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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CMS proposes letting states change ACA’s essential health benefits, medical loss ratio

The definition of “essential health benefits” which Affordable Care Act-compliant health plans have to cover would be up for states to decide under a rule proposed by CMS, echoing similar provisions which had been included in Republican legislative efforts to repeal and replace the ACA.

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6 states could be out of CHIP funds by January

Federal funding for the Children’s Health Insurance Program (CHIP) expired at the end of September, and with no quick renewal expected from Congress, states are on their own to keep the program afloat. According to a report from the Georgetown University Center for Children and Families, six states won’t be able to do so past early January.

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Trump declaration of public health emergency on opioids could impact physicians

President Donald Trump followed through on a months-old promise to declare a national public health emergency on the opioid addiction epidemic, which could increase access to addiction treatment and additional training for physicians prescribing opioids.

Judge denies request to block Trump from halting ACA insurer subsidies

A federal judge in California denied the request of 19 attorneys general to force the immediate reinstatement of the Affordable Care Act (ACA)’s cost-sharing reduction subsidies to insurers, which were cut off by President Donald Trump.

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CBO: Funding ACA insurer subsidies would reduce federal deficit by $3.8B

Legislation to fund the Affordable Care Act (ACA)’s cost-sharing reduction subsidies for two years while expanding state waivers and availability of catastrophic insurance plans would preserve the current level of health insurance coverage while lowering federal spending, according to the Congressional Budget Office (CBO).

Iowa pulls ACA waiver application, predicts ‘death spiral’ for state’s exchange

Iowa has withdrawn its request for a waiver under the Affordable Care Act (ACA), calling the law “unworkable” and urging Congress to replace it.

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Industry groups support ACA fix as Trump sends mixed signals

The deal to fund the Affordable Care Act (ACA)’s halted cost-sharing reduction subsidies while expanding the state waiver process has the support of several major healthcare groups along with 10 governors and 24 senators. President Donald Trump, however, hasn’t been clear on whether he’ll support the bill as-is.

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5 quotes from Alex Azar, frontrunner to be Trump’s next HHS secretary

President Donald Trump is considering nominating Alex Azar, a former executive for pharmaceutical giant Eli Lilly, as the next secretary of HHS, which could place the agency in the hands of man who has been skeptical of value-based care and opposed drug price controls.

Around the web

If passed, this bill would help clinician-led clinical registries explore Medicare data for research purposes. The Society of Thoracic Surgeons and American College of Cardiology both shared public support for the bipartisan legislation. 

Cardiologists and other physicians may soon need to provide much more information when ordering remote patient monitoring for Medicare patients.

Why are so many cardiovascular devices involved in Class I recalls? One possible reason could be the large number of devices hitting the market without undergoing much premarket clinical testing. 

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