Insurance News

House Energy and Commerce Health Subcommittee held a hearing on June 10 examining policies to increase healthcare transparency. Lawmakers reviewed a broad package of proposals addressing hospital and insurer price transparency, employer access to health plan data, prior authorization reporting, Medicare Advantage oversight, and healthcare ownership transparency. A consistent theme throughout the hearing was that […]

A new analysis from KFF estimates that ACA Marketplace enrollment could decline by nearly 5 million people in 2026 following the expiration of enhanced premium tax credits at the end of last year. According to the report, average Marketplace enrollment could fall from 22.3 million people in 2025 to approximately 17.5 million in 2026 as […]

Biotech executives are beginning to publicly oppose President Trump’s proposed most-favored-nation (MFN) drug pricing policy as Congress considers whether to codify it. The policy would tie U.S. drug prices to the lowest prices paid in other wealthy countries. Leaders of several midsized biotech firms warn the approach could discourage investment and make it harder to […]

Congress is moving to restore enhanced ACA premium tax credits after their expiration at the end of 2025 led to significant premium increases for 2026 coverage. The House is poised to pass legislation extending the enhanced tax credits for three years, through the 2028 coverage year. The vote is being driven by bipartisan political pressure, […]

The White House has announced a new agreement with major pharmaceutical companies to significantly reduce the cost of leading anti-obesity medications. Under the deal, some of these drugs could be made available for as low as $149 per month, a major drop from current prices that can exceed $1,000 monthly. The agreement, reached with Eli […]

As the government shutdown drags into its fourth week, negotiations remain stalled with no clear path forward. The Senate again failed to advance a continuing resolution to reopen the government, while efforts to pass the Shutdown Fairness Act — aimed at ensuring pay for federal workers and service members — also fell short. Nearly 900,000 […]

The United States Government is officially shutdown after the Senate was unable to come to an agreement on the federal budget. Senate Democrats continue to argue for the addition of an extension to the Enhanced Premium Tax Credits (EPTCs) to the budget. At the same time, Senate Republicans maintain that they will revisit EPTCs after […]

Senators Mike Rounds (R-SD) and Catherine Cortez Masto (D-NV) introduced the Independent Broker Relief and Oversight of Knowingly Egregious and Repetitive Sales Tactics in Medicare Enrollment Act of 2025, or the Independent BROKERS TIME Act of 2025 (S. 2625). This bipartisan bill directs the secretary of Health and Human Services (HHS) to issue rules updating the […]

The IRS recently announced that the Affordable Care Act (“ACA”) affordability indexed amount under the Employer Shared Responsibility Payment (“ESRP”) requirements will be 9.96% for plan years that begin in 2026. This is a significant increase from the 2025 percentage amount (9.02%), jumping above the original 9.5% threshold. Background IRS Revenue Procedure 2025-25 establishes the […]

The U.S. House of Representatives has passed the reconciliation bill – the One Big Beautiful Bill Act. The bill, which had previously passed the Senate, now heads to President Trump for his signature. The bill was subject to intense negotiation and significant change from the initial House-passed version as it worked through the Senate process. […]