RSV Vaccine Access Expanded To Some People In Their 50s, According To CDC Website

The Trump administration appears to be expanding RSV vaccinations to some adults starting at age 50, down from 60, following the advice of a recently fired panel of government vaccine advisers. The decision appears on a Centers for Disease Control and Prevention webpage but as of Wednesday wasn’t on the agency’s official adult immunization schedule. RSV, ...

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Congress Allows First-Dollar Telehealth Coverage For High Deductible Health Plans In Reconciliation Bill

Congress has made permanent a pandemic-era telehealth provision for millions of Americans with high deductible health plans. In its massive tax package signed into law on July 4, Congress included a last minute provision to allow employer-sponsored health plans to offer covered telehealth services before employees meet their deductibles. In 2023, 41.7% of commercially-insured Americans had high deductible health ...

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Supreme Court Upholds Preventive Services Requirement Under ACA

On June 27, 2025, the Supreme Court issued its highly anticipated decision in Kennedy v. Braidwood Management, Inc. By a vote of 6-3, the Court upheld the Affordable Care Act’s (ACA’s) long-standing requirement that insurers and health plans cover certain recommended preventive services without cost sharing. The United States (US) Preventive Services Task Force (Task Force), the majority held, ...

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States Brace For Reversal Of ACA Coverage Gains Under Budget Bill

Many of those states fear that the additional red tape — especially requirements that would end automatic reenrollment — would have an outsize impact on their policyholders.

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Trump Signs Big Tax And Spending Bill Into Law As Industry Groups Decry Healthcare Cuts

President Donald Trump signed into law on July 4 his sweeping tax and spending package after the House secured the bill’s passage one day before in a 218-214 vote. The House vote ensured the healthcare industry-opposed package would be signed into law in line with the self-imposed July 4 deadline. Thomas Massie, R-Kentucky, Brian Fitzpatrick, ...

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Tax Law Signing May Lead To New Fight For PBM, HSA And HRA Changes

A legal analyst says conservative House Republicans may now press for health provisions left out of the final version of OBBBA.

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Centene Stock Sinks As Insurer Withdraws 2025 Guidance

Centene pulled back its guidance for the year after receiving an actuarial report suggesting its growth in the Affordable Care Act marketplaces will be lower than expected. The insurer said an analysis from Wakely predicted that market growth in 22 of its states will fall short of expectations, and “aggregate market mobility” in those regions ...

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Healthcare Spending Likely To Grow By 7.1% In 2025

A new report from federal actuaries estimates national health spending will increase by 7.1% in 2025, with spending growth set to outpace growth in the U.S. gross domestic product. The Centers for Medicare & Medicaid Services Office of the Actuary released its annual look at spending projections last week, and it estimates that from 2026 ...

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CMS Sued Over Trump Administration’s ACA Final Rule

Doctors for America, the Main Street Alliance and three cities have sued the Centers for Medicare & Medicaid Services (CMS) over a recent Affordable Care Act (ACA) final rule the agency said will help counter improper enrollments. The plaintiff cities named in the lawsuit are Baltimore, Chicago and Columbus. The groups and cities say the ...

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The Senate Megabill Is On A Collision Course With House Fiscal Hawks

House fiscal hawks are looking at the math underlying Senate Republicans’ sprawling domestic policy legislation, and they don’t like what they see.

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