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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How the Trump administration planned to change the ACA

A never-before-released document shows the extent of plans within HHS and the Trump administration to alter the Affordable Care Act (ACA) through executive and regulatory action, many of which have since been enacted.

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Humana leaves AHIP

Humana has terminated its membership in America’s Health Insurance Plans (AHIP), the largest lobbying group for the health insurance industry, following the departures of other major insurers in recent years. 

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CDC recommends using ‘Obamacare’ over ‘ACA’

Brenda Fitzgerald, MD, director of the Centers for Disease Control and Prevention (CDC), again denied the agency has banned words such as “fetus,” “science-based” and “transgender” from official documents in a letter to Sen. Brian Schatz, D-Hawaii, but did reveal the style guide used by HHS recommends avoiding certain words and substituting others.

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Maryland considers individual mandate replacement

State lawmakers in Maryland have proposed an alternative means to encourage people to maintain health insurance following the repeal of the Affordable Care Act’s individual mandate through the Republican-supported tax cut legislation.

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HHS nominee Alex Azar supports mandatory CMMI models

Former Eli Lilly executive Alex Azar faced another grilling before members of Congress, being questioned by the Senate Finance Committee, which will decide whether to advance his nomination to the full Senate. The hearing highlighted one major difference between Azar and former HHS Secretary Tom Price, MD, when it came to mandatory payment models.

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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.

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Around the web

Cardiovascular Business
Q&A: MedAxiom CEO explores key trends in cardiologist, cardiovascular surgeon compensation

Compensation for heart specialists continues to climb. What does this say about cardiology as a whole? Could private equity's rising influence bring about change? We spoke to MedAxiom CEO Jerry Blackwell, MD, MBA, a veteran cardiologist himself, to learn more.

Cardiovascular Business
Payment cuts and beyond: Key takeaways for cardiologists from the 2025 Medicare Physician Fee Schedule

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

AI in Healthcare
A modest proposal to rally AI regulators around a simple game plan

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”