November 30, 2018


In This Issue
Fast Facts
State Spotlight: CMS Releases Four Concepts for Waivers, Including Reinsurance Programs
CMS Introduces Enhanced Direct Enrollment for Federal Marketplace
IRS Extends ACA Reporting Deadline and Transitional Relief in 2020
NAHU Seeks Balance-Billing Stories to Shape Forthcoming Legislation
Healthcare Happy Hour: How States Can Take Advantage of ACA Waivers
HHS Adjusts Civil Monetary Penalties
Register Now for Next Week’s Webinar on Transitioning to a Fee-Based Business
December’s Compliance Corner Webinar Features a Deep Dive on AHPs
Scholarships Available for Capitol Conference
HUPAC Roundup
What We’re Reading
E-mail the Editor
Visit the NAHU Website
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What We’re Reading
With midterms behind us, lawmakers are back in Washington with an ambitious agenda to cover before January. Democrats’ largely attributed their victory in the House to healthcare, stating that, “Healthcare was on the ballot and healthcare won.” Here’s what else is going on in healthcare this week.
  • Senators John Barrasso (R-WY), Doug Jones (D-AL), Corey Gardner (R-CO) and Jean Shaheen (D-NH) sent a letter to Senate leaders calling for further delay of the HIT Tax to be passed in the Lame Duck session of Congress.
  • The Better Medicare Alliance, of which NAHU is a member, sent a letter to Congress on Monday urging them to continue the delay of the Health Insurance Tax (HIT) through 2020
  • Just ahead of the Thanksgiving holiday, the IRS issued Notice 2018-88, follow-up guidance from the HRA proposed rule on how stand-alone HRAs integrated with individual health insurance coverage will comply with the ACA employer mandate.
  • Democratic contenders for 2020 may well campaign on Medicare-for-all, which has become a “litmus test” for candidates contemplating challenging Donald Trump. California’s new governor embodies the dilemma that Democrats face in trying to win over the progressive wing of voters.
  • In many parts of the country the insurance landscape is changing, and that means lower premiums and more choices in newly competitive markets.
  • If there’s one thing the Trump Administration and Democrats can agree on, it’s that drug prices need to be curbed. In a new proposal, the Administration seeks to expand private Medicare plan’s negotiating power on drug prices.
  • Trump’s healthcare agenda includes several controversial moves, including Medicaid work requirements, and a regulation to loosen nursing home emergency preparedness rules. Despite the new Democratic advantage in the House, the administration is expected to push forward with this agenda.
  • Kansas’s previous attempts to expand Medicaid in the state were vetoed by former conservative governor. This year, voters elected a governor who supports Medicaid expansion. But that might not mean that progress will happen soon.
  • Democrats promised to protect people with pre-existing conditions, but they will face tough legal and political choices as they try to fulfill their promises. The question is whether they can protect the ACA without a unified message.
  • Despite pressure from the president, drug company Pfizer announced that it will increase drug prices for 41 medications. How will this change be met by the Administration and its plans to increase Medicare’s negotiating power?
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