Legislation Re: Child Sexual Trafficking Introduced in 114th Congress

 

The first three week of the 114th Congress has been flooded with five bills that address issues of exploitation of women and girls through sex trafficking. There is some overlaps in the legislation introduced, as well as recommendation for amendments to several previous laws addressing several issues. The House of Representatives on January 27, 2015 passed motions to suspend the rules and pass the bills by voice votes. [More]

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Categories:Health and Human Services

 

U.S. Supreme Court Denies Review of Another ACA Individual Mandate Challenge

 

On January 12, 2015, the U.S. Supreme Court refused to review a D.C Circuit case challenging the Affordable Care Act’s (ACA’s) individual mandate. See, ASSOCIATION of AM. PHYSICIANS & SURGEONS v. BURWELL, No. 14-350 (U.S. REVIEW DENIED JAN. 12, 2015). [More]

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U.S. Supreme Court Will Hear Oral Arguments in ACA Subsidy Case on March 4, 2015

 

On December 22, 2014, the U.S. Supreme Court announced that it will hear oral arguments in KING v. BURWELL, No. 14-114, in the case challenging the position that subsidies under the Affordable Care Act (ACA) are permitted in states with federally facilitated marketplaces as well as in states with state-based marketplaces. [More]

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Federal District Court Judge Rules FL Medicaid Program Violates Federal Laws

 

On December 31, 2014, Judge Adalberto Jordan of the U.S. District Court for the Southern District of Florida ruled that Florida’s Medicaid program violated federal laws, including those pertaining to the EPSDT program and the requirement in 42 U.S.C. section 1396a(30)(A) that providers be sufficiently compensated to ensure access by Medicaid recipients to services equal to others in the same geographical area. [More]

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Human Services Legislation in the 114th Congress

 

The 114th Congress was sworn in January 5, 2015 and will be in place until January 8, 2017. During this time, multiple bills and resolutions will be brought forward for discussion, hearings, and debate, possibly eventually becoming law. If the 114th follows in the tradition of the 113th there will be relatively few bills passed this year. Only 297 bills were passed and made into law during the 113th Congress – the lowest number since the Congress of 1947. [More]

 

CMMI Announces $666 Million in State Health Care Innovation Awards

 

The U.S. Department of Health and Human Services (HHS), Center for Medicare and Medicaid Innovation (CMMI) announced on December 16, 2014 that it is authorizing $623 million in “model testing” awards to 11 states and $43 million in “model design” awards to 17 states, three territories, and the District of Columbia. CMMI has approved the awards under section 3021 of the Affordable Care Act (ACA). These “model testing” and “model design” awards complete “round two” in CMMI’s State Innovation Models (SIM) initiative. [More]

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CMS Issues Final Rule Re: Hospital-Specific Limitation

 

In the December 3, 2014 Federal Register (79 Fed. Reg. 71679), the Centers for Medicare & Medicaid Services (CMS) issued a final rule authorizing a service-specific basis for defining the uninsured, for the purpose of determining the hospital-specific limitation on disproportionate share hospital (DSH) payments. Under section 1923(g) of the Social Security Act, DSH payments to hospitals are limited to the uncompensated costs of providing hospital services to individuals who are Medicaid eligible or have no health insurance (or other source of third party coverage) for the services furnished during the year. [More]

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CMS Proposes Changes in Medicare ACO Rules

 

The U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) published proposed rules in the December 8, 2014 Federal Register on accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) under section 3022 of the Affordable Care Act (ACA). Under the MSSP, Medicare providers and suppliers that participate in a qualifying ACO receive traditional Medicare Part A and Part B fee-for-service payments, the ACO drives collaboration, and the ACO has an opportunity to earn “shared savings” bonus payments for each ACO “performance period” if it achieves MSSP savings targets and performance standards under quality measures for that period. [More]

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New Child Welfare White Paper by Judge James Payne Now Available

 

The latest in our whitepaper series by PCG Human Services’ Judge James Payne, “Beyond Quick Fixes: What Will It Really Take to Improve Child Welfare in America?” is now available. Click here to view paper No. 4 in the series: “Agency Priorities – Keep Focused and Don’t Get Lost in the Chaos!” [More]

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D.C. Circuit Decides Not to Proceed with En Banc Review of ACA Subsidies Case Pending U.S. Supreme Court Decision in KING V. BURWELL

 

On November 10, 2014, the D.C Circuit Court of Appeals agreed not to proceed with its en banc review of HALBIG v. BURWELL, 758 F.3d 390 (D.C. Cir. 2014), which had held that subsidies provided for under the Affordable Care Act (ACA) were to be restricted to states which opted to establish their own Health Benefit Exchanges. [More]

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