Timothy Stoltzfus Jost, J.D., holds the Robert L. Willett Family Professorship of Law at the Washington and Lee University School of Law. Jost is a member of the Institute of Medicine. He is coauthor of a casebook, Health Law, used widely throughout the United States in teaching health law, and of a treatise and hornbook by the same name. He is also the author of Health Care at Risk: A Critique of the Consumer-Driven Movement; Health Care Coverage Determinations: An International Comparative Study; Disentitlement? The Threats Facing our Public Health Care Programs and a Rights-Based Response, and Readings in Comparative Health Law and Bioethics. He has also written numerous articles and book chapters on health care regulation and comparative health law, including monographs on legal issues in health care reform for Georgetown’s O’Neill Center, the Fresh Thinking Project, the National Academy of Social Insurance and National Academy of Public Administration, and the New America Foundation and Urban Institute.
Recent Posts by Timothy Jost
Implementing Health Reform: First-Year Results From SHOP Exchange, Reinsurance And Risk Adjustment Programs (Updated)
CMS recently announced the results from the SHOP exchange, reinsurance, and risk adjustment programs.
Implementing Health Reform: Contraceptive Coverage Religious Accommodations, House v. Burwell, And More
The Supreme Court’s decision in King v. Burwell that the federally facilitated exchanges can grant premium tax credits was clearly the big Affordable Care Act implementation news for the end of June, if not for the year. But it was not the only ACA-related news.
The Supreme Court has spoken, and the Affordable Care Act has survived another near-death experience. Writing for six justices, Chief Justice Roberts upheld the IRS rule that allows low- and moderate-income Americans access to tax credits through the federally facilitated marketplace.
All eyes are focused on the Supreme Court; its decision in King v. Burwell is expected to be issued on Thursday June 25, Friday June 26, or Monday June 29. In the meantime, however, a number of other cases challenging the ACA or its implementation are pending at various stages in the federal courts.
June 23, 2015 | Following the ACA
In 2012 the Congressional Budget Office estimated that repealing the Affordable Care Act would add $109 billion to the deficit over 10 years. In 2015, it estimated that the net addition to the deficit would be $137 billion over 10 years. How the CBO got to that number, however, was quite different.
On June 15, 2015, the CMS conditionally approved Pennsylvania and Delaware to operate state exchanges beginning in 2016, and Arkansas to operate a state SHOP exchange in 2016 and individual exchange in 2017.
One of the most important ACA insurance reforms is the requirement that insurers and self-insured group health plans provide a Summary of Benefits and Coverage (SBC). On June 12, 2015, the departments finalized the parts of a proposed rule dealing with the provision of SBCs.
The nation continues anxiously to await the Supreme Court’s decision in King v. Burwell, which will likely be announced late this month. On June 8, 2015, however, the Court quietly announced another important Affordable Care Act decision that should not go unmarked.
Implementing Health Reform: Premium Increase Requests; Agent/Broker Fees And The MLR (June 3 Marketplace Enrollment Update)
There has been a lot of chatter in recent days about dramatic health insurance premium increases coming for 2016. Several states have released some information on rate increase requests, and some of these requested increases are quite high. But the rate review process is just getting underway.
June 2, 2015 | Following the ACA
Implementing Health Reform: Court Won’t Rehear Challenge To Contraceptive Coverage Accommodation (May 26 Cost-Sharing Update)
The DC Court of Appeals has denied a full-court rehearing of a panel decision on contraceptive coverage under the ACA. The panel had refused to enjoin the latest federal rule accommodating the objections of religious organizations to providing employee contraceptive coverage without cost sharing.
May 23, 2015 | Following the ACA