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Advisory
Member

HHS Proposes Actions Regarding ‘Sex-rejecting Procedures’ on Children

Advisory
The Department of Health and Human Services (HHS) Dec. 18 proposed a series of regulatory actions intended to end the practice of “sex-rejecting procedures” (SRPs) on children.
Medicaid, CHIP, Advocacy & Public Policy, Medicare, Reimbursement, Access to Behavioral Health
Advisory
Member

CMS Issues Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2026

Advisory
The Centers for Medicare & Medicaid Services (CMS) Nov. 21 released its calendar year (CY) 2026 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule.
Ambulatory and Outpatient Care, Post-Acute Care, Advocacy & Public Policy, Medicare, Access to Behavioral Health, Reimbursement
Advisory
Member

Advisory on AHA Letter to Aetna on New Inpatient Payment Policy

Advisory
The AHA today urged Aetna to rescind its recently announced “level of severity inpatient payment” policy, saying that it “could erode the transparency consumers rely on to make informed decisions about their care, undermine important regulatory protections that safeguard patients’ coverage, and jeopardize the ability of hospitals to provide highquality, accessible care to all who need it.”
Reimbursement
Advisory
Member Non-Fed

Key Highlights of the Final One Big Beautiful Bill Act

Advisory
The Senate July 1, and the House July 2, passed a budget reconciliation bill, the One Big Beautiful Bill Act (OBBBA), H.R. 1, a sweeping package that enacts many of President Trump’s legislative priorities on taxes, border security, energy and deficit reduction. The bill includes significant policy changes to Medicaid and the Health Insurance Marketplaces.
Medicaid, Legislation and Legislative Advocacy, Finance & Budgeting, Budget Reconciliation, One Big Beautiful Bill Act (OBBBA), Access to Behavioral Health, Advocacy & Public Policy, Reimbursement
Advisory
Member

CMS Finalizes 2025 Marketplace Integrity and Affordability Rule

Advisory
The Centers for Medicare & Medicaid Services June 20 finalized its 2025 Marketplace Integrity and Affordability rule, intended to establish new standards for the health insurance marketplaces and address improper and fraudulent enrollments.
Marketplace Issues/Stability, Access to Behavioral Health, Reimbursement, Advocacy & Public Policy