States, Amici Respond In California Cost-Sharing Reduction Payment Case

On October 21, 2017, attorneys general from eighteen states and the District of Columbia filed their responsive brief in California v. Trump. They were supported by filings from consumer and insurer groups, Democratic members of Congress, and Santa Clara County.

October 22, 2017

Government Files Response In Cost-Sharing Reduction Payments Suit, Lays Out Tough Standards For Iowa Waiver

On October 20, the federal government responded to the plaintiff states’ motion in California v. Trump for a TRO and injunction against the decision to cease cost-sharing reduction payments. The day before, CMS sent a letter responding to Iowa’s request for a 1332 state innovation waiver.

October 20, 2017

The President’s Executive Order: Less Than Meets The Eye?

The executive order signed by President Donald Trump on October 12 does not itself change any federal regulations. Instead, it sets into motion a policy development process that could lead to new regulations or regulatory guidance within the confines of current law.

October 20, 2017

ACA Round-Up: Oregon 1332 Waiver Approved, Silent Returns Rejected, And More

Oregon’s newly approved 1332 waiver proposal is the fourth such waiver proposal CMS has approved and the third proposal involving a reinsurance program. Oregon will reinsure 50 percent of claims, in excess of an attachment point to be determined, up to $1 million.

October 19, 2017

State Attorneys General Ask Court For Injunction Reversing CSR Payment Halt

Quoting from President Trump’s tweets, the states argue that his termination of CSR payments was “arbitrary and capricious” and thus violated the Administrative Procedures Act. They also say the president violated his constitutional duty to "take care that the laws be faithfully executed."

October 18, 2017

ACA Round-Up: Alexander-Murray And CSR Payments, QHP Quality Ratings, And More

In states that allowed insurers to assume CSR payments would be cancelled, rather than require insurers to refile rates, delaying open enrollment, the Alexander-Murray proposal would leave increased rates in place but require insurers to rebate overpayments to enrollees and the federal government.

October 18, 2017

The Alexander-Murray Market Stabilization Package: What’s In It And Where’s It Going?

We don’t yet have final bill text or a CBO score, but in today’s announcement from Senators Alexander and Murray we have some details on policies that should help stabilize consumer access and premiums in the individual market in the next few years.

October 17, 2017

Despite Leaving Key Questions Unanswered, New Contraceptive Coverage Exemptions Will Do Clear Harm

On October 6, the Trump administration released an overhaul of federal regulations governing religious objections to the Affordable Care Act’s (ACA) contraceptive coverage guarantee. With exemptions to the contraceptive guarantee expanded, there are lots of questions and concerns that will not...

October 17, 2017

A New Plan To Rescue The ACA: Medicare-At-55

With the Trump Administration's recent executive order on health care, the need for proposals to help stabilize the insurance market has grown. One proposal is Medicare-at-55, which would extend Medicare to the 55-64 age group, and could be a potential fix to insure the near-elderly and provide...

October 16, 2017

ACA Repeal Votes Defy Preferences Of Constituents

One puzzling aspect of this and previous repeal efforts is that they nearly succeeded in spite of widespread public support for the core elements of the ACA that would have been overturned.

October 16, 2017