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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.

House Lawmakers Demand Answers From Covered California On Sending Data To LinkedIn

“This story was originally published by CalMatters. Sign up for their newsletters.” Citing an investigation by The Markup and CalMatters, lawmakers in the House of Representatives are questioning why California’s state health insurance exchange shared sensitive health data with LinkedIn. In a letter sent last week to Jessica Altman, executive director of the state’s exchange, the lawmakers write ...

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Trump Administration Makes Sweeping Changes To Obamacare, Ends ‘Dreamer’ Coverage

The Trump administration is shortening ObamaCare’s annual open enrollment period and ending the law’s coverage of immigrants who entered the U.S. illegally as children, according to a final rule announced Friday. The Biden administration made it easier and more affordable to sign up for Affordable Care Act plans, causing enrollment to swell to an all-time high. The Trump ...

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CMS Finalizes Rule Aimed At ‘Improper’ Sign-Ups On The ACA Exchanges

The Centers for Medicare & Medicaid Services (CMS) has finalized a rule that it says will address “the surge of improper enrollments” on Affordable Care Act (ACA) exchanges as well as take on wasteful spending. The agency said late Friday that there are likely millions of people who were improperly enrolled in ACA exchange plans. The CMS ...

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Health Plans Take Action to Simplify Prior Authorization

New Commitments Aim to Accelerate Decision Timelines, Increase Transparency, Expand Access to Affordable, Quality Care

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How Trump’s ‘Big Beautiful Bill’ Threatens Access To Obamacare

Major changes could be in store for the more than 24 million people with health coverage under the Affordable Care Act, including how and when they can enroll, the paperwork required, and, crucially, the premiums they pay.

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GOP Tax Bill Will Cost Health Sector $1T: CBO

In healthcare, Medicaid would be subject to the lion’s share of the cuts and see its federal budget diminish by $864 billion. The work requirement provisions alone would reduce spending by $344 billion.

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California Senate Passes PBM Control Bill That A Big Employer Group Hates

The California Chamber of Commerce says weakening pharmacy networks will drive up employers' drug benefits costs.

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Republicans Face New Pressure To Extend Expiring Obamacare Tax Credits

If the money lapses this year, 5 million are expected to lose coverage and others would face premium hikes in 2026. A new coalition is pushing reluctant GOP lawmakers to extend it.

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Republicans Are Trying To Repeal Obamacare Again. Sort Of.

Congressional Republicans are pursuing changes to the Affordable Care Act that would mean 10.7 million fewer Americans using its insurance marketplaces and Medicaid, a huge reduction that some view as a way to accomplish part of the health-care coverage cancellation that failed in 2017. They’re not branding it a repeal of President Barack Obama’s signature ...

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The House Just Passed ‘One Big Beautiful Bill.’ Here Are The Healthcare Issues In It.

The House early Thursday narrowly passed the One Big Beautiful Bill Act, a budget bill that includes several healthcare provisions that could significantly impact Medicaid, Medicare, and the Affordable Care Act (ACA).

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