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

Single Payer Is Not The Solution To The Problem Of Uninsured Americans

The alternative to political-control single payer is consumer-choice market control; that is, for the government to create exchanges, offer premium support payments and access to the exchange, pay the price of the low-price plan in full (to facilitate universal access), and allow everyone to...

October 20, 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

A Fateful Thursday For The ACA: Likely Effects And Legal Reactions

The effects of President Trump’s October 12 actions regarding the Affordable Care Act will hinge largely on state responses to the cessation of cost-sharing reduction payments and the outcome of legal challenges, notably from attorneys general in eighteen states and the District of Columbia.

October 14, 2017

Administration’s Ending Of Cost-Sharing Reduction Payments Likely To Roil Individual Markets

Ending cost-sharing reduction payments to insurers is another sign that President Trump is doing what he can to undermine the stability of the individual market under the ACA. This action will have a much more immediate impact than the measures Trump announced in yesterday’s executive order.

October 13, 2017

Trump Executive Order Expands Opportunities For Healthier People To Exit ACA

On October 12, President Trump issued an executive order concerning health care coverage. If carried out, the order’s provisions would likely siphon healthy people from the ACA-compliant market, continuing a pattern of regulatory actions under the Trump administration that have undermined the ACA.

October 12, 2017

CMS Beefs Up Enforcement On QHP Coverage Of Abortions Outside The Hyde Amendment

CMS has reminded QHPs to 1) not seek tax credits or cost-sharing reduction reimbursement for non-Hyde abortion coverage; 2) provide an annual notice regarding coverage of non-Hyde abortions; and 3) charge and collect no less than $1 per enrollee per month for coverage of non-Hyde abortion services.

October 7, 2017