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Policy Update- Week of 9/28/15

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In the Health Reform Update for the past week, House Republicans agree to a temporary spending bill to postpone a government shutdown but advance legislation that would repeal five key provisions of the Affordable Care Act (ACA) with only a simple Senate majority.  President Obama has pledged to veto the repeal plans, but House proposals to eliminate certain ACA taxes are gaining bipartisan support.

 

The Centers for Medicare and Medicaid Services (CMS) announces that a $2.5 billion shortfall in the temporary risk corridor and reinsurance program created by the ACA will cause insurers to receive only 12.6 percent of anticipate payments to offset the costs of sicker and more costly subscribers.  CMS also proposes new anti-discrimination standards that would prevent insurers from using benefit designs that “discourage the enrollment of individuals with significant health needs”.

 

New York regulators shut down the largest non-profit health insurance cooperative that was created with ACA loans.  It is the fourth cooperative to become insolvent after unanticipated enrollment outpaced their ability to pay claims.  The South Dakota governor receives an initial go-ahead from the Obama Administration for his proposal to fully expand Medicaid under the ACA.

You can find the full Health Reform Update here If you’re interested in Advocacy you can also join the PSI Patient Coalition here.

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