Parties In Prevention Case Agree On Briefing Schedule, Issues To Work Out

The federal district court that recently found the Affordable Care Act’s preventive services coverage requirements violate the constitution -- and the Religious Freedom Restoration Act (RFRA) -- must still address three key issues following a ruling out last month, including the scope of any remedy, and briefings in the case will continue through the rest of the year, according to a joint status report filed Friday (Sept. 16) by the Department of Justice and plaintiffs in Braidwood v. Becerra ...
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CMS Issue: 
Inside CMS - 09/22/2022
CMS Volume: 
Vol. 25, No. 38
HEA Issue: 
Health Exchange Alert Weekly Report - 09/21/2022
HEA Volume: 
Vol. 10, No. 38
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Republicans Question VA’s Authority For New Abortion Policy

Some GOP House lawmakers are considering sanctioning the Veterans Administration over its new policy to provide abortion services to some beneficiaries, arguing the VA lacks statutory authority to fund or provide abortions. The Congressional Research Service also questioned in July report whether the VA had such authority. VA is taking steps to make the services available at its own facilities, officials with the Veterans Health Administration testified at a House Veterans Affairs Committee hearing Thursday (Sept. 15). When such services...
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Biden Declares Pandemic Over, As WH Officials Seek More COVID-19 Vaccine Funds

President Joe Biden over the weekend declared the COVID-19 pandemic was over, though he said the disease will be sticking around, even as his administration is expected to extend the public health emergency next month and it presses lawmakers to add COVID-19 vaccine and testing funding to an upcoming stop-gap spending measure. “The pandemic is over. We still have a problem with COVID, we’re still doing a lot of work on it. But the pandemic is over. If you notice,...
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PA, AZ Outline Post-PHE Medicaid Renewal Plans To MACPAC

Pennsylvania plans to process Medicaid renewals within six months following the public health emergency’s expiration unless Congress extends the enhanced federal Medicaid funding, a state official told Medicaid and CHIP Payment and Access Commission members on Thursday (Sept. 15). Arizona touted to the commissioners its 80% automatic renewal process that uses data from multiple programs to initially confirm Medicaid and CHIP eligibility. Meanwhile, the annual report that shows how long a state Medicaid agency take to process applications will now...
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CMS Issue: 
Inside CMS - 09/22/2022
CMS Volume: 
Vol. 25, No. 38

MACPAC Eyes Proposal To Let Medicaid Restrict Covering Medicare ‘CED’ Drugs

Congressional Medicaid advisers are leaning toward recommending that Medicaid be allowed to restrict coverage of drugs while Medicare determines whether they are worth covering. The Medicaid and CHIP Payment and Access Commission (MACPAC) discussion on Thursday (Sept. 15) was spurred by coverage restrictions that Medicare placed on the Alzheimer’s drug Aduhelm, for which FDA granted accelerated approval based on a surrogate endpoint. Medicare adopted a policy, called a national coverage determination, that requires Biogen to further test the monoclonal antibody...
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IDP Issue: 
Inside Drug Pricing - 09/26/2022
IDP Volume: 
Vol. 5, No. 39
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New Resource Tracks Medicaid Adult Dental Coverage

Four oral health and state health policy organizations have partnered to develop an interactive tool designed to help policymakers, patient advocates and researchers better understand the landscape of Medicaid coverage of dental services for adults -- and identify areas in need of expansion. States must include dental coverage for children in their Medicaid programs, but the coverage is optional for adults and the benefit packages for states that do cover adults vary wildly. The Medicaid Adult Dental Coverage Checker, released...
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Inside CMS - 09/22/2022
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Vol. 25, No. 38
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Fauci: U.S. ‘Not Where We Need To Be,’ New COVID-19 Variants Coming

A day after President Joe Biden made headlines by saying the pandemic is over, NIAID chief Anthony Fauci said the United States is “not where we need to be” in responding to COVID-19 and must prepare for future variants, including likely new variant outbreaks during the upcoming fall and winter. Biden told 60 Minutes on Sunday (Sept. 18) that “the pandemic is over,” although he said the United States still has a problem with COVID-19. Other health leaders, including...
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FDA Issue: 
FDA Week - 09/23/2022
FDA Volume: 
Vol. 28, No. 38
CMS Issue: 
Inside CMS - 09/22/2022
CMS Volume: 
Vol. 25, No. 38
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