Policy & Regulations

This channel includes news coverage of healthcare policy and regulations set by Congress, the states, Centers for Disease Control and Prevention (CDC), the Department of Health and Human Services (HHS), U.S. Food and Drug Administration (FDA), and medical associations and societies. 

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5 things to know about proposed rule on association health plans

The U.S. Department of Labor (DOL) has released a proposed rule to expand the use of association health plans (AHPs), allowing more small businesses, trade organizations and individuals to buy health coverage as a group.

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HHS posts thousands of comments critical of expanding religious exemptions

HHS has now posted more than 12,000 public comments on its request for information (RFI) to loosen the standards for exemptions to regulations for religious and faith-based groups after initially only posting 80 which most back the administration’s efforts.

Mississippi gets 1st 10-year Medicaid demonstration waiver

For the first time, CMS has approved a 10-year extension of a Medicaid Section 1115 demonstration waiver allowing the state to provide family planning services to residents with incomes up to 194 percent of the federal poverty level.

Misclassified drugs cost Medicaid $1.3B

Pharmaceutical manufacturers paid $1.3 billion less to Medicaid by receiving rebates on misclassified generic drugs, according to a report from the HHS’s Office of the Inspector General (OIG).

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ACA bills for reinsurance, insurer subsidies won’t be considered this year

Abbott

After previously saying she had secured a commitment to pass the legislation by the end of 2017, Sen. Susan Collins, R-Maine, said bills to fund the Affordable Care Act (ACA)'s cost-sharing reduction subsidies and provide $5 billion in reinsurance will be left out of a year-end spending package.

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What happens to the ACA without the individual mandate

The Republican tax cut plan, including a repeal of the Affordable Care Act’s individual mandate, has passed through Congress, giving the party a victory in its yearlong struggle to find consensus on legislation to substantially alter the ACA.

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HHS withholding comments critical of loosening religious exemptions

In October, the Trump administration had asked for public comments on how to reduce HHS regulations on religious and faith-based groups. Of the 12,302 comments received, the agency has only posted 80, which mostly back the administration’s efforts and attack Obama-era policies on abortion and treating transgender patients.

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CMS denies Oklahoma’s request to use Medicaid funds for med school recruitment

The medical schools and teaching hospitals at the University of Oklahoma and Oklahoma State University could require an immediate injection of funds after CMS denied a request by the state to use federal Medicaid funds to pay those schools to recruit, train and retain physicians.

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Around the web

Cardiovascular Business
Q&A: Why are cardiovascular devices involved in so many recalls? FDA policies may be to blame

Cardiovascular devices are more likely to be in a Class I recall than any other device type. The FDA's approval process appears to be at least partially responsible, though the agency is working to make some serious changes. We spoke to a researcher who has been tracking these data for years to learn more. 

Cardiovascular Business
Cardiologist compensation still rising, especially in invasive and interventional cardiology

Updated compensation data includes good news for multiple subspecialties. The new report also examines private equity's impact on employment models and how much male cardiologists earn compared to females.

Cardiovascular Business
FDA’s tirzepatide decision creates uncertainty for patients—and leads to a lawsuit

When drugs are on the FDA’s shortage list, outsourcing facilities can produce their own compounded versions. When the FDA removed tirzepatide from that list with no warning, it created a considerable amount of chaos both behind the scenes and in pharmacies all over the country. 

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