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Implementation, Regulations, and Guidance

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New Medicaid Enrollees Pleased With Coverage, But Note They Still Face Obstacles

Focus-group research finds that people who received Medicaid coverage under the health law's expansion are generally happy but find roadblocks to getting care, The Washington Post reports.



Roundtable called in Albany to get young adults connected to Affordable Care Act coverage

The open enrollment period for the Affordable Care Act marketplace is about to roll around again, prompting officials to start another push to get young adults covered.



Senator Harkin Introduces Bills to Promote Access to Housing, Transportation, and Exercise and Fitness Services

Last week, Senator Tom Harkin (D-IA) introduced three bills as part of his �Access for All� agenda to help people with disabilities achieve economic independence and reach the middle class.



The Federal Courts' Role in Implementing the Affordable Care Act

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Since the Affordable Care Act�s (ACA) passage, a number of lawsuits have been filed challenging various provisions of the law. The Supreme Court has decided cases about the constitutionality of the ACA�s individual mandate and Medicaid expansion as well as the applicability of the contraceptive coverage requirement to closely held for-profit corporations with religious objections. In addition, several cases challenging the availability of premium subsidies in the Federally-Facilitated Marketplace (FFM) are currently progressing through the federal courts. All of this litigation has altered, or has the potential to alter, the way in which the ACA is implemented and consequently could affect the achievement of the law�s policy goals. This issue brief examines the federal courts� role to date in interpreting and affecting implementation of the ACA, with a focus on the provisions that seek to expand access to affordable coverage.



Budget Referees Make It Harder To Evaluate Obamacare Costs

The Congressional Budget Office will no longer evaluate the fiscal implications of some parts of the Affordable Care Act, partly because of all the changes made during implementation. KHN's Mary Agnes Carey and The Fiscal Times' Eric Pianin discuss.



HHS Announces Navigator Grantees

HHS has announced $60 million in grants to Health Insurance Navigator programs in federally-facilitated and state-partnership marketplaces. Grantees include AUCD network members in Arkansas and North Dakota.



UPDATED: Status of State Action on the Medicaid Expansion Decision

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A central goal of the Affordable Care Act (ACA) is to significantly reduce the number of uninsured by providing a continuum of affordable coverage options through Medicaid and the Health Insurance Marketplaces. The ACA expands Medicaid coverage for most low-income adults to 138% of the federal poverty level (FPL). Following the June 2012 Supreme Court decision, states face a decision about whether to adopt the Medicaid expansion. This table shows the status of those decisions.



UPDATED: CMS Releases Final Rule on Home and Community Based Services

On January 10 the Centers for Medicare and Medicaid Services issued a regulation that greatly strengthens access to community-based services in the Medicaid program. On March 20, CMS released a toolkit of materials for states and stakeholders.



HHS Changes how ACA Applies to Territories

After many reports of uneven application and disruption of health insurance markets, HHS has reduced the number of ACA provisions that apply to the territories.



CMS Announces new Medicaid Innovation Accelerator Program

The Medicaid Innovation Accelerator Program (IAP) is a new technical assistance program launched by the Centers for Medicare & Medicaid Services (CMS). The goal of IAP is to improve health and health care for Medicaid beneficiaries by supporting states' efforts to accelerate new payment and service delivery reforms.



Person-Centered Planning and Self-Direction: HHS Issues New Guidance on Implementing Section 2402(a) of the ACA

As a first step in implementing Section 2402(a), the Secretary issued this HHS-wide guidance on person-centered planning and self-direction.



AUCDigest July 2014



CCIIO issues FAQ on Essential Community Providers

A new FAQ released by the Center for Consumer Information and Insurance Oversight (CCIIO) addresses questions insurance issuers may have concerning Essential Community Providers (ECPs). The Affordable Care Act (ACA) requires issuers to contract with a sufficient number of ECPs, or providers that generally treat low-income and medically underserved patients. The FAQ describes specifics of the ECP requirements, how issuers can access the non-exhaustive ECP list, and how ECPs can actively pursue inclusion in insurance planes. The exclusion of Children's Hospitals as ECPs has been of concern to the disability community.



State-by-State ACA Fact Sheets

Updated to include FY13 data

HHS has updated its state-by-state Affordable Care Act fact sheets with data through FY13. The fact sheets provide data on the marketplace, Medicaid expansion, mental health coverage, health care workforce, and more.



AUCD Legislative News In Brief

This issue covered appropriations, Combating Autism Reauthorization Act, health, restraints & seclusion, employment, the disability treaty, mental health, education, family support, child abuse, and social security.

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