House lawmakers are gearing up to take fresh aim at the Affordable Care Act’s tax on medical devices.

The House Ways and Means Committee will consider a bill Tuesday to repeal the 2.3% excise tax on sales of devices including pacemakers and stents. The bill is sponsored by Rep. Erik Paulsen, a Minnesota Republican. Read about Paulsen’s bill.

A repeal of the tax has passed the House three times previously, according to Paulsen’s office: once as a stand-alone bill and twice as part of other bills. The Senate passed a nonbinding repeal of the tax in 2013.

The tax raises money for President Barack Obama’s signature health-care law. Repeal would reduce revenues by $26.5 billion from next year through 2025, according to the congressional Joint Committee on Taxation. Paulsen’s bill doesn’t include a way to make up the lost revenue.

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Officials from states across the nation flew to Chicago in early May for a secret 24-hour meeting to discuss their options if the Supreme Court rules they have to operate their own exchanges in order for residents to get health-insurance subsidies.

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The number of uninsured people declined by nearly eight million during the first nine months of 2014, reducing their ranks to 37.2 million, according to an analysis of data released late last week by the National Center for Health Statistics (NCHS).

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Healthcare expenses appear to have climbed at a brisk pace, backