A non-profit 501(c)(3) premium and copayment foundation
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.
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.
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
You can find the
full Health Reform Update here. If
you’re interested in Advocacy you can also join the PSI Patient Coalition here.