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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CBO: Repeal of individual mandate lowers cost for CHIP renewal 

Extending the Children's Health Insurance Program (CHIP) will cost the federal government $7.5 billion less than previously estimated because other options have become more expensive after the repeal of the Affordable Care Act's individual mandate. 

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.

Around the web

The FTC alleges that pharmacy benefit managers have set up a system where they get rich, while patients are forced to pay rising insulin costs. The agency also called out drug manufacturers such as Eli Lilly, Sanofi and Novo Nordisk, saying their own actions have raised serious concerns.

In the post-COVID era, wages for permanent RNs are rising, and wages for travelers are decreasing. A new report tracked these trends and more. 

Two medical device companies have announced a transaction that could shake up the U.S. electrophysiology market. 

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