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CRAPO, BRADY: MEDICARE TRUST FUND REPORT DELAYED Senate Finance Committee ranking Republican Mike Crapo (ID) and House Ways & Means ranking Republican Kevin Brady (TX) say that, after a note from the Treasury Department, they are concerned the Medicare Hospital Insurance Trustees Report may not be released for months -- but the Republicans say they need accurate information on the pandemic’s effect on the trust fund before any SENATE MOVES CLOSER TO CONFIRMING BROOKS-LASURE AS CMS Senate Moves Closer To Confirming Brooks-LaSure As CMS Head. By Maya Goldman / May 12, 2021 at 2:47 PM. Tweet. The Senate voted 51 to 48 Wednesday (May 12) to advance the nomination of Chiquita Brooks-LaSure for CMS administrator after Sen. Chuck Schumer (D-NY) made a motion to discharge her nomination from the Finance Committee, with Sen AMY LOTVEN | INSIDEHEALTHPOLICY.COM Amy Lotven. Amy Lotven is a senior editor for Inside Health Policy. Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA newsand much more.
LAST PROCEDURAL VOTE BEFORE BROOKS-LASURE CONFIRMATION SET Last Procedural Vote Before Brooks-LaSure Confirmation Set For Monday. The Senate is slated to vote Monday (May 24) at 5:30 P.M. on whether to invoke cloture on Chiquita Brooks-LaSure’s confirmation to be the next CMS administrator, the last procedural hurdle before a final vote on the nominee. Sen. Chuck Schumer (D-NY) filed cloture Thursday BIDEN’S HHS TO ENFORCE ‘GAG RULE’ UNTIL NEW TITLE X RULE Biden’s HHS To Enforce ‘Gag Rule’ Until New Title X Rule Takes Effect. The Biden administration told the Supreme Court it will continue to enforce the Trump-era so-called gag rule until it is replaced with a version the Biden HHS proposed in mid-April and expects to finalize by early fall before 2022 Title X funding is awarded in December. FOWLER AIMS TO REFOCUS CMMI ON BROADER HEALTH Fowler Aims To Refocus CMMI On Broader Health Transformation Goals. Innovation center chief Liz Fowler asked accountable care organizations for patience as the Center for Medicare and Medicaid Innovation evaluates its models, and indicated the center needs to focus on transforming the health care system, not just certifyingmodels to be a
HHS PLANS TO SCRAP TRUMP RULE ON HEALTH CLINIC’S INSULIN Tweet. HHS plans to rescind a midnight regulation by the Trump administration that makes health centers pass 340b discounts for insulin and epinephrine to patients, according to a proposal being reviewed by the White House budget office. The title of the proposed rule is “Rescission of the Final Rule ‘Implementation of ExecutiveOrder on
DEM SENATORS ASK BECERRA TO CURB SHORT-TERM PLANS Editor's Note: This story has been updated to clarify the Association of Community Affiliated Plans sued over the short-term plan rule. Two dozen senators on Thursday urged HHS Secretary Xavier Becerra to quickly curb the proliferation of short-term, or so-called “junk,” insurance plans that do not have to cover Affordable Care Act benefits, especially since more Americans now have access HOME | INSIDEHEALTHPOLICY.COMNEWSTOPICSFDA WEEKINSIDE DRUG PRICINGHEALTH EXCHANGE ALERTABOUT US CMS Revokes Trump Admin’s 10-Year Extension Of Texas 1115 Waiver. CMS Friday (April 16) revoked an 11th-hour move by the Trump administration to grant Texas a 10-year extension of its 1115 waiver that includes federal funding for the state’s uncompensated care funding pool that reimburses hospitals for caring for the uninsured. INSIDEHEALTHPOLICY.COM A bipartisan group of House lawmakers hopes to tuck into the next coronavirus response package a newly introduced bill that would increase federal Medicaid matching funds (FMAP) by 1% for telehealth in states that cover those services. The Modernize Medicine Act, sponsored by Reps. Joe Kennedy (D-MA), Lisa Blunt Rochester (D-DE) andformer
CRAPO, BRADY: MEDICARE TRUST FUND REPORT DELAYED Senate Finance Committee ranking Republican Mike Crapo (ID) and House Ways & Means ranking Republican Kevin Brady (TX) say that, after a note from the Treasury Department, they are concerned the Medicare Hospital Insurance Trustees Report may not be released for months -- but the Republicans say they need accurate information on the pandemic’s effect on the trust fund before any SENATE MOVES CLOSER TO CONFIRMING BROOKS-LASURE AS CMS Senate Moves Closer To Confirming Brooks-LaSure As CMS Head. By Maya Goldman / May 12, 2021 at 2:47 PM. Tweet. The Senate voted 51 to 48 Wednesday (May 12) to advance the nomination of Chiquita Brooks-LaSure for CMS administrator after Sen. Chuck Schumer (D-NY) made a motion to discharge her nomination from the Finance Committee, with Sen AMY LOTVEN | INSIDEHEALTHPOLICY.COM Amy Lotven. Amy Lotven is a senior editor for Inside Health Policy. Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA newsand much more.
