In the Health Reform Update for this week, President Trump signs a temporary spending bill that reauthorizes the Children’s Health Insurance Program for six years but delays Affordable Care Act (ACA) taxes on health insurers and high-cost health plans.

New York and Minnesota sue the Trump Administration for $1 billion in cuts to the Basic Health Plan option they exercised under the ACA, which provided them enhanced federal reimbursement for covering lower-income Marketplace enrollees in limited cost-sharing plans.

Despite lacking federal approval, Idaho’s Insurance Director offers individual market consumers lower cost limited-benefit plans that let insurers impose lifetime caps, deny coverage for pre-existing conditions, and vary premiums based on health status. Facing a class-action lawsuit, Kentucky’s governor threatens to eliminate his state’s entire Medicaid expansion under the ACA if courts do not uphold his new federally-approved work requirements for “able-bodied” Medicaid adults.  Oregon voters approve a tax hike to fund their state’s Medicaid expansion—the first such ballot referendum in the nation.

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