Medicaid, Essential Health Benefits

Massachusetts’ Cutting-Edge Health Equity Initiatives

Manatt, Phelps & Phillips, LLP on 9/20/2023

Editor’s Note: In a recent "State Spotlight" for The Robert Wood Johnson Foundation, reprinted below, Manatt Health discusses the investments and efforts that the Commonwealth of Massachusetts is making to promote health...more

Leveraging Section 1902(e)(14) Waiver Authority Amid Unwinding

Manatt, Phelps & Phillips, LLP on 6/21/2022

Editor’s Note: In a new expert perspective prepared for the Robert Wood Johnson Foundation’s State Health and Value Strategies program, reproduced below, Manatt Health outlines the time-limited targeted enrollment...more

Ensuring Continuity of Coverage for High-Need Enrollees When Medicaid Continuous Coverage Ends

Manatt, Phelps & Phillips, LLP on 6/10/2022

Editor’s Note: The current Medicaid continuous coverage requirements enacted by the Families First Coronavirus Act (FFCRA) prohibit states from disenrolling individuals from Medicaid for the duration of the public health...more

The End Of The Federal Continuous Coverage Requirement In MassHealth: Key Strategies For Reducing Coverage Loss

Manatt, Phelps & Phillips, LLP on 5/2/2022

INTRODUCTION - Like all states, Massachusetts received enhanced federal Medicaid funding under the Families First Coronavirus Response Act (FFCRA), the first major federal stimulus package passed by Congress in response to...more

CMS Reneges on Historic “Grand Bargain” with Manufacturers in Tennessee Wavier Approval

Foley Hoag LLP - Medicaid and the Law on 1/12/2021

Now that we have had the chance to read and meditate on the historic Medicaid waiver approved on Friday January 8th, giving Tennessee permission from the Federal government to fundamentally alter Medicaid’s traditional...more

Administration Proposes Medicaid Block Grants Demonstration

Holland & Knight LLP on 2/13/2020

The Centers for Medicare & Medicaid Services (CMS) released a State Medicaid Director (SMD) letter and fact sheet on Jan. 30, 2020, that encouraged states to pursue block grant or per capita cap funding through their Medicaid...more

Health Care Weekly Preview from ML Strategies – July 2017 #3

Mintz - Health Care Viewpoints on 7/24/2017

We head into the last week of July with the Findings of the Senate Parliamentarian in hand, who ruled late Friday that several provisions in the Better Care Reconciliation Act (BCRA) released on June 26th would be subject to...more

Senate Releases Repeal and Replace Legislation on ACA: The Better Care Reconciliation Act of 2017

Foley & Lardner LLP on 6/28/2017

After weeks of secrecy, the Senate has released a discussion draft of legislation that is the counterpart of the American Health Care Act (AHCA) previously passed by the House. The Senate legislation, entitled the Better Care...more

The Better Care Reconciliation Act: Similarities to House Health Care Bill, Preserves Parts of ACA

Bass, Berry & Sims PLC on 6/24/2017

On June 22, 2017, Senate Republicans released a draft of the Better Care Reconciliation Act (BCRA), their much-anticipated version of the legislation to "repeal and replace" the Affordable Care Act (ACA). Despite rumors of a...more

Can Congress Get to “Yes” on Replacing the Affordable Care Act?

Mintz - Employment Viewpoints on 6/8/2017

Senate Majority Leader Mitch McConnell recently gave a candid assessment of the chances of getting an Affordable Care Act (ACA) replacement bill through the Senate, saying “I don’t know how we get to 50 (votes) at the...more

Issues for Employers as Health Care Legislation Moves to the Senate

Jones Day on 5/30/2017

ABSTRACT - Although the American Health Care Act, as passed by the U.S. House of Representatives, mainly affects the individual and small group health insurance markets, it has implications for large employers. The repeal of...more

House Passage of American Health Care Act and Outlook for Senate Action and Discussion

Holland & Knight LLP on 5/12/2017

The U.S. House of Representatives narrowly passed H.R. 1628, the American Health Care Act (AHCA), by a vote of 217-213 on May 4, 2017, with all Democrats and 20 Republicans opposing the bill. The legislation traversed a...more

Will the GOP's AHCA Repeal and Replace the ACA?

