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Compliance

This section focuses on health care compliance and regulations – both national and state – including the ACA. It includes changes in health care law, regulation, and court decisions and their impact on health insurance professionals, employers, and individuals.

Universal Health Care in California: $17 Billion a Year, Says One Estimate

Universal health care in California could cost $17.3 billion a year, under one plan proposed Friday by UC Berkeley health policy researchers.

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Nevada Assemblyman Sprinkle to Take Another Shot at Medicaid Buy-In Law

Assemblyman Michael Sprinkle, D-Sparks, plans to introduce a bill this legislative session that would create a Medicaid buy-in option for all Nevadans, after a similar proposal passed in the state Assembly and Senate but fell at the hands of former Gov. Brian Sandoval in 2017.

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Trump Highlights Health Agenda With Vow To Lower ‘Unfair’ Drug Prices

It was not the centerpiece, but health was a persistent theme in President Donald Trump’s State of the Union address at the Capitol on Tuesday night.

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How Trump’s Latest Plan to Cut Drug Prices Will Affect You

The Trump administration has made lowering drug prices one of its top priorities, and last week it unveiled a proposal that could vastly rewrite the way drugs are sold in the United States.

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House Republicans Push Medicare for All Hearing While Democrats Stall

Republicans are pushing leaders of a key House committee to hold a hearing on Medicare for all, but the Democrats aren't taking the bait. Oregon Rep. Greg Walden, ranking member of the Energy & Commerce Committee, and Texas Rep. Michael Burgess, the lead Republican on the health subcommittee, pressed in a letter this week and at a hearing Wednesday to publicly explore the proposal to create a national, government-run health insurance program.

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Democrats Unite to Begin Push to Protect Pre-Existing Condition Coverage

Democrats, claiming a mandate from voters, opened a legislative campaign on Wednesday to secure protections under the Affordable Care Act for people with pre-existing medical conditions, putting aside divisions over a more ambitious push for “Medicare for all” in favor of shoring up existing law.

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Trump Administration to Eliminate Safe Harbors for Drug Rebates to PBMs

The Trump administration wants to eliminate safe harbor protections for drug rebates negotiated by pharmacy benefit managers and instead offer those protections to discounts passed directly to consumers. 

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Hospital Price Growth Driving Healthcare Spending

Hospital prices are the main driver of U.S. healthcare spending inflation, and that trend should direct any policy changes going forward, according to a new study. 

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How Much Will It Cost for California to Expand Medi-Cal?

State lawmakers are received a first look Friday at the costs tied to an ambitious plan to provide health insurance for more California residents.

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Task Force Outlines Strategy To Address California’s Shortfall Of Health Workers

Gov. Gavin Newsom has proposed bold steps to ensure more Californians have health coverage, but a new report underscores that his success may depend in part on large-scale investments to expand the state’s health care workforce.

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