OVERNIGHT HEALTH: Christie says no to NJ-based health exchange

"To the best of our recollection, the possibility that those subsidies would only be available in states that created their own exchanges did not arise during the discussions CBO staff had with a wide range of Congressional staff when the legislation was being considered," CBO said. "Nor was the issue raised during consideration of earlier versions of the legislation in 2009 and 2010, when CBO had anticipated, in its analyses, that the credits would be available in every state."

The letter is here.

Rural hospitals: A powerful group of senators wants to extend a program for rural hospitals as part of an end-of-year bill on Medicare payments to doctors. Sens. Charles SchumerCharles (Chuck) Ellis SchumerDemocrats now attack internet rules they once embraced Schumer: Trump budget would ‘cripple’ gun background checks Schumer: Senate Republicans' silence 'deafening' on guns, Russia MORE (D-N.Y.) and Chuck GrassleyCharles (Chuck) Ernest GrassleyPavlich: The claim Trump let the mentally ill get guns is a lie Congress fails miserably: For Asian-Americans, immigration proposals are personal attacks Grassley, Dems step up battle over judicial nominees MORE (R-Iowa) are spearheading a "Dear Colleague" letter asking the Senate Finance Committee to renew the Medicare Dependent Hospital and Low-Volume Hospital programs as part of a bill to avert scheduled cuts in doctors' Medicare payments. 

“Rural hospitals deliver health care to more than 60 million Americans and are the health and economic backbone for communities across our nation," te letter states. "These small, hardworking hospitals are often the sole source of comprehensive health care in their area, and are typically the largest employer, and economic engine, in the communities they serve. Yet, rural hospitals face a wide array of financial difficulties and operational challenges under the current Medicare Prospective Payment System."

In addition to Schumer and Grassley, 29 senators have signed the letter.

State by state

Michigan Senate OKs bills prohibiting abortion coverage by 'Obamacare' health exchange

Tennessee Gov. Bill Haslam won't rule out state healthcare exchange

Calif. experiment aims to save on care for poorest, sickest patients

Lobbying registrations

Capitol Decisions / Peer Assistance Services

The Glover Park Group / Trygg Pharma

Reading list

The grand Medicare compromise?

Interest groups push to fill margins of health coverage

MedPAC mulls 1 percent bump in hospital rates [reg. req'd]

Study could spur wider use of prenatal gene tests

A crowded emergency department can kill you

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Sam Baker: sbaker@thehill.com / 202-628-8351

Elise Viebeck: eviebeck@thehill.com / 202-628-8523

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