Texas Legislature Begins 2025 Legislative Development

December 10, 2024

EGWP marketplace medicaid Medicare

Texas lawmakers have started filing bills in preparation for the upcoming 2025 Legislative Session, even though the session does not begin until mid-January. As of this week, thousands of bills have already been filed, including bills seeking to address artificial intelligence, telehealth, abortion rights, health benefit mandates, immunizations, and drug coverage. Several bills have also been filed to expand Medicaid health insurance coverage in the state, an issue that is considered unlikely to gain traction despite how much federal funding it would unlock.

GOP leadership has been steadfastly opposed to any expansion of Medicaid, which currently covers mostly children, disabled individuals, and older adults. Texas is expected to have plenty of cash to fund any new mandates, education, and existing Medicaid expenses. State Comptroller Glenn Hegar projected that the state would have a $20 billion surplus at the start of 2025.

legislation

CMS Releases the CY2026 Advance Rate Notice and Draft Part D Program Instructions

On Jan. 10, CMS released the Calendar Year (CY) 2026 Medicare Advantage and Part D Advance Notice which includes methodological and payment policy changes for the programs in 2026. The Advance Notice also includes draft program instructions for CY 2026 for the Medicare Part D program under the redesigned Part D benefit as required by […]
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February 11, 2025

EGWP Medicare

legislation

HHS Releases 2026 Notice of Benefit and Payment Parameters Final Rule

On Jan. 13, HHS issued the final Notice of Benefit and Payment Parameters for 2026 (NBPP). HHS states the rule finalizes safeguards to protect consumers from unauthorized changes to their coverage, measures to ensure the integrity of federally run marketplaces, and provisions to make it easier for consumers to understand costs and enroll in coverage. […]
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February 11, 2025

EGWP marketplace medicaid Medicare

legislation

HHS Proposes Changes to HIPAA Security Rule

On Dec. 27, HHS issued a proposed rule to modify the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule to require health plans, health care clearinghouses, most health care providers, and their business associates, to strengthen cybersecurity protections for individuals’ electronic protected health information (ePHI).  The proposals would address: changes in the […]
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February 11, 2025

EGWP marketplace medicaid Medicare

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