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Stakeholders Eye REMS-Reform Bill As CHIP Offset; Brands Gird For A Fight

Stakeholders are pushing the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act as an offset for renewing CHIP funding, multiple industry stakeholders tell Inside Health Policy.

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The insurance industry is hitting back at a new campaign that aims to make a point that medical management techniques, like step therapy and prior authorization, impair consumer access to medication.

Thirty states have drafted more than 60 drug price transparency bills aimed at identifying drug maker expenses and unveiling business practices of pharmacy benefit managers, according to an analysis by the National Academy for State Health Policy.

Nursing homes welcomed guidance released last month changing how penalties are levied against nursing homes, but beneficiary advocates expressed concern that the guidance is a way to weaken nursing home oversight and will make the penalties less frequent and less costly.

Public interest groups are fighting the Department of Justice's novel claim that showing harm to the groups' ability to comment on regulatory repeals is not enough to give them standing to sue over President Donald Trump's executive order (EO) directing agencies to identify two rules to repeal for every new rule they issue, countering that DOJ's argument would limit citizens' ability to challenge a host of constitutional violations.

CMS' Advisory Panel on Hospital Outpatient Payment recommended Monday (Aug. 21) the agency drop a proposal to cut hospitals' Medicare reimbursement for drugs purchased through the 340B discount program.

CMS officials have been working on a Request For Information on the direction of the Center for Medicare and Medicaid Innovation, according to sources familiar with the RFI.

Republican health reform efforts may have stalled but Democrats are moving forward on a number of proposals that aim to build on the existing infrastructure in a move toward universal coverage and Independent Sen. Bernie Sanders (VT) will soon introduce legislation that would expand Medicare to all Americans.