Policy Update- Weeks of 6/8 and 6/15

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In the Health Reform Update for the past two weeks, three states win federal approval to create their own Marketplaces should the U.S. Supreme Court deny premium subsidies under the Affordable Care Act (ACA) for federal Marketplace consumers. 


New analyses of initial rate filings show average individual market premiums may increase 6-12 percent for 2016, with wide variation among states and insurers.  The Oregon Insurance Commissioner is actually forcing insurers to increase proposed rates in order to ensure stability in the individual market, while the Florida Insurance Commissioner requires individual Marketplace plans to limit cost-sharing for HIV/AIDS drugs to the levels allowed by the state benchmark plan.    California expands Medicaid coverage to undocumented children under age 19, while the U.S. Supreme Court blocks Maine from eliminating Medicaid coverage for “able-bodied” 19-20 year old adults.

The Centers for Medicare and Medicaid Services (CMS) gives state greater flexibility to use leftover Marketplace establishment grants and boosts reinsurance payments for extraordinary costs incurred by Marketplace insurers.  The first part of new rules for Section 340B drug discounts would fine manufacturers that overcharge for covered outpatient drugs.

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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