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Health-Exchange-Alert

March 26, 2019 | Daily News

Eliminating the Affordable Care Act would cause the uninsured rate to increase by at least 65 percent and cause the amount of uncompensated care to grow by at least 82 percent, according to a new study by the Urban Institute.

March 25, 2019 | Daily News

The Department of Justice on Monday (March 25) told the Fifth Circuit Court of Appeals that it now agrees with District Judge Reed O ‘Connor’s Dec. 14 decision that the ACA’s individual mandate is no longer valid and therefore the entire Affordable Care Act, which included major reforms to the insurance market and Medicaid and established the biosimilars market, should be thrown out.

March 25, 2019 | Daily News

The Department of Justice on Monday (March 25) told the Fifth Circuit Court of Appeals that it now agrees with District Judge Reed O'Connor’s Dec. 14 decision that the ACA’s individual mandate is no longer valid and therefore the entire Affordable Care Act, which included major reforms to the insurance market and Medicaid and established the biosimilars market, should be thrown out.

March 25, 2019 | Daily News

House Democrats on Tuesday will introduce sweeping legislation that aims to make the exchange plans more affordable by expanding tax credits, increasing funding for Affordable Care Act outreach and education, and reversing Trump administration rules that could weaken the marketplace, but does not address the cost-sharing reduction subsidies, according to a draft version obtained by Inside Health Policy Monday night.

March 25, 2019 | Daily News

New Jersey Gov. Phil Murphy (D) announced Friday that the state will transition from using healthcare.gov to a state-based exchange by the 2021 plan year, saying the move will give the state greater control over its market and protect residents from Trump administration attempts to undermine the Affordable Care Act.

March 25, 2019 | Daily News

Roughly 300,000 fewer people signed up for health plans on the federal exchanges during the 2019 Affordable Care Act open enrollment period compared to last year, and premiums for plans selected on healthcare.gov were 1.5 percent less expensive than last year, CMS announced on Monday (March 25).

March 25, 2019 | Daily News

CMS will allow issuers to sell plans that don’t adhere to the Affordable Care Act’s guidelines, also known as “grandmothered" plans, for one additional year, the agency announced Monday (March 25).

March 25, 2019 | Daily News

The Maryland legislature passed a measure that would allow uninsured individuals to apply for health coverage on their tax returns, and, if the bill is signed by the governor, the state would become the first to enact such legislation.

March 25, 2019 | Daily News

The final 2020 Notice of Benefit and Payment Parameters that sets key exchange guidance and deadlines is now under review by the White House Office of Management and Budget, meaning it could be released ahead of the National Association of Insurance Commissioners' upcoming meeting where an CMS insurance oversight office official is slated to provide an update on exchange policies April 5.

March 22, 2019 | Daily News

The House Education & Labor Committee plans to hold an information-seeking hearing on surprise medical bills the first week of April, making it the first committee to hold a legislative hearing on the hot-button issue.

March 22, 2019 | Daily News

Idaho is a step closer to joining Utah in scaling back its voter-approved Medicaid expansion and converting it to a partial expansion with work requirements.

March 22, 2019 | Daily News

Wisconsin Attorney General Josh Kaul filed a motion telling federal courts in Texas that the state is no longer interested in the challenging the constitutionality of the Affordable Care Act and would like to be formally removed as a plaintiff in Texas v. Azar.

March 22, 2019 | Daily News

The California State Assembly’s health committee on Tuesday (March 19) approved a revised version of legislation aimed at removing the financial incentives for third-party payers to pay insurance premiums for certain patients, and the committee immediately received kudos from the state’s association of health care plans.

March 21, 2019 | Daily News

A new Urban Institute report out Thursday (March 21) suggests policymakers consider capping provider rates at Medicare levels or introducing a public plan option in exchange rating areas that continue to struggle with competition.

March 20, 2019 | Daily News

Advocates for Medicaid beneficiaries filed a third lawsuit Wednesday (March 20) challenging the Trump administration’s continued approval of Medicaid work requirements.

March 20, 2019 | Daily News

Consumer advocates tell CMS that the proposed exchange rule leaves room for web-based brokers and direct enrollment entities to display qualified health plan (QHP) options in a way that pushes consumers toward plans for which the brokers receive compensation, despite the agency’s stated goals to the contrary.

March 20, 2019 | Daily News

Provider groups and plans are calling on Congress to give them greater access to claims data and to make the true cost of services transparent as the Senate health committee looks for possible solutions to driving down health care costs.

March 20, 2019 | Daily News

A bill moving through the Idaho state legislature would create “enhanced” short-term plans that could eventually end up looking very similar to Idaho’s proposed state-based health plans, state Insurance Commissioner Dean Cameron told Inside Health Policy.

March 19, 2019 | Daily News

The Idaho legislature is mulling proposals to add work requirements and other restrictions to the state’s Medicaid expansion plan that was approved by voters in November and has yet to take effect.

March 19, 2019 | Daily News

The class action lawsuit spearheaded by Wisconsin-based Common Ground Health Cooperative and involving about 90 other exchange issuers has filed an amended complaint with the Federal Court of Claims and now seeks to collect cost-sharing reduction reimbursements owed for plan years 2017, 2018 and 2019.

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