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The US Departments of HHS, Labor, and Treasury finalize expanded access to short-term, limited duration insurance

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By Jeff Wurzburg (US) on August 1, 2018

On August 1 the Departments of Treasury, Labor, and Health and Human Services (the Departments) published a final rule that will expand the availability of short-term limited duration insurance (STLDI).  A Health Law Pulse summary of the proposed rule may …

GAO releases report on the differences between 340B and non-340B hospitals

Posted on July 26, 2018

On June 18, the United States Government Accountability Office (GAO) released a report on the 340B program, entitled “Drug Discount Program: Characteristics of Hospitals Participating and Not Participating in the 340B Program.” The 340B Drug Discount Program requires drug manufacturers…

CMS issues final rule to adopt risk adjustment methodology for 2017

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By Jeff Wurzburg (US) on July 25, 2018

CMS has issued a Final Rule to adopt the risk adjustment methodology for the 2017 benefit year.  The rule was issued without a notice and comment period and will become effective upon publication in the federal register.  The risk adjustment …

CMS suspends 2017 benefit year risk adjustment payments

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By Jeff Wurzburg (US) on July 12, 2018

On Saturday, July 7, 2018, the Centers for Medicare & Medicaid Services (CMS) announced the suspension of risk adjustment payments for the 2017 benefit year until the resolution of risk adjustment litigation following the decision in New Mexico Health Connections…

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Federal court strikes down Kentucky Medicaid work requirements

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By Jeff Wurzburg (US) on July 3, 2018

On June 29 Judge James Boasberg of the United States District Court for the District of Columbia vacated the approval by the Secretary of Health and Human Services of Kentucky HEALTH.  Kentucky HEALTH was to be implemented on July 1. …

Department of Labor publishes final rule to expand access to Association Health Plans

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By Jeff Wurzburg (US) on June 25, 2018

The United States Department of Labor (DOL) published a final rule on June 19 that relaxes the regulation of, and expands access to, association health plans (AHPs).  President Donald J. Trump’s October 12, 2017 Executive Order instructed the DOL to…

Coalition of conservative groups release outline of plan to repeal and replace the Affordable Care Act

Posted on June 20, 2018

On June 19, the Health Policy Consensus Group, a coalition of conservative groups including the Heritage Foundation, the Galen Institute and the Hoover Institution, released an outline of a new proposal to repeal and replace the Affordable Care Act (ACA).  …

Department of Justice will not defend ACA individual mandate

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By Jeff Wurzburg (US) on June 11, 2018

The Department of Justice (DOJ) announced on June 7, 2018 that it will no longer defend the constitutionality of section 5000A of the Affordable Care Act (ACA), a.k.a. the individual mandate.  DOJ announced its policy change in a three page…

Virginia to expand Medicaid in January 2019; Utah will vote on Medicaid expansion this November

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By Jeff Wurzburg (US) on June 4, 2018

Virginia is expected to become the 33rd state (plus the District of Columbia) to expand Medicaid under the Affordable Care Act (ACA) following the passage of a budget by the Virginia legislature.  The expansion will take effect on January 1, …

Legislation introduced to suspend health insurer tax for 2020

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By Jeff Wurzburg (US) on May 29, 2018

On May 25, 2018 legislation was introduced in the United States House of Representatives to suspend the annual fee on health insurance providers implemented by the Affordable Care Act (ACA) for 2020.  HR. 5963 was introduced by Reps. Kristi Noem…

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