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Health-Exchange-Alert

December 21, 2018 | Daily News

The Department of Justice agrees with a group of Democratic attorneys general that U.S. District Judge Reed O’Connor should clarify that his controversial ACA ruling is not final -- and thus has no immediate impact -- or should be stayed pending appeal, while the 20 GOP-led states that filed the case say a clarification is not needed and they won’t seek to enforce the order while it is on appeal.

December 20, 2018 | Daily News

The House on Thursday  passed legislation that delays or repeals several of the taxes in the Affordable Care Act, including the so-called Cadillac tax, the medical device tax and the tax on health insurance plans.

December 20, 2018 | Daily News

A federal judge in Maryland is now weighing whether to grant the Department of Justice’s request to dismiss Maryland Attorney General Brian Frosh’s lawsuit asking the court to declare the Affordable Care Act constitutional following oral arguments held Wednesday (Dec. 19).

December 20, 2018 | Daily News

Senate Finance Committee Chairman Chuck Grassley (R-IA) announced his incoming permanent health policy staff for the next Congress, consisting of a combination of returning and new health policy staffers.

December 19, 2018 | Daily News

According to preliminary final tallies of the 2019 Affordable Care Act open enrollment period, 8.5 million people enrolled in federal exchange plans for 2019 compared to 8.8 people at this same time last year.

December 19, 2018 | Daily News

Sen. John Barrasso (R-WY) blocked a resolution introduced by Senate Democrats that would have authorized the Senate to intervene in the high-profile Texas lawsuit that overturned the Affordable Care Act.

December 19, 2018 | Daily News

The White House Office of Management and Budget is reviewing a CMS request to rescind a rule, proposed in March, that would exempt states with at least 85 percent of their Medicaid population in managed care from certain fee-for-service access monitoring requirements and allow for certain “nominal” pay cuts to be exempt from access analyses requirements.

December 18, 2018 | Daily News

Enrollment in at least three state-based exchanges has surged ahead of last year’s sign-ups, according to announcements out this week, and a few state-based exchanges recently extended their deadlines to mitigate potential concern over the Texas ruling that arrived late Friday.

December 18, 2018 | Daily News

The high-profile case in Texas over the future of the Affordable Care Act continues to move at a fast clip with U.S. District Judge Reed O’Connor agreeing Tuesday (Dec. 18) to consider Democratic attorneys general request that he formally clarify or stay his initial ruling in which he stated that the entire ACA is unconstitutional, and he asked the plaintiffs and Department of Justice to weigh in by Dec. 21.

December 17, 2018 | Daily News

The 17 Democratic attorneys general intervening in the high-profile Affordable Care Act case in Texas ask U.S. District Court Judge Reed O’Connor to clarify by Dec. 21 that his Friday ruling does not relieve any parties from enforcing the law, or alternatively to issue a stay pending appeal.

December 17, 2018 | Daily News

CMS on Sunday (Dec. 16) sent an email to stakeholders clarifying that the Center for Medicare and Medicaid Innovation’s work will continue unchanged while Texas v. Azar continues moving through the courts, and the demonstrations run through the Affordable Care Act-created center will keep going as well.

December 17, 2018 | Daily News

Texas federal district Judge Reed O’Connor’s initial ruling that the Affordable Care Act is unconstitutional may be one of the most extreme cases of judicial activism in recent memory, experts across the political spectrum say in their initial analyses of the Friday (Dec. 14) decision that sent shock waves through the health care sector.

December 17, 2018 | Daily News

Senate Democrats are seizing the opportunity to pressure their Republican colleagues to intervene after a Texas federal district court judge ruled to overturn the entirety of the Affordable Care Act, a move that could cause a split among the GOP as lawmakers choose between defending the health law and siding with the Trump administration.

December 17, 2018 | Daily News

HHS stressed Monday (Dec. 17) that the administration will continue to enforce the Affordable Care Act in the face of a Texas federal district judge’s ruling late Friday that the ACA is unconstitutional, noting that the ruling is neither an injunction nor a final judgment.

December 17, 2018 | Daily News

Federal district judge Reed O’Connor on Sunday issued an order requiring the parties in Texax v. Azar to confer by Friday (Dec. 21) in order to submit by Jan. 4 a proposed schedule for resolving the remaining arguments in the high-profile case over the future of the ACA.

December 15, 2018 | Daily News

The White House cheered the Texas federal district court's decision late Friday to toss out the entire Affordable Care Act along with the individual mandate as Democrats and key healthcare stakeholders blasted the ruling, but all parties noted the law will remain in effect pending appeal. California Attorney General Xavier Becerra immediately announced he would appeal Judge Reed O'Conner's sweeping ruling.

December 14, 2018 | Daily News

The Trump administration knew that its move to nearly eliminate the Affordable Care Act’s marketing and outreach budget would significantly affect enrollment, according to a series of e-mails obtained by the watchdog group Democracy Forward.

December 13, 2018 | Daily News

The Congressional Budget Office once again included dozens of health-related policies in its list of deficit reduction concepts that could be used for offsets over the 10-year budget period, and one of the largest revenue raisers would be to repeal the forthcoming 40 percent tax on high-cost employer plans -- or the “Cadillac” tax -- and instead limit the open ended tax exclusion for employer-sponsored insurance (ESI).

December 13, 2018 | Daily News

CMS says it is committed to providing Americans in need of insurance coverage with a seamless experience through healthcare.gov even as consumer advocates express deep concerns that the administration has upended the process by cutting funds and, most recently, overhauling the page on the website that describes ways to apply for coverage.

December 12, 2018 | Daily News

CMS tells Inside Health Policy that the agency is still having conversations with officials in New Jersey and Wisconsin over federal reinsurance funding, which is why the agency has not yet posted either state’s estimated federal pass-through funding amounts for their 2019 plan year programs.

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