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Health-Exchange-Alert

May 14, 2019 | Daily News

House Democrats have delayed a floor vote on the Energy & Commerce-passed reinsurance bill because they hope to package it with legislation to lower Affordable Care Act premiums, a senior House Democratic aide told Inside Health Policy.

May 14, 2019 | Daily News

Rep. Mark Green (R-TN) introduced a bill Tuesday (May 14) that would allow Medicaid enrollees to choose to use a pre-paid “swipe card” to purchase medical care -- a proposal Green said would drive down costs and introduce more competition into the health sector, but one policy analyst said might instead drive up costs.

May 14, 2019 | Daily News

The House Energy & Commerce Committee released a draft bipartisan proposal to tackle surprise medical billing that ties a benchmark payment rate for out-of-network services to the average in-network rate for that geographic area -- a move opposed by hospitals and providers, who don’t like rate setting.

May 14, 2019 | Daily News

Washington Democratic governor and presidential candidate Jay Inslee on Monday (May 13) signed the nation's first public option law.

May 13, 2019 | Daily News

Attorneys general from 12 states, led by New York AG Letitia James, took issue with the Department of Labor’s guidance stating that existing association health plans can continue to operate as usual despite a recent court ruling axing key pieces of President Donald Trump’s expansion of association health plans.

May 10, 2019 | Daily News

A study released Thursday (May 9) by the Rand Corporation says many hospitals across 25 states charge private insurers double or triple the rate that Medicare pays for the same services and the researchers called on insurers to use Medicare payment rates as a benchmark, a proposal hospital groups slammed, saying it would jeopardize hospital resources.

May 09, 2019 | Daily News

House Democrats voted Thursday to reverse the Trump administration’s guidance that allows states to use Affordable Care Act 1332 waivers to navigate around the law's coverage requirements, but no states have applied for the new waivers and few have shown interest.

May 09, 2019 | Daily News

The White House pressured Congress to act to curb surprise medical bills and said it would support a solution protects the patient in both emergency situations and when a facing a surprise bill after scheduling an in-network procedure.

May 09, 2019 | Daily News

CMS is considering whether to allow states that partially expand Medicaid to receive the enhanced federal funding historically reserved for full Medicaid expansion, CMS Administrator Seema Verma said Wednesday (May 8).

May 08, 2019 | Daily News

The House will vote next week on legislation that combines key drug-pricing and Affordable Care Act bills, House Majority Leader Steny Hoyer (D-MD) said Wednesday (May 8).

May 07, 2019 | Daily News

Sens. Susan Collins (R-ME) and Joe Manchin (D-WV) are urging Attorney General William Barr and the Department of Justice to reconsider their push to overturn the Affordable Care Act through the courts.

May 07, 2019 | Daily News

The executive directors of the nation’s 12 state-based exchanges tell the Trump administration there is not enough time to make the technical and other changes needed to implement a pending rule on health reimbursement arrangements by the 2020 plan year.

May 07, 2019 | Daily News

House Democrats plan to hold floor votes next week on several bills to shore up the Affordable Care Act, according to an aide for House Speaker Nancy Pelosi (D-CA). The staffer would not specify which of the Energy & Commerce Committee-approved ACA bills the House will next consider.

May 06, 2019 | Daily News

The health insurance exchange population is expected to fall from 14 million in 2019 to 11 million in 2029, but the marketplace will remain stable largely due to subsidies that shield many enrollees from premium increases, the Congressional Budget Office concludes in a May 2 report on the federal health expenditures for the under 65 population.

May 06, 2019 | Daily News

Molina President and CEO Joe Zubretsky dodged questions about the Washington state legislature's public option and called the plan “political rhetoric” and “conceptual” when asked how it could impact the exchanges in which Molina participates.

May 06, 2019 | Daily News

The effort to expand Medicaid in Kansas failed over the weekend after the Republican-controlled state legislature overcame a two-day standoff with expansion supporters, passed a state budget and adjourned in the middle of the night.

May 03, 2019 | Daily News

Tennessee will seek to convert its Medicaid program into one financed by a federal block grant under a bill passed by state lawmakers during a dramatic final day of the state’s legislative session -- the latest example of a Republican-controlled state eager to work with CMS to enact what some health law experts see as legally questionable Medicaid block grants.

May 03, 2019 | Daily News

The Department of Justice tells Inside Health Policy that it will not send a letter to congressional leaders explaining its decision to call for the entire ACA to be scrapped in the high-profile Texas case because the move was based on statutory interpretation and not on constitutional grounds.

May 02, 2019 | Daily News

The Trump administration finalized a rule allowing health care providers to decline treatment or refuse to make referrals if a procedure violates their religious or moral beliefs, such as abortion, sterilization or assisted suicide.

May 02, 2019 | Daily News

House and Senate Democrats on Wednesday (May 1) introduced two new public option proposals that would allow private insurance to operate alongside a government-funded health care system, coming a day after Congress held its first hearing on more-aggressive Medicare for All legislation, demonstrating the growing policy rift within the Democratic party when it comes to expanding health care.

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