Health Care Reform News:

IOM Releases Essential Health Benefit Package Guidance

October 10th, 2011

One of the core features of the Affordable Care Act is the creation of an Essential Health Benefits package.  This package of benefits will constitute a minimum set of benefits that plans offered through insurance exchanges must cover. The Institute of Medicine was asked by the U.S. Department of Health and Human Services to recommend a process to help HHS to define the benefits that should be included in the essential health benefits and a process to update the benefits to take into account advances in science, gaps in access, and the impact of any benefit changes on cost. In the report released by the IOM, the panel focused on the following key issues: setting a balance between comprehensiveness and affordability; defining what typical should mean for typical employer and benefits; determining whether state mandates should be automatically included; considering how specific HHS guidance should be when defining the essential health benefits package and whether state to state variation might be allowable; and developing criteria and methods that address calls for use of evidence, protection of patients, innovation, and fair process. To read the IOM report, click here.

Healthcare Reform Individual Mandate Unconstitutional

August 12th, 2011

Today, the 11th Circuit Court of Appeals ruled in the suit brought by 26 states challenging the constitutionality of the individual mandate including in the Patient Protection and Affordable Care Act.  The 11th Circuit, in a 2-1 decision, ruled that the individual mandate is not constitutional.  However, the Court also disagreed with the lower court’s ruling and severed this provision from the rest of the law which will allow other provisions of the law to remain “legally operative.”

This ruling from the 11th Circuit conflicts with a ruling issued by the 6th Circuit Court of Appeals who ruled that Congress had a “rational basis” to impose an individual mandate and upheld the law.  This appears to be the next step on the way to the United States Supreme Court.  To read more about the ruling from the 11th Circuit Court of Appeals, click here.

Cheri

Cheri L. Walter
Chief Executive Officer

Fall-ballot Ruling Awaited on Health Care Law

August 10th, 2011

The Columbus Dispatch reports that Ohio Supreme Court has until Monday to make a decision on whether or not Issue 3, the amendment targeted at repealing the federal health care reform law in Ohio, will appear on the fall ballot.  Supporters of the federal health law challenged the validity of more than 69,000 petition signatures and asked the Ohio Supreme Court to take the issue off of the ballot.  If the Ohio Supreme Court invalidates the signatures, they may grant the supporters of the ballot proposal time to file additional signatures.  To read the Dispatch article, click here.