Nevada

How States Can Avoid Dormant Commerce Clause Legal Challenges When Regulating Drug Costs

New state laws designed to control the costs of brand-name and generic prescription drugs often face legal challenges from the pharmaceutical industry. These lawsuits can vary depending on the individual state law, but recent industry lawsuits analyzed by the National Academy for State Health Policy (NASHP) share a common legal thread – drug manufacturers and […]

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  • State Medicaid Agencies Venture into Value-Based Purchasing with Federally Qualified Health Centers
    State Health Policy Blog

    State Medicaid agencies have generally found it challenging to include federally qualified health centers (FQHCs) in value-based purchasing initiatives because of a federal law passed in 2000 that regulates how state Medicaid programs pay FQHCs for the care they provide. State Medicaid agencies are required to reimburse FQHCs through the Prospective Payment System (PPS), a […]

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  • Lowering Drug Costs: Transparency Legislation Sets Off Flurry of New State Approaches
    State Health Policy Blog

    Responding to rapidly rising drug costs, 30 states across the country have drafted more than 60 drug price transparency bills designed to: Identify the costs that contribute to drug manufacturer expenses and list prices And unveil the often opaque business practices of pharmacy benefit managers (PBMs). In addition to promoting pricing transparency, as of early […]

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  • Policymakers in Congress are considering the role of the Children’s Health Insurance Program (CHIP) in the context of health coverage options available under the Affordable Care Act (ACA). Federal funding for CHIP is due to end in September, 2015 without Congressional action. To help inform these federal legislative discussions, the leadership of the House Committee […]

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  • This chart highlights marketplace policy decisions related to pediatric dental coverage for the 2014 plan year.  It tracks the kinds of pediatric dental products that marketplaces solicited and offered on the marketplace in 2014, particularly whether dental benefits were offered through stand-alone dental products (SADP), as “bundled” products that paired a specific SADP and a qualified […]

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  • For 2014 legislative activity and other Medicaid expansion updates, see State Refor(u)m’s Medicaid expansion map. At State Refor(u)m, we are continuing to track state Medicaid expansion activities. This revised chart includes additional details on key elements of Medicaid expansion bills that have been introduced in state legislatures, such as proposals to provide coverage to the […]

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  • When open enrollment begins on October 1, consumers will be able to select and purchase health coverage online through a state-based exchange or the federal marketplace. This chart provides useful links to the web portals, where consumers can purchase coverage, as well as links to relevant agency websites containing exchange policy and consumer assistance-related information. […]

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  • Due to the ACA’s new eligibility verification rules, states have developed plans outlining Medicaid and CHIP eligibility verification procedures. This chart highlights key elements from states’ verification plans, such as which eligibility factors are verified through electronic data and the specific data sources states are using, as well as whether self-attestation is accepted for some eligibility […]

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  • With open enrollment underway, exchanges are mobilizing their efforts to provide assistance to individuals who will begin enrolling in coverage options in October. This chart highlights the approaches states have taken to develop education and training for the individuals who will provide enrollment assistance through Navigator, In-Person Assister (IPA) and Certified Application Counselor (CAC) programs. […]

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  • This chart highlights steps states have taken to create an exchange. If you’d like to read more about exchange policy decisions, check out our State and Partnership Exchange Policy Decisions chart. Like all State Refor(u)m research, this chart is a collaborative effort with you, the user. State Refor(u)m captures the health reform comments, documents, and links […]

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