The U.S. Department of Health and Human Services has proposed a new rule to severely weaken the Affordable Care Act’s prohibitions against discrimination in health care, and to erase references to protections against discrimination by health care programs on the basis of gender identity or sex stereotype in regulations. These protections are provided under Section 1557 of the Affordable Care Act and its regulations.
Families USA led 45 national organizations in the attached letter urging the Senate to swiftly take up recently House-passed proposals in H.R. 986 and H.R. 987 that improve health care coverage and access and undo administrative sabotage.
Families USA files amicus in Columbus et al. v. Trump (“Take Care”) case
A coalition of cities (Columbus, Baltimore, Cincinnati, Chicago, and Philadelphia) and two individuals filed a lawsuit challenging the Trump Administrations' many rules and administrative actions that sabotage the Affordable Care Act. The suit alleges that President Trump’s actions violate the President’s constitutional duty to “take care that the laws [of the United States] be faithfully executed.”
On April 18, 2019, the Trump Administration finalized the Notice of Benefit and Payment Parameters for 2020 (NBPP). This rule will govern health insurance marketplaces and set the framework for insurance companies to propose plans and premium rates for 2020. Consumer advocates achieved several important victories in the final 2020 NBPP. Contrarily, the final rule also establishes harmful changes that will decrease access to high-quality, affordable coverage and care for families across the country.
Families USA submitted the attached letter to U.S. House of Representatives Leadership in support of H.R. 987, the Strengthening Health Care and Lowering Prescription Drug Costs Act.
Families USA submitted comments on the Centers for Medicare and Medicaid Services Request for Information (RFI) concerning Health Care Choice Compacts. This RFI seeks to “facilitate the purchase of health insurance coverage across state lines.” We have long expressed concerns about policies that are designed to allow the sale of coverage across state lines if these policies do not include robust consumer protections.
The Return of Churn: State Paperwork Barriers Caused More Than 1.5 Million Low-Income People to Lose Their Medicaid Coverage in 2018
In 2018, enrollment in Medicaid and the Children's Health Insurance Program decreased by about 1.6 million enrollees, 744,000 of which were children. There is strong evidence that a driving factor of the decline in enrollment is state policy decisions to engage in punitive annual (or even monthly) eligibility redetermination processes in which large percentages of Medicaid enrollees lose coverage.
Amici Curiae Brief of Families USA, Community Catalyst, The National Health Law Program, The Center on Budget and Policy Priorities, and Service Employees International Union Supporting Intervenor Defendants-Appellants and Reversal of the District Court
Families USA filed an amicus brief in the Texas v. US case that threatens the entire Affordable Care Act, on appeal in the US Court of Appeals of the Fifth Circuit. Cosigners of the amicus include the Center on Budget and Policy Priorities, Community Catalyst, the National Health Law Program and the Service Employees International Union (SEIU).
Due to changes made through recent federal rules issued by the Trump administration, small businesses and self-employed business owners can buy health plans through associations that are exempt from many state and federal regulations. These new rules leave consumers without important protections. For example, Association Health Plans (AHPs) don’t have to cover all of the benefits that other plans sold to individual and small businesses must cover.
This advocacy agenda offers options for improving health and health care at the state level during the 2019 session. It includes state policy options to consider in 2019 regarding private insurance coverage, Medicaid, oral health coverage, health equity, prescription drugs, surprise medical bills, and health care value.