In the Health Reform Update for this week, the Trump Administration finalizes rule allowing for association health plans that insurers warn could skew risk pools and spike premiums for coverage that remains compliant with the Affordable Care Act (ACA). Attorneys General in Massachusetts and New York will seek court action to block the new limited-benefit plans.
The Trump Administration refuses to let Massachusetts use a closed Medicaid drug formulary to cut prescription drug spending and affirms that all state Medicaid programs must cover drugs approved with lesser evidence through the Food and Drug Administration accelerated approval program.
Kentucky Governor Matt Bevin (R) threatens to terminate his state’s entire Medicaid expansion after a federal court prevents him from imposing work requirements and higher premiums on the expansion population. If upheld on appeal, the ruling could jeopardize federal waivers that approved Medicaid work requirements in three other states.
The Maine Supreme Court lets Governor Paul LePage (R) stay a lower court ruling forcing him to expand Medicaid in accordance with a voter referendum, at least until his appeal his heard.
Proposed individual market premiums released by Florida, Montana, Ohio, and Oregon showed only modest single-digit increases for 2019. Oklahoma will no longer have a single insurer participating in their ACA Marketplace.