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
Iowa has supplemented its 1332 waiver application to offer to compensate insurers for reducing cost sharing for those with incomes of 133-150 percent of poverty. Minnesota’s Governor is protesting the treatment of his state’s waiver application. And Sen. McCain now opposes Graham-Cassidy.
ACA Round-Up: Bipartisan Market Stabilization Efforts Stall; Iowa 1332 Waiver Application Advances; And More
Talks on individual market stabilization measures collapsed as GOP leaders focus on the Graham-Cassidy legislation. CMS has preliminarily declared Iowa’s application for a 1332 state innovation waiver complete, opening a comment period on the most far-reaching such waiver application to date.
CBO has issued a report on federal health coverage subsidies for those under 65 in the next decade. And slides at the REGTAP.info site outline measures to increase the role of agents and brokers in the exchanges, but lack of insurer payment for Marketplace enrollments may stand in the way.
On September 13, Sen. Bernie Sanders (I-VT)—with 16 Democratic cosponsors—released the Medicare-For-All Act of 2017, intended to create a single-payer system. Once the Act’s Universal Medicare Program went into effect, most benefits would no longer be available under public and private coverage.
The fundamental idea of a new ACA repeal and replace bill by Senators Graham and Cassidy and colleagues is to terminate the ACA’s Medicaid expansions, premium tax credits, cost-sharing reduction payments, and Basic Health Program and redistribute the money funding those programs to the states.
On September 12, the Census Bureau released its report on health coverage in the US for 2016. After a sharp drop in the number of the uninsured following full implementation of the ACA, coverage has stabilized. Also, CMS has opened Oregon’s 1332 reinsurance program waiver application for comment.
On the second day of Senate HELP Committee hearings, featuring testimony from governors, chair Lamar Alexander summarized what he thinks is needed for short-term individual market stabilization. Also, a federal judge refused to dismiss a discrimination claim under ACA section 1557 and other laws.
As congressional Republicans tried to adopt one bill after another all summer long by narrow partisan margins, they kept hearing the same message from Democrats and others: Why not try bipartisanship? Why not hold hearings? As September begins, the Senate has scheduled a host of hearings.
On August 30, governors Kasich of Ohio, Hickenlooper of Colorado, and six Republican, Democratic, and Independent colleagues sent a letter to the leaders of the House and Senate asking them to take immediate steps to restore stability and affordability to the individual health insurance market.
Amid ongoing confusion in the individual market, the administration is making significant cuts to programs that conduct enrollment outreach.