Policy Update-Wk of 3/30

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In the Health Reform Update for the past week, the U.S. Supreme Court denies providers the right to sue to enforce federal law guaranteeing a minimum level of Medicaid reimbursement.  It also rejects a premature challenge to a Medicare cost-cutting board that has yet to go into effect.

The Obama Administration reveals that only 36,000 of an estimated four million eligible Americans have signed-up for Marketplace coverage via a special enrollment period (SEP) that runs through April 30th.  The SEP was created for those unaware of individual mandate penalties under the Affordable Care Act (ACA) until they filed their 2014 taxes.  They will still be subject to the tax penalty, but the Internal Revenue Service announced that they will not penalize those whose tax forms incorrectly stated the amount of their ACA subsidy for 2014. 

Provisions sought by consumer groups to prevent insurers from moving all or most prescription drugs for a costly condition into specialty drug tier have been stripped out of drug transparency legislation that advanced in Connecticut and Illinois.  Medicaid expansion measures continue to face stiff opposition in Florida and Tennessee, but clear their first hurdle in Alaska.

You can find the full Health Reform Update here and visit our Advocacy section for more information about the PSI Patient Coalition.


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