Timothy Stoltzfus Jost, J.D., is an Emeritus Professor at the Washington and Lee University School of Law. Jost is a member of the Institute of Medicine and a consumer liaison representative to the National Association of Insurance Commissioner. 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.
Jost is a contributing editor at Health Affairs and a frequent contributor to Health Affairs Blog. 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
GOP Removes AHCA Exemption Of Congress From State Coverage Limitations; Plaintiffs Seek End To Contraceptive Coverage Case Delay
An AHCA amendment would remove the Congressional exemption from state waivers of the ACA’s age rating, essential health benefits, and community rating protections. Two plaintiffs want action on their challenge to the accommodation for religious organizations that object to contraceptive coverage.
Negotiations have been underway with respect to an amendment to the GOP’s American Health Care Act that has been proposed by Rep. Tom MacArthur (R.N.J.) A summary of this amendment became available on April 20, 2017. On the evening of April 25, the actual language of the amendment became available.
On April 20, a one-page summary of amendments to the AHCA proposed by Rep. Tom MacArthur (R NJ) surfaced. Reportedly a compromise between House Republican moderates and conservatives, it could be reduced to legislative language and considered when Congress returns from its spring recess next week.
ACA Round-Up: Risk Corridor Suit Dismissed As Premature; Supreme Court Ends Challenge To ‘Administrative Fix’
A court dismissed an insurer's claim for risk corridor payments as premature, the Supreme Court refused to review a ruling against a challenge to the Obama administration’s "administrative fix," and CMS continued past practice on retroactivity of coverage through special enrollment periods.
April 19, 2017 | Following the ACA
Examining The Final Market Stabilization Rule: What’s There, What’s Not, And How Might It Work? (Updated)
The Trump administration has issued a final market stabilization rule. Stabilizing the individual and small group markets is an important concern, as many counties will have only one insurer next year. Does the rule do what’s needed, and what threats to market stability does it leave unaddressed?
The Treasury IG for Tax Administration has released two reports on Affordable Care Act programs. An April 7 report contains interim results on tax filings for the 2016 filing season. An April 10 report reviewed the IRS processing of employer responsibility reporting requirements for 2015.
On April 7, CMS released the 2018 Unified Rate Review Instructions. On April 5, 2017, CMS also announced at its REGTAP.info website a redesigned QHP (qualified health plan) website and a pilot program using Salesforce to improve communications between insurers and states.
A federal “invisible risk sharing program” within AHCA’s Patient and State Stability Fund, included in a new amendment submitted to the House Rules Committee, could help to high-cost individuals. However, the program’s benefits could be undermined by inadequate funding and other AHCA provisions.
This post discusses efforts to tweak AHCA to get 216 votes in the House; the potential effect of legislation to allow premium tax credits for off-exchange plans, both overall and in the home state of its sponsors; and an interim ACA risk adjustment report.
Recent ACA developments include a bill to allow the use of premium tax credits for off-marketplace plans, an FAQ on consumer information gathering by agents and brokers, an order in a risk corridor payment case, and a planned OIG look at the administration’s curtailment of enrollment efforts.