Hart Health Strategies provides a comprehensive policy briefing on a weekly basis. This in-depth health policy briefing is sent out at the beginning of each week. The health policy briefing recaps the previous week and previews the week ahead. It alerts clients to upcoming congressional hearings, newly introduced bills, regulatory announcements, and implementation activity related to the Patient Protection and Affordable Care Act (PPACA) and other health laws.


Request for GAO Report on ACA Enforcement

Two Democratic lawmakers are requesting that the Government Accountability Office (GAO) study whether the Trump Administration has undermined the law in enforcing the Affordable Care Act’s (ACA) individual mandate. The White House has indicated that it won’t require all Americans to have health insurance, which Reps. Frank Pallone (D-N.J.) and Richard Neal (D-Mass.) argue is contributing to higher health insurance premiums and instability in the market. The Internal Revenue Service (IRS) had previously announced that it would not reject tax filings that don’t indicate whether the filer was insured, which could allow some people to avoid the individual mandate penalty. Additionally, the President’s first executive order instructed agencies to reduce the financial burden of the law. Rep. Pallone is the ranking member of the House Energy and Commerce Committee and Rep. Neal is the ranking member of the House Ways and Means Committee. They request that the GAO determine how the Administration enforced the penalty in 2016, and how they plan to enforce it in 2017.

House Republicans Draft Bill to Fund CSR Payments

Two conservative lawmakers in the House are working on legislation to strengthen the Affordable Care Act’s (ACA) health insurance marketplaces. The legislation from Reps. Tom MacArthur (R-N.J.) and Mark Meadows (R-N.C.) would fund the cost-sharing reduction (CSR) program in order to stabilize the health insurance market. While both lawmakers are in favor of repealing the 2010 health care law, the bill would allow for low-income enrollees to be subsidized and for insurance companies to set adequate rates.

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