State news roundup—New York attorney general threatens lawsuit over ACA repeal; Virginia moves duals to managed care

New York skyline
The New York attorney general's office says it has identified several "constitutional defects" with the GOP's healthcare overhaul bills.

New York might sue over ACA repeal

Saying it has identified “multiple constitutional defects” with congressional Republicans’ healthcare bills, New York Attorney General Eric Schneiderman’s office indicated it will sue the federal government if one of those bills is ultimately passed. The provisions that raise constitutional issues include one that would defund Planned Parenthood, and one that would shift some Medicaid costs in New York from counties to the state, his office said. (Reuters)

Virginia moves dual-eligibles to managed care program

Starting Aug. 1, roughly 214,000 Virginians who are eligible for both Medicare and Medicaid will be moved from a fee-for-service system to a managed care program. The state has contracted with six insurers—Optima Health, Aetna Better Health of Virginia, Anthem HealthKeepers Plus, Magellan Complete Care of Virginia, United Healthcare and Virginia Premier Health Plan—to guide and coordinate enrollees’ care. (The Virginian-Pilot)

Pennsylvania moves toward Medicaid work requirements

The Pennsylvania House of Representatives voted 102-91 to pass a bill that would require the state to seek a waiver so that it can impose work requirements on able-bodied Medicaid recipients. The bill, which now goes to the Senate, also would “lock in” Medicaid recipients to their managed care plans and request a waiver so that the state can charge Medicaid premiums for families that have disabled children and an income above 1,000% of the federal poverty income limit. (Pittsburgh Post-Gazette)


Key Realities Pushing Healthcare Into a Digital Future

Paper forms, contracts, and documents are the quicksand that bogs down both patient care and provider business. However, that does not have to be the case. Download this whitepaper to learn the three key realities that are pushing healthcare past paper-based processes and into a digital, more streamlined future.

Montana’s Medicaid expansion faces double threat

Even if Republicans in Congress fail to repeal the Affordable Care Act, Montana’s unique version of Medicaid expansion could end in 2019 if state lawmakers decline to renew it. Though the program—which charges premiums and co-pays and helps able-bodied Medicaid enrollees find work—has helped the state drastically lower its uninsured rate, it has also enrolled more people than expected, raising concerns about its sustainability. (Associated Press)

Hoosiers feature prominently in GOP’s healthcare lineup

Indiana has supplied many of the Trump administration’s top healthcare strategists, including Vice President Mike Pence, Centers for Medicare & Medicaid Services Administrator Seema Verma and top Health and Human Services spokesman Matt Lloyd. The state is somewhat of a paradox, as it embraced a conservative twist on Medicaid expansion and is home to some of the healthcare industry’s biggest players, yet ranks low on many public health measures as well as on per capita public health spending. (USA Today)

Suggested Articles

Startup insurer Oscar Health is planning to add six new states and 12 new markets to its Affordable Care Act exchange footprint in 2020. 

The ACA reduced racial and ethnic disparities in coverage, but declines were the steepest in states that expanded Medicaid.

Two Los Angeles-area pharmacy owners have been found guilty for their role in a $35 million scheme to defraud Medicare.