What We Hear.

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


  • Short-term Health Insurance? Up to 3 Years Under New Trump Policy

    08/01/2018
    Consumers may soon have access to less expensive health insurance providing fewer benefits under a Trump administration rule intended to skirt requirements of the ACA.
    The New York Times »

  • 12 State Attorneys General Sue to Block Association Health Plans Rule

    07/27/2018
    The Trump administration says the regulation would help small businesses and self-employed workers afford insurance, but 12 Democratic state attorneys general contend that the plans would undermine patient protections put in place by the ACA.
    Kaiser Health News »

  • Trump Administration Halts Billions in ACA Insurance Payments

    07/07/2018
    The Centers for Medicare and Medicaid Services, which administers programs under the Affordable Care Act, said the action affects $10.4 billion in risk adjustment payments.
    Reuters »

  • Trump Officials Roll Out New Rule for Small Business Health Insurance Plans

    06/18/2018
    The final rule governing association health plans allows small businesses and the self-employed to band together based on their industry or location and buy health insurance.
    CNN »

  • Trump Administration Won't Defend Key Provisions of the ACA

    06/08/2018
    The Trump administration said in a legal filing that key parts of the Affordable Care Act should be invalidated and that the individual mandate is unconstitutional.
    CNN »

  • New Jersey Governor Signs Law Preserving the ACA’s Individual Mandate

    05/30/2018
    Gov. Phil Murphy has signed a law on Wednesday that requires New Jersey residents who don’t have health coverage through Medicare or their jobs to buy a policy or pay a fee at tax time.
    NJ.com »

What We Know.

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


CMS Issues Final Regulation on Short-term Health Insurance

08/01/2018 — A final rule was issued to help Americans struggling to afford health coverage find new, more affordable options. The rule allows for the sale and renewal of short-term, limited-duration plans that cover longer periods than before.
Centers for Medicare & Medicaid Services »


“Skinny” Repeal Would Have Boosted Uninsured by 16M

07/27/2017 — 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

07/17/2017 — GOP Senate Majority Leader Mitch McConnell made a statement regarding a vote to repeal Obamacare.
U.S. Senator Mitch McConnell »


CBO Report

05/24/2017 — Congressional Budget Office Releases Score of the House-approved Healthcare Bill
Congressional Budget Office »


Healthcare Reform
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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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We’d love to hear what you think about ACA(now). Please send us your comments, questions, and ideas by filling out the form below!