In the Health Reform Update for this week, temporary spending bills signed by the President push the possibility of a government shutdown until after the midterm elections.

A federal judge rules that Montana Health CO-OP is entitled to be reimbursed through all of 2017 for Affordable Care Act (ACA) cost-sharing reductions terminated by the Trump Administration, potentially allowing insurers to collect more than $2 billion in unpaid obligations.

The California governor signs legislation outlawing short-term health plans after the Trump Administration expands their use for up to 364 days. Other signed bills requires that limited-benefit association health plans (AHP) comply with the Affordable Care Act (ACA) and prohibiting the Medicaid program from imposing work requirements on newly-eligible enrollees.  However, the governor vetoes legislation creating new guardrails for third-party premium assistance providing by charitable foundations like PSI.

Montana and North Dakota become the latest states seeking to mitigate premium increases by creating federally-approved reinsurance programs that compensate insurers for exceptional claims.

You can find the full Health Reform Update here. If you’re interested in Advocacy, you can also join the PSI Patient Coalition here.