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Health-Exchange-Alert

June 26, 2019 | Daily News

The Senate health committee added an amendment from Sen. Bill Cassidy (R-LA) to its surprise billing legislation requiring providers to inform consumers about network status and committee Chair Lamar Alexander (R-TN) agreed to work with Cassidy over the next few weeks to add more changes to the bill.

June 25, 2019 | Daily News

The lobby representing safety-net health plans is asking policymakers to consider a surcharge for adults over 65 years-old who are enrolled in coverage through an exchange plan and to also let plans offer rebates to younger adults who sign up for and appropriately use their coverage.

June 24, 2019 | Daily News

President Donald Trump’s executive order calling for wide-ranging action on price transparency, also includes a stipulation on surprise medical bills, yet provides few details.

June 24, 2019 | Daily News

Exchange issuers are cheering the Supreme Court’s decision to hear arguments over whether the government should be obligated to pay out roughly $12 billion under the Affordable Care Act’s risk corridor program, despite Congress’ move to block the payments.

June 20, 2019 | Daily News

The first major academic study of Medicaid work requirements concludes that, after work requirements took effect in Arkansas last year, the policy caused thousands of people to lose health insurance but did not boost employment among low-income people.

June 20, 2019 | Daily News

A federal appeals court panel ruled the Trump administration’s controversial rule preventing facilities that refer patients for abortions from receiving Title X funds may go into effect in every state except Maryland, scrapping a national injunction issued by a lower court.

June 19, 2019 | Daily News

HHS Deputy Assistant Secretary of the Office of Population Affairs Diane Foley told skeptical House Democrats that the embattled rule preventing facilities that refer patients for abortions from receiving Title X funds is necessary to ensure the funding is not used for abortions.

June 19, 2019 | Daily News

Bipartisan legislation that would establish a state-based health insurance exchange and authorize a waiver to set up a reinsurance program passed Pennsylvania’s house last week and is now moving through the senate.

June 19, 2019 | Daily News

The Senate health committee’s latest health cost-containment legislation adds funding for community health centers, the National Health Service Corps, teaching health center Graduate Medical Education and special diabetes programs through fiscal 2024, as well as including a new section to strengthen mental health parity and additional drug pricing provisions.

June 19, 2019 | Daily News

The Senate health committee's final health care cost-cutting legislation attempts to curb surprise medical bills by setting a benchmark payment rate at the median rate for a geographic area for out-of-network care, a decision likely to anger providers who have blasted the policy as government price-setting and likened it to ‘Medicare for All.”

June 18, 2019 | Daily News

Senate health committee Chairman Lamar Alexander (R-TN) told his colleagues that he favors the network-matching proposal to end surprise medical bills, despite pushback from physicians, providers and other stakeholder groups.

June 18, 2019 | Daily News

CMS has determined that the 1332 waiver applications recently submitted by Colorado and North Dakota are complete and has opened the federal public comment period through July 5.

June 17, 2019 | Daily News

The Energy & Commerce health subcommittee's hearing on solutions to end surprise billing, held last Wednesday (June 12), underscored that while policymakers and stakeholders agree patients should be shielded from unexpected medical bills, there are still wide gaps in opinion regarding who should be responsible for the costs.

June 14, 2019 | Daily News

CMS Administrator Seema Verma cautioned the Trump administration against finalizing proposed policies that could undermine the Affordable Care Act, including banning silver-loading, cutting ACA subsidies and ending auto reenrollment, according to an internal agency memo.

June 13, 2019 | Daily News

The Trump administration finalized a rule allowing employers to offer health reimbursement arrangements for employees to enroll in the individual market or in short-term plans beginning in the 2020 plan year.

June 12, 2019 | Daily News

Lawmakers spent most of the House Ways & Means Committee’s hearing on pathways to universal health coverage focusing on partisan Medicare for All talking points, even though the hearing was supposed to give them the opportunity to talk up other proposals to expand government health care.

June 11, 2019 | Daily News

The White House has finished reviewing a regulation proposed by HHS, Treasury and Labor in October that would allow employees to purchase individual coverage with an employer-funded health reimbursement account (HRA), and stakeholders are waiting to see whether CMS implements the rule for the 2020 plan year, as proposed, and lets HRAs be used for short-term plans.

June 11, 2019 | Daily News

Stakeholders are pushing the Senate health committee to do more to protect patients from out-of-network air ambulance bills in its final draft legislation to combat surprise medical bills, outlining several policy options they say would neither require input from other committees nor step on the Federal Aviation Administration’s regulatory turf.

June 10, 2019 | Daily News

The White House Office of Management and Budget is reviewing a regulatory proposal to replace an interim final rule issued in 2016 that required dialysis firms inform commercial insurers when a patient’s premium would be covered by a third-party payer, including non-profit charities like the American Kidney Fund (AKF), but was later shot down in the courts.

June 10, 2019 | Daily News

The Democratic-led House on Friday (June 7) filed a ‘friend of the court’ brief in a Maryland federal court supporting five cities and two individuals who claim the Trump administration illegally sabotaged the Affordable Care Act, despite pledging to “take care” to faithfully execute all laws.

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