“Right now, the U.S. Supreme Court is deciding whether to hear a case that could have devastating implications for Obamacare and hundreds of thousands of people currently receiving health insurance through its exchanges.
The case, King v. Burwell, is one of several challenges based on language in the Affordable Care Act that authorizes the government to offer subsidies to people who enroll in policies sold on the health exchanges. The subsidies were introduced to make health care coverage more affordable, but the lawsuits charge that the wording of the Affordable Care Act doesn’t allow for federal subsidies.”

“A lot of attention has been paid to what a shift in control of the Senate in the midterms might mean for the Affordable Care Act and other big policy issues. As ACA implementation has shifted to the states, governor’s races may be just as important, particularly when it comes to whether states expand Medicaid.
Six of the 23 states that have not expanded Medicaid have toss-up governor’s races: Alaska, where Republican incumbent Sean Parnell is running against independent Bill Walker; Florida, the most closely watched race, where former governor Charlie Christ, now running as a Democrat, is trying to unseat Republican Gov. Rick Scott; Georgia, where incumbent Republican Nathan Deal is trying to hold off Democratic state legislator Jason Carter; Kansas, where state legislator Paul Davis is challenging Gov. Sam Brownback; and Wisconsin, where Gov. Scott Walker is being challenged by Mary Burke; and Maine, where Democratic state legislator Mike Michaud and independent Eliot Cutler are running against Gov. Paul LePage.”

“Blue Cross and Blue Shield, the state’s largest health insurer, said Thursday that about 42,000 customers around the state received insurance renewal letters with incorrect rates, some showing cost increases of more than 100 percent.
The Chapel Hill company has been flooded with calls since Wednesday from irate customers who began receiving their renewal notices this week. Blue Cross officials soon realized the insurance rates were incorrectly transferred from the company’s database to the computer-generated renewal notices.”

“When Tony Smith lost his job as a corporate paralegal two years ago, a state program stepped in to help him keep his health insurance — and the expensive drugs his life had depended on since his 2008 HIV diagnosis.
Now Smith, 42, of Coral Springs, has been told he must sign up for coverage on Florida’s federally run insurance exchange or the state will stop helping him pay his premiums.
“The landscape of healthcare has changed, and with the passage of the Affordable Care Act we have the opportunity to access and enroll in cost-effective health plans,” an official at the AIDS Insurance Continuation Program wrote in a letter to Smith and other AICP beneficiaries.
But it is not clear that ACA insurance plans will be cheaper — or even affordable — for those with HIV and AIDS, according to patient advocates.”

“A federal judge in Florida on Tuesday jumped into the latest round in the legal wrangling over a Patient Protection and Affordable Care Act provision involving birth-control coverage and how it applies to religious institutions.
U.S. District Judge James Moody Jr. temporarily blocked the federal government from enforcing on a Roman Catholic college a new workaround HHS had developed on the thorny issue.”

“Plans to find a way to expand Medicaid eligibility for Tennessee residents aren’t moving as quickly as expected, Gov. Bill Haslam said Tuesday morning.
The governor said he continues to work with federal health officials to find a solution that will work, but it’s taking longer than he had hoped.
“I would have hoped we would have made more progress by now, after the meeting we had up there five or six weeks ago,” Haslam said Tuesday morning after speaking at an education conference in Nashville.”

“BATON ROUGE, La. — U.S. Sen. Mary Landrieu has doubled down on her support for the federal health care law even as polls show the revamp remains unpopular in Louisiana and a new Republican attack ad launched Tuesday hits the Democratic incumbent again for her vote.
The 30-second TV commercial by national conservative group Crossroads GPS, co-founded by GOP operative Karl Rove, says Landrieu’s vote for President Barack Obama’s signature initiative was a betrayal of Louisiana.”

“NEW YORK — The federal government has sued New York City, saying it ripped off Medicaid for millions of dollars by submitting tens of thousands of false claims.
A civil lawsuit seeking unspecified damages was filed Monday in Manhattan federal court.
The lawsuit says the city and a computer company used computer programs to dodge a requirement that Medicaid be billed only after private insurance coverage is exhausted. The lawsuit says false diagnosis codes were submitted to Medicaid.”

“Businesses in five states received early access Monday to select features at ObamaCare’s online health insurance marketplace for small employers.
The soft launch for the SHOP system is an effort by federal health officials to troubleshoot any problems at the exchange before Nov. 15, when it will open to all states that did not elect to build their marketplaces.
Small businesses in New Jersey, Delaware, Illinois, Ohio and Missouri can establish accounts, complete an application, receive a determination of eligibility and upload an employee roster, the Centers for Medicare and Medicaid Services said. In November, employers will also be able to browse plans and pricing.”

“New language in contracts between the CMS and insurers operating on HealthCare.gov is grabbing attention, with some calling it an admission by the government that it might lose upcoming court battles dealing with insurance subsidies on the health portal and others saying the new wording is just a practical precaution.
The new language appears to allow insurers to stop offering their plans should federal premium subsidies disappear. A number of cases regarding the legality of the subsidies in states without their own exchanges are now working their way through the courts.
The language says, “CMS acknowledges that (the insurer) has developed its products for the (federal exchange) based on the assumption that (advance payments of the premium tax credit) and (cost-sharing reductions) will be available to qualifying enrollees. In the event that this assumption ceases to be valid during the term of this agreement, CMS acknowledges that issuer could have cause to terminate this agreement subject to applicable state and federal law.””