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Georgia waiver would let low-income adults ‘earn access’ to coverage

Georgia plans to ask CMS for a Section 1115 waiver to allow 408,000 low-income adults who work, train, pursue educational opportunities or volunteer for at least 80 hours per month to “earn access” to employer-sponsored health insurance or Medicaid.

Georgia to seek Section 1332 waiver of certain ACA requirements

Georgia will pursue a Section 1332 waiver to launch a state reinsurance program for the individual health insurance market; offer subsidies for health plans purchased directly from insurers and brokers; and allow employers to offset the cost for employees who purchase coverage through HealthCare.gov.

U.S. ordered to pay insurers $1.6 billion in cost sharing reductions

The U.S. Court of Federal Claims this week ordered the federal government to reimburse insurers about $1.6 billion for unpaid cost-sharing reductions provided through the health insurance exchanges in 2017 and 2018.

Republican Study Committee unveils ACA replacement plan

The Republican Study Committee today announced a proposed alternative to the Affordable Care Act and Democratic proposals for a government-run health care system.

Federal judge overturns civil rights protections for transgender patients

Judge Reed O’Connor of the United States District Court for the Northern District of Texas issued the ruling in Franciscan Alliance, Inc. v. Azar.  

Study: Nearly 54 million adults have preexisting conditions

An estimated 27% of adults under age 65, or 53.8 million, had a preexisting health condition in 2018, according to a study released Friday by the Kaiser Family Foundation.

Perspective: Latest ACA report card — saving lives and improving health outcomes

Rather than subjecting the nation to yet another polarizing debate on health care, there’s a better way.  

GAO: More Native Americans report health coverage since ACA

About 78% of patients at federally operated Indian Health Service hospitals and health centers reported having health coverage in fiscal year 2018, up from 64% in FY 2013, according to a report released yesterday by the Government Accountability Office.

CMS announces wellness program demonstration for individual market

States can apply to participate in an Affordable Care Act demonstration program to implement wellness programs in their individual health insurance market, the Centers for Medicare & Medicaid Services announced yesterday.

CMS issues final rule detailing Medicaid DSH allotment reductions

The Centers for Medicare & Medicaid Services today issued a final rule delineating a methodology for implementing the Affordable Care Act aggregate reductions to state Medicaid Disproportionate Share Hospital allotments beginning in fiscal year 2020.