Six allied children’s organizations joined CHA on a comment letter to CMS in response to the 2020 Proposed Notice of Benefits and Payment Parameters. The annual rule sets standards for qualified health plans in the federally facilitated Exchanges and has implications for the broader insurance market.
The joint comment letter highlights ways the rule can be strengthened to ensure that access to timely and appropriate treatment for children, particularly those with serious, chronic or complex conditions, is as seamless as possible. In particular, the letter:”
- Includes recommendations to ensure that proposed incentives to encourage the use of generic, rather than brand-name, drugs do not compromise children’s health.
- Supports the continuation of post-enrollment counseling on the use of health coverage.
- Urges CMS to strengthen essential health benefit and network adequacy standards.
The American Academy of Pediatrics, Children’s Defense Fund, Family Voices, First Focus, the Georgetown University Center for Children and Families, and the National Association of Pediatric Nurse Practitioners joined CHA on the letter.