Policy Update: Wk of Feb 22 & 29

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In the Health Reform Update for the past two weeks, the U.S. Supreme Court blocks state laws requiring that health insurers report claims and pricing data. 

Insurer opposition causes the Centers for Medicare and Medicaid Services (CMS) to back-off from proposed network adequacy standards for Marketplace plans and delay its decision on whether to require them to accept third-party premium assistance from charitable organization like PSI.  A bipartisan Congressional bill that would force CMS to act on the latter in favor of charitable groups now has 33 cosponsors.

Health insurers also succeed in getting CMS to require that consumers provide documentation proving their eligibility for the five most common qualifying life events that allow consumers to sign-up for coverage outside of annual open enrollment periods.

Republican lawmakers resurrect Medicaid expansion proposals in Maine and Utah, while the Republican governor in South Dakota delays his expansion plan until later this year.  A state court in Alaska blocks a legal challenge to the existing Medicaid expansion in Alaska. 

Our complete Health Reform Update is available here and more information about PSI Advocacy and our PSI Patient Coalition is also available

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