Medicaid, Healthcare, Affordable Care Act

Health Care Week in Review: Biden Administration Announces $100 Million for ACA Marketplace Navigators and $81.3 Million for...

Alston & Bird on 9/3/2024

Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies,...more

2024 Pre-Election Analysis: Health Care Issues

Mintz - Health Care Viewpoints on 8/27/2024

In recent elections, health care has been one of the most hot-button issues with consequences for millions of Americans, and this election is no exception. The next administration and the 119th Congress have the potential to...more

The Accelerating Kids’ Access to Care Act: Breaking Barriers for Pediatric Patients Across State Lines

ArentFox Schiff on 7/19/2024

In July 2023, US Senators Michael Bennet (D-CO) and Chuck Grassley (R-IA), along with US Representatives Lori Trahan (D-MA) and Mariannette Miller-Meeks (R-IA), introduced legislation to improve access to critical care for...more

Is Your Employee or Contractor Excluded?

Quarles & Brady LLP on 6/10/2024

Employers must check its employees, contractors and vendors to see if an individual or organization is excluded from participating in federal and/or state programs. While there are a variety of exclusion programs at the...more

Fourth Circuit Rules that State Health Plans Must Cover Gender-Affirming Care

ArentFox Schiff on 5/9/2024

Last week, the US Court of Appeals for the Fourth Circuit issued a decision holding that state health care plans in North Carolina and West Virginia must cover gender-affirming surgeries. A copy of the decision, Kadel v....more

Final Medicaid Managed Care Rule Updates Requirements Regarding Access, Finance, and Quality

Epstein Becker & Green on 5/7/2024

On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the Medicaid and Children’s Health Insurance Program Managed Care Access, Finance and Quality Final Rule, a final rule that updates several...more

CMS Finalizes Major Reforms to Medicaid, Part 2: Medicaid Managed Care Reg

McDermott+ on 5/3/2024

Medicaid Regs Part 2! Last week, Regs & Eggs took a deep dive into the Ensuring Access to Medicaid Services final reg, one of two regs that the Centers for Medicare & Medicaid Services (CMS) released to add new requirements...more

Emerging Opportunities for State-Based Marketplaces (SBMs)

Manatt, Phelps & Phillips, LLP on 4/23/2024

The Affordable Care Act (ACA) Marketplaces have nearly tripled their enrollment in their first decade of operation, from eight million people in 2014 to 21.4 million in 2024. At the national level, the ACA has helped cut the...more

Federal Rules Limit “Junk” Health Plans

Rivkin Radler LLP on 4/5/2024

On March 28, the U.S. Departments of Health and Human Services, Labor and the Treasury collectively issued final rules with respect to short-term and limited duration insurance (STLDI) plans in an effort to reduce healthcare...more

The Doctor (Fix) Is In: Regulatory Implications of the Minibus Healthcare Package

McDermott+ on 3/7/2024

Last Sunday, Congress released the text of a minibus package, which will likely be signed into law by tomorrow. While the bill’s primary purpose is to keep the government open, it also includes healthcare extenders through...more

Video: Braidwood v. Becerra – Challenging the Affordable Care Act’s Preventive Services Coverage Provision – Thought Leaders in...

Epstein Becker & Green on 3/1/2024

Braidwood v. Becerra represents a significant legal challenge to the Affordable Care Act’s (ACA’s) preventive services coverage provision, which requires private health insurance to cover various clinical preventive services,...more

Understanding the Impact of Federal Conscience Rights on Health Care Employers: Navigating Legal Protections and the 2023 Final...

Amundsen Davis LLC on 2/27/2024

Conscientious objection in health care is the refusal of a health care professional to provide or participate in the delivery of a legal, medically appropriate health care service to a patient because of personal beliefs. ...more

CMS Announces New Primary and Behavioral Health Care Integration Demonstration Model

Epstein Becker & Green on 1/26/2024

On January 18th, the Centers for Medicare & Medicaid Services (CMS) announced a new demonstration model called the Innovation in Behavioral Health (IBH) Model, which is designed to improve outcomes for adults with mental...more

North Carolina Expands Medicaid

Manatt, Phelps & Phillips, LLP on 10/3/2023

On December 1, 2023, North Carolina will become the 40th state to implement Medicaid expansion under the Affordable Care Act (ACA), extending Medicaid eligibility to more than 600,000 adults with incomes up to 138% of the...more

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

McDermottPlus Check-Up: June 16, 2023

McDermott+ on 6/16/2023

The House and Senate were both in session this week, with healthcare activity continuing at the committee level. The House Energy and Commerce Committee held hearings on the Pandemic and All Hazards Preparedness Act (PAHPA)...more

McDermottPlus Check-Up: May 19, 2023

McDermott+ on 5/19/2023

The House and Senate were both in session this week, with significant healthcare activity at the committee level. The House Ways & Means Committee met to discuss healthcare price transparency, and the Ways & Means Health...more

Prenatal Vaccines in Medicaid and CHIP: Coverage, Reimbursement, and State Policy Solutions to Increase Access

Manatt, Phelps & Phillips, LLP on 5/17/2023

Prenatal vaccines—those administered during a pregnancy—provide crucial protections to pregnant women and/or newborns against communicable diseases such as whooping cough and influenza. Additional prenatal vaccines are in...more

Federal Judge in Texas Strikes Down ACA’s Preventive Services Coverage Mandate

Epstein Becker & Green on 4/5/2023

On March 30, 2023, the U.S. District Court for the Northern District of Texas issued a final judgment in Braidwood Management Inc. v. Becerra, invalidating a requirement in the Patient Protection and Affordable Care Act (ACA)...more

A Look Inside Ownership

Nelson Mullins Riley & Scarborough LLP on 3/8/2023

The U.S. Department of Health and Human Services continues to take unprecedented steps to “improve the quality and care available at nursing homes.” The newest rule enforces portions of Section 6101(a) of the Affordable Care...more

Twenty-One State Attorneys General and the District of Columbia Back HHS’s Plan to Hold Hospitals and Other Providers Liable for...

King & Spalding on 10/14/2022

On October 3, 2022, the Attorneys General for California, New York, and Massachusetts, in collaboration with Attorneys General from 18 other states and the District of Columbia (State Attorneys General) submitted a comment...more

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