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Repeal / Replace / Repair

Repeal / Replace / Repair

New Forms of Health Reimbursement Arrangements Coming in 2020

The Trump administration, in 2017, charged the Departments of Labor, Treasury and Health and Human Services with the task of making … read more

AB 1611: Surprise Hospital Billing, Repeal / Replace / Repair,

AB 1611: Surprise Hospital Billing

Despite having insurance, one in six Americans received a surprise bill for medical services in 2017, according to Kaiser Health News. … read more

DOL Issues Guidance on New Rule AHPs, Repeal / Replace / Repair,

DOL Issues Guidance on New Rule AHPs

On March 29, 2019, when Judge Bates of the Federal Court in the District of Columbia issued a decision invalidating the … read more

New Association Health Plans Put on Hold, Repeal / Replace / Repair,

New Association Health Plans Put on Hold

On March 29, 2019, a District of Columbia judge sided with the attorneys general of twelve states who argued that major … read more

Attempting to Strike Down the ACA

On March 25, 2019, the Trump administration’s Justice Department informed the Fifth Circuit court in Texas that it will no longer … read more

New Healthcare Initiatives for 2019, Repeal / Replace / Repair,

New Healthcare Initiatives for 2019

On his first day in office, Governor Newsom:

  • Said that his first budget will include funds to help make it more affordable … read more

2018 Regulatory and Reform Recap

Key Developments at the Federal Level in 2018 — Three developments drove much of the conversation around healthcare reform at the … read more

IRS Grants Extension to Large Employers, Repeal / Replace / Repair,

IRS Grants Extension to Large Employers

The ACA states that Applicable Large Employers (ALEs) are required to furnish forms 1095-B (if self-insured) or 1095-C (if fully-insured) to … read more

Certain Business Owners and Spouses Not Eligible to Participate in Most Association Health Plans, Repeal / Replace / Repair,

Certain Business Owners and Spouses Not Eligible to Participate in Most Association Health Plans

This article was updated on 11/8/18 to clarify that the five Multiple Employer Welfare Arrangement (MEWA) AHP’s authorized by the state … read more

Short-Term Health Plans, California Says: “No”, Repeal / Replace / Repair,

Short-Term Health Plans, California Says: “No”

Under the Affordable Care Act (ACA), insurers are permitted to sell short-term health plans that are not required to meet the … read more

Prepare Now – Age Band Rate Increases in 2018

Beginning in 2018, for the individual and small group markets, the ACA creates seven age bands and modifies the formulas used … read more

AB 1672: The Birth of an Enduring Small Group Market in California, Repeal / Replace / Repair,

AB 1672: The Birth of an Enduring Small Group Market in California

Twenty-five years ago this month AB 1672, California’s small employer health reform law, went into effect, revolutionizing the small employer market … read more

Texas v. United States – Striking Down the Individual Mandate, Guarantee Issue and Community Rating

In February 2018, 20 states (the “States”) filed a lawsuit against the federal government asking that the ACA’s individual mandate provision … read more

Association Health Plans, Repeal / Replace / Repair,

Association Health Plans

During the week of June 18th, the Department of Labor (DOL) issued a final rule related to Association Health Plans (AHPs). … read more

About AB 3087 – The Health Care Price Relief Act, Repeal / Replace / Repair,

About AB 3087 – The Health Care Price Relief Act

Last week, Assemblyman Ash Kalra (D-San Jose) introduced AB 3087 as a way to control rising healthcare costs. A nine-person board, … read more

Legislature Poised to Shelve Single-payer, Repeal / Replace / Repair,

Legislature Poised to Shelve Single-payer

SB 562, the single-payer bill introduced in the State Senate last year, which would dismantle our current system of public and … read more

Federal Activities in Healthcare Reform, Repeal / Replace / Repair,

Federal Activities in Healthcare Reform

Reform activity at the federal level seems to be following the adage: death by a thousand cuts. Legislators and agencies are … read more

ACA Tax Delays

Embedded in the continuing resolution that became effective on January 22nd are delays to key taxes that are part of the … read more

IRS Deadline Extension: ACA Forms 1095-C and 1095-B

On December 22, 2017, the IRS announced that it is providing Applicable Large Employers (ALE’s) with an extension of the deadline … read more

Get Prepared for IRS ACA Employer Penalty Notices

The ACA contains provisions regarding an Employer’s Shared Responsibility to offer health coverage to employees. These provisions apply to Applicable Large … read more

Alexander-Murray Bill Makes Progress

A bipartisan effort to stabilize the individual market with short-term fixes to the ACA is gaining momentum in the Senate. In … read more

Trump Administration Changes

Last week, the President took a number of actions that will impact the individual and small group markets.

