New Jersey to Set Up Own ACA Online Marketplace

New Jersey has opted to leave the Affordable Care Act (ACA, or Obamacare) federal exchange at HealthCare.gov and create its own online portal for the start of the 2021 health insurance open enrollment period. “A New Jersey exchange will be a strong measure of independence at a time when the federal administration continues to undermine […]

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Despite Obamacare Options, Employers Still Responsible for COBRA Compliance

Though in many cases a departing employee would be better served obtaining subsidized insurance on the Obamacare exchanges, employers are still required to inform departing employees and their qualified beneficiaries of the option to extend their company-based health insurance based on the circumstances of their departure. Under the Consolidated Omnibus Budget Reconciliation Act (COBRA), employers […]

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Health Care Insurers Show Winning Hand in Court over CSR Payments

The nation’s health insurance companies have been winning lawsuit after lawsuit over the Trump administration’s decision to end cost-sharing reduction (CSR) payments in 2017. CSR payments are a feature of the Affordable Care Act (ACA, or Obamacare) that sent billions to insurers to help them restrain premiums for low- and middle-income customers on the Obamacare […]

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Utah Legislature Overrules Voter-Approved Medicaid Expansion

The legislature has approved — and Utah Gov. Gary R. Herbert (R.) has signed — legislation that curtails the wish of state voters who, in November, approved a referendum expanding access to Medicaid to residents with incomes up to 138 percent of the federal poverty line, in keeping with the provisions of the Affordable Care […]

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Federal Judge Tosses Anti-Trump ACA Lawsuit

Conceding that the Trump administration’s goal is to end the Affordable Care Act (ACA, or Obamacare), U.S. District Judge Ellen Hollander nonetheless has tossed a lawsuit by Maryland that claimed the administration’s anti-ACA actions were harming the state’s citizens. Brought by state Attorney General Brian Frosh, the lawsuit’s main point was that the Trump administration […]

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Association Health Plans on the Brink of Extinction

A George W. Bush-appointed federal judge seems poised to put the kibosh on the Trump administration’s initiative to widen the use of association health plans (AHPs) by allowing for multi-state and multi-employer AHPs, something not allowed under the Affordable Care Act (ACA, or Obamacare). This past week in Washington, D.C., U.S. District John Bates heard […]

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Judge Blocks Trump Contraceptive Rule Nationwide

After a California judge blocked it in 13 western states, a federal judge in Philadelphia on Monday put the full kibosh on the slated implementation of the Trump administration’s new contraceptive rule for Obamacare, which would allow businesses to opt out of the act’s birth control requirement based on “moral convictions.” The Affordable Care Act […]

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Blue State AGs Appeal Obamacare Ruling

Attorneys General from 16 Democrat-leaning states and the District of Columbia have filed an appeal to overturn U.S. District Judge Reed O’Conner’s Dec. 14 ruling that the Affordable Care Act (ACA, or Obamacare) is unconstitutional now that the individual mandate “tax” has been eliminated. California Attorney General Javier Becerra, leading the charge, claimed  the ruling is […]

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Judge Stays His Obamacare Ruling While Appeals Take Place

U.S. District Judge Reed O’Connor on Sunday put a stay on his ruling that the Affordable Care Act (ACA, or Obamacare) is unconstitutional while appeals are being prepared and heard. The Ft. Worth-based judge issued his ruling on Dec. 14, the day before the 2019 open enrollment season was to end. The decision was based […]

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IRS Unable to Reclaim $1B in False Obamacare Subsidy Claims

Some 87 percent of Obamacare participants receive subsidies to offset the premiums for their health insurance, with the total of subsidies claimed — based on applicants’ stated income while applying — running at $27 billion a year. In the latest accounting, $3.7 billion of that outlay was based on false or outdated claims, of which […]

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