What We Hear.

Recent articles and opinion pieces from national and trade media resources on the state of Healthcare in America.


  • HHS Secretary Outlines Priorities to Lower Prescription Drug Prices

    05/22/18
    The Secretary outlined regulatory steps that he could take without congressional action, such as changing drug rebates or changes to Medicare reimbursement.
    The Medliminal Washington Report »

  • HHS Secretary: Drugmakers Must Help Cut Prices

    05/14/18
    “If industry isn’t willing to work with us to lower prices, President Trump and this administration will keep turning up the pressure,” Health and Human Services Secretary Alex Azar said today, offering more details of a plan he and Trump laid out Friday.
    Bloomberg »

  • The President Says He Got Rid of Obamacare; the I.R.S. Doesn’t Agree

    05/6/18
    While the individual mandate may be dead, the employer mandate—the requirement that many companies offer health insurance to their workers or pay a penalty—is alive.
    The New York Times »

  • Trump Administration Unveils Proposed Rule To Loosen Restrictions On Short-Term Health Plans

    02/20/18
    Insurers will again be able to sell short-term health insurance good for up to 12 months under a proposed rule that could further roil the marketplace.
    Washington Post »

  • Two-Year Delay for Cadillac Tax Included in Government Funding Bill

    01/22/18
    The provision to postpone the tax from taking effect until 2022, instead of in 2020, has yielded bipartisan support and is backed by the Society for Human Resource Management.
    SHRM »

  • Trump Administration Rolls Out Bid to Expand Association Health Plans

    01/04/18
    The expansion of association health plans is part of a broader effort to encourage the rise of cheaper coverage options that don’t comply with certain ACA patient protections and benefit rules.
    Politico »

  • Congress Passes Tax Bill Altering Employee Benefits

    12/20/2017
    Passage of the Tax Cuts and Jobs Act which limits the tax deductions that businesses can claim for certain employee benefits, is likely to cause some employers to revisit their offerings.
    SHRM »

What We Know.

Webinars, articles and eAlerts with actionable information on the ACA and other current laws and regulations.


“Skinny” Repeal Would Have Boosted Uninsured by 16M

7/27/2017 — CBO and the staff of the Joint Committee on Taxation (JCT) have prepared an estimate of the direct spending and revenue effects of H.R. 1628, the Healthcare Freedom Act of 2017.
CBO.gov »


McConnell Statement on Upcoming Vote

7/17/2017 — GOP Senate Majority Leader Mitch McConnell made a statement regarding a vote to repeal Obamacare.
U.S. Senator Mitch McConnell »


CBO Report

5/24/2017 — Congressional Budget Office Releases Score of the House-approved Healthcare Bill
Congressional Budget Office »


Health Affairs Analysis

5/15/2017 — Newly Proposed Rules will Likely Spell the End of the ACA’s SHOP Exchange
HealthAffairs Blog »


Access 2017 Compliance Bootcamp Webinars


Healthcare Reform
Resource Center:

Read the Latest Alerts

The Affordable Care Act Presents:

The Walking Dead

The ACA is dying. What will replace it? Below are provisions of the
AHCA bill that is still in deliberations.


 
ACA Provision Likely Dead
Cadillac Tax
Likely Dead
The new AHCA bill does not repeal this 40% excise tax on "high-cost" coverage, but instead, the AHCA extends its effective date until 2026. This is likely dead because, even if the AHCA passes, there is strong bipartisan support to repeal this ACA provision.
ACA Provision Still Alive
Dependent Coverage to Age 26
Still Breathing
This popular provision was retained in the AHCA.
ACA Provision Likely Dead
Employer Mandate/ Pay or Play
Likely Dead
AHCA bill repeals employer tax for not offering affordable, adequate coverage to full-time employees.
ACA Provision in Limbo
Foreign Drug Trade
In Limbo
To lower costs and increase consumerism, this change would open up the drug market to foreign competition if proven safe and reliable. This was not included in the AHCA, but it's part of the larger Republican vision for an ACA replacement.
ACA Provision in Limbo
Free Market Across State Lines
In Limbo
In an effort to increase competition and lower insurance costs, this change would allow vendors to offer health insurance in any state if the plan complies with state laws. This was not included in the AHCA, but it's part of the larger Republican vision for an ACA replacement.
ACA Provision Likely Dead
Increased Medicare Taxes on High-earners
Likely Dead
Taxes on high-income individuals repealed by AHCA bill.
ACA Provision Transformed
Individual Mandate
Likely Transformed
AHCA bill repeals tax on individuals not enrolled in healthcare coverage, but it adds a "continuous coverage" requirement - 30% premium tax for lapses of coverage.
ACA Provision Transformed
Information Reporting
Likely Transformed
New reporting will likely be required under the AHCA that will likely be easier for employers than completing Forms 1094-C/1095-C.
ACA Provision Transformed
Medicaid Expansion
Likely Transformed
Medicaid will likely change to a per-capita system with an option to allow states to choose a block grant rather than a per-capita cap. Additionally, the AHCA would allow states to impose a work requirement on nondisabled, nonelderly, non-pregnant adults as a condition of Medicaid coverage.
ACA Provision Likely Dead
Medical Device Tax
Likely Dead
Taxes on medical device manufacturers repealed by AHCA bill.
ACA Provision Still Alive
No-cost Preventive Services
Still Breathing
AHCA bill does not change the ACA requirement for individual and group plans to cover preventive benefits, such as contraception and cancer screenings, with no cost sharing.
ACA Provision Likely Dead
Nondiscrimination Requirements for Fully-insured Plans
Likely Dead
Since guidance or regulations prohibiting fully-insured sponsors from favoring highly-compensated employees have not yet been drafted by the Treasury, it is unlikely to go into effect.
ACA Provision Still Alive
Pre-existing Condition Coverage
Still Breathing
This popular provision was retained in the AHCA.
ACA Provision Still Alive
Premium Subsidies on Exchanges
Still Breathing
AHCA bill repeals premium and cost-sharing subsidies over time by 2020, but adds age-based refundable tax credits (not as closely tied to income).
ACA Provision in Limbo
Price Transparency
In Limbo
Making it easier for individuals to shop around for their medical care, this change would require price transparency of all doctors, clinics and hospitals. This was not included in the AHCA, but it's part of the larger Republican vision for an ACA replacement.
ACA Provision Still Alive
Prohibited 90-day Waiting Period
Still Breathing
This provision was retained in the AHCA.
ACA Provision Still Alive
Prohibited Lifetime & Annual Limits on Essential Health Benefits
Still Breathing
Beginning in 2018 through 2019, states will be able to define EHBs with respect to the allocation of premium tax credits.
ACA Provision Still Alive
Prohibited Lifetime & Annual Limits on Essential Health Benefits
Still Breathing
This provision was retained in the AHCA.
New ACA Provision
Proposed Expanded Health Savings Accounts
Just Born
AHCA bill nearly doubles $ individuals can contribute to accounts and broadens how funds can be used.
ACA Provision Likely Dead
Proposed Form 5500 ACA Info Requirements
Likely Dead
Rules (under ERISA) requiring additional healthcare information on Form 5500 filings, including ACA-related information, and eliminating small employer filing exemption were never finalized, thus it is unlikely to be issued under current DOL.
ACA Provision Likely Dead
Proposed Opt-out Arrangement Rules
Likely Dead
Final regulations requiring the value of opt-out payments under non-compliant opt-out arrangements be added to the cost of coverage for determining the affordability of coverage under the ACA were delayed in December 2016, and unlikely to be issued under current Treasury.

ACA(now) News on Washington

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