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policy

In its annual proposed changes to benefit and payment parameters, CMS added several proposals governing state-based marketplaces, including network adequacy requirements, as well as provisions that will impact state Medicaid programs.

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policy

The association supports changes to the definition and duration of short-term, limited-duration insurance and requests clarification in application notices.

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policy

CMS will release state Medicaid and Children's Health Insurance Program renewal data on a monthly, two-part basis due to data availability. 

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state-action

Covered California says the program will reduce out-of-pocket costs for more than 600,000 enrollees, eliminate silver plan deductibles, and assist those predicted to lose Medi-Cal coverage.

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policy

HHS proposes to modify the definition of short-term, limited-duration insurance and conditions surrounding hospital or other fixed indemnity insurance.

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state-action

Minnesota residents with an undocumented immigrant status can enroll in the state's publicly subsidized health program if they meet other eligibility requirements.

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state-action

To qualify, an individual must be enrolled in family insurance through an employer that is deemed unaffordable and has a renewal date other than Jan. 1.

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policy

The rule would allow DACA recipients to be eligible for health care coverage through the Affordable Care Act marketplace, Medicaid, and the Children's Health Insurance Program.

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policy

Qualified individuals and their families who lose Medicaid or CHIP eligibility once the continuous enrollment requirement ends can apply for marketplace coverage between March 31, 2023, and July 31, 2024.

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state-action

CMS approved Colorado's Section 1332 waiver application to create a state-based standard health benefit plan.

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policy

Consumers now can preview health plans and prices on healthcare.gov ahead of open enrollment, which runs Nov. 1, 2020, through Jan. 15, 2021.

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policy

Notable to essential hospitals, the Biden administration's July 9 executive order includes health care items related to prescription drugs, price transparency, hospital consolidation, and health insurance.

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state-action

Nevada is the second state to pursue a public option health coverage plan, after Washington implemented a public option in 2019. The law requires the Nevada Department of Health and Human Services, Division of Insurance, and Silver State Health Insurance Exchange to create a public option by 2026.

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policy

The Centers for Medicare & Medicaid Services is issuing $80 million in grant funding for navigators in states using the federal insurance marketplace for the 2022 plan year.

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policy

The Department of Health and Human Services announced $80 million in grants to increase access to marketplace enrollment assistance for consumers. The agency's 2021 open enrollment report shows more than 12 million consumers selected a marketplace plan during the 2021 open enrollment period.

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policy

The Centers for Medicare & Medicaid Services is extending until Aug. 15 the special enrollment period for 36 states using the federal health insurance marketplace, giving consumers more time to view new options under the American Rescue Plan, including lower premiums and plan upgrades.

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policy

The special enrollment period, intended to ensure access to health coverage amid the the COVID-19 pandemic, will continue through May 15. The enrollment period applies to consumers in the 36 states that use the federal marketplace platform.

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policy

President Biden released an executive order to strengthen Medicaid and the Affordable Care Act. The order calls for a special enrollment period on the federally facilitated exchange for uninsured or underinsured individuals — particularly those hardest hit by the COVID-19 pandemic.

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state-action

States open insurance marketplace special enrollment periods; the Association of State and Territorial Health Organizations issues considerations for mobile testing.

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policy

CMS issued the 2021 notice of benefit and payment parameters proposed rule and draft letter to issuers updating regulatory and financial standards for plans offered on the health insurance marketplaces. CMS is not proposing any changes to network adequacy standards.

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policy

The proclamation states that the entry of immigrants who do not obtain health insurance financially burdens the health care system.

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state-action

The new law requires the state to contract with one or more insurers to offer qualified health plans through its individual insurance marketplace beginning in 2021, as well as fund premium subsidies for people earning less than 500 percent of the federal poverty level.

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policy

CMS finalized the Notice of Benefit and Payment Parameters for the Affordable Care Act’s health insurance marketplace and the annual letter to issuers offering plans on the federally facilitated marketplaces for plan years beginning on or after Jan. 1, 2020.

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policy

The legislation allows states to establish Medicaid health homes to coordinate complex care for children and provides $20 million in additional funding for the "Money Follows the Person" demonstration program, among other provisions.

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policy

The United States District Court for the District of Columbia ruled that expanding the availability of association health plans illegally circumvents the Affordable Care Act and violates the intent of federal insurance laws.

