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Republican governors of the state up to the pressure last week in Washington to give states more control over health care in patients 'health' and Affordable Care Act (PPACA). Twenty-one Republican governors sent to the Ministry of Health (HHS) Secretary Kathleen Sebelius would increase the power of certain provisions of health care reform, including the ability to define "essential" health benefits and define minimum standards for participating insurance exchanges. They threatened not to run its state-based exchanges, if HHS does not act on their requests. Sebelius has responded quickly to your letter in which he examines the options for states to reduce the costs of their Medicaid programs, and he announced that he will continue to examine what authority he may abandon "the effort to maintain the current law.

"The bill the Senate has already been introduced to address the role of states in health care reform that is sure to keep the issue on the front of the stage. Visit to ensure easy for me for more info

Federal

Ways & Means Hearing Committee last week, "Health Care Act and the impact on Medicare beneficiaries," a certificate issued by CMS Administrator Donald Berwick, MD, CMS Chief Actuary Richard and Foster. Berwick PPACA testified that he had a positive impact on Medicare beneficiaries, and stressed that the beneficiaries are now the first dollar of coverage of the main benefits of prevention, extra help with prescription drug costs, and an annual visit to a doctor well-being their choice. In response to concerns noted by several committee members about the impact of funding cuts to Medicare Advantage, Berwick has shown that Medicare Advantage enrollment increased by 6 percent in 2010-2011. He suggested that the program is healthy and sustainable choices. Foster has confirmed its first projection of a certificate that the cause PPACA Medicare Advantage enrollment decline by about 50 percent by 2017 - the year are set to 14

5000000 pre-CHP law 7.3 million in the new law. His testimony also explained that the beneficiaries of Medicare Advantage experience "a significant increase in out of pocket expenses" and "less generous benefits," because CHP reduce discounts to Medicare Advantage plans, reducing the discount of up to 500 per beneficiary in 2019.

Administration last week gave positive indications on the student for medical expenses that cause discomfort little, if any, to this movement, at least until the school year 2012-2013. The guidelines announced in the Communication of proposed rule (as opposed to a final provisional Regulation), which means that, fortunately, the rule does not apply immediately, as did most of the reforms PPACA settings. The proposed rule would create a special health class, individual student health insurance student under a number of factors, such as a written contract and the school's insurance company, coverage only for students and employees, the state of health can not be used to qualify for assistance. How Aetna has paid off, the effect would have been delayed because of a rule (always late) does not take effect before the end of the policy beginning in January 2012. Until then, the student does not apply to health care reform PPACA.

States

ARIZONA: industrial base exchange bill was introduced last week under the patronage of the President House Health and each of the presidents of the House and Senate banking committees and insurance. Bill provides a market mechanism, the Council, with the representation of the insurer, not a double adjustment and unconditional repeal of the provision. The first hearing is scheduled for this week. In other news, the Governor Jan Brewer appointed Don Hughes, a former council AHIP maintained, as the Ministerial Healthcare Innovation. Hughes provides direct assistance to state efforts to improve the cost-effectiveness and availability of health care. They are capable of strategic planning, which includes the focus of public health and Arizona's leading insurance companies private health insurance.

Connecticut: a joint public hearing of Public Health and Insurance and Real Estate Committee was scheduled this week on two new bills for health care. The first bill would establish plan SustiNet Authority, a quasi-public authority to implement a public health opportunity. SustiNet Plan is a program of health insurance, up to coordinate the individual health insurance plans that provide health insurance products to state employees, Medicaid enrollees, HUSKY Plan, Part A and B registered HUSKY Plus enrollees, municipalities, employers bound, employers, non-profit small employers, some employers and individuals in Connecticut. The Authority is authorized but not required, to begin to offer coverage to employees and retirees SustiNet of local government employers, municipal-related employers, small employers and nonprofit employers after January 1, 2012.

On January 1, 2014, SustiNet to cover individuals and employers. Among other things, the law requires the authority to implement case management and primary care patient-centered medical homes for all members of the SustiNet Plan, establish a system of performance pay, and establish procedures to avoid selection adverse.

The committee also heard testimony from a bill to establish the Connecticut Health insurance change in cogeneration. The exchange offer is a quasi-public plans qualified health for individuals and employers described the January 1, 2014. The bill would establish a council of 13 members of the board to manage the exchange. The exchange has the power to review the rate of premium growth inside and outside the exchange to develop recommendations on whether to continue limiting the status of qualified small business employer. It would also have jurisdiction to prosecute the fees or user fees for healthcare companies to generate the funding necessary to support the operations of the bag.

Aetna comment on two bills through the Association of Health Plans in Connecticut.

IDAHO: A legislative proposal on the move, which prohibits insurance companies and managed care organizations with qualified suppliers refuse simply because the provider: no member of the group, organization or other network service contract with an insurance company or does not provide all services from a group, organization or network of providers contracting with the state insurance company. However, the provider may be the practice, standards and quality requirements of the contract specifically to perform the services. Bill is usually intended to influence insurers and managed care organizations. It is not inside or outside the exception of HIPAA, with the exception of benefits. So far, the law has not been found sponsorship, and there is no "use". Although it is still possible that the bill could be introduced before the deadline for the introduction of the committee bill, it is considered unlikely.

