Tag: Health Insurance

Hearings Begin on “Medicare for All” Legislation

On June 12, 2019, the U.S. House of Representatives’ Ways and Means Committee conducted its initial hearings on H.R. 1384, the Medicare for All Act of 2019. Introduced by U.S. Representative Pramila Jayapal (D-WA) in February, H.R. 1384 would: Provide health coverage for all U.S. residents. Authorize automatic enrollment upon birth or establishment of U.S. ...

Bipartisan Federal Surprise Billing Legislation Likely to Pass

Although it has been discussed and debated at the federal level for years, viable bi-partisan surprise billing legislation had not been proposed until recently, in the form of the No Surprises Act (“the Act”). It seems likely that the current federal legislation will pass soon, which would be a first step towards a nationwide approach ...

Health Policy News – February 2019

Introduction While 2019 started slowly under the Federal shutdown, its pace of action has significantly quickened. We bring you a range of health policy updates in this edition of Health Policy News. With the comment period closed for the annual Exchange guidance, states await final guidance for 2020 related to the certification and oversight of ...

Department of Transportation to Establish Committee to Study Air Ambulance Billing Practices

Concern about out-of-pocket costs associated with air ambulance transport has been growing for some time. Groups such as the National Association of Insurance Commissioners (NAIC) have advocated for state flexibility to regulate the billing practices of the industry. A small but meaningful step forward came last fall with the passage of a legislative requirement that ...

Health Policy News December Edition

Introduction As in years past, the primary focus of the December edition is highlighting some of the important topics we wrote about in 2018, while also foreshadowing policy trends that we believe will be of particular importance to states in 2019. Before many of you take a break to spend time with family and friends, ...

A Look at Two States’ Responses to the Association Health Plan Final Rule

Implementation of the new Federal Association Health Plan (AHP) Rule—and new options for associations seeking to offer health insurance coverage—is well underway. The new rule became effective for all fully-insured AHPs seeking to operate under the new rule in September, and will go into effect for existing self-insured AHPs seeking to operate under the new ...

Two Insurance Markets, Similar Stories to Tell

Massachusetts and New Hampshire held public meetings this past fall aimed at providing insights into the factors affecting health care costs in their respective states. The Massachusetts Health Policy Commission (HPC) held its sixth annual Cost Trend Hearing on October 16th and 17th. The New Hampshire Health Insurance Department (NHID) held its annual hearing at ...

2018 Retrospective & Looking Forward to 2019

This past year brought increased flexibility for states related to both public health care programs and commercial health plans, with the Federal administration announcing numerous policies to give states more control over the design / regulation of the coverage offered to consumers. We saw first-of-their-kind waivers approved at the Federal level, including community engagement / ...

Health Policy News September Edition

With late-breaking summer developments at the federal level on Association Health Plans (AHPs) and Short Term Limited Duration Insurance (STLDI), and additional guidance rolling out at the state level, it was a busy end of summer for states and health policy SMEs alike.  To assist states, this edition includes an overview of recent state activity ...

States Respond to Recent Federal Regulations

States across the country have spent the past few months reviewing and considering two significant rules promulgated at the Federal level over the summer: the final rule on Association Health Plans (AHPs) issued by the Department of Labor in June, and the final rule on Short Term Limited Duration Insurance (STLDI) issued by the Departments ...