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Health-Exchange-Alert

March 04, 2019 | Daily News

The House Energy & Commerce health subcommittee will examine legislation to strengthen the Affordable Care Act by establishing state reinsurance programs, increasing funding for the navigator programs and providing states with more federal funds to establish state-based marketplaces.

March 01, 2019 | Daily News

BlueCross BlueShield Association on Thursday (Feb. 28) urged Congress to lower premiums in the individual market by enacting a reinsurance program, reinstating cost-sharing reduction payments, extending premium tax credits up to 600 percent of the federal poverty level and introducing age-adjusted premium subsidies.

March 01, 2019 | Daily News

The coalition of groups suing to overturn the administration’s expansion of short-term plans is asking a federal judge to immediately rule in its favor, and the Department of Treasury, which is defending the plans, is also seeking a quick resolution.

February 28, 2019 | Daily News

Sen. Bill Cassidy (R-LA) said that he plans to release final surprise billing legislation in March together with Sen. Maggie Hassan (D-NH), and that his bipartisan working group is seeking a middle ground between plans and insurers on payment rates.

February 28, 2019 | Daily News

FDA Commissioner Scott Gottlieb told lawmakers that his agency will undertake the first update of its drug efficacy trial standards in 20 years under a multi-pronged plan aimed at making the investigational new drug process more efficient, lowering development costs and possibly making prescription drugs more affordable.

February 27, 2019 | Daily News

Liberal House Democrats introduced on Wednesday (Feb. 27) a bill to replace private insurance in two years with a government-run, single-payer system.

February 27, 2019 | Daily News

As members of the Congressional Progressive Caucus introduced their Medicare for All bill on Wednesday morning (Feb. 27), the Democratic chair of the House Energy & Commerce Committee Frank Pallone and a freshman House Democrat Lauren Underwood expressed their support for universal health care, but were wary of supporting Medicare for All, instead suggesting alternatives.

February 27, 2019 | Daily News

House Energy & Commerce Chair Frank Pallone (D-NJ) made clear Wednesday (Feb. 27) that his committee will focus on policies to fix the Affordable Care Act like expanding subsidies, restoring cost-sharing reductions and reinstating a federal reinsurance program that have a realistic chance of passing over the next few years, over more far reaching changes like Medicare for All.

February 27, 2019 | Daily News

HHS Secretary Alex Azar once again touted the Trump administration’s actions to expand short-term plans and associated health plans and update the state innovation waiver guidance as reasons the Affordable Care Act exchanges remained stable and premiums decreased over the past year.

February 27, 2019 | Daily News

CMS’ top exchange official is urging agents and brokers to talk with state policymakers about potential changes to the health care system available under the Affordable Care Act’s section 1332 state innovation waivers.

February 26, 2019 | Daily News

The insurance and hospital lobbies issued a pre-emptive strike against the Medicare for All bill that House Progressive Caucus Co-Chair Pramila Jayapal (D-WA) is slated to introduce Wednesday (Feb. 27).

February 26, 2019 | Daily News

Ten newly elected Democratic governors warned HHS that they would sue unless the administration rescinds the so-called ‘gag rule” that restricts Title X funding to facilities that either perform abortions or refer patients for abortions.

February 26, 2019 | Daily News

The Trump administration doesn’t have the authority to expand the number of pre-ACA group health plans that have been allowed to operate following enactment of the law, but three key federal agencies are nonetheless seeking input from stakeholders on ways the administration could help such plans avoid losing “grandfathered” status.

February 25, 2019 | Daily News

CMS is asking for feedback on how to improve data interoperability for providers that didn’t receive incentives for using electronic health records, including post-acute care providers, behavioral health providers and community-care providers that serve duals, as well as how to improve interoperability for those providers and others through innovation center demos.

February 25, 2019 | Daily News

Insurers, beneficiary advocates, state exchange chiefs and Democratic lawmakers are urging CMS not to discontinue the practice of “silver loading,” while also urging the agency to work with Congress to find a way to reinstate cost-sharing reduction payments so long as consumers don’t see premium increases as a result.

February 25, 2019 | Daily News

Three more Republican-led states are inching toward new state laws that would seek CMS’ permission to enact Medicaid work requirements.

February 22, 2019 | Daily News

Soon after the Trump administration finalized a rule that would prevent federal funds under Title X from going to clinics that provide abortions or refer patients for abortions, Planned Parenthood and attorneys general from two states said they would file lawsuits and Democratic lawmakers also vowed to fight the rule.

February 21, 2019 | Daily News

West Virginia’s senators are asking lawmakers to support them in pushing HHS to align the strict privacy scheme for substance abuse treatment records with the looser Health Insurance Portability and Accountability Act (HIPAA), echoing the calls of physician and hospital groups.

February 21, 2019 | Daily News

Physician and hospital groups called for aligning the strict privacy scheme that requires explicit patient consent to share substance abuse treatment records with the more lax Health Insurance Portability and Accountability Act (HIPAA) standards, as well as for fewer regulations, in response to the HHS Office of Civil Rights’ (OCR) request for feedback on how HIPAA might be getting in the way of value-based care.

February 21, 2019 | Daily News

Senate Finance Committee ranking Democrat Ron Wyden (OR), and House Energy & Commerce Committee Chair Frank Pallone (D-NJ) sent another letter Thursday (Feb. 21) to HHS Secretary Alex Azar calling for an end to Medicaid work requirement waivers, shortly after CMS Administrator Seema Verma told the Medicaid and CHIP Payment and Access Commission (MACPAC) that CMS would continue to approve such waivers.

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