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Health-Exchange-Alert

April 22, 2019 | Daily News

Lawmakers in two Western states are only a few steps away from approving legislation that could result in government-sponsored health plans competing for the first time in the Affordable Care Act’s health insurance exchanges.

April 22, 2019 | Daily News

A federal appeals court has agreed to expedite its consideration of the two cases challenging the legality of Medicaid work requirements after CMS asked that the cases be accelerated.

April 19, 2019 | Daily News

The Montana legislature gave final approval to a six-year extension of the state’s Medicaid expansion Thursday (April 18), along with a request for CMS to approve work requirements, and Gov. Steve Bullock (D) indicated he would sign it into law.

April 19, 2019 | Daily News

The Congressional Budget Office estimates that 1.4 million more people went uninsured in 2018 compared to 2016 and most of the drop came from unsubsidized individuals in the individual market.

April 19, 2019 | Daily News

House Democrats are asking why Trump administration did not distribute Title X grants to several Planned Parenthood branches that had previously received funds, and instead allocated funding to programs that do not provide birth control.

April 19, 2019 | Daily News

State regulators, issuers and other experts balk at CMS’ proposal that would let employees buy a short-term plan using a Health Reimbursement Arrangement (HRA) for “excepted benefits,” arguing that healthier workers could rely on the less generous products instead of purchasing comprehensive coverage.

April 18, 2019 | Daily News

CMS Thursday (April 18) unveiled the final 2020 Notice of Benefit and Payment parameters, which the agency says aims to minimize significant regulatory changes and offer more stability to the exchange market.

April 18, 2019 | Daily News

CMS has eschewed concerns from wide-ranging stakeholders and adopted a proposal to index premium adjustments to individual market estimates rather than the employer-sponsored rates currently used to measure growth.

April 18, 2019 | Daily News

The Trump administration’s final exchange rule out Thursday (April 18) made no changes to the silver-loading mechanism used to mitigate the loss of cost-sharing subsidies, and said it would consider comments received on the proposed rule for future policy-making.

April 18, 2019 | Daily News

CMS announced Thursday (April 18) that it will allow exchange plans to stop allowing copay coupons from drug makers to count toward enrollees’ out-of-pocket maximums when generic equivalents are available.

April 17, 2019 | Daily News

Top officials from UnitedHealth Group, the nation’s largest health insurer, blasted Medicare for All and other, similar public option proposals during a quarterly call with investors on Tuesday (April 16).

April 17, 2019 | Daily News

CMS is seeking an accelerated appeal in the litigation over Medicaid work requirements because, according to the agency, a district judge’s recent rulings that invalidated work requirements in Arkansas and Kentucky will cause “significant disruption to the detriment of the states and the federal government.”

April 17, 2019 | Daily News

Kentucky’s Cabinet of Health and Family Services touted an independent evaluator’s plan to use a randomized control population to evaluate the state’s controversial work requirements program, but the evaluation’s approval is now on hold as CMS appeals a pair of judicial decisions that blocked Medicaid work requirements in Arkansas and Kentucky.

April 16, 2019 | Daily News

The Congressional Research Service (CRS) warned federal lawmakers that any forthcoming surprise billing legislation should consider state laws on the subject as well as the potential for litigation over any set payment rates.

April 16, 2019 | Daily News

The Trump administration has told a Texas district court it supports an argument that the Obama-era rule implementing the Affordable Care Act’s Section 1557 violated federal law by prohibiting discrimination based on transgender status or for the termination of a pregnancy, and HHS’ Office of Civil Rights is expected to unveil an updated rule that reflects that stance by the end of the month.

April 15, 2019 | Daily News

The Idaho Department of Insurance plans to release an updated version of its state-based health plans by early May that will comply with the Trump administration’s original recommended changes to the proposal but will ignore two recent requests from the CMS, state Insurance Commissioner Dean Cameron told Inside Health Policy.

April 15, 2019 | Daily News

House and Senate Republicans recently unveiled legislation that would codify the Trump administration’s final rule expanding association health plans (AHPs) in the wake of a recent court ruling that invalidated key provisions in the rule.

April 15, 2019 | Daily News

A large employer group that earlier backed a critical Supreme Court decision that stymied state-level all-payer claims databases is now calling on Congress to consider leveraging the Department of Labor’s existing authority to set up a nationwide system that could collect claims from large, self-insured employers without preempting the Employee Retirement Income Security Act.

April 12, 2019 | Daily News

Sen. Elizabeth Warren (D-MA), along with several other 2020 Democratic presidential primary candidates, reintroduced a wide-ranging bill to reform the Affordable Care Act exchanges.

April 12, 2019 | Daily News

A conservative health policy expert involved with the Health Care Consensus Group working on an Affordable Care Act replacement plan has moved up the release date after the White House plans to unveil a plan soon.

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