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July 25, 2011
In This Issue
Senator Landrieu Sends HHS Letter Blasting MLR’s Impact on Agents and Brokers
HHS Approves MLR Adjustments for KY and IA But Rejects SD Adjustment
Deficit/Debt Ceiling Talks Continue to Dominate Washington
New Studies Point to Potential Ways PPACA Could Undermine Employer-Sponsored Insurance Coverage
IOM Releases Preliminary Report on Preventive Care Benefits for Women
NAHU Releases Exchange Analysis
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Senator Landrieu Sends HHS Letter Blasting MLR’s Impact on Agents and Brokers

On Friday, Senator Mary Landrieu (D-LA) sent a letter to the Secretary of Health and Human Services (HHS), Kathleen Sebelius, urging her to delay the inclusion of agent compensation in the calculation of the medical loss ratio (MLR) provision in the Patient Protection and Affordable Care Act (PPACA). Read More

HHS Approves MLR Adjustments for KY and IA But Rejects SD Adjustment

HHS Secretary Kathleen Sebelius approved adjustments to the individual market MLR requirements in two states, Iowa and Kentucky, last Friday, but refused to approve a similar adjustment sought by the state of North Dakota, making North Dakota the first state to apply for an adjustment and be completely rejected by the Obama administration. The state had been seeking a gradual three-year phase-in to the 80 percent requirement, but HHS said nothing in the state's application indicated the individual insurance market could become destabilized without a waiver. Read More

Deficit/Debt Ceiling Talks Continue to Dominate Washington

The weekend came and went without any significant progress on resolving the complex issues of raising our nation’s debt ceiling so that we do not begin to default on loans on August 2, and cutting federal spending to reduce the need to incur further national debt. NAHU continues to monitor the debate, particularly relative to any potential impact compromise legislation may have on federal health programs and federal health spending. Today, leaders from both parties released new plans to raise the debt ceiling through the end of 2012, but the plans vary significantly concerning requirements for future action relative to spending cuts and tax policy. Read More

New Studies Point to Potential Ways PPACA Could Undermine Employer-Sponsored Insurance Coverage

Two new studies released by the National Federation of Independent Business (NFIB)  and the Employment Policies Institute illustrate a variety of reasons why employers may find it more financially advantageous for both themselves and their employees to take advantage of the health insurance exchange subsidies after January 1, 2014. Read More

IOM Releases Preliminary Report on Preventive Care Benefits for Women

On Wednesday, July 20, the federal Institute of Medicine (IOM) released a highly anticipated report on preventive services for women. The IOM was charged by Congress under PPACA to develop recommendations for HHS as to which specific services should be covered by insurers with no cost-sharing in order to meet the new law’s preventive care services requirements. HHS Secretary Kathleen Sebelius is expected to release her final decision on the preventive care requirements by August 1, and she is not expected to stray far, if at all, from the IOM’s recommendations. Read More

NAHU Releases Exchange Analysis

The NAHU Government Relations department and our national team of volunteer exchange coordinators from every state continue to pore through the recently released proposed federal rule on health insurance exchanges. We have prepared this chart which details all of the provisions in the proposed exchange rule that address provisions particularly relevant to health insurance agents and brokers.  Read More

Remember to Sign Up for Free NAHU Webinars

NAHU will be hosting two free politically-themed webinars for members within the next 10 days. Read More

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