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E&C Markup Next Week May Include Telehealth, PBM Delinking Bills

The House Energy & Commerce Committee will hold a full committee markup on Wednesday (Sept. 18) that sources tell Inside Health Policy could include bills extending pandemic telehealth flexibilities and requiring pharmacy benefit managers to delink what they are paid from the price of drugs, although the agenda is still being worked out.

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ERIC Weighs Suing After Administration Leaves Much Of Mental Health Parity Rule Unchanged

An employer-sponsored insurance lobby signaled it might sue just hours after the Biden administration issued a long-awaited final mental health parity rule Monday (Sept. 9), saying while the final rule includes some changes called for by insurers it still exceeds the administration’s statutory authority.

Administration Finalizes Mental Health Parity Rule

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Senate Unanimously Passes CBO Data Sharing Act, Expected To Streamline Health Policy Analysis

The Congressional Budget Office (CBO) director would gain stronger authority to access sensitive health care data from federal agencies with fewer delays under bipartisan legislation the Senate passed by unanimous consent on Tuesday (Sept. 10).

WEDI To HHS: Require Codes On GFEs For Scheduled Services To Implement AEOB

The group of health information technology stakeholders working to craft data-sharing standards recently provided HHS recommendations on the use of diagnostic codes on good faith estimates (GFEs), another step toward the long-awaited implementation of the No Surprise Act’s requirement that providers and insurers provide consumer costs estimates, or advanced explanation of benefits (AEOBs) before the service is rendered.

House Passes Bill Requiring Senate Approval To Ratify WHO Pandemic Accord

The World Health Organization (WHO) efforts to pass a pandemic accord on intellectual property sharing and other preparedness measures could face a new obstacle in Congress.

California Legislature Passes First-Ever Bill Specifically Regulating Payer AI Use

The California legislature sent a bill to Governor Gavin Newsom’s (D) desk that would require state health plans and insurers that use artificial intelligence tools for prior authorization and coverage decisions to comply with guardrails like basing decisions an enrollee’s clinical or medical data, making it one of the first state bills to specifically regulate AI used by payers.