Minnesota when the legislature met for the first half of the 2011-2012 period last month, Republicans controlled both legislative chambers for the first time since 1972. And Republican lawmakers wasted no time to introduce bills to repeal the measures passed by the legislature in 2010 to fund medical care for state care of general medical care, and Minnesota Care. His first official act by Mark Dayton Governor signed an executive order soon implemented Medicaid expansion (133 percent of federal poverty level), Minnesota, which is expected to more than 95 000 state residents eligible for aid. 8000000 Minnesota investment is expected to produce about 0.2 billion matching federal funds. Dayton Governor has also signed an executive order to remove the ban on federal funding requests related to PPACA. Minnesota expects to receive planning grants will soon change.

While the governor of Dayton has allowed to apply for state grants to implement the federal health system reform, it is unlikely that state legislators have passed bills to implement the federal law reform health care unless absolutely necessary. Other pending bills of interest are anti-PPACA legislation, the law requires a guaranteed market single issue of a fee-based program for adults without children with an income of at least 133 percent of FPL (a reduction from the current 250 percent), the prohibition tariff Dental Plan does not cover services, and autism coverage mandate. In addition, the governor appointed a new commissioner Dayton Department of Commerce of Minneapolis attorney, Michael Rothman.

NEVADA: The Legislature convened on February 7 with a date extension planned for June 6 Governor Brian Sandoval will sponsor a bill of exchange, although he opposes the federal reform of health. His reasons are not want the federal government to intervene in the state and the fact that Parliament will not meet in 2012. The Division of Insurance (DOI) said he will continue the reform measures of the federal government, including the external audit. Other laws of interest include the establishment of a system for exchanging health information across the state and to amend the terms of repayment out of network services to meet CHP.

TEXAS: Governor Rick Perry gave his state of the Union speech last week, which included plans to suspend the State Historical Commission and Arts Commission in dealing with the deficit of state budget billions. Speaking at a joint session of the legislature, Perry said that the time has come to streamline state government. Speech Perry has focused a lot on how strong the economy of the state is, despite the deficit. According to Perry, Texas added more jobs in 2010 than any other state in the nation. That the national employment growth occurred in the sector, healthcare, manufacturing, hospitality, construction and energy. Perry's speech was highly critical of national policy, and threatened to push back when Washington invades states' rights. His budget proposal includes cutting more than billion in state spending on public education system, and another billion in higher education, as well as more than one billion programs of the Ministry of Health.

These reductions come with much greater reductions in dollars that the federal government because states use federal funds for programs like Medicaid spending money the state.

VERMONT: Governor-elect Peter Shumlin focus was on reducing its budget deficit estimated 0,000,000. Proposals to address the deficit include changes to the administration of the program Catamount State Catamount reimbursement changes, the introduction of an evaluation of managed care organizations, increase the tax on suppliers hospitals and the introduction of an assessment by dentists. The legislature is also considering several bills that would create a health care single-payer government-run and require critical levels. The following bills:

Supported by the governor, HB 202 would establish the Vermont Green Mountain Care Bag and health benefits, through which all state residents may be eligible for health benefits. After application of the Green Mountain single-payer, private insurance companies would be allowed to sell insurance policies also cover the services covered by the Green Mountain Care.

HB 80 would create a single payer health care system, called Ethan Allen Healthcare. If the Secretary of Human Services is exempt from the exchange that private insurers are prohibited from selling insurance coverage status of services of Ethan Allen Healthcare. It does not prohibit individuals to purchase insurance covering the additional services that are not already covered by Ethan Allen Healthcare.

SB 57 would establish the Green Mountain Care as a unique health care salary, which will include coverage under a health benefit sharing, Medicaid and Medicare.

HB 146 would establish an optional public health care coverage called Green Mountain Care, which require that Vermont residents have health care coverage at least equal to the actuarial value of Green Mountain and care would be to impose a penalty Financial against those who fail to maintain such coverage. The bill will introduce a candy and soda taxes plus a tax of 10 percent of payroll for all employers with more than four employees to fund the care of Green Mountain.

SB 56 and HB 165 to modify existing procedures for review of rates require the written approval of the commissioner of a health insurance policy can be issued, requiring all requests for fees and how to be submitted via electronics. The rate of change must be approved by the Commissioner before implementation and the notice to members of the exchange rate regime and a comment period of 30 days.

HB 82 would require health insurers to disclose the Department of Banking, Insurance, Securities and Health Administration to negotiate payment plans with service providers and directs the Department to send information on its website.

And when effective, student health would be excluded from the current issue and guaranteed renewable provisions CHP. Although it will be difficult for some time whether and how the health of students will be subject to the medical loss ratio (MLR) of the provisions of CHP, we are satisfied that the proposed rule would hear about the health of the student must receive some form of special facilities (related to special rule for limited benefit plans) with respect to MLR, because of the unique features of the market for student health.

The bill directs the Board exchange to report to the Legislature on January 1, 2012, on the possibility of creating two separate awards, one for the individual market and small business market, or to establish a single exchange, whether the combination of individual markets and small employer health insurance, whether to revise the definition of "small business" of no more than 50 employees to no more than 100, and authorize or not large employers to participate changes in early 2017.