request to review the case, arguing the appeals court’s demand the district court more thoroughly review the case means it isn't ready for the high court.

February 03, 2020 | Daily News

Idaho and health plans that are now selling the newly created enhanced short-term plans (ESTPs) are urging a federal appeals court to reject industry stakeholders’ calls to strike the administration’s short-term plan rule.

February 03, 2020 | Daily News

Governors, hospitals and nursing homes tell CMS to withdraw its proposed Medicaid Fiscal Accountability Regulation as it would hurt states’ ability to fund their programs and the agency hasn’t really looked at the proposal’s impact, while Medicaid directors ask CMS to talk with states and refine the regulatory provisions through multiple rules.

January 31, 2020 | Daily News

CMS is proposing to pull tax credits from consumers who pay zero dollars in premiums for their exchange plans if they are auto-reenrolled but don’t update their income, arguing in the 2021 proposed exchange rule out Friday (Jan. 31) that the plan complies with a provision tucked into the 2019 spending bill that demands HHS maintain auto-reenrollment in 2021.

January 31, 2020 | Daily News

The federal D.C. appeals court this week set oral arguments for March 20 in the lawsuit challenging the Trump administration’s rule that allows short-term health plans to run for up to year, which means a ruling should come prior to next year’s open enrollment period and possibly before plans must finalize 2021 rates.

January 31, 2020 | Daily News

CMS is seeking to establish a value-based insurance plan design (VBID) that qualified health plans could implement without raising premiums or deductibles, the agency revealed in its proposed 2021 exchange rule released Friday (Jan. 31).

January 31, 2020 | Daily News

The Trump administration proposed to expand its copay accumulator policy to let plans exclude drug makers’ coupons from counting towards enrollees’ out-of-pocket maximums even when there is no generic option available.

January 31, 2020 | Daily News

As health care stakeholders were absorbing the Trump administration’s proposal to let states transform open-ended Medicaid funding into a block grant on Thursday (Jan. 30), a pro-Affordable Care Act advocacy group unveiled a new survey that finds voters in key battleground states are opposed to the president’s health care agenda.

January 30, 2020 | Daily News

CMS’ plan to allow states to receive a capped amount of federal money for parts of their Medicaid programs is the latest instance of the agency aggressively pushing the boundaries of its legal authority -- and the likelihood of protracted court challenges over the policy may deter states from adopting it, according to health lawyers and regulatory experts.

January 30, 2020 | Daily News

Democratic attorneys general in states that mandate abortion coverage are challenging the Trump administration’s rule requiring health insurers separately bill for coverage of abortion services not banned under the Hyde amendment, saying the rule violates the Affordable Care Act, the Administrative Procedure Act and the 10th Amendment.

January 30, 2020 | Daily News

The House Ways & Means Committee plans to release its surprise billing legislation next week and to mark up the bill Feb. 12, according to a committee staffer.

January 30, 2020 | Daily News

Providers, beneficiary advocates and Democratic lawmakers quickly slammed as partisan politics the Trump administration’s Thursday (Jan. 30) decision to let states receive block grants for optional Medicaid populations, coming as the Republican governor of Oklahoma said he plans to take advantage of the opportunity.

January 30, 2020 | Daily News

The long-awaited draft exchange regulation cleared White House review Thursday (Jan. 30), one day after health plans warned CMS that they’re running out of time to prepare for the 2021 plan year.

January 30, 2020 | Daily News

Beneficiary advocates are urging state and federal lawmakers to codify Affordable Care Act consumer protections to counteract GOP efforts to undermine the law and maintain progress toward health equity, as a recent Commonwealth Fund report found narrowing racial disparities in access to health care has stalled since 2016.

January 30, 2020 | Daily News

CMS on Thursday (Jan. 29) unveiled guidance that would allow states to receive a block grant for optional Medicaid populations -- adults under the age of 65 who wouldn’t otherwise be eligible under the traditional Medicaid program.

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