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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.

If Insurance Market Crashes, Can Lawmakers Put The Pieces Back Together?

In his high-stakes strategy to overhaul the federal health law, President Donald Trump is threatening to upend the individual health insurance market with several key policies. But if the market actually breaks, could anyone put it back together again?

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Senate GOP Aiming for Vote This Month on Health Legislation

Senate GOP leaders plan to vote as soon as this month on major health care legislation even though they remain uncertain, for now, whether their still-unwritten bill will pass, lawmakers said Monday.

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GOP Senators Weigh Taxing Employer-Health Plans

Senate Republicans set on reworking the Affordable Care Act are considering taxing employer-sponsored health insurance plans, a move that would meet stiff resistance from companies and potentially raise taxes on millions of people who get coverage on the job.

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Hospitals Now Tap Lawyers To Fulfill Patients’ Legal Needs

Every Friday, Christine Crawford has a counseling session at a clinic at New York City’s Mount Sinai Health System as she moves ahead with plans for gender transition surgery later this year. In addition to the many medical and psychosocial issues, there are practical ones as well. So, Crawford was thrilled when a Mount Sinai representative said they would assign a lawyer to help her legally change her name to Christine.

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Conservatives Tell Senators to Pass Health Care Bill or Lose Control of Congress

Senate Republicans this week will try to prove they’re not slow-walking the remake of America’s health care system, a dicey approach under President Donald Trump and one that’s been causing considerable conservative angst.

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Feds To Waive Penalties For Some Who Signed Up Late For Medicare

Each year, thousands of Americans miss their deadline to enroll in Medicare, and federal officials and consumer advocates worry that many of them mistakenly think they don’t need to sign up because they have purchased insurance on the health law’s marketplaces. That decision can leave them facing a lifetime of enrollment penalties.

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Top Court Exempts Church-Affiliated Hospitals from Pension Law

The U.S. Supreme Court on Monday ruled that church-affiliated hospital systems do not have to comply with a federal law governing employee pensions, overturning lower court decisions that could have cost the hospitals billions of dollars.

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Will Legislature Raise Taxes by $200 Billion for Universal Health Care?

The timing of Monday’s Senate Appropriations Committee hearing was exquisite.

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Senate Staff to Draft Health Bill During Recess

Senate Republican staff will be working on a draft version of the Senate's ObamaCare repeal-and-replace legislation during the upcoming recess, according to multiple senators.

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Consumer Advocates Wary Of New Marketplace Rules For Brokers

Signing up for coverage on the health insurance marketplace should be easier for some people this fall because new federal rules will allow brokers and insurers to handle the entire enrollment process online, from soup to nuts. Some consumer advocates are concerned, though, that customers going this route won’t get the comprehensive, impartial plan information they need to make the best decision due to the financial self-interest of insurers and brokers.

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