New ACA-Related announcements from the Federal Administration

The administration is taking more limited steps to influence implementation of the law, including two upcoming changes to enrollment through Marketplaces announcements last month. On May 15, the Centers for Medicare and Medicaid Services (CMS) announced that it will be proposing a rule to have enrollment into Federally-facilitated Small Business Marketplace (known as Small Business Health Options Program or “SHOP”) health insurance plans go directly through insurers as of 2018. Two days later, on May 17, CMS released guidance enabling (but not requiring) full direct enrollment in individual market Federally-facilitated Marketplace (FFM) plans starting for open enrollment for plan year 2018. [More]

NGA calls for Congressional action on CHIP renewal

On May 11, 2017, the National Governors Association (NGA) released a letter to the Senate Finance Committee and the House Committee on Energy and Commerce calling for Congressional action to renew funding for the Children’s Health Insurance Program (CHIP) for five more years. The letter is signed by Virginia Governor Terry McAuliffe, NGA Chair, and Massachusetts Governor Charlie Baker, NGA Vice-Chair for Health and Human Services. [More]

PCG kicks off powerful, innovative My Brother’s Keeper (MBK) series this week

Join us this Thursday, May 18, for the inaugural session of our MBK Forum series. We are delighted to welcome Mr. Glenn Singleton to speak about “COURAGEOUS CONVERSATIONS ABOUT RACE.”

Mr. Singleton founded Pacific Educational Group (PEG) in 1992, committed to achieving racial equity in education. Glenn and his group engage in sustained partnerships with educational organizations to transform beliefs, behaviors, and results so people of all races can achieve at their highest levels and live their most empowered and powerful lives. COURAGEOUS CONVERSATION™ is their award-winning protocol for effectively engaging, sustaining and deepening interracial dialogue. Through their Framework for Systemic Racial Equity Transformation, PEG is dedicated to helping educators address persistent racial disparities intentionally, explicitly, and comprehensively. [More]

Array of Services - Having It All

Providing families, parents, and children services that support and improve family relationships, family dynamics, and individual responsibilities has always been a primary responsibility of the child protection system. This system is comprised of complicated, intricate, integrated, and interrelated parts, each of which must perform well in order to achieve the ultimate goal: supporting children and families. From the report of a suspicion of abuse or neglect, to the assessment, filing with the court, court hearings, and finally closure, every individual in the process must perform well. [More]

Disrupting the school-to-prison pipeline with trauma-informed, school-based diversion programs

When schools practice harsh discipline and remove students from the school (e.g., through out-of-school suspensions, expulsions, arrests for minor offenses, etc.), it can lead to students’ involvement with the juvenile justice system. This school-to-prison pipeline disproportionately affects minority students, students with mental illnesses and behavioral issues, students with disabilities, and students with histories of abuse and neglect. [More]

PCG creates summary of the House-passed health care bill

The American Health Care Act (“the bill”) passed the House of Representatives on May 4, 2017. As outlined in greater detail in the PCG summary, the bill does not repeal the Affordable Care Act (ACA) in full, but rather proposes changes primarily focused on the ACA’s insurance affordability, Medicaid expansion, coverage requirements and revenue provisions. It also proposes changes to Medicaid funding more generally and allows states to waive medical underwriting prohibitions. [More]

States continue to pursue Section 1332 State Innovation Waivers

With repeal of the Affordable Care Act (ACA) stalled, states are increasingly considering Section 1332 Waivers as a way to expand upon or customize the ACA to best address the unique circumstances within the state. Alaska and Oklahoma are the two most recent states to take formal steps toward State Innovation Waivers, both states following on the heels of the recent Section 1332 Waiver approval granted to Hawaii, which we summarized in the February edition of Health Policy News. [More]

What you need to know about modularity

If you work in state Medicaid or health information technology (HIT), chances are you have seen the term modularity discussed with increasing frequency lately. Countless articles have been written about it, and it has been a focus at some of the largest Medicaid and HIT conferences over the past year including MESC, HIMSS, and the Health IT Connect Summit. For all of the coverage it has gotten, defining what modularity truly means has been an ongoing debate among states, the Centers for Medicare and Medicaid Services (CMS), and the vendor community. [More]

CMS releases final Market Stabilization Rule

On April 13, 2017, the Centers for Medicare and Medicaid Services (CMS) released the final Patient Protection and Affordable Care Act; Market Stabilization Rule. The final rule is aimed at stabilizing the individual and small group markets by tightening enrollment standards and providing increased flexibility related to standards for Qualified Health Plans (QHPs), as outlined in detail below. The final rule also seeks to provide greater deference to state regulation of health insurance. [More]