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The Courts

July 16, 2012 | Daily News

Republican Governors Association Chair Bob McDonnell (VA) told Inside Health Policy that he and his colleagues were not pleased with CMS' two-page response to the group's detailed list of 30 questions about how the Supreme Court's health law ruling affects health insurance exchanges and Medicaid expansion, adding that the GOP governors will be sending another letter soon, likely this week.

July 13, 2012 | Daily News

The National Association of Public Hospitals and Health Systems (NAPH) worries that up to 30 states could potentially opt-out of the Medicaid expansion, leaving millions uninsured and creating a untenable situation for public hospitals that would still be subject to lower Disproportionate Share Hospital payments.

July 13, 2012 | Daily News

CMS Acting Administrator Marilyn Tavenner says there is no deadline for a state to tell CMS if it plans to expand Medicaid, according to a July 13 letter to Republican Governors Association Chairman Bob McDonnell (VA) that was sent in response to a slew of questions GOP governors sent CMS earlier this week.

July 13, 2012 | Daily News

Washington insiders say the Supreme Court's Medicaid decision could be a neutral or even a plus for the pharmaceutical industry, although the full effect will not be known until it becomes clear how many states will opt out of the health law's Medicaid expansion.

July 13, 2012 | Daily News

Sen. John Rockefeller (D-WV) appealed to the nation's largest seniors group on Thursday to start educating its members about the benefits of Medicaid as states struggle with how to respond to the Supreme Court's decision to essentially make Medicaid expansion voluntary.

July 11, 2012 | Daily News

Despite the focus on governors' positions on the reform law's now voluntary Medicaid expansion, state legislatures may have the chance to approve or deny the expansions and some believe that state Republican governors seeking attention on the national stage may run up against state lawmakers who are focused locally on the needs of those in their districts.

July 11, 2012 | Daily News

HHS will hold four regional forums over the next several weeks where department officials will discuss with states and other stakeholders the next steps in implementing the health reform law, according to a July 10 letter from HHS Secretary Kathleen Sebelius that urges governors to move forward on key ACA provisions such as exchanges and the Medicaid expansion.

July 10, 2012 | Daily News

Republican governors are telling President Obama that it is incumbent upon the administration and drafters of the health reform law to specify how they will address the “significant gap in coverage” that will likely result for low-income individuals if a state opts out of the Medicaid expansion and therefore there are people who can't get Medicaid coverage and do not qualify for premium tax credits for private insurance, according to a July 10 letter from Republican Governors Association Chairman and Virginia Gov. Bob McDonnell.

July 09, 2012 | Daily News

State Medicaid directors have sent a barrage of questions to CMS in a quest for policy direction on key Medicaid expansion issues that have been left unclear by the Supreme Court's recent health reform ruling, including whether a state can do a limited expansion of Medicaid eligibility instead of completely expanding to 133 percent of the federal poverty level as called for by the law, if states can phase-in their expansion to low-income adults beyond 2014, and whether states that previously expanded Medicaid eligibility would be eligible for the law's higher matching rate even if they decide against proceeding with the full expansion.

July 05, 2012 | Daily News

Medicaid managed care plans expect states to move forward with the health reform law's Medicaid expansion even though the Supreme Court's ruling has made it easier for them to opt out, industry lobbyists say, largely because of the sheer amount of money the federal government is offering states to expand their programs.

July 05, 2012 | Daily News

The Supreme Court's decision essentially turning the reform law's Medicaid expansion into an optional expansion for states is raising questions about whether states will still be required starting in 2014 to use the law's new income test based on modified adjusted gross income (MAGI) to determine an individual's eligibility for the program, sources say.

July 03, 2012 | Daily News

White House officials have agreed to meet with members of the retail industry to discuss issues associated with implementation of the health reform law, quickly responding to the industry's July 2 letter urging the administration to immediately release “long overdue” regulations that would allow employers to move forward on the law's requirements.

July 03, 2012 | Daily News

Several sources suggest that the insurance industry's best chance at repealing the health law's premium tax is as part of a comprehensive tax reform debate that is expected at the beginning of the next congressional session.

July 02, 2012 | Daily News

The Supreme Court's decision to let some states opt out of the health law's Medicaid expansion has left some states pondering whether they could partially expand the program, as they worry that any expansion would lead to higher indirect costs and that Congress might cut the match rate for newly eligible beneficiaries during next year's deficit debate.

July 02, 2012 | Daily News

As White House officials express hope that health care providers will press states to move forward with the reform law's Medicaid expansion, providers are mixed on whether they would be better off if Medicaid rolls grow or alternatively if more beneficiaries enroll in the law's new insurance exchanges.

July 02, 2012 | Daily News

A group of 73 Republican lawmakers from both houses of Congress is urging all state governors to oppose creation of state-based exchanges, saying that refusing to implement a state exchange is the most important thing governors could do to help Congress in repealing the law as it would highlight confusion over whether individuals in federally run exchanges are eligible for insurance subsidies.

July 02, 2012 | Daily News

HHS is stepping up pressure on the states to move forward with the law's insurance exchanges, unveiling soon after the Supreme Court ruled that the agency will award more grants, be flexible in how the money is spent and hold a series of meetings with state officials across the country this month to discuss exchange implementation issues.

June 29, 2012 | Daily News

Health care stakeholders, including key physician and pharmaceutical industry groups, are renewing their bid to repeal the health reform law's Independent Payment Advisory Board in the wake of the Supreme Court's decision Thursday to uphold the majority of the law.

June 29, 2012 | Daily News

While the Supreme Court made it clear Thursday that the HHS secretary could not withdraw existing federal Medicaid funding from a state that opts against moving forward with the health reform law's Medicaid expansion, key sources say the court left it unclear if the health law's controversial “maintenance of effort” provision is still valid.

June 29, 2012 | Daily News

The Supreme Court's unexpected decision to give states an opening to forgo the health reform law's Medicaid expansion left states and other stakeholders scrambling Thursday to get a handle on the decision's implications for the law's key tool for decreasing the number of uninsured.

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