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 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.

States eye their own coverage requirements if individual mandate is repealed

If Republicans pass their tax cut plan as expected, including a repeal of the Affordable Care Act (ACA)’s individual mandate, Democratic-leaning states may respond with laws requiring their residents to buy health insurance or face a tax penalty.

Lawsuit on ACA insurer subsidies settled

The administration of President Donald Trump has settled a long-running lawsuit over cost-sharing reduction subsidies paid to insurers as part of the Affordable Care Act (ACA), potentially paving the way for the payments to be restored.

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CDC director denies report of ‘banned words’ in budget documents

The Centers for Disease Control and Prevention (CDC) disputed a report in the Washington Post that seven words or phrases, including “fetus,” “transgender” and “science-based,” had been banned from the agency’s budget documents, while other officials said the motivation was to avoid words that could limit chances of obtaining funding from Congress.

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Which states would see the largest cuts due to 340B changes

CMS’s move to cut Medicare payments made through the 340B drug discount programs would see the biggest impact in California, New York and North Carolina, according to an analysis by Avalere Health, though for most hospitals it will reduce their total Part B revenue by less than 5 percent.

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House Republicans introduce plan to delay ACA taxes

The Affordable Care Act’s taxes on health insurance, high-cost health plans and medical devices would be delayed under a series of bills introduced by House Republicans, with the Medical Imaging & Technology Alliance (MITA) quickly coming out in support of suspending the device tax.

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Democrats ask for extension of ACA open enrollment

Two Senate Democrats have asked CMS and HHS to make a last-minute extension of the open enrollment period for the Affordable Care Act (ACA)’s insurance exchanges, arguing the Dec. 15 deadline will leave too many interested customers either without health coverage or automatically enrolled into plans which “may no longer be the best choice for their families.”

Medicare cuts may be a priority for Congress in 2018

With Republicans in Congress confident they’ll pass a tax cut bill before the end of the year, the question of what their top legislative priority should be in 2018 is up for debate, with some favoring a focus on cuts to federal programs like Medicare.

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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