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Exchange Directors, Insurance Lobby: There’s Still Time To Address APTCs

The nation’s largest insurance lobby says there’s still time to shield Americans from the largest ever spike in health care costs by extending the enhanced Affordable Care Act credits and pledged to work with regulators to quickly help consumers understand their choices if Congress decides to act, and exchange directors clarified Friday (Oct. 17) their longstanding position they’ll be ready to reinstitute the credits if they become available.

MA News

Oz Said Making A Better MA Provider Directory Was On CMS’ ‘Vision Board,’ Hours Before Error-Filled Tool Drew Public Backlash

Hours before CMS’ new provider directory for Medicare Advantage (MA) plans began catching heat for being riddled with errors and contradictions late Wednesday (Oct. 15), CMS Administrator Mehmet Oz acknowledged the imperfections in the directory landscape and said building a better one was on the agency’s “vision board.”

Oz Again Urges MA Industry To Self‑Correct Prior Auth, Upcoding Concerns

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Robert Malone, who sits on the CDC vaccine advisory committee reconfigured by HHS Secretary Robert F. Kennedy Jr., said HHS’ new leaders are “reshaping the foundation of U.S. vaccine policy” and taking on the “cult of vaccination.”

The number of employees at FDA’s drugs and biologics centers have significantly decreased in 2025, with few new hires being made despite the centers’ mandates to maintain adequate staffing to meet user fee goals, according to data posted by FDA Thursday (Oct. 16).

One bipartisan think tank suggests Congress implement income caps for enhanced ACA subsidies set to expire at the end of the year, as the policy is currently being floated amongst lawmakers searching for a solution to extend the tax credits and end the government shutdown.

As House Republicans press the administration to move forward on a delayed No Surprises Act provision that will allow consumers to get cost estimates from a provider or insurer in advance of a service, a key health IT industry group warns quickly implementing the provision that was supposed to go into effect in 2022 could backfire.

Distributing the GOP megabill’s rural health fund will depend on a variety of metrics that will vary from year-to-year and are not easily quantifiable, like calculating a state’s progress toward policies aligned with the so-called MAHA movement, according to HHS’ notice of funding opportunity, a detailed document that some experts say outlines a subjective grading system for states seeking rural relief.

The Trump administration must immediately reinstate Substance Abuse and Mental Health Services Administration staff fired in the government shutdown reduction in force initiative, six Democratic lawmakers said in a letter that gives HHS until Oct. 31 to answer 13 questions about the latest -- and previous -- SAMHSA staffing reductions.