Policy Update-Wk of 2/23

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In the Health Reform Update for the past week, Republican governors press Congress to protect Affordable Care Act (ACA) subsidies if the U.S. Supreme Court strips them from roughly 87 percent of this year’s 8.8. million federally-facilitated Marketplace (FFM) consumers.  The Department of Health and Human Services (HHS) denies having any back-up plan even though Avalere Health now predicts that an adverse Supreme Court decision could spike FFM premiums by an average of 255 percent.

Errors on tax forms sent to more than 800,000 FFM consumers result in another Congressional investigation.  The Internal Revenue Service insists they will not demand refunds from those filing incorrect returns based on inaccurate forms, even if they received greater subsidies than they were due. 

HHS finalizes rules discouraging discriminatory cost-sharing.  Kaiser Permanente becomes the latest insurer to stop moving all or most drugs for HIV/AIDS into their highest-cost specialty tiers, while several more states weigh bills seeking to curb the practice and/or limit specialty drug cost-sharing.

A federal court declares Maine’s drug importation law to be unconstitutional. 

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

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