On March 10, CMS released a proposed rule ahead of the Federal Register on Health Insurance Marketplaces under the Affordable Care Act. The rule seeks to limit the Open Enrollment period for all exchanges to November 1 to December 15, require a $5 premium for enrollees who are auto-renewed into a zero-dollar premium plan, remove the option for auto-renews to move from Bronze to Silver plans and eliminate the low-income Special Enrollment Period for incomes at or below 150% of the federal poverty level. The Rule would also reduce the time for action of failure to reconcile from two years to one year, allowing insurers to require payments of past due premiums for prior coverage before new coverage can begin, and remove other insurer payment threshold flexibilities. Several changes would remove previous verification flexibilities to ease the enrollment process and rescind Qualified Health Plan eligibility for Deferred Action for Childhood Arrivals (DACA) recipients. While Pennsylvanians have benefited from any of these provisions under the Affordable Care Act, Pennie, Pennsylvania’s Health Insurance Exchange Board, is reviewing the proposed changes and will provide a comment letter.

The Pennsylvania Department of Human Services (DHS) recently announced the opening of a number of Pediatric Complex Care Resource Centers (PCCRCs) aimed at supporting families of children with complex medical needs, specifically those who receive pediatric shift care services. Pennsylvania began plans for the PCCRCs back in 2022 following recommendations of the Pediatric Shift Care Initiative, a multi-year, cross-stakeholder effort aimed at re-envisioning how pediatric home health care is delivered in Pennsylvania.

The U.S. Preventive Services Task Force released a final recommendation statement on screening for food insecurity. The Task Force found limited evidence on how screening in primary care can help address food insecurity. To view the recommendation, the evidence on which it is based, a corresponding editorial, and a summary for clinicians, please go here.

Rep. Scott Perry (R-PA) suggested on Sunday that no one “legitimately” on Medicaid will lose their coverage due to GOP efforts to cut spending. Read more.

State budget negotiators knew going into 2025 that a structural deficit, education needs, and Medicaid costs would create challenges, but now they may face them amid “a fundamental change in the compact that exists between the federal government and the states.” Those were state Budget Secretary Uri Monson’s words on Thursday for ongoing uncertainty about the future of billions of dollars for Pennsylvania tied to federal-state programs. Mr. Monson, who testified at a budget hearing, is the point man for Gov. Josh Shapiro’s proposed $51.5 billion state budget for 2025-26. Mr. Monson said that when the result of the apparent “historic” shift of the federal-state relationships becomes clear — a shift unlike any since the administration of President Lyndon Johnson — state leaders will need to figure out a path forward “that meets the needs of everyone in Pennsylvania.” Last month, Governor Shapiro unveiled his $51.4 billion budget proposal for Fiscal Year 2025-26.

Pennsylvania has confirmed its first measles case of 2025, amid growing concerns about the disease’s resurgence. The disease poses particular risks, causing “immune paralysis” that can leave patients vulnerable to deadly complications for months. While there’s no immediate risk to the public, health officials emphasize the importance of maintaining high vaccination rates to prevent outbreaks in potentially vulnerable communities.

A growing number of states have made it easier for doctors who trained in other countries to get medical licenses, a shift supporters say could ease physician shortages in rural areas. Read more.

If Congress cuts Medicaid funding to states to help extend tax cuts, dental care for adults could be one of the first casualties as legislators and governors re-sort priorities and try to make do with less. All states cover some level of dental services for people over 21, but the generosity of benefits varies, and states already tend to cut or eliminate adult dental benefits when budgets are tight. Comprehensive Medicaid dental coverage is associated with better oral health, and better oral health, in turn, is connected to decreased risk of cardiovascular disease, pregnancy complications and other physical health concerns. The lack of dental insurance also pushes people to the hospital for treatment, where it’s more expensive to provide care. Read more.

House lawmakers delved into the complex issue of potential massive cuts in federal Medicaid spending amid increased use of that program during a budget hearing Tuesday, March 4, for the Department of Human Services (DHS). “We must acknowledge uncertainty in federal funding for a number of programs that help create stability and bridges to success for millions of Pennsylvanians,” said DHS Secretary Dr. Val Arkoosh in budget testimony before the Appropriations Committee. “Loss of funding or substantial programmatic changes will have significant ramifications for partners in local government, our provider community, and our fellow Pennsylvanians. Today nearly 3 million Pennsylvanians, 23 percent of our population, access health care through Medicaid, including 750,000 who are covered through Medicaid expansion.” The Republican-controlled U.S. House adopted a federal budget resolution last week that instructs the House Energy and Commerce Committee, which has jurisdiction over Medicaid, to identify at least $800 billion in mandatory spending cuts during the next 10 years. Medicaid is seen as a prime target for cuts since it’s one of the largest federal programs costing more than $600 billion a year. This resolution went to the GOP-controlled U.S. Senate. Any cuts are likely to affect the federal Affordable Care Act providing health insurance to people with low incomes, including seniors, those with disabilities and pregnant women. Click here to read more. Click here to watch the House hearing. Click here to watch the Senate hearings.

Robert F. Kennedy Jr., the Department of Health and Human Services secretary who promised “radical transparency” shortly after his Senate confirmation, 10 days later announced that he was ending a 54-year-old department transparency commitment. On Friday morning, Feb. 28, Kennedy filed a bureaucratic notice headlined as, “Policy on Adhering to the Text of the Administrative Procedure Act.” The notice was first reported by Isabella Cueto at Stat News. As the notice summarizes the action: SUMMARY: The Department of Health and Human Services’ (the Department) Immediate Office of the Secretary is rescinding the policy on Public Participation in Rule Making (Richardson Waiver) and re-aligning the Department’s rule-making procedures with the Administrative Procedure Act. The Administrative Procedure Act — which sets forth the procedures for agency rulemaking, including notice and comment — exempts regulations relating to “public property, loans, grants, benefits, or contracts” from notice and comment. Learn more.