By Elise Viebeck and Sam Baker - 09/19/12 10:56 PM EDT
Read more about the waivers, the debate and tomorrow's vote — which Heritage Action for America will score — at Healthwatch.
Maligning MLR bill: The liberal group Health Care for America Now (HCAN) wrote to members of Congress Wednesday slamming a bill that would exclude insurance brokers' fees from the healthcare law's medical loss ratio. HCAN Executive Director Ethan Rome said that the Access to Professional Health Insurance Advisors Act would "undermine important consumer and small-business protections against price gouging by health insurance companies" by carving out an exemption for insurance agents' commissions. The bill would "raise premiums and erase the protections that keep wasteful spending by insurers in check," Rome wrote.
Mandate math: Congress's budget office says 6 million people will have to pay the individual mandate's tax penalty — 2 million more than the last estimate. The Congressional Budget Office released updated figures Wednesday, saying the 6 million people who pay the fine will end up paying the IRS about $8 million per year after 2016. The mandate requires people to either get insurance or pay a penalty, though many low-income households will be exempt. The Hill has more on the CBO's latest estimates.
Protecting pregnant women: A new bill from Sens. Bob Casey Jr. (D-Pa.) and Jeanne Shaheen (D-N.H.) would strengthen protections for pregnant women in the workplace by mandating that employers provide expectant mothers with "reasonable accommodations" such as those given to disabled workers. The bill, the Pregnant Workers Fairness Act, would also make it illegal for employers to fire or place on unpaid leave pregnant women who need small job modifications to stay healthy.
The National Women's Law Center (NWLC), a group that supports the bill, says it would help protect women who are unfairly dismissed from their jobs for habits related to pregnancy. In one legal case, the NWLC said, a pregnant woman was fired from Wal-Mart for carrying a water bottle on the job — her doctor said she needed water throughout the day, but carrying the bottle contradicted company policy. Read the Healthwatch story here.
Antibiotics in ag: More than 200 farmers and scientists, in partnership with advocates at Keep Antibiotics Working, released statements Wednesday condemning the "imprudent use of antibiotics in animal agriculture," which the scientists warned is "linked to human diseases increasingly impervious to antibiotic treatment." The calls to action targeted the Food and Drug Administration (FDA) and Congress to create stringent rules to reduce the widespread use of antibiotics in livestock and poultry feed, where they promote faster growth.
"The FDA recently announced a policy calling on the animal drug industry to voluntarily surrender label claims for growth promotion and other production uses of veterinary drugs," the scientists wrote in their statement. "While we support the effort to renounce drug approvals for injudicious uses, we cannot support a voluntary approach."
Standardizing D-SNP data: Reps. Henry Waxman (D-Calif.) and Pete Stark (D-Calif.) released a government report calling for greater disclosure of quality and performance measurements for Medicare Dual Eligible Special Needs Plans. So-called D-SNPs cover about 9 percent of the dual-eligible population, but more information is needed to compare their effectiveness with other Medicare Advantage plans or traditional Medicare, the members said.
"Special Needs Plans are serving the vulnerable Medicare and Medicaid eligible individuals, particularly those that have disabilities," Stark said in a statement. “However, it remains unclear whether they are worth the extra money that we pay." The report, which urges greater transparency, is available here.
Advocates with United for Medical Research and Research!America will roll out a poll on medical research and the sequester. Reps. Ed Markey (D-Mass.) and Brian Bilbray (R-Calif.) will speak at the groups' press conference.
The Energy and Commerce Committee will continue its markup of H.R. 1206, the Access to Professional Health Insurance Advisors Act, and H.R. 1063, the Strengthening Medicare and Repaying Taxpayers Act.
The House Oversight subcommittee on Healthcare will hold a hearing on Medicaid overpayments and the Obama administration’s failure, in Republicans' view, to “prevent and end” them.
The Pew Health Group will unveil a report on best practices in prescription drug monitoring programs at a Capitol Hill briefing will Rep. Hal Rogers (R-Ky.).
Sens. Bernie Sanders (I-Vt.), Mark Begich (D-Alaska), Al Franken (D-Minn.) and others will discuss Social Security and budget deficits at a news conference.
State by state
California could lose $61 billion Medicare pay. Does it matter?
Gov. Kitzhaber pitches Oregon's health care plan to influential DC audience
Alabama voters approve tapping trust fund for budget fix
Upstream Consulting / Reata Pharmaceuticals
Upstream Consulting / American Enterprises
Upstream Consulting / Sterling Biotech Limited
FaegreBD Consulting / City of Minneapolis
Martin & Seibert / Express Scripts
Holland & Knight / Erlanger Health System
The Arnold Agency / Adena Health Foundation
Capitol Counsel / Hilton Worldwide
Wal-Mart, Humana reward healthy food purchases
Dental insurers look for sense of regs and market come 2014
Blue Cross CEO: Cooperation, innovation needed to cut health costs
Quarter million Americans have been infected by West Nile Virus
Hospital shootings are rare occurrences, study finds [reg. req'd]
Study: Cancers are on the rise in pregnant women
What you might have missed on Healthwatch
HHS: Health law strengthened Medicare Advantage
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