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Health Care Reform: Stay Informed

While the future of health care reform remains uncertain, BlueShield of Northeastern New York is committed to keeping you up to date on the latest news. Our goal is to help you understand what health care reform means for you.

The proposed bill will NOT affect 2018 coverage, nor access to care. As changes continue to be proposed to the Affordable Care Act, you can be confident that we will work with our members, groups and brokers to help them understand their options. Please bookmark this page for the latest updates on health care reform from BlueShield of Northeastern New York.

Health Care Reform News

State Budget Provisions Affecting Health Plans

April 4, 2019

The recently passed New York State 2019-20 budget includes a number of provisions that affect health plans and the coverage they offer to employers and consumers. 

Mandated Benefits

March 15, 2019

As part of New York’s state budget deliberations, the Legislature is considering a number of proposals from the Governor that would affect health plans and the coverage they offer to employers and consumers.  Here is a summary of some key items, with our positions on them.

Congress Passes Opioid Package

October 4, 2018

On October 3rd, the Senate passed bipartisan legislation aimed at addressing the opioid crisis. The House had previously passed the compromise, and it will now be sent to President Trump, who is expected to sign the bill into law.

CMS issues risk adjustment rule

July 24, 2018

On July 24, the Department of Health and Human Services (HHS) issued a Final Rule which allows for the 2017 risk adjustment payment transfer process to proceed. The rule reinstates the risk adjustment methodology for the 2017 benefit year.

HHS puts risk adjustment collections and payments on hold

July 8, 2018

On July 8, the Department of Health and Human Services (HHS) announced it was putting risk adjustment collections and payments on hold, saying a district court ruling in a case challenging the program’s formula required them to do so.  Hanging in the balance are payments to health plans which have higher risk members in the individual and small group markets for 2017. 

Spending Bill Agreement Update

March 26, 2018

Yesterday, (3/21/18) Congressional leaders announced agreement on a $1.3 trillion spending bill to keep the federal government funded through the rest of the fiscal year. Since October, the government has been operating on five continuing budget resolutions, the most recent of which expires on March 23.

Proposed rule issued; no effect on NYS market

February 26, 2018

Today, the Trump administration issued a proposed rule to extend the duration of short-term health plans. However, even if it becomes final, the federal rule will not affect New York because the state does not allow such short-term policies.

Stay tuned for new updates on Health Care Reform.

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What's next for the American Health Care Act?

infographic explaining what is next for the american health care act

News and Media

August 3, 2017:

What's next for the American Health Care Act

Dave Anderson, CEO of HealthNow New York, talks with Steve Inskeep about lawmakers' plans to hold bipartisan hearings on health insurance exchanges. NPR's Scott Horsley has details and analysis.

June 6, 2017:

What's next for the American Health Care Act

The Point of Health podcast features Donald Ingalls, Vice President, State and Federal Relations of BlueShield of Northeastern New York. The episode covers the latest updates on Republican's efforts to repeal and replace the Affordable Care Act.

Need to understand a term?

View our helpful Health Care Reform Glossary to understand frequent terms and definitions.


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