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While today's proposed rule for the fiscal year 2025 Inpatient Prospective Payment System recognizes the need to define safety net providers, it takes an approach that would fall short of this goal.

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This year, CMS added several proposals governing state-based marketplaces, including network adequacy requirements and provisions that will impact state Medicaid programs. The agency also aims to align open enrollment periods across marketplaces.

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Recently passed state legislation aims to protect contract pharmacies, prohibit pharmacy benefit manager discrimination, and set reporting requirements.

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The House Committee on Energy and Commerce Subcommittee on Health is scheduled this week to discuss the association-endorsed CONNECT for Health Act of 2023, which would expand the use and scope of telehealth services for patients and remove barriers for essential hospitals' use of the technology.

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The rule aims to align state marketplace requirements with federal marketplace requirements, including by standardizing open enrollment dates.

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Managing and presenting data effectively can be challenging for many health care organizations. Association member WakeMed recognized the need for a more efficient data reporting process and partnered with association corporate affiliate member Premier Inc. to help overcome these obstacles.

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The guidance requires hospitals to set clear guidelines to obtain informed consent before conducting sensitive examinations.

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In its comments to the "Gang of Six," America's Essential Hospitals applauds proposals to prohibit manufacturer restrictions on 340B contract pharmacies and to reaffirm the intent of the program to support safety net providers. In a separate letter, the association called for aid to essential hospitals in the wake of the Change Healthcare cyberattack.

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HHS modifies the definition of short-term, limited-duration insurance, as well as conditions under which indemnity insurance is an excepted benefit.

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A CMS final rule removes administrative barriers, automates the renewal process, and updates outdated record-keeping regulations for Medicaid and the Children's Health Insurance Program.

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The proposed rule includes guidelines for reporting cyber incidents and ransomware payments, along with consequences for noncompliance.

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CMS extended the special enrollment period for individuals who lost Medicaid and CHIP coverage at the end of continuous enrollment to Nov. 30.

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The legislation includes a behavioral health teaching hospital designation that provides workforce development funding for four hospitals.

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CDC reported an increase in MIS-C cases among unvaccinated children, and FDA authorized the first monoclonal antibody to prevent COVID-19.

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A new letter and toolkit outline the administration's response to the Change Healthcare cyberattack and provide resources for health care providers.

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The $1.2 trillion appropriations package includes about $117 billion for the Department of Health and Human Services. Far-right conservatives in the House consider ousting Speaker Mike Johnson for negotiating spending deals with Democrats.

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The amicus brief, filed with other hospital associations, aims to ensure that physicians can rely on their medical judgment in stabilizing pregnant patients with emergency medical conditions.

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Federal agencies report health insurance enrollment to mark the 10th anniversary of the Affordable Care Act marketplaces.

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Lack of payment to health care providers due to the Change Healthcare cyberattack is causing significant cash flow problems for providers and suppliers. CMS is monitoring the situation and has distributed guidance related to advance payments for services provided to Medicaid beneficiaries.

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The Office of Climate Change and Health Equity announced a new round of office hours for its Inflation Reduction Act catalytic program to provide technical assistance with elective pay and transferability of clean energy credits.

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CMS encourages all states to review their renewal processes and to test the renewal logic in eligibility systems.

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The bill, which America’s Essential Hospitals endorses, would reauthorize for five years the Dr. Lorna Breen Health Care Provider Protection Act, which provides funding for education, peer-support programs, behavioral and mental health treatment, and other activities related to provider burnout.

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The Government Accountability Office recommends that CMS require states to report on the outcomes of Medicaid managed care appeals.

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The members-only learning collaborative will offer peer learning and expert training to enhance access to opioid use disorder treatment.

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The White House Challenge to Save Lives from Overdose asks stakeholders to commit to increasing access to opioid overdose reversal medications.

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This legislation would codify 340B Drug Pricing Program providers’ ability to use contract pharmacies to dispense 340B discounted drugs.

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The Medicaid and CHIP Payment and Access Commission discusses widening its scope to review disproportionate share hospital funding policy in the context of other Medicaid payments.

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This policy brief discusses how HHS has leveraged its authority under Medicaid and Medicare to advance policies aimed at addressing social determinants of health and health-related social needs.

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Utah becomes the 45th state, along with Washington, D.C., and the U.S. Virgin Islands, to extend Medicaid and Children's Health Insurance Program eligibility for 12 months postpartum.

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Medicare Part A providers and Part B suppliers affected by the Change Healthcare cyberattack may apply for accelerated and advance payments.

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The fiscal year 2024 appropriations package also delays by three months the fiscal year 2025 cut to Medicaid disproportionate share hospital funding, giving lawmakers time after the general election to return to this issue and other year-end spending priorities.

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This “minibus” funding package eliminates Medicaid disproportionate share hospital payment cuts for FY 2024, delays implementation of FY 2025 Medicaid DSH cuts, and does not include harmful site-neutral payment cut policies and burdensome hospital price transparency measures.

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By eliminating this fiscal year’s $8 billion cut to Medicaid disproportionate share hospital funding and delaying the fiscal year 2025 cut, Congress affords policymakers valuable time to find a lasting solution to the decade-long threat to DSH support.

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CDC says Americans who tested positive no longer must isolate for five days under certain conditions; FDA grants emergency use authorization to the first at-home test detecting both the flu and COVID-19.

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Medication therapy management brings pharmacists, health care providers, and patients together to ensure appropriate medication use.

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Following action to avert a partial government shutdown March 1, congressional lawmakers released an appropriations plan for the remainder of the current fiscal year that would eliminate the looming $8 billion cut to Medicaid disproportionate share hospital funding.

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The 340B program continues to work as Congress intended. We urge Congress and the administration to protect the program and ensure all stakeholders comply with the law.

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We appreciate the strong precedent of bipartisan support for stopping the Medicaid DSH cuts and urge Congress to act swiftly, before the March 8 deadline, to preserve this vital safety net support and eliminate the DSH reductions for FYs 2024 and 2025.

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We urge Congress to protect access to care in underserved communities and support the safety net by rejecting site-neutral policies.

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New legislation, introduced by Reps. Lori Trahan (D-Mass.) and David Valadao (R-Calif.), would codify “essential health system” in statute, giving policymakers a powerful tool to better target support to the nation’s safety net and improve health care access and equity and public health.

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