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10+ min ago (598+ words) Nebraska Gov. Jim Pillen greets state senators before giving a speech on June 2, 2025, in Lincoln, Neb. (Justin Wan/Lincoln Journal Star via AP, File) Nebraska will become the first state to implement new work requirements for some people with Medicaid health insurance under a law President Donald Trump signed last year. Gov. Jim Pillen, a Republican, announced Wednesday that the requirement would take effect in the state May 1 and could impact about 30,000 people who have slightly higher incomes than traditional Medicaid beneficiaries. "We're not here to take everybody to the curb," he said. Instead, he said, the aim is "making sure we get every able-bodied Nebraskan to be part of our community." The sweeping tax and policy law Trump signed in July requires states to make sure many recipients are working by 2027 but gave them the option to do it…...

17+ min ago (57+ words) Congress is taking some action on the ACA. Here's where things stand for the people who rely on Obamacare health insurance. Here's who is hurt most as ACA premiums are set to skyrocket on Jan. 1 Congress is taking some action on the ACA. Here's where things stand for the people who rely on Obamacare health insurance....

36+ min ago (168+ words) Trump spotted with heavy make-up on hand as speculation continues about his health Source: The Independent Here's how much skyrocketing healthcare could cost you in January - Pandemic-era subsidies for Obamacare health plans are set to expire on December 31, 2025, potentially leading to substantial premium increases for millions of Americans. - Research firm KFF indicates that some individuals could face annual premium hikes of up to $24,604, about $2,050 per month, with 7.3 million people projected to lose all subsidies. - The enhanced premium tax credits, introduced in 2021 by the Biden administration, lowered costs and expanded eligibility, contributing to a significant increase in marketplace enrolment. - The expiration of these credits is estimated to leave 4.8 million people uninsured and could cause marketplace enrolment to drop by over 50% in eight states. - The future of the subsidies is a contentious issue in Congress, with Democrats advocating for their extension and…...

54+ min ago (516+ words) By Deena Beasley, Jarrett Renshaw and Michael Erman Dec 17 (Reuters) " AbbVie and several other drugmakers are expected to announce on Friday agreements with the U.S. government to lower certain prescription drug prices and meet other demands made by President Donald Trump, according to sources familiar with the "situation. The deals with about five companies are expected to be announced on Friday, several of the sources said. Bloomberg News reported on Wednesday that the White House is set to announce drug pricing deals with Switzerland-based Novartis and Roche, further easing trade tensions with Switzerland after a standoff over tariffs. The White House was not immediately available for comment. Novartis said it is in discussions with the administration. Roche and AbbVie did not immediately respond to requests for comment. If the deals follow "previous formats, such as the agreement with Pfizer, the announcements…...

1+ hour, 16+ min ago (1423+ words) Julie Appleby | KFF Health News We've been here before: congressional Democrats and Republicans sparring over the future of the Affordable Care Act. But this time there's an extra complication. Though it's the middle of open enrollment, lawmakers are still debating whether to extend the subsidies that have given consumers extra help paying their health insurance premiums in recent years. The circumstances have led to deep consumer concerns about higher costs and fears of political fallout among some Republican lawmakers. According to a KFF poll released in December, about half of current enrollees who are registered to vote said that if their overall health care expenses " copays, deductibles, and premiums " increased by $1,000 next year, it would have a "major impact" on whether they vote in next year's midterm elections or which party's candidate they support. For those caught in the middle…...

1+ hour, 33+ min ago (571+ words) Utah regulators have reached a settlement with global pharmaceutical company Sandoz Inc. in a lawsuit alleging anticompetitive conduct in the generic drug market, marking another step in a multistate effort to address rising prescription drug costs. The Utah Department of Commerce's Division of Consumer Protection and the Utah Attorney General's Office announced Tuesday that Sandoz will pay $1.52 million to the state. According to a statement from the attorney general's office, the payment is tied to allegations that the company participated in unlawful price-fixing involving several generic medications. The settlement stems from a broader lawsuit brought by attorneys general across the country, alleging that Sandoz and other drug manufacturers conspired to fix prices between 2009 and 2014. Per a statement released by Utah officials, the state joined the multistate litigation in 2016 and has continued to pursue accountability through the courts. Earlier this year,…...

2+ hour, 12+ min ago (305+ words) Medicare Advantage (MA) continues to grow in enrollment, but understanding how coverage decisions are made " and what CMS requires " remains complex....By: McDermott+ Understanding Medicare Advantage: Coverage requirements and determinations Medicare Advantage (MA) continues to grow in enrollment, but understanding how coverage decisions are made " and what CMS requires " remains complex. In 2025, CMS tightened rules around prior authorization, clarified when plans can apply internal coverage criteria, and advanced transparency measures that will affect plan operations and provider interactions. These changes have significant implications for Medicare beneficiaries enrolled in MA plans and healthcare stakeholders navigating MA plans" coverage and payment processes. Additional Medicare Advantage Coverage - CMS releases 2027 policy and technical changes to Medicare Advantage and Part D proposed rule - 2026 Medicare Advantage and Part D Final Rate Notice: What to Expect Refine your interests " What do you want from legal thought leadership?...

2+ hour, 18+ min ago (158+ words) (The Center Square) " Wisconsin-based Menards has agreed to pay a combined $4.25 million to settle a lawsuit from 10 states related to deceptive marketing for its 11% rebate. The states attorneys argued that the Eau Claire retailer misled consumers in some cases that the 11% rebate would be a discount that customers would receive at checkout instead of a rebate that needed to be mailed in and returned for a later store credit. The company agreed to make payments to Wisconsin, Illinois, Minnesota, Iowa, Arizona, Kansas, Michigan, Nebraska, Ohio and South Dakota. It also agreed to several terms, including allowing one year for customers to return rebate forms and investigating how to create an option for consumers to safely and securely submit rebates online instead of mailing in the forms and receipts. Menards agreed to pay Wisconsin $450,000 and Illinois nearly $947,000, Iowa nearly $447,000 while each…...

3+ hour, 9+ min ago (790+ words) Dallas Chase, center, was one of a few dozen people who showed up to rally at a press conference focused on rising health insurance costs outside Idaho U.S. Sen. Jim Risch's Office in downtown Boise on Tuesday." Jenn Bazer talks about how her kids lost eligibility for enhanced premium tax credits after she got a raise. She spoke at a press conference focused on rising health insurance costs outside Idaho U.S. Sen. Jim Risch's Office in downtown Boise on Tuesday. Idaho's health insurance exchange ended open enrollment Monday night, with thousands of Idahoans canceling plans ahead of the expiration of deep federal government subsidies. Overall, enrollment in health insurance plans on Your Health Idaho rose by 3% this year compared to last year, with more than 120,000 Idahoans enrolled in plans on the state exchange. But the exchange also saw twice as many people'nearly…...

3+ hour, 18+ min ago (622+ words) Medicare Advantage over-the-counter (OTC) benefits are insurance-provided allowances that enable seniors to buy everyday health and wellness products. They work similarly to FSA accounts and the average person on Medicare Advantage has $400 in OTC credits to purchase items they would otherwise pay for out of their own pocket. These funds are included as an ancillary benefit for many Medicare Advantage plans, yet they frequently go unused because seniors aren't aware they have them, don't know which items are eligible, or find the purchasing process too confusing. Every year, $5 billion in OTC benefits go unspent. Chapter explains how OTC benefits work and how to use them. Medicare Advantage OTC allowances can be used on more than just over-the-counter medicines. Seniors can use their OTC dollars on everyday items, like toothpaste, toilet paper, lotion, and sunscreen. These OTC allowances have become even…...