U.S. Supreme Court upholds Affordable Care Act in KING v. BURWELL by 6 to 3 vote

 

On Thursday, June 25, 2015, the U. S. Supreme Court by a 6 to 3 vote upheld the federal government’s interpretation (i.e., the regulation of the Internal Revenue Service) of the Affordable Care Act (ACA) that the subsidies awarded under provisions of the ACA could be provided regardless of whether the states granting the subsidies had a state health benefits exchange or a federal exchange operating therein. [More]

 

HHS approves three additional state-based Exchanges

 

The U.S. Department of Health and Human Services (HHS) notified the Governors of Arkansas, Delaware, and Pennsylvania on June 15, 2015 that HHS has conditionally approved the establishment of state-based health insurance exchanges (Exchanges) by those states. The conditional approvals for Delaware and Pennsylvania are for state-based individual and small business Exchanges in 2016. The conditional approval for Arkansas is for a state-based small business Exchange in 2016 and an individual Exchange in 2017. [More]

 

U.S. Supreme Court rejects Maine’s attempt to end Medicaid coverage for young adults

 

On Monday, June 8, 2015, the U.S. Supreme Court refused to review a decision by the First Circuit Court of Appeals, which upheld a decision by the Centers for Medicare & Medicaid Services (CMS) rejecting a plan by Mary Mayhew, Maine’s top health official, to cease Medicaid coverage for 6000 19- and 20-year-olds. [More]

 

Hearing Held in Lawsuit by House Against Federal Government’s Implementation of ACA

 

On Thursday, May 28, 2015, a hearing was held in Federal District Court in Washington, D.C. to determine whether the U.S. House of Representatives has legal standing to sue the federal government with respect to its implementation of the Affordable Care Act (ACA). Media reports indicate that U.S. District Court Judge Rosemary M. Collyer was “skeptical” of the government’s position and seemed unlikely to dismiss the case, House of Representatives v. Burwell. [More]

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Categories:Health and Human Services

 

RWJF Report Estimates 20 States Could Lose $720 Billion in Federal Health Funds Over Ten Years

 

The Robert Wood Johnson Foundation (RWJF) issued a report on May 18, 2015 estimating that 5,623,000 persons in 20 states that have declined to implement state-based health insurance Exchanges under the Affordable Care Act (ACA) may become uninsured in 2016 if the U.S. Supreme Court rules that advance premium tax credits (APTCs) and cost-sharing reductions (CSRs) are only available through state-based Exchanges, not federally-facilitated Exchanges. A ruling in King v. Burwell on that question is expected by June 30, 2015. [More]

 

Medicaid/CHIP Enrollments Exceed 70 Million

 

The U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) has released a May 1, 2015 report showing that 29 jurisdictions (28 states and the District of Columbia) which implemented Medicaid expansion under the Affordable Care Act (ACA) by February 2015 saw on average a 26.99 percent increase in Medicaid/CHIP enrollments for February 2015, as compared to their average monthly enrollments in a July – September 2013 baseline period. [More]

 

Pennsylvania Governor Outlines ACA Contingency Plan

 

Pennsylvania Governor Tom Wolf submitted a letter to U.S. Secretary of Health and Human Services Sylvia Burwell on May 1, 2015 declaring the Commonwealth of Pennsylvania’s intent to implement a State-based individual and SHOP Marketplace using the federal platform for plan year 2016. [More]

 

Florida Sues HHS Over Planned End to Low Income Pool Hospital Funding Program

 

On Tuesday, April 28, 2015, Florida Governor Rick Scott instituted a lawsuit against the U.S. Department of Health and Human Services in an attempt to prevent a threatened end to an optional federal program, providing Florida and eight other states with hospital funds for low income people (LIP). (Rick Scott v. United States Department of Health and Human Services, Case 3:15-cv- 00193-RS-CJK Document 1, filed 4/28/15). [More]

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HHS Proposes New Inpatient Hospital Payment Rules

 

The U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) issued proposed rules on April 17, 2015 to update its Medicare reimbursement methods under inpatient prospective payment systems for 3,400 acute care hospitals and 435 long term care hospitals. [More]

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HHS Releases Funding Opportunity Announcement for Navigator Grants

 

The U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) issued a funding opportunity announcement (FOA) on April 15, 2015 related to grants to support health insurance eligibility and enrollment “navigators” in Federally-facilitated and State Partnership Marketplaces/Exchanges under the Affordable Care Act (ACA). [More]