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August 8, 2011
In This Issue
School’s Out for the Summer!
What Will The Super Committee Do?
Look Out! HHS Might Be Coming!
Sorry Guam, No Dice
State Legislators Meet This Week
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School’s Out for the Summer!

Reagan National Airport was a busy place last week as members of Congress headed back to their home states for the August recess period. The August recess is traditionally a time for lawmakers to make public appearances, host town hall events and hold private meetings directly with their constituents, and it is also prime time for in-district fundraising and campaign events.  Read More

What Will The Super Committee Do?

Last week’s enactment of the Budget Control Act didn’t just raise the debt ceiling and reduce federal spending. It also mandated the creation of a bipartisan 12-member joint congressional committee (known as the “super committee”) that will be tasked with coming up with over $1 trillion dollars in proposed cuts to federal spending by November 23. Washington is currently buzzing with speculation as to who will serve on the committee, if the committee will be able to come to an agreement and what their recommendations will be, and how their work will impact the movement of federal legislation this fall. No matter how you slice it, though, it looks like public health care financing changes are on the horizon.  Read More

Look Out! HHS Might Be Coming!

HHS announced last week that based on the PPACA external appeals requirement, it may have to assume oversight for external appeals standards in at least 17 states. The new law requires health plans and states to notify consumers about a process for appealing health insurance company claims denials that meets new federal standards in place by January 1, 2012. Otherwise, HHS will assume control of the health insurance claims appeals processes in noncompliant states. Read More

Sorry Guam, No Dice

HHS rejected another medical loss ratio (MLR) waiver application last week, telling the territory of Guam that its application for a waiver to the MLR requirements for the two individual market insurers operating in the territory would not be approved. Read More

State Legislators Meet This Week

State legislators from around the country are meeting this week about a wide variety health reform issues as the National Conference of State Legislators convenes its annual meeting in San Antonio, TX. The agenda includes detailed discussions and multiple sessions about health insurance exchanges, Medicaid and PPACA implementation in the states. Read More

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