U.S. Supreme Court upholds ACA exchange subsidies | Legislators soon to release modified Cures legislation | ACA tax credits attracted young, moderate-income subscribers
June 25, 2015
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U.S. Supreme Court upholds ACA exchange subsidies
The U.S. Supreme Court today upheld federal subsidies under the Affordable Care Act for people buying insurance through the federal insurance exchange, HealthCare.Gov. The 6-3 opinion in King vs. Burwell was written by Chief Justice John Roberts. The decision confirms that people qualify for subsidies whether they buy health plans through state or federal exchanges. NBC News (6/25), The New York Times (tiered subscription model) (6/25)
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Legislative & Regulatory News
Legislators soon to release modified Cures legislation
Sponsors of the proposed 21st Century Cures Act are expected to release adjustments to the bill today, including the deletion of a Medicare Part D funding offset and the addition of language to ensure funding for the NIH and FDA. CQ.com (subscription required) (6/25)
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ACA tax credits attracted young, moderate-income subscribers
Affordable Care Act tax credits and subsidies encouraged young people and those with moderate incomes to enroll in health insurance plans, data indicate. About 87% of the more than 7 million exchange enrollees received tax credits to offset their premiums. The New York Times (tiered subscription model) (6/25)
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Some uninsured deliberately stay that way
Some Americans consciously refuse to buy health insurance despite being liable for tax penalties under the Affordable Care Act, choosing instead to haggle with providers, take advantage of charity care or go without. About 45% of people who are uninsured deliberately forgo coverage, according to the Congressional Budget Office. The Wall Street Journal (tiered subscription model) (6/24)
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Congress considers parity for oral and IV cancer treatments
Proposed legislation would mandate equal insurance coverage for oral and intravenous cancer treatments. Insurance companies said rising prices for oral drugs will increase premiums for all under the proposals. Oral chemotherapy parity laws have been approved in the District of Columbia and 39 states, according to the American Cancer Society. Medscape (free registration) (6/22)
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Drug Industry Spotlight
Wockhardt's ANDA for pain management drug gets FDA OK
The FDA has approved the abbreviated new drug application submitted by Wockhardt for its oxycodone HCl liquid. The medication was developed to help manage moderate to severe acute and chronic pain in patients, especially those who don't respond to opioids. PharmaBiz.com (India) (6/22)
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Maybe all one can do is hope to end up with the right regrets."
-- Arthur Miller,
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About PCMA
PCMA is the national association representing America's pharmacy benefit managers (PBMs), which administer prescription drug plans for more than 216 million Americans with health coverage provided through Fortune 500 employers, health insurance plans, labor unions, and Medicare Part D. PCMA is dedicated to enhancing the proven tools and techniques pioneered by PBMs that generate savings and access for consumers and payors.

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