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Health-Exchange-Alert

January 17, 2020 | Daily News

Illinois has submitted a waiver to CMS asking to extend Medicaid coverage up to one year after a Medicaid beneficiary has had a baby, as opposed to the current 60-day limit.

January 16, 2020 | Daily News

The administration has released the proposed rate review calendar and other technical guidance insurers need to prepare for the 2021 plan year, but midway through January stakeholders are becoming increasingly anxious because HHS is yet to release the draft exchange rule that sets policy on networks, open enrollment, drugs and other key issues.

January 16, 2020 | Daily News

CMS rejected Wyoming’s proposal to eliminate air ambulance surprise medical bills by making all residents Medicaid-eligible for ambulance services on the grounds that the proposal is at odds with the purposes of the Medicaid program.

January 15, 2020 | Daily News

The insurance industry, seniors’ organizations, hospitals, small businesses, health advocates and a bipartisan coalition of 56 economists back Democrats’ calls for the Supreme Court to review the Fifth Circuit’s ruling over the Affordable Care Act, arguing it is imperative to resolve the future of the health law as quickly as possible to remove the vast cloud of uncertainty created by the decision.

January 15, 2020 | Daily News

The debate over the future of the health care system will continue to be a key issue on the presidential trail in 2020, but as Tuesday’s winnowed-down Democratic debate highlighted, Sen. Bernie Sanders (I-VT) is now the lone top-tier presidential candidate still calling for a quick transition to Medicare for All, while the other Democratic candidates argue that their policy ideas are just as bold.

January 15, 2020 | Daily News

State legislators looking to fund initiatives to improve their health care markets have a new opening now that Congress has repealed the federal tax on health insurance plans effective 2021, says Chiquita Brooks-LaSure, managing director of Manatt Health.

January 14, 2020 | Daily News

House Majority Leader Steny Hoyer (D-MD) wants the House to vote on surprise billing legislation soon and said policy differences among the House committees of jurisdiction are small, despite evidence to the contrary.

January 14, 2020 | Daily News

The Trump administration wants the Supreme Court to let it start enforcing tougher immigration restrictions on people who use Medicaid or other forms of public assistance, even as litigation over the policy works its way through the lower courts.

January 14, 2020 | Daily News

Two top Democrats are asking the HHS Office of Inspector General to look at the legality of Tennessee’s Medicaid block grant proposal that is pending CMS’ approval, just weeks after key stakeholders said CMS lacks authority to approve the proposal.

January 14, 2020 | Daily News

West Virginia Attorney General Patrick Morrissey, one of the 18 GOP state officials challenging the constitutionality of the Affordable Care Act, is pushing legislation that not only claims to protect residents with preexisting conditions, but also sets up the possibility of state-level subsidies to replace the federal assistance that could be axed if Morrissey and his colleagues’ arguments succeed in the high court.

January 14, 2020 | Daily News

New Hampshire will seek federal permission to create a state reinsurance program under the Affordable Care Act 1332 waiver program, which the state estimates will reduce 2021 premiums by about 15%, Republican Gov. Chris Sununu said last week.

January 13, 2020 | Daily News

Action in the high-profile case over the constitutionality of the Affordable Care Act continues to move at a rapid clip with the Democratic-led House and a coalition of Democratic attorneys general requesting the Supreme Court reject GOP arguments that a quick review is not urgent and instead move to discuss the case at the court’s Feb. 21 conference.

January 11, 2020 | Daily News

The Department of Justice Friday (Jan. 10) asked the Supreme Court to hold off reviewing the high-profile case over the constitutionality of the Affordable Care Act until a lower court decides which parts of the law are invalid, rejecting Democrats' claims that a lengthy judicial process would inject more uncertainty in the health care landscape.

January 10, 2020 | Daily News

A Texas surprise billing law went into effect on Jan. 1 without an exception for most non-emergency cases that was sought by a group of hospitals and providers.

January 09, 2020 | Daily News

Judges on a federal appeals court expressed concern Thursday (Jan. 9) that health insurers could receive an unjustified financial windfall if the insurers prevail in a series of lawsuits over the government’s failure to make payments under the Affordable Care Act’s cost-sharing reduction program.

January 08, 2020 | Daily News

The two House committees considering surprise billing legislation did not make progress over the holiday break and are stuck on opposite ends of the issue.

January 08, 2020 | Daily News

A federal appeals court on Wednesday (Jan. 8) dismissed a lawsuit over Medicaid work requirements in Kentucky now that the state’s new governor has abandoned the policy, but similar lawsuits challenging work requirements in other states are ongoing.

January 08, 2020 | Daily News

CMS on Wednesday (Jan. 8) released the final enrollment snapshot for the 2020 plan year, showing a total of about 8.3 million enrollments through healthcare.gov even as the raw numbers dipped just slightly, or by 17,000 compared to the week 8 snapshot released Dec. 18.

January 08, 2020 | Daily News

In 2020, the people who play the largest role in shaping health care policy may not be members of Congress, officials at CMS, or even presidential candidates -- they may be federal judges.

January 08, 2020 | Daily News

Medicare and Medicaid advocates, attorneys and researchers say HHS lacks authority to approve Tennessee’s Medicaid block grant proposal, and the state’s request to deregulate managed care plans, lock-out beneficiaries guilty of fraud and modify enrollment would harm beneficiaries.

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