POLICY BRIEFINGS


PPACA Health Insurance Premium Rebates


HHS announced that health insurance companies will rebate $1.1 billion to about 12.8 million policyholders as a result of the requirement that insurers pay up when they do not meet the minimum loss ratio (MLR) under the PPACA.  The continued status of such rebates remains in doubt pending the Supreme Court decision.


Community Health Center Grants


HHS announced that $128.6 million in PPACA Health Center New Access Point grants will be awarded to 219 community health centers.  HRSA said the grants will create 5,640 jobs for doctors and other health professionals.


PCORI Grants


The Patient-Centered Outcomes Research Institute announced that the two-year $30 million in Pilot Project Program awards will be divided among projects in 24 states and the District of Columbia.  The program is intended to support the collection of data that can be used to advance patient-centered CER research.


Medicaid Eligibility Rules under PPACA


CMS said it is requesting public comment on new modified adjusted gross income tests mandated under the PPACA for determining expanded Medicaid eligibility in 2014.  The expanded Medicaid eligibility standards under the PPACA will allow states to enroll those with incomes up to 133% of the federal poverty level, regardless of categorical status.


House W&M's Hearing on MedPAC Report


At a House Ways and Means Health Subcommittee Hearing to review the annual MedPAC report, the MedPAC Chairman, Glenn Hackbarth, defended the commission’s recommendation to restructure Medicare by combining the Part A and B deductibles, replacing coinsurance with copays that vary by type of service and provider, levying a surcharge on Medigap coverage and placing a cap on out-of-pocket beneficiary spending.  Although the Subcommittee Chairman, Wally Herger, said Congress should be open to any and all solutions to fixing the financial challenges posed by Medicare, two other Republican members, Reps. Sam Johnson and Dave Reichert expressed concerns that the Medigap fee would force some beneficiaries to delay essential care.


Recently Introduced Health Legislation


H.J. Res. 112 (TAXATION), disapproving the rule submitted by the Internal Revenue Service relating to the health insurance premium tax credit; DESJARLAIS; to the Committee on Ways and Means, June 18.

S. 3313 (VETERANS’ HEALTH), to amend Title 38, United States Code, to improve the assistance provided by the Department of Veterans Affairs to women veterans, to improve health care furnished by the department, and for other purposes; MURRAY; to the Committee on Veterans’ Affairs, June 19.

H.R. 5979 (MEDICAID), to amend Title XIX of the Social Security Act to reform payment to States under the Medicaid program; CASSIDY; to the Committee on Energy and Commerce, June 20.

S. 3325 (MENTAL HEALTH)
, to authorize the secretary of health and human services, acting through the administrator of the Substance Abuse and Mental Health Services Administration, in coordination with the secretary of education, to carry out a five-year demonstration program to fund mental health First Aid training programs at 10 institutions of higher education to improve student mental health; BEGICH; to the Committee on Health, Education, Labor and Pensions, June 21.

H.R. 5989 (BEHAVIORAL HEALTH/MEDICAID), to increase access to community behavioral health services for all Americans and to improve Medicaid reimbursement for community behavioral health services; MATSUI; to the Committee on Energy and Commerce, June 21.

H.R. 5994 (MEDICARE/MEDICAID), to provide a demonstration project under which Medicare and Medicaid beneficiaries are provided the choice of health benefits coverage and access to a debit-style card for the purpose of purchasing qualified health benefits coverage and paying for other health care expenses; NUNES; jointly, to the committees on Energy and Commerce and Ways and Means, June 21.

H.R. 5996 (MENTAL HEALTH), to authorize the secretary of health and human services, acting through the administrator of the Substance Abuse and Mental Health Services Administration, in coordination with the secretary of education, to carry out a five-year demonstration program to fund mental health First Aid training programs at 10 institutions of higher education to improve student mental health; ALTMIRE; jointly, to the committees on Energy and Commerce and Education and the Workforce, June 21.

H.R. 5998 (PREVENTIVE HEALTH), to amend Title IX of the Public Health Service Act to revise the operations of the U.S. Preventive Services Task Force; BLACKBURN; jointly, to the committees on Energy and Commerce and Ways and Means, June 21.

H.R. 6006 (MEDICAID), to amend Title XIX of the Social Security Act to permit states the option to provide Medicaid coverage for low-income individuals with HIV; ENGEL; to the Committee on Energy and Commerce, June 21.

H.R. 6011 (MEDICARE), to amend Title XVIII of the Social Security Act to improve Medicare benefits for individuals with kidney disease, and for other purposes; LEWIS of Georgia; jointly, to the committees on Energy and Commerce and Ways and Means, June 21.



June 25, 2012: | Page 1 Page 2

SERVICES




BRIEFING ARCHIVE


 -  2018


 +  2017


 +  2016


 +  2015


 +  2014


 +  2013


 +  2012


 +  2011