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Health-Exchange-Alert

February 04, 2019 | Daily News

HHS wants Congress to ban drug rebates, and Senate Special Committee on Aging Chair Susan Collins (R-ME) said she’d like to work with the president on rebate legislation.

February 03, 2019 | Daily News

The group of 17 Democratic attorneys general appealing the district court ruling in Texas V. Azar that, if upheld, would invalidate the entire Affordable Care Act, are asking the Fifth Circuit appeals court to expedite the case, and propose that opening briefs be due at the end of March.

February 01, 2019 | Daily News

Republican lawmakers in Utah are trying to fast-track a bill that would undo the Medicaid expansion that the state’s voters approved in November and replace it with a more limited expansion proposal containing work requirements and spending caps.

February 01, 2019 | Daily News

New Mexico is pushing to have a Medicaid buy-in bill that could reduce premiums as much as 29 percent in place by the end of next year -- a move that could put the state on the map as the first to implement such a program.

February 01, 2019 | Daily News

A federal district court Friday (Feb. 1) dismissed Maryland Attorney General Brian Frosh’s lawsuit against the administration’s attacks on the Affordable Care Act due to lack of standing.

February 01, 2019 | Daily News

Attorneys general from Colorado, Iowa, Michigan and Nevada on Thursday (Jan. 31) filed a motion to join 17 other Democratic attorneys general as defendants in the high-profile lawsuit that, if upheld, would invalidate the Affordable Care Act.

January 31, 2019 | Daily News

As House Progressive Caucus Co-Chair Rep. Pramila Jayapal (D-WA) gathers co-sponsors for an upcoming Medicare for All bill, which she says will be different than Sen. Bernie Sanders’ (I-VT) single-payer bill, Democrats signal they are open to a variety of approaches when it comes to single-payer or Medicare expansion.

January 31, 2019 | Daily News

Kentucky is postponing the launch of its Medicaid work requirements for at least three months as a lawsuit challenging their legality is pending in federal court.

January 31, 2019 | Daily News

The House Energy & Commerce Committee announced that for the first time it will hold a hearing on the controversial case to undo the Affordable Care Act.

January 31, 2019 | Daily News

The Trump administration’s proposal to let exchange plans prohibit some manufacturer drug coupons from counting towards patients’ out-of-pocket cost caps is praised by insurers and generic drug makers as a way to lower consumers’ costs and promote generics, but patient advocates and brand-drug companies say it would increase patients’ costs.

January 30, 2019 | Daily News

California’s state-based exchange reported Wednesday (Jan. 30) a nearly 24 percent drop in new consumers signing up for coverage, which the exchange attributes to the loss of the federal mandate to buy coverage, yet overall enrollment slipped only a half a percent largely due to strong re-enrollment numbers.

January 30, 2019 | Daily News

Consumer advocacy group Families USA is out with an issue brief calling on lawmakers to consider enhancing and expanding financial assistance to improve exchange plan affordability rather than focusing on reinstating the Affordable Care Act’s reinsurance program, which was phased out after 2016.

January 29, 2019 | Daily News

Democrats on the House Ways & Means Committee used Tuesday’s (Jan. 29) hearing on preexisting conditions to again highlight Republicans’ attempts to repeal the health law during the last Congress, whereas GOP members tried to pivot away from problems with the Affordable Care Act and steer to other health care issues.

January 29, 2019 | Daily News

The parties appealing Texas U.S. District Judge Reed O’Connor’s ruling in the high-profile challenge to the Affordable Care Act now have until Feb. 8 to respond to House Democrats’ motion to intervene at the U.S. Court of Appeals for the Fifth Circuit.

January 29, 2019 | Daily News

CMS Administrator Seema Verma says the agency is taking a closer look at medically necessary dental benefits for Medicare beneficiaries -- coming as beneficiary advocates say CMS already has authority to cover medically necessary oral health care and lawmakers on both sides of Capitol Hill are weighing changes to the statute to establish a Medicare oral health benefit including preventive care.

January 28, 2019 | Daily News

After Medicaid expansion made dramatic inroads in several red states in 2018, early signs from the opening days of this year’s state legislative sessions suggest that expansion may be on the horizon in even more red states in 2019.

January 28, 2019 | Daily News

Higher-than-expected medical claims coupled with state and federal policy requirements drove premium increases and market participation in the health insurance exchanges, the Government Accountability Office (GAO) concluded in an Affordable Care Act-mandated report released Monday (Jan. 26).

January 28, 2019 | Daily News

The American College of Emergency Physicians is joining the effort to craft legislation that would mitigate so-called surprise billing and is pushing insurers to make more of an effort to cover emergency services and to take responsibility for payments.

January 28, 2019 | Daily News

Washington state’s health care authority is in the final stages of a plan to pay a subscription for hepatitis C drugs that would cover its Medicaid beneficiaries, prisoners and state employees, including teachers, and the winner-take-all model could be extended to the commercial market and other states.

January 25, 2019 | Daily News

Philadelphia on Friday (Jan. 25) signed onto the multi-city lawsuit that alleges the administration violated the Constitution’s “take care” clause by acting to undermine the Affordable Care Act.

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