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Health-Exchange-Alert

November 08, 2018 | Daily News

CMS proposed a rule that aims to better ensure consumers are not dually enrolled in exchange and other public coverage, including Medicare, Medicaid, CHIP and the Basic Health Plan.

November 08, 2018 | Daily News

The Trump administration released two final rules on Wednesday (Nov. 7) that offer exemptions to the Affordable Care Act’s contraceptive mandate for entities that have either religious or moral objections to contraceptive services.

November 07, 2018 | Daily News

Texas District Judge Reed O' Connor is expected to rule any day on the high-profile case over the Affordable Care Act now that the election is over, and some legal experts believe he is likely to overturn as least the law's protections for preexisting conditions but could also move to an injunction that would end implementation of the entire law.

November 07, 2018 | Daily News

In the immediate aftermath of the midterm elections, House Minority Leader Nancy Pelosi (D-CA) asked the Trump administration to “withdraw from a lawsuit” to eliminate parts of the Affordable Care Act, and Senate Minority Leader Chuck Schumer (D-NY) told Inside Health Policy he would join Pelosi’s call for the GOP to scrap the suit.

November 07, 2018 | Daily News

Medicaid expansion could become a reality in Kansas, Maine and Wisconsin after Democrats won the governor’s mansions in those states Tuesday (Nov. 6).

November 07, 2018 | Daily News

Voters in Idaho, Nebraska and Utah chose Tuesday (Nov. 6) to expand Medicaid eligibility under the Affordable Care Act, but voters in Montana rejected a ballot initiative that would have made that state’s Medicaid expansion permanent.

November 07, 2018 | Daily News

Several Senate Finance members will not return to the committee, as Sens. Claire McCaskill (D-MO) and Dean Heller (R-NV) lost their reelection bids on Tuesday night (Nov. 7), while Florida Democrat Bill Nelson on Wednesday morning called for a recount after initial tallies showed him trailing the state’s outgoing Gov. Rick Scott (R) by less than half a point.

November 07, 2018 | Daily News

Ten Republican members of the Ways & Means Committee will leave the House in January because they lost their midterm races, ran for higher office, or decided to retire. Rep. Lloyd Doggett (D-TX) is likely next in line to be chairman of the health subcommittee, and Rep. Richard Neal (D-MA) is up for the overall committee chairmanship.

November 07, 2018 | Daily News

With Democrats taking control of the House, Rep. Frank Pallone (D-NJ) is highly expected to chair the powerful Energy & Commerce Committee, and, although he comes from a pharmaceutical-heavy district, he told Inside Health Policy prior to the election results that tackling high drug prices would be a top priority as would overseeing the administration's health care agenda.

November 07, 2018 | Daily News

Prior to the midterm elections, Senate Democratic staffers prepared for a split Congress, with a GOP-controlled Senate and a Democratic House, by meeting with health care stakeholders and their House counterparts to coordinate next steps and make plans to re-frame the push for Obamacare market stabilization as a way to protect people with preexisting conditions, sources close to the Senate health committee say.

November 06, 2018 | Daily News

At least two of the four issuers that failed to convince a full panel of federal appeals court judges to rehear their suit over the ACA's risk corridor program plan to petition the Supreme Court to hear the case.

November 06, 2018 | Daily News

Arkansas’ controversial Medicaid work requirements should be halted for many of the same reasons that Kentucky’s proposed work requirements were blocked from taking effect earlier this year, advocates for beneficiaries told the federal judge who is presiding over both cases.

November 06, 2018 | Daily News

President Donald Trump’s claim that he was unaware that Attorney General Jeff Sessions urged a Texas federal court to eliminate coverage for preexisting conditions could come back to haunt the Trump administration during the case’s appeals process, legal experts say.

November 05, 2018 | Daily News

As third quarter earnings reports rolled out this past week, Molina Inc. reported moves into new states and low premium increases for 2019 and Anthem Inc. welcomed the Trump administration’s new rules regarding health reimbursement arrangements.

November 05, 2018 | Daily News

Voters in four crimson-red states could expand Medicaid eligibility to more than 300,000 people on Tuesday (Nov. 6) in ballot referendums designed to circumvent years of opposition from conservative elected officials in those states.

November 02, 2018 | Daily News

The Advanced Medical Technology Association (AdvaMed) is confident that the interests of the medical device industry will be well-represented no matter which party controls the House and the Senate after the midterm elections due to the industry's support from both parties.

November 02, 2018 | Daily News

Idaho will move forward with its controversial state-based health plans without submitting a formal waiver to CMS, eschewing CMS' new offer to consider 1332 waivers that include health plans that don't strictly comply with the Affordable Care Act, Idaho Insurance Commissioner Dean Cameron told Inside Health Policy.

November 02, 2018 | Daily News

A Minnesota-based association health plan will extend its ACA-compliant coverage to residents of Nebraska under a new federal rule that broadened the definition of employers under ERISA and allowed certain AHPs to sell products across state lines.

November 02, 2018 | Daily News

The legal battle over the federal government's recent rule that broadened the definition of an employer in order to expand access to association health plans moved a step forward this week with the Department of Labor urging the U.S. District Court of the District of Columbia to throw out the suit, contending the plaintiffs lack standing.

November 01, 2018 | Daily News

Although CMS touts the availability of a much-anticipated enhanced direct enrollment pathway -- which lets private, web-based entities, including web-brokers and issuers, link to HHS' federal data hub to verify eligibility for ACA plan enrollment and subsidies -- the agency reveals to Inside Health Policy that no EDE entities had been approved as of the start of open enrollment Thursday (Nov. 1).

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