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7-6-12 Affordable Care Act Update

Supreme Court Decision ACS CAN is continuing to review last week's historic Supreme Court ruling on the Affordable Care Act (ACA) to gain a full understanding of the impact of the decision on people with cancer and their families. In the meantime, we are pleased ... that Congress had exceeded its authority under the US Constitution in two primary ways: 1) By requiring most Americans to obtain or purchase health insurance by 2014 (the so-called "individual mandate"); and 2) By requiring states to expand Medicaid eligibility beyond its current scope ... feature of any tax is to produce at least some revenue for the government. Essentially, the Court ruled that the penalty for not purchasing health insurance "looks like a tax in many respects" and will yield revenue for the government; therefore, the fee that will be imposed on those ...

7-7-11 Affordable Care Act Update

... Last Thursday, a National Association of Insurance Commissioners (NAIC) task force recommended that the NAIC endorse the Access to Professional Health Insurance Advisors Act (HR 1206), which would take broker and agent commissions out of the medical loss ratio (MLR) calculation created by the Affordable Care Act. The ACA requires insurers to spend at least 80 percent of their premium revenue on health care claims and quality improvement costs. Beginning this year, insurers who miss the target are required to rebate the difference to policy ...

8-4-11 Affordable Care Act Update

... prevention and early detection programs, Medicare and Medicaid, and insurance subsidies for individuals and families under the Affordable Care Act. Work on the FY12 Labor-HHS appropriations bill will likely pick up in the House when Congress returns in September.  The bill will ... the House floor the week of September 18 th .  Senate action will likely trail the House by a few weeks.   HHS Adopts New Women's Preventive Health Care Recommendations   This week the U.S. Department of Health and Human Services (HHS) announced that it will adopt the recommendations recently submitted by the Institute of Medicine (IOM) on women's ...

9-21-12 Affordable Care Act Update

... and Commerce Committee   On Thursday, the House Energy and Commerce Committee marked up and approved H.R. 1206, the Access to Professional Health Insurance Advisors Act of 2011. The legislation would remove the commissions of health insurance agents from the medical loss ratio (MLR), a calculation that the Affordable Care Act (ACA) requires insurers to show the proportion of premiums they spend on providing health care to patients as opposed to salaries and ...

4-14-11 Affordable Care Act Update

... for Disease Control and Prevention budget at $5.6 billion, a cut of $740 million (nearly 12 percent) below FY10. The National Institutes of Health budget will be just under $30.7 billion, a cut of $320 million (1 percent) below FY10. The National Cancer Institute budget will be $5.06 billion, a cut of $43 million.     Funding for implementation of the Affordable Care Act was mostly untouched; however the CR does cut $2.2 billion of the $6 billion that was authorized for the Consumer Operated and Oriented Plan (CO-OP). CO-OP was created as a public option alternative that creates nonprofit, member-run health insurance companies in all 50 states and District of Columbia to offer qualified health plans. The CR also repeals the Employee Free Choice ...

9-27-12 Affordable Care Act Update

Federal Update Beginning this week, all health insurers and group health plans are required to provide applicants and interested parties with an easy-to-understand summary of a plan's benefits and coverage. The ... called "coverage examples," that allow consumers to see what the plan would generally cover in two common medical situations - maternity care and diabetes.  ACS CAN is advocating for the inclusion of a cancer example in future versions of the form. The SBC is modeled after the ...

10-27-11 Affordable Care Act Update

... Exchange Comments                  ACS CAN filed comments on October 24 with the Department of Health and Human Services (HHS) on the proposed rule on the development of marketplaces for insurance plans sold to individuals and small businesses under the Affordable Care Act - known as health insurance exchanges. The comments encourage the administration to:   Clarify and strengthen the rule to benefit patients and consumers, ...

9-22-11 Affordable Care Act Update

Federal Update   Senate Committee Finalizes Health Funding Bill   The Senate Appropriations Committee completed its work last night on its 2012 fiscal year (FY 2012) Labor-Health and Human Services (HHS) appropriations bill. Four Affordable Care Act (ACA) related amendments were offered. The first, and most significant, would have suspended implementation of the law, prohibited the use ...

12-15-11 Affordable Care Act Update

... Prevention and Public Health Fund Lobby Day   Today, more than 40 leading groups from the public health community, including ACS CAN, are on Capitol Hill participating in more than 70 meetings with members of Congress to remind them of the importance of the Prevention and Public Health Fund. The Prevention and Public Health Fund was established under the Affordable Care Act and set an unprecedented investment to promote a healthy nation. This year, the Prevention Fund allocated $1 billion to communities in ...

6-30-11 Affordable Care Act Update

... U.S. Court of Appeals for the Sixth Circuit issued the first appellate decision in litigation challenging the constitutionality of Affordable Care Act (ACA). The court upheld the law, reasoning that Congress had acted within its constitutional authority when it required individuals to purchase health insurance (the so-called "individual mandate").   One of the leading conservatives on the circuit – George W. Bush appointee Jeffrey ... opinion showed an understanding of how the industry operates in practice, and that the individual mandate regulates "active participation in the health care market."   The opinion also discussed the uniqueness of health care, and the necessity of access to it. Judge Sutton’s concurring ...

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