HHS/OIG Reports Inconsistencies in Health Insurance Eligibility Data


The U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG), released a report on July 1, 2014 describing challenges that health insurance Exchanges/Marketplaces faced in resolving inconsistencies between self-attested data in applications to Exchanges versus data that Exchanges accessed through the Federal Data Services Hub. Resolving such inconsistencies is a critical task necessary to verify individuals’ eligibility for advance premium tax credits (APTCs) and cost-sharing reductions (CSRs) under health plans available through the Exchange. [More]

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Categories:Health and Human Services


HHS/CMS Releases Proposed Rules on Exchange Eligibility Redeterminations


The U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published proposed rules in the July 1, 2014 Federal Register on health insurance Exchange/Marketplace eligibility redeterminations and re-enrollments in health plans for 2015 and beyond. The new proposed rules would modify final rules published in 2012. They would allow more flexibility in Federal Exchanges, at HHS’ discretion, and would also allow State-based Exchanges (SBEs) to devise alternative procedures, subject to HHS approval. [More]

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Categories:Health and Human Services


Arne Duncan Announces Excellent Educators for All Initiative


In a July 7, 2014 press statement, U.S. Department of Education (ED) Secretary Arne Duncan announced the Excellent Educators for All Initiative to help states and school districts support quality educators for the students who need them most. In a July 7 “Dear Chief State School Officers” letter, the Secretary stated that family income and race too often predict the likelihood of a child attending a school staffed with quality experienced educators. [More]


Federal Court Decision Expected Soon in Challenge to Subsidies Provision of ACA


The U.S. Court of Appeals for the D.C. Circuit appears ready to issue a ruling in the case of Halbig v. Burwell, dealing with the issue of whether language in the Affordable Care Act (ACA) concerning subsidies for people in need of financial assistance to purchase health insurance coverage applies only to individuals who purchase private health insurance on STATE-RUN exchanges. The issue arises because Section 36B(b) (A) of the ACA provides, “The monthly premiums for…health plans offered in the individual market within a state…cover the taxpayer…or any dependent of the taxpayer…enrolled in through an Exchange ESTABLISHED BY THE STATE under 1311(1) of the Patient Protection and Affordable Care Act…”. [More]


Child Welfare Finance Reform Introduced in Congress


In the fall of 2013, Annie E. Casey Foundation and Casey Family Programs gathered community stakeholders and experts in the field of finance reform and child protection. Following that introduction of the finance reform discussion with leaders in the field, staff from Casey made a presentation to Congress on October 13, 2013. The finance reform proposal addressed multiple issues related to the discrepancy between child welfare practice and how states are funded or reimbursed under Title IV-E. [More]

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Categories:Health and Human Services


ED Secretary Announces Increased Accountability for Special Education Programs


On June 24, 2014, U.S. Department of Education (ED) Secretary Arne Duncan announced a “major shift” in how ED measures the effectiveness of special education programs in states and U.S. territories. The Individuals with Disabilities Education Act (IDEA) requires ED to make an annual determination of each state’s and territory’s IDEA compliance in four categories: meets requirements, needs assistance, needs intervention, or needs substantial intervention. [More]

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Exercise to Employment: Health & Wellness in TANF WTW


PCG Human Services’ Tony Ong and Deborah Joffe co-wrote an article published in the June 2014 edition of Policy & Practice magazine about PCG’s Live Well San Diego pilot program to integrate health, wellness, and exercise into the welfare-to-work (WTW) job search curriculum as a way to help engage long-term unemployed WTW participants towards employment. [More]

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Categories:Health and Human Services


CMS Announces Availability of Funding to Support Navigators in Federally-Facilitated and State Partnership Marketplaces


On June 10, 2014, CMS announced the opportunity to apply for Navigator grants in federally-facilitated and State Partnership Marketplaces. A total of $60 million will be available in 2014-2015. Navigators are intended to provide unbiased information to consumers about health insurance coverage, the Health Insurance Marketplace, qualified health plans, and public programs including Medicaid and the Children’s Health Insurance Program (CHIP). [More]


Report Shows ACA Impact on Affordability, Competition, and Choice


The U.S. Department of Health and Human Services, Assistant Secretary for Planning and Evaluation (ASPE) released a report on June 18, 2014 showing the impact of the Affordable Care Act (ACA) on health insurance premium affordability, competition, and consumer choice for individuals who obtained coverage through federally-facilitated and State Partnership Exchanges/Marketplaces in 36 states during the 2013-2014 open enrollment period. On affordability, the report shows that individuals who selected qualified health plans (QHPs) through the Exchanges and received advance premium tax credits (APTCs) owed a net premium liability 76 percent less than the full premium. They owed on average $82 per month to the QHP, after subtracting $264 in APTCs from the $346 per month average full premium, and 46 percent of individuals owed $50 or less after the APTCs. [More]


NCTQ Releases 2014 Rankings of Teacher Prep Programs


On June 17, 2014, one week after a California (CA) court ruled that CA teacher retention laws allow grossly ineffective teachers to remain in classrooms in violation of the CA Constitution, the National Council on Teacher Quality (NCTQ) released its 2014 Teacher Prep Review reflecting major flaws in teacher preparation programs across the country. U.S. News and World Report stated on its website that, based on the NCTQ report, “The majority of education programs fail to equip their teachers with the training necessary to succeed in the classroom.” [More]