On March 1, the Departments of Health and Human Services (HHS) and the Treasury approved New York’s section 1332 waiver that expands affordable coverage to additional groups of New Yorkers. The waiver essentially suspends New...more
Executive Summary -
This project was designed to collect a broad range of perspectives from stakeholders and the literature to (1) understand the current state of the implementation of the Independent Dispute Resolution...more
The No Surprises Act (NSA), enacted in 2020, protects patients from surprise medical bills for emergency services and, in certain circumstances, when treated by out-of-network providers in an in-network facility. Since the...more
12/22/2023
/ Dispute Resolution ,
Eligibility Determination ,
Emergency Medical Services (EMS) ,
Health Care Providers ,
Health Insurance ,
No Surprises Act (NSA) ,
Out of Network Provider ,
Proposed Rules ,
Reimbursements ,
Surprise Medical Bills ,
Webinars
The Affordable Care Act (ACA) requirement for commercial coverage of certain preventive services without cost sharing is unenforceable, according to a March 30 decision in Braidwood Management, Inc. v. Becerra by Judge Reed...more
In December 2022, Oregon became the first state since New York (2015) and Minnesota (2016) to put forth a plan to seek federal approval for implementation of a basic health program (BHP) under Section 1331 of the Affordable...more
Join Manatt for the Fourth of Our Imperatives Deep-Dive Sessions on the Topics You Voted Most Important to You.
There are currently a record-breaking 12.2 million Americans enrolled in coverage through health care...more
Americans are strongly focused on the upcoming midterm elections. An NBC News survey shows that 68% of Republicans and 66% of Democrats are expressing high interest in the midterms. Which issues are most critical to voters...more
9/26/2022
/ Abortion ,
Health Care Providers ,
Health Insurance ,
Healthcare Costs ,
Healthcare Reform ,
Legislative Agendas ,
Prescription Drugs ,
Regulatory Agenda ,
Reproductive Healthcare Issues ,
State Elections ,
Webinars
The Big -
Picture On August 19, the Biden Administration released a final rule on the No Surprises Act (NSA) that primarily addresses regulatory provisions invalidated by the United States District Court for the Eastern...more
The Big Picture -
On July 25, the Department of Health and Human Services (HHS) released a proposed rule interpreting Section 1557 of the Affordable Care Act (ACA), which prohibits any health program or activity that...more
The Biden administration gave its stamp of approval last week to Colorado’s novel waiver under Section 1332 of the Affordable Care Act (ACA) to require premium reductions in a public option program, a first-of-its-kind plan...more
6/29/2022
/ 1332 Waiver ,
Affordable Care Act ,
Biden Administration ,
Colorado ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Premiums ,
Public Health Insurance Marketplace ,
Reinsurance ,
Social Equity Programs ,
Waivers
The Centers for Medicare & Medicaid Services (CMS) released the final 2023 Notice of Benefit and Payment Parameters (NBPP), the annual rule outlining key policies for the individual and group health insurance markets for plan...more
On April 5, President Biden held an event at the White House celebrating coverage gains since the enactment of the Affordable Care Act (ACA). Joined by Vice President Harris and former President Obama, President Biden...more