Louisiana Board Modifies Telehealth Rules

December 10, 2024

EGWP marketplace medicaid Medicare

The Louisiana Behavior Analyst Board made positive, industry-supported changes to their proposed rulemaking. The initial proposal was very modality-restrictive, not allowing for asynchronous or audio-only delivery of care, and instead only allowing synchronous video and audio applied behavior analysis services.

The reissued version of the rule conforms with the Louisiana Telehealth Act, which allows for asynchronous care, and explicitly states that interactive audio-only modalities may be utilized if the standard of care is met.

legislation

Connecticut Lawmakers Pass Health Insurance and Patient Protection Act

SB 10 passed the legislature and now heads to the Gov. Ned Lamont (D) where he is expected to sign it into law. The bill would require changes regarding how insurers report mental health parity compliance to the Department of Insurance and expands drug step therapy prohibitions for patients being treated for multiple sclerosis or […]
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July 9, 2025

EGWP marketplace medicaid Medicare

legislation

Reconciliation Bill Signed into Law

Congress has passed and enacted the One Big Beautiful Bill Act, a sweeping tax and budget reconciliation bill, just ahead of President Trump’s deadline. The Senate approved their revised measure by a vote of 51-50, with Vice President Vance casting the tie-breaking vote. The House gave final approval to the Senate-amended version on July 3, […]
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July 9, 2025

EGWP marketplace medicaid Medicare

event

ACAP Webinar: Thursday, July 24th | 2:00PM EST

As GLP-1 medications like Ozempic, Wegovy and Zepbound surge in popularity for treating diabetes and obesity, Medicaid programs across the U.S. are grappling with unprecedented financial and policy challenges.  With patients paying upwards of $11,000 annually for a year supply, and Medicaid spending on these drugs skyrocketing from $577 million in 2019 to nearly $4 billion […]
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July 9, 2025

medicaid

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legislation

Connecticut Lawmakers Pass Health Insurance and Patient Protection Act

SB 10 passed the legislature and now heads to the Gov. Ned Lamont (D) where he is expected to sign it into law. The bill would require changes regarding how insurers report mental health parity compliance to the Department of Insurance and expands drug step therapy prohibitions for patients being treated for multiple sclerosis or […]
read more >

July 9, 2025

EGWP marketplace medicaid Medicare

legislation

Reconciliation Bill Signed into Law

Congress has passed and enacted the One Big Beautiful Bill Act, a sweeping tax and budget reconciliation bill, just ahead of President Trump’s deadline. The Senate approved their revised measure by a vote of 51-50, with Vice President Vance casting the tie-breaking vote. The House gave final approval to the Senate-amended version on July 3, […]
read more >

July 9, 2025

EGWP marketplace medicaid Medicare

legislation

Iowa Governor Signs Law to Tighten PBM Oversight

Gov. Kim Reynolds (R) recently signed a law that restricts PBMs from steering patients to preferred pharmacies and bans the use of mandatory mail order provisions. The legislation requires PBMs to reimburse independent pharmacies at the same rate as PBMs pay their affiliated pharmacies and to pay higher dispensing fees for prescriptions. The governor included […]
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July 9, 2025

EGWP marketplace medicaid Medicare

legislation

Supreme Court Issues Preventive Care Decision

On June 27, the Supreme Court upheld Affordable Care Act (ACA) requirements for insurance coverage of preventive services recommended by the US Preventive Services Task Force (USPSTF), reversing the lower court’s decision. In a 6-to-3 decision written by Justice Brett Kavanaugh, the majority ruled that the appointment structure of the USPSTF, a panel of experts […]
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July 9, 2025

EGWP marketplace medicaid Medicare

legislation

E&C Health Subcommittee Holds Hearing on Onshoring America’s Drug Supply Chain

During a June 11 hearing on strengthening the U.S. health care supply chain, members of the House Energy and Commerce (E&C) Health Subcommittee agreed on the need to reduce reliance on foreign sources, but differed in their preferred approaches. Republicans emphasized national security and praised the Trump Administration’s deregulation and onshoring efforts, while Democrats stressed […]
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July 9, 2025

EGWP marketplace medicaid Medicare