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Analyses or Summaries

Summary of a report, legislation, regulation or measure, and analysis of what it means to children's health and children's hospitals.

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Analysis or Summary
ACE Kids Act (as included in H.R. 1839) - Summary
April 5, 2019

On April 2, the ACE Kids Act passed the Senate as part of a package of Medicaid bills, the Medicaid Services Investment and Accountability Act of 2019 (H.R. 1839).

Analysis or Summary
Implications for Children of TX ACA Court Ruling
March 28, 2019

The Texas Federal District Court issued a ruling that the ACA's individual mandate and the entire law unconstitutional.

Analysis or Summary
Interoperability Proposed Rules Summary
March 22, 2019

CMS and the Office of the National Coordinator for IT released companion proposed rules to implement provisions in the 21st Century Cures Act related to interoperability, electronic health records (EHR) certification, and information blocking.

Analysis or Summary
Seven Pharmaceutical Executives Testify before Senate Finance
February 27, 2019

Summary of Drug Pricing in America: A Prescription for Change, Part II hearing.

Analysis or Summary
HHS Proposes Revisions to Anti-Kickback Statute Safe Harbor to Eliminate Drug Rebates for PBM’s
February 21, 2019

The Department of Health and Human Services (HHS) published a proposed rule in the Federal Register that would eliminate from safe harbor protection under the Anti-Kickback Statute rebates on prescription drugs.

Analysis or Summary
ACE Kids Act of 2019 (S. 317/H.R. 1226) - Summary
February 21, 2019

The ACE Kids Act of 2019 (S. 317/H.R. 1226) is designed to improve care for children with medically complex conditions in Medicaid.

Analysis or Summary
Administrative Actions Chart
February 21, 2019

An overview of federal regulations and other administrative guidance of interest to children's hospitals.

Analysis or Summary
Request for Information on Modifying HIPAA Rules to Improve Coordinated Care
February 14, 2019

CHA created a summary regarding the Office of Civil Rights (OCR) request for information (RFI) on how OCR can support improved care coordination by making changes to the Health Insurance Portability and Accountability Act (HIPAA) while protecting the privacy of individuals’ protected health information.

Analysis or Summary
Summary of Proposed 2020 Private Insurance Rules
February 1, 2019

CHA summary of the 2020 Proposed Notice of Benefits and Payment Parameters.

Analysis or Summary
2018 State Child Health Policy Trends
February 1, 2019

The complete analysis of the state child health policy trends identified through these calls is available in this new CHA report.

Analysis or Summary
Congress Holds Drug Price Hearings
February 1, 2019

Summaries covering the House Oversight and Reform Committee and the Senate Finance Committee hearings on drug prices.

Analysis or Summary
Key Section 1115 Medicaid Waivers
January 29, 2019

State-by-state summaries of waivers for statuatory Medicaid requirements as allowed by Section 1115 of the Social Security Act and approval of the Secretary of HHS.

Analysis or Summary
North Carolina’s Medicaid Reform Demonstration
January 29, 2019

North Carolina's demonstration shifts the state's Medicaid program from fee-for-service to a managed care delivery system.

Analysis or Summary
KY HEALTH
January 29, 2019

Kentucky's waiver have two initiatives within the state's Medicaid program.

Analysis or Summary
Hawaii QUEST Integration Waiver
January 29, 2019

Hawaii's demonstration, originally approved in 1994, provides coverage for medical, dental and behavioral health services through Medicaid managed care.

Analysis or Summary
2019 Medicare Physician Fee Schedule Proposed Rule
January 23, 2019

We have provided a summary that highlights parts of the 2019 Medicare Physician Fee Schedule Proposed rule with potential implications for children’s hospitals.

Analysis or Summary
Pennsylvania Medicaid Coverage for Former Foster Care Youth from a Different State and Substance Use Disorder Demonstration
January 17, 2019

Pennsylvania's demonstration expands Medicaid coverage to young adults under age 26 who were in foster care in another state.

Analysis or Summary
MaineCare
January 15, 2019

The summary of this waiver is still under development and will be available soon.

Analysis or Summary
Alaska Substance Use Disorder and Behavioral Health Program (SUD-BHP)
January 15, 2019

The summary of this waiver is still under development and will be available soon.

Analysis or Summary
Oklahoma SoonerCare Waiver
January 15, 2019

Oklahoma's implements a managed care delivery system using a primary care case management model and expands coverage for certain adult populations.

Analysis or Summary
Medicaid Managed Care Proposed Rule
January 15, 2019

CMS released a proposed rule that makes changes to the 2016 Medicaid managed care final rule.

Analysis or Summary
Medicaid DSH Third Party Payment Policy
January 9, 2019

CHA developed a summary of the final rule.

Analysis or Summary
Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses Proposed Rule
January 3, 2019

The Centers for Medicare & Medicaid Services (CMS) released a proposed rule to modernize Part D and Medicare Advantage, which aims to lower drug prices and reduce out-of-pocket expenses by giving Medicare plan sponsors additional negotiation leverage.

Analysis or Summary
International Pricing Index Model for Medicare Part B Drugs
December 31, 2018

CMS released an advance notice of proposed rulemaking with comment that describes a new model for reimbursing select Medicare Part B drugs.

Analysis or Summary
State Medicaid Director Letter on Innovative Service Delivery Systems for Adults With SMI and Children With SED
December 19, 2018

CHA summary regarding a State Medicaid Director Letter that outlines opportunities to design innovative service delivery systems for adults with a serious mental illness (SMI) and children with a serious emotional disturbance (SED).

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