Cost-Sharing Reduction Payments – … read more

Major Reform Fails – Still Lots of Activity

Now that major healthcare reform is off the table for the short-term, legislators and the Trump administration have started taking a … read more

RIP ACA Repeal. What’s Next…ACA Repair?

The big news is that due to rules deadlines, the U.S. Senate does not have enough time to repeal the ACA … read more

ACA Repeal Fails in the Senate, Repeal / Replace / Repair,

ACA Repeal Fails in the Senate

Last week there was a flurry of debate and voting in the Senate, culminating with a midnight vote on a scaled … read more

Next Stop: Repeal of ACA

The Better Care Reconciliation Act (BCRA), the Senate’s version of healthcare reform, is no longer viable legislation. It was a bill … read more

Federal and State Healthcare Reform Activities

At the Federal level, the Better Care Reconciliation Act (BCRA), the Senate’s version of healthcare reform, remains stalled, with conservative Republican … read more

The Prognosis for Healthcare Reform in 2017

On June 22, the Senate released a draft of the Better Care Reconciliation Act (BCRA) and designated it as fast-track legislation, … read more

California Single-Payer Bill Advances

On June 1, the California State Senate approved SB 562, legislation to enact a single-payer system, even though there are few … read more

AHCA Score/California Single-Payer Next Steps

American Health Care Act

The Congressional Budget Office (CBO), on May 24th, published its final “score” of the American Healthcare Act (AHCA) … read more

A Tale of Two SHOPs

Last week, the Centers for Medicare and Medicaid Services (CMS) announced that it will propose closing the small business enrollment portion … read more

On To The Senate

On May 4th, the U.S. House of Representatives passed the American Health Care Act (AHCA) by a narrow, two-vote margin. All … read more

A Flurry of Activity – Not Much Clarity

There has been a high level of activity related to healthcare reform during the last two weeks. Despite these efforts, the … read more

A Little-Known Provision in The ACA Could Accelerate Healthcare Reform

Cost-Sharing Reductions (CSRs), a little-known but key feature in the ACA, are the subject of a lawsuit that could create the … read more

New Life for Association Health Plans?

Amidst the turmoil of the non-vote on the American Healthcare Act, the U.S. House of Representatives passed legislation that would make … read more

Healthcare Reform: The Long(er) and (More) Winding Road

Two weeks ago we provided historical context and a roadmap for the current round of healthcare reform. On March 24th, in … read more

Healthcare Reform: The Long and Winding Road

Amidst the intense chronicling of each step on the path of healthcare reform, it is easy for us benefits professionals to … read more

Threat Emerges to The Market for Employer-Sponsored Coverage

Update: March 8, 2017

Employer Exclusion Stays

On the evening of March 6, 2017, House Republicans released the American Health Care Act (AHCA). … read more

NAHU Calls for Immediate Action to Preserve Individual Market

In a hearing before the Senate Health, Education, Labor and Pensions committee on February 1, Janet Trautwein, CEO of the National … read more

Which of Your Clients Are Subject to The ACA’s “Play or Pay” Provisions?

Despite the intense media focus on repeal, replace and repair, the laws and regulations of the ACA are still in effect, … read more

Using the Congressional Review Act to Do Away with ACA Rules

Republicans have proposed to roll back Affordable Care Act (ACA) regulations/rules using a rarely used 1996 law, the Congressional Review Act … read more

President Orders Minimizing The ACA Economic Burden

On January 20, 2017, the President signed an Executive Order instructing federal agencies to minimize the economic burden of the Affordable … read more

Congress Sets The Stage for Partial ACA Repeal

On January 13, 2017, Congress adopted a concurrent budget resolution for fiscal year 2017. The annual budget resolution is an agreement between the … read more


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