Orrick, Herrington & Sutcliffe LLP on 5/11/2017

We promised to keep you up to date on the GOP majority's promise to repeal and replace the Affordable Care Act (the "ACA"). After reaching agreement on several amendments to the original House bill (described in our previous...more

ACA Repeal Effort Moves to Senate - Employers Should Continue Compliance for Now

FordHarrison on 5/10/2017

The U.S. House of Representatives has passed legislation that would effectively eliminate the Affordable Care Act’s (ACA’s) employer mandate, open the door for simplified employer coverage reporting, provide greater...more

House Passes American Health Care Act: Fate in the Senate Uncertain

Littler on 5/10/2017

Seven years after the Affordable Care Act (ACA) was enacted, the U.S. House of Representatives voted on May 4, 2017, to dismantle the sweeping law and replace key provisions with a dramatically different vision of health care...more

Issue 109: House Passes Modified Version of AHCA - Bill to Proceed to Senate

Seyfarth Shaw LLP on 5/9/2017

This is the one hundred and ninth issue in our series of alerts for employers on selected topics on health care reform. This series of Health Care Reform Management Alerts is designed to provide an in-depth analysis of...more

U.S. House of Representatives Approves ACA Repeal Bill

Franczek P.C. on 5/9/2017

On May 4, 2017, the U.S. House of Representatives narrowly approved a revised version of the American Health Care Act (“AHCA”), a bill that both repeals certain parts of the Affordable Care Act (“ACA”) and provides new...more

Health Care Reform Bill Clears the House, but Could Hit a Wall in the Senate

Hogan Lovells on 5/8/2017

On 4 May 2017, the American Health Care Act (AHCA), a bill that would repeal and replace key portions of the Affordable Care Act (ACA), narrowly passed the House of Representatives. The bill, however, faces an uncertain...more

Health Update - March 2017

Manatt, Phelps & Phillips, LLP on 3/24/2017

The Future of Essential Health Benefits - Editor's Note: The Essential Health Benefits (EHB) rule may be among the many parts of the Affordable Care Act (ACA) that are on the chopping block as the Trump Administration and...more

Draft GOP Affordable Care Act (ACA) Repeal and Replacement Leaked

King & Spalding on 3/9/2017

On Friday, February 24, 2017, Politico released details of a leaked draft House GOP “repeal and replace” bill (Draft) aimed at dismantling key provisions of the ACA, including Medicaid expansion, the individual mandate,...more

Manatt on Health Reform: Weekly Highlights - February 2017 #3

Manatt, Phelps & Phillips, LLP on 2/23/2017

Congress moves forward on key healthcare appointments; the Administration takes steps to shore up the Marketplaces; and Governors prepare to gather in Washington as new reports document the ACA's impacts on states....more

Manatt on Health Reform: Weekly Highlights - September 2015

Manatt, Phelps & Phillips, LLP on 9/4/2015

CMS permits states to use income information from other means-tested benefit programs for Medicaid eligibility determinations; Alaska’s Medicaid expansion is given the green light to launch today; and Washington State submits...more

Health Insurance Exchanges: The Facts Behind the Debate

Baker Donelson on 9/27/2013

Health insurance exchanges (commonly called the MarketPlace or the Exchanges) are a complex and highly debated part of the Affordable Care Act (ACA). With the looming January 1, 2014, deadline to open the marketplace for...more

CMS Medicaid Rule Greatly Restricts 2014 Mandatory Prescription Drug Coverage for “Expansion Population” - May Also Impact...

King & Spalding on 8/6/2013

On July 15, 2013, CMS issued its Final Rule addressing prescription drug coverage for the Medicaid expansion population. Among other things, the Final Rule defines the scope of the ten applicable “essential health benefits”...more

Health Care Reform Implementation Update - February 27, 2013

Cozen O'Connor on 2/27/2013

As Washington and the rest of the country brace for cuts from the sequester to kick in on March 1, Florida Gov. Rick Scott surprised many and confirmed others' predictions by announcing his state will expand its Medical...more

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