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Tuesday, Jul 12 2016

Full Issue

Scales Of Federal Power Could Be Tipped By Wonky Insurance Subsidies Battle

The fight between Democrats and Republicans over Affordable Care Act spending goes beyond health care. In other health law news, insurers are fighting legislation aimed at slashing the risk corridor program, and numbers out of Kansas offer a glimpse of stability in an increasingly turbulent marketplace.

The fight between House Republicans and the Obama administration over billions of dollars in disputed health care spending sounds arcane, but it could have major — some might say huge — consequences for our constitutional democracy. Consider it in this context: How would lawmakers react if a willful new chief executive, unable to win money from Congress for a wall on the Mexican border, simply shifted $7 billion from another account and built it anyway? How about if a future president were so determined to cut college costs that she bypassed Congress and funneled billions of dollars into a new tuition grant program without approval? (Hulse, 7/11)

Insurers are ramping up lobbying to defeat legislation that would limit their payments under one of the 2010 health law's stabilization programs, according to congressional staff and outside experts. The bill (S 2803), from Nebraska Republican Sen. Ben Sasse would slash in half the Department of Health and Human Services general management budget, unless the agency pays certain funds from the so-called reinsurance program to the Treasury Department. Until now, the agency has prioritized its payments to insurance companies and not yet paid into the Treasury, a practice it has justified under the health law. (Mershon, 7/11)

Almost nine out of every 10 Kansans who selected health insurance on the federal online marketplace paid for at least the first month of their coverage this year, offering one bit of stability in the sometimes-turbulent marketplace. Critics of the Affordable Care Act, also known as Obamacare, questioned whether people who signed up for coverage actually would pay their premiums after the exchanges’ troubled rollout in late 2013 and early 2014. (Hart, 7/11)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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