News from ACOI

Judge Rules Trump's H-1B Fee is Unauthorized Tax

A Massachusetts federal judge has ruled that President Donald Trump's $100,000 H-1B visa payment constitutes a tax that Congress did not authorize the president to impose, declaring the fee unlawful and vacating it in its entirety.

MIPS Extreme and Uncontrollable Exception Application Available

The Centers for Medicare and Medicaid Services (CMS) is accepting 2026 Quality Payment Program (QPP) exception applications through Dec. 31, 2026.

Federal Appointees Would Have Final Say in Federal Research Grant Process Under Trump Proposal

Last week, the House Appropriations Committee approved a Fiscal Year (FY) 2027 spending bill that would cut the Department of Health and Human Services (HHS) by 4 percent.

HHS Spending Bill Clears Hurdle in House

Last week, the House Appropriations Committee approved a Fiscal Year (FY) 2027 spending bill that would cut the Department of Health and Human Services (HHS) by 4 percent.

House Lawmakers Push for Transparency of Health Care Ownership

On June 10, the House Energy and Commerce Subcommittee on Health held a hearing on increasing health care transparency.

House Committee Passes Bill to Update Budget Neutrality Rules

The House Ways and Means Committee unanimously approved legislation that would promote Medicare physician fee service (PFS) payment stability by modernizing budget neutrality requirements.

Prior Authorization Burden Remains High Despite Insurer Promises

A new American Medical Association (AMA) survey of 1,000 physicians finds that prior authorization processes continue to have a devastating effect on patient outcomes and physician burnout.

ACOI Joins Coalition in Asking for Step Therapy Regulations

The ACOI has joined more than 100 organizations are part of the Safe Step Ad Hoc Coalition in a letter asking the Centers for Medicare and Medicaid Services (CMS) to undertake rulemaking to create common-sense guardrails on the use of step therapy, or "fail-first," processes.

ACOI Endorses New Prior Authorization Bill

As part of a multifaceted approach to reform prior authorization, Reps. Julie Johnson (D-TX) and Mike Lawler (R-NY) have introduced the Prior Authorization Reform for Autoimmune and Blood Disorders Act (H.R. 9192).

New Bill Replaces Merit-Based Incentive Payment System

Reps. Mariannette Miller-Meeks, MD (R-IA) and Herb Conaway, MD (D-NJ) have introduced the Medicare Physician Data-driven Performance Payment System Act of 2026.

CMS Encourages Providers to Prepare for e-Prior Authorization

Starting January 1, 2027, certain health plans regulated by the Centers for Medicare and Medicaid Services (CMS) must implement and maintain Application Programming Interfaces (APIs) to support electronic prior authorization.

Insurers Make Prior Authorization Data Available to Public

A new federal transparency requirement is making health plan prior authorization data publicly available for the first time—including for many Medicare Advantage (MA), Medicaid managed care, CHIP, and Affordable Care Act Marketplace plans.

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