ASSOCIATION FOR COMMUNITY AFFILIATED PLANS

Health Issues

Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Support for the Extension of HHS-designated Public Health Emergency (PHE) Reinsurance and risk corridors

TargetedSENATE · HOUSE OF REPRESENTATIVES · White House Office · Health & Human Services, Dept of (HHS) · Centers For Medicare and Medicaid Services (CMS)

Medicare/Medicaid

SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid quality measurement and improvement Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Medicaid Provider Payments Medicaid state financing mechanisms HR 6359 Coronavirus Medicaid Response Act Response to Congressional inquiry regarding maternal health care and Medicaid managed care Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 6800, the HEROES Act