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policy

Proposed provisions aim to further the Trump administration’s goals to lower premiums, increase market stability, reduce regulatory burden, and protect taxpayers.

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policy

The new guidance outlines the types of rules association health plans must follow under the Employee Retirement Income Security Act and reiterates that states and the Department of Labor have a joint responsibility to regulate such plans.

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policy

Under the final rule , short-term, limited-duration insurance plans can be issued for up to 12 months, with a maximum duration of 36 months after renewals and extensions.

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institute

Researchers found a decline in uninsurance rates and an increase in medical service use, access, and diagnosis of certain chronic conditions among previously uninsured adults.

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policy

Hospitals have until Aug. 22 to petition the Centers for Medicare & Medicaid Services for inclusion on the list for the 2020 plan year.

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policy

The final package, passed last week, included $4 billion for combating the opioid crisis and a $10 billion increase in HHS funding, but left out measures to stabilize the insurance marketplace.

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policy

Negotiations on the bill have stalled amid disagreements on certain provisions, such as including language barring abortion access as part of a package to stabilize the Affordable Care Act's insurance marketplace.

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policy

Congress this week is focused on negotiating legislation to stabilize the Affordable Care Act insurance marketplace and efforts to fight the opioid crisis.

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policy

Congress returns from recess to focus on long-term solutions after passing a short-term bill to fund the government through Jan. 19; lawmakers push for delay of 340B Drug Pricing Program cuts.

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policy

Hospitals serving low-income, underserved patients have until Dec. 22 to submit a petition for inclusion on the Centers for Medicare & Medicaid Services’ final 2019 essential community provider list.

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policy

The calendar year 2019 draft letter to plans offered through federally facilitated marketplaces also provides deadlines for qualified health plan certification.

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policy

The legislative priorities include a health care extenders package, tax reform, and a long-term funding bill. Also, bipartisan House legislation to halt 340B payment cuts now has more than 50 cosponsors.

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Ending the government’s cost-sharing subsidies to insurers in the Affordable Care Act marketplace won’t fix the law’s shortcomings or move us closer to a workable alternative. It only will destabilize the insurance market and drive costs higher for patients who can least afford increases.

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policy

The federal fiscal year came to a close Sept. 30, ending a nearly yearlong congressional effort to repeal and replace the Affordable Care Act and bringing tax reform efforts and other health care priorities to the forefront in Congress.

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policy

The bill would replace Medicaid expansion funding and private insurance subsidies with $1.2 trillion in block grants to states; the Congressional Budget Office is expected to release a score early next week.

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policy

Congress aims to pass legislation by Sept. 30 to stabilize the Affordable Care Act (ACA) insurance markets and reauthorize several health care programs; three senators plan to unveil new ACA repeal legislation.

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policy

Lawmakers return from the August recess to consider legislation and policy related to the Children’s Health Insurance Program, market stabilization, and cost-sharing reductions.

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webinar

Participants learned about the evolution of Medicaid Managed Care and how essential hospitals can succeed in the changing environment from experts at Premier Inc.

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policy

Senate committees will focus on market stabilization legislation and Children’s Health Insurance Program (CHIP) reauthorization; the association seeks to attach to the CHIP bill a delay of Medicaid disproportionate share hospital payment cuts.

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policy

This is the second Section 1332 State Innovation Waiver to receive approval; Alaska is pursuing the waiver to stabilize the state's individual health care market.

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policy

CMS has pushed back by seven weeks, to June 21, the deadline for qualified health plans to apply to participate in the ACA health insurance marketplaces in 2018.

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policy

The open enrollment period runs from Nov. 1 through Jan. 31, 2017. Consumers must enroll by Dec. 15 for coverage that begins Jan. 1, 2017.

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policy

By forming strategic partnerships and using social media, CMS aims to “reach young adults where they are” to facilitate engagement during open enrollment.

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policy

CMS has released a no-cost resource to help patients access care after signing up for coverage on the health insurance marketplaces.

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policy

America's Essential Hospitals and two members systems host congressional staff for round-table discussions about how proposed 340B Drug Pricing Program guidance threatens vulnerable patients and essential hospitals.

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policy

Dec. 23 letter provides operational, technical guidance to qualified health plans (QHPs) and outlines network adequacy standards for plans offered through the federally facilitated health insurance marketplace.

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policy

Model law would update requirements for insurance carriers in the health insurance marketplaces, particularly regarding provider directories, mental health services, telehealth, and nondiscrimination.

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