LAST PROCEDURAL VOTE BEFORE BROOKS-LASURE CONFIRMATION SET Last Procedural Vote Before Brooks-LaSure Confirmation Set For Monday. The Senate is slated to vote Monday (May 24) at 5:30 P.M. on whether to invoke cloture on Chiquita Brooks-LaSure’s confirmation to be the next CMS administrator, the last procedural hurdle before a final vote on the nominee. Sen. Chuck Schumer (D-NY) filed cloture Thursday BIDEN’S HHS TO ENFORCE ‘GAG RULE’ UNTIL NEW TITLE X RULE Biden’s HHS To Enforce ‘Gag Rule’ Until New Title X Rule Takes Effect. The Biden administration told the Supreme Court it will continue to enforce the Trump-era so-called gag rule until it is replaced with a version the Biden HHS proposed in mid-April and expects to finalize by early fall before 2022 Title X funding is awarded in December. FOWLER AIMS TO REFOCUS CMMI ON BROADER HEALTH Fowler Aims To Refocus CMMI On Broader Health Transformation Goals. Innovation center chief Liz Fowler asked accountable care organizations for patience as the Center for Medicare and Medicaid Innovation evaluates its models, and indicated the center needs to focus on transforming the health care system, not just certifyingmodels to be a
HHS PLANS TO SCRAP TRUMP RULE ON HEALTH CLINIC’S INSULIN Tweet. HHS plans to rescind a midnight regulation by the Trump administration that makes health centers pass 340b discounts for insulin and epinephrine to patients, according to a proposal being reviewed by the White House budget office. The title of the proposed rule is “Rescission of the Final Rule ‘Implementation of ExecutiveOrder on
DEM SENATORS ASK BECERRA TO CURB SHORT-TERM PLANS Editor's Note: This story has been updated to clarify the Association of Community Affiliated Plans sued over the short-term plan rule. Two dozen senators on Thursday urged HHS Secretary Xavier Becerra to quickly curb the proliferation of short-term, or so-called “junk,” insurance plans that do not have to cover Affordable Care Act benefits, especially since more Americans now have access HHS: PROVIDER RELIEF TIMING DETERMINES SPENDING DEADLINE The date that provider relief recipients received the COVID-19 aid will determine which spending deadline they must meet, HHS announced Friday (June 11), stopping short of a complete extension of the June 30 deadline while still giving providers, hospitals and lawmakers much of the flexibility they had sought. FDA: COVID-19 TEST MAKERS SHOULD APPLY FOR FULL FDA officials say manufacturers of COVID-19 tests that are on the market under emergency use authorization should begin submitting applications to convert their EUAs to full approval so they can stay on the market after the COVID-19 public health emergency is over. HHS MAY REVAMP REIMBURSEMENT POLICIES FOR CRITICAL The Biden administration has asked HHS to study whether new reimbursement policies could be used to shore up domestic supplies of critical medicines, including the possibility of new federal payment policies that hike profit margins for certain generic sterile injectables and cancer drugs, procurement guarantees and flexible acquisition policies. KFF: ADUHELM COULD LEAD TO HIGHER PART B PREMIUMS, STATE The new Alzheimer’s drug Aduhelm could lead to higher Part B premiums for beneficiaries in both Medicare Advantage and fee-for-service, and state and federal spending on Medicaid will likely also rise, according to the Kaiser Family Foundation. BIDEN CMS REWRITING TRUMP CMS’ MEDICAID BEST PRICE RULE By John Wilkerson / May 12, 2021 at 7:05 PM. Tweet. The White House budget office is reviewing a proposed rule on Medicaid best price policy, signaling the Biden administration plans to delay or change some of the policies the Trump administration included in its final Medicaid best price rule in December. The Trump-era final ruleincluded
WHITE HOUSE WEIGHS TEMPORARILY LIFTING COVID-19 VACCINE White House Weighs Temporarily Lifting COVID-19 Vaccine Patents. By Gabrielle Wanneh / March 30, 2021 at 4:29 PM. Tweet. The Biden administration is considering temporarily suspending intellectual property protections for COVID-19 vaccines and treatments to allow other countries to replicate existing vaccines for their own populations, but the GOTTLIEB, GIROIR DUKE IT OUT OVER FDA’S KRATOM RESPONSE Former FDA chief Scott Gottlieb and former HHS Assistant Secretary for Health Brett Giroir sparred over the safety of kratom and who’s to blame for the lack of strict scheduling, coming just minutes after FDA announced the seizure of $1.3 million worth of kratom-containing dietary supplements and bulk dietary ingredients. BIDEN’S HHS TO ENFORCE ‘GAG RULE’ UNTIL NEW TITLE X RULE Biden’s HHS To Enforce ‘Gag Rule’ Until New Title X Rule Takes Effect. The Biden administration told the Supreme Court it will continue to enforce the Trump-era so-called gag rule until it is replaced with a version the Biden HHS proposed in mid-April and expects to finalize by early fall before 2022 Title X funding is awarded in December. ASTHO ANALYSIS OF BIDEN ADMINISTRATION'S FY22 BUDGET Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA newsand much more.
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The House Ways & Means Committee will hold a virtual hearing on the disproportionate impact of COVID-19 on communities of color shortly after the Centers for Disease Control and Prevention released a short report on the issue that was panned by key Democrats. CMS Expects $35-A-Month Insulin To Be Available In 50 States Medicare beneficiaries in all states, the District of Columbia and Puerto Rico are expected to able to buy insurance that caps monthly insulin premiums at $35, for an average annual savings of $446 for the approximate 1.3 million beneficiaries who could benefit from the demo, CMS said Tuesday (May 26). Experts: Insurers Need Flexibility, Guidance As Rate Reviews Kick In State insurance regulators should ensure carriers are able to update any 2021 provisional rates to include new information on COVID-19, and a neutral panel of experts should create guidance on how to handle those costs, health care experts say in a recent blog post on the ratereview process.
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Providers Want Medicare Loan Changes As Congress Mulls COVID-19 Bill The American Medical Group Association is pushing for Congress to restart the Medicare Part B loan program while the American Hospital Association is urging lawmakers to turn Medicare loans into grants -- a move one lobbyist thinks is much less likely than Congress simply changing the interest rates and giving providers more time to completerepayments.
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CMS LETS PART D PLANS WAIVE COSTS FOR DRUGS THAT TREAT COVID-19 Part D plans may waive costs for drugs that treat COVID-19, even if those waivers are inconsistent with the bid and plan benefit package, according to a May 22 update to Medicare coronavirus guidance. PRICING WATCHDOG SAYS HYDROXYCHLOROQUINE PRICE SPIKE ISN’T ABNORMALFULL COVERAGE →
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Doctors supporting a Medicare for All system are demanding the American Hospital Association leave a coalition of health care stakeholders that opposes single-payer or a public option, saying hospitals shouldn’t be spending money to fight universal health care during the COVID-19 pandemic. Senate Dems Push Health Care Expansions For Next COVID-19 Bill With CA Update, About 250K Now Enrolled Via COVID SEPs GOP Pounces As House Adds Risk Corridors To HEROES Bill CA Gov. Seeks Federal Help As He Resorts To Reducing Health Budget Dozens File Amici Briefs Supporting ACA In High-Profile SCOTUS Case More Health Reform News →DOCUMENTS
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APPEALS COURT UPHOLDS CMS’ FIX FOR IMPROPER CUTS TO INPATIENT RATES Hospitals that were underpaid by Medicare in fiscal 2014 through 2016 are not entitled to precise refunds because CMS’ alternative remedy -- a one-time, across-the-board rate increase in 2017 that was meant to roughly offset the previous underpayments -- was reasonable, a federal appeals court ruled Tuesday (May 26). CMS APPEALS RULING THAT ALLOWS PATIENTS TO CONTEST OBSERVATION STATUS D.C. CIRCUIT, FOLLOWING ITS OWN PRECEDENT, TOSSES NH WORK REQUIREMENTS JUDGE PONDERS BLOCKING PUBLIC CHARGE RULE DURING COVID-19 CRISISMORE COURT COVERAGE
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