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.

Resources

Analysis or Summary
Avalere Report: The Effect of Block Grants and Per Capita Caps on Children
July 17, 2019

Under block grant or per capita cap proposals, Avalere estimates a potential loss in federal Medicaid funding to states, specifically for children, ranging from $89B to $163B nationally over 10 years.

Analysis or Summary
CHA Summary of Proposed Rule to Roll Back Non-discrimination Protections
July 12, 2019

HHS released a proposed rule to roll back key aspects of a former rule that implemented the Affordable Care Act’s non-discrimination provisions, known as Section 1557.

Analysis or Summary
CHA Summary of Informational Bulletin on Addressing Mental Health and Substance Use Issues in Schools
July 11, 2019

The Substance Abuse and Mental Health Services Administration (SAMHSA) and the Centers for Medicare and Medicaid Services (CMS) released a Joint Informational Bulletin (Bulletin) that includes examples of approaches for mental health and substance abuse related treatment services in schools and describes the existing Medicaid authorities states may use to cover these services in school-based settings.

Analysis or Summary
New Hampshire Granite Advantage Health Care Program
July 5, 2019

New Hampshire's demonstration implements a premium assistance program for adults between the ages 19 to 65 with incomes up to 133 percent of the federal poverty level.

Analysis or Summary
New Hampshire Building Capacity for Transformation
July 5, 2019

New Hampshire proposes to establish six Designated State Health Programs to support the state's broader Medicaid Care Management program and expansion of coverage under the New Hampshire Health Protection Program.

Analysis or Summary
Maryland HealthChoice Demonstration
July 3, 2019

Maryland's HealthChoice demonstration provides health care services for most Medicaid beneficiaries, including children up to age 21, through a managed care delivery system and provides additional benefits for targeted individuals.

Analysis or Summary
New York Medicaid Redesign Team Waiver
July 3, 2019

New York's demonstration aims to lower Medicaid costs and improve patient care through better care coordination and management among different types of providers within defined geographic areas.

Analysis or Summary
Florida Managed Medical Assistance Program
July 3, 2019

Florida's demonstration moved beneficiaries from fee-for-service Medicaid into managed care plans.

Analysis or Summary
Minnesota Reform 2020 Waiver
July 3, 2019

Minnesota's demonstration contains elements of two previous Section 1115 waivers and was created to allow people access to the home and community-based services.

Analysis or Summary
Key Section 1115 Medicaid Waivers
July 3, 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
Michigan Pathway to Integration
July 3, 2019

The Healthy Michigan demonstration imposes a community engagement requirement for the Medicaid expansion population and institutes additional requirements for beneficiaries with income above 100 percent of the FPL.

Analysis or Summary
Wisconsin BadgerCare Reform
July 3, 2019

Wisconsin's demonstration provides health care coverage through BadgerCare Plus to all childless adults between ages 19 and 64 and who have incomes that do not exceed 100 percent of the federal poverty level.

Analysis or Summary
Rhode Island Comprehensive Demonstration
July 2, 2019

Rhode Island's demonstration focuses on delivery system reform within the state's Medicaid program.

Analysis or Summary
New Mexico's Centennial Care 2.0 Program
July 2, 2019

New Mexico's waiver combines existing Section 1915(b), 1915(c) and 1115 waivers under a comprehensive demonstration project (Centennial Care).

Analysis or Summary
CHA Summary of Price and Quality Transparency Executive Order
June 28, 2019

On June 21, the president issued an executive order (EO) that instructs several federal agencies to take a variety of actions to increase health care price, quality, and data transparency.

Analysis or Summary
CHA Comments on Proposed Interoperability, Pediatric HIT and Information Blocking Rules
June 7, 2019

CHA submitted comments in response to CMS and the Office of the National Coordinator for IT 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
Feedback needed on Senate HELP committee health care cost package
May 31, 2019

The Senate Health, Education, Labor, and Pensions (HELP) Committee released a discussion draft on health care costs. CHA is requesting feedback from children’s hospitals to inform our comments and has drafted the attached list of questions relating to areas of focus.

Analysis or Summary
Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses Proposed Rule
May 23, 2019

On May 23, CMS published a final rule in the Federal Register to modernize Part D and Medicare Advantage.

Analysis or Summary
FY 2020 Medicare IPPS Proposed Rule Summary
May 23, 2019

On April 23, the Centers for Medicare & Medicaid Services (CMS) released its FY 2020 Medicare Hospital Inpatient Prospective Payment System (IPPS) proposed rule.

Analysis or Summary
Summary of Final Annual Guidance for Private Insurance Plans
April 25, 2019

This CHA summary of the 2020 Final Notice of Benefits and Payment Parameters highlights several policies that could impact children’s commercial health coverage.

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
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.