Coverage

It’s Time to Reform Medicaid Eligibility and Enrollment

Since the end of the federal public health emergency declaration for COVID-19 and the end of continuous eligibility for Medicaid in April 2023, states have been redetermining every enrollee’s eligib...

Families USA Submits Comments on CMS 2025 Medicare Advantage and Part D Advance Notice for Changes to Medicare Advantage Payment Policies

Families USA submitted comments on the Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (i.e., 2...

Key Growth in Marketplace Open Enrollment: Trends and Insights

The Snapshot Earlier this year, the Centers for Medicare & Medicaid Services (CMS) released a report showing record health care enrollment — meaning millions of families have affordable c...

Families USA Submits Comments on the Proposed Recission of Association Health Plan (AHP) Final Rule

The proposed rule aims to remove a 2018 regulation that expanded requirements for groups or associations to meet the definition of employer, and therefore able to offer health coverage. This caused co...

Families USA Testimony on NJ Hospital Price Transparency Bill

Sophia Tripoli, Senior Director of Health Policy at Families USA, submitted testimony to the New Jersey Senate Health, Human Services and Senior Citizens Committee in advance of their committee hearin...

Testimony of Sophia Tripoli Before the House Energy and Commerce Health Subcommittee “Health Care Spending in the United States: Unsustainable for Patients, Employers, and Taxpayers” Hearing

Hearing Highlights Hearing Playlist In this January 31 testimony before the House Energy and Commerce Health Subcommittee, Sophia Tripoli, Senior Director of Health Policy at Families USA, dis...

Families USA Statement for the Record for Senate HELP Hearing on High Drug Costs

Families USA submitted this statement for the record in advance of the Senate Committee on Health, Education, Labor, and Pensions (HELP)’s February 8 hearing "Why Does the United States Pay, by Far,...

Cracking the Code on Surprise Medical Bills Pt 1: The No Surprises Act Explained

What Are Surprise Medical Bills? You’re probably asking yourself: what’s the surprise? You go to the doctor, or the ER, or the hospital, or any other medical facility, so you should expect to pay...

Families USA’s Comments On Notice Of Benefit And Payment Parameters For 2025

The “notice of benefit and payment parameters” is a federal rule, issued annually, that updates parameters for health plans operating in the federal and state marketplaces, and can make changes in...

Families USA and 10 undersigned organizations Comment On “Federal Independent Dispute Resolution Operations” Proposed Rule

Families USA and ten undersigned organizations submitted comments to the Center for Medicare and Medicaid Services on their proposed rule regarding Federal Independent Dispute Resolution Operations. T...