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Overview of President-Elect Biden's Policies

Below is a broad overview of policies for which President-Elect Biden has indicated support (PDF). It is important to note that, while some of these policies fall under the President's executive power, many will require...more

President Trump's Budget: Key Takeaways for Health Care

President Trump's fiscal year 2020 (FY20) budget proposal for the Department of Health and Human Services (HHS) reflects the Trump Administration's priorities to repeal and replace the Affordable Care Act (ACA), implement...more

2019: What to Expect in Health Care Policy

Health care issues will remain a central focus in Washington throughout 2019. Having gained control of the House following the 2018 mid-term elections, Democrats now have the ability to block President Trump's legislative...more

New Federal Court Ruling Creates Further Uncertainty for the Affordable Care Act

On December 14, Texas U.S. District Judge Reed O'Connor issued a broad federal court ruling in Texas v. Azar to overturn the entire Affordable Care Act (ACA) on the basis that the individual mandate penalty, which Congress...more

After the Midterm Elections: Next Steps in Congress in 2019

The 2018 midterm elections resulted in Democrats regaining the House, Republicans expanding their Senate majority, and both parties positioning themselves for the 2020 presidential election. These factors will have a major...more

Senate Fails to Advance Measure to Restrict Expansion of Short-Term Health Plans

On October 10, 2018, Senate Democrats pushed for a largely symbolic vote to overrule the Trump Administration's expansion of short-term health plans that failed to advance in the Senate on a 50-50 tie vote....more

Trump Administration Expands Access to ACA-Exempt Short-Term Plans

On August 1, 2018, the Departments of Treasury, Labor, and Health and Human Services (HHS) issued a final rule to expand the availability of short-term, limited duration insurance (STLDI or short-term plans). ...more

CMS Reinstates ACA Risk Adjustment Payments

On Tuesday, July 24, the Centers for Medicare and Medicaid Services (CMS) issued a final rule intended to clarify the program methodology and reinstate payments under the Affordable Care Act's (ACA) permanent risk adjustment...more

Department of Justice's Stance on Legal Challenge to ACA Reignites Fight over Protections for Pre-Existing Conditions

On June 7, the Department of Justice (DOJ) filed a legal brief in support of a lawsuit from 20 states seeking to invalidate the Affordable Care Act (ACA), urging the federal court considering the case to strike down the ACA's...more

Trump Administration Releases Regulations to Expand Association Health Plans

On June 19, the Department of Labor (DOL) released a final rule to expand access to association health plans (AHPs), which allow employers to form groups to collectively purchase health coverage for their employees. ...more

New 2019 ACA Payment Policies for Individual and Small Group Markets

On April 9, the Department of Health and Human Services (HHS) released the long-anticipated final Notice of Benefits and Payment Parameters (NBPP) for plan year 2019, providing standards for health insurers and the health...more

Prospects for ACA Market Stabilization Measures Remain Uncertain

With ongoing uncertainty and turmoil in the individual health insurance market, Congress has spent weeks debating whether to include a bipartisan Affordable Care Act (ACA) stabilization measure as part of the "must pass"...more

Key Health Care Provisions of Bipartisan Budget Act of 2018

The wide-reaching Bipartisan Budget Act of 2018 (BBA), passed by Congress and signed by the President on February 9, 2018, extends and modifies dozens of health care programs, including extending funding for two years for...more

New ACA Regulation: HHS Proposes Expanded Access to Short-Term Insurance

On February 20, 2018, the Departments of Treasury, Labor, and Health and Human Services (HHS) issued a proposed rule to expand the availability of Short-Term, Limited Duration Insurance (STLDI). Building on President Trump's...more

President's Budget on Health Care: Entitlement Reform, Opioid Funding, and Cuts to Health Programs

Note: All fiscal estimates cited over a ten-year budget window refer to the Fiscal Year 2019-2028 budget window. The President's fiscal year 2019 (FY19) budget proposal for the Department of Health and Human Services (HHS)...more

Trump Administration Releases Fiscal Year 2019 Budget Proposal

On February 12, 2018, the White House released the President's Fiscal Year 2019 (FY19) budget, outlining a $4.4 trillion federal budget proposal that prioritizes substantially higher spending on the military and on border...more

Bipartisan Budget Act of 2018: Major Impacts on Health Care

After a brief federal government shutdown overnight, Congress passed and the President signed into law the Bipartisan Budget Act of 2018 on February 9, 2018. The Senate voted 71-28 and the House voted 240-186 to approve the...more

Challenges for the Affordable Care Act Remain in 2018

After repeated attempts to repeal failed in 2017, overarching federal reform of the Affordable Care Act (ACA) appears unlikely in 2018. However, ongoing uncertainty and turmoil in the individual insurance market will ensure...more

Congress Passes Government Funding Measures

On December 21, Congress passed a bill to continue funding the government through January 19, 2018, averting a potential government shutdown ahead of the December 22, 2017, deadline for the previous funding measure. The House...more

Senate Passes GOP Tax Cuts Package; House and Senate Bills Now Move to Conference Committee

After a week of frenzied debate and last minute deal making, the Senate approved a sweeping package of tax cuts by a vote of 51 to 49 with Senator Bob Corker (R-TN) and all Democrats voting in opposition. It remained unclear...more

CHIP Reauthorization Stalls in Congress, Increasing Fiscal Pressure on States

Reauthorization of federal funding for the Children's Health Insurance Program (CHIP) has stalled in Congress due to partisan disagreements over fiscal offsets. The delay in the extension of federal funding has put...more

With December Deadlines Approaching, Congress Considers Another Continuing Resolution

With less than a month remaining before the December 8 deadline for adopting an appropriations deal and the December 15 deadline to lift the debt ceiling, it is increasingly likely that Congress will once again pass a...more

Affordable Care Act Initially Fades from Spotlight; Reemerges in Senate Republicans' Latest Tax Proposal

After dominating the agenda for most of 2017, the Affordable Care Act (ACA) seemed to take a backseat at first as Republicans shifted their focus to enacting tax legislation. The initial momentum behind the bipartisan...more

Alexander, Murray Announce Bipartisan Proposal on Market Stabilization

On October 17, the Senate Health, Education, Labor and Pensions Committee Chair Lamar Alexander (R-TN) and Ranking Member Patty Murray (D-WA) announced they had agreed on a proposal for a narrow, short-term individual market...more

President Trump Issues Far-Reaching Changes to the Affordable Care Act

On October 12, the Trump Administration announced that it would immediately terminate payments for Cost-Sharing Reductions (CSRs), which subsidize health coverage for low-income enrollees in the Affordable Care Act's (ACA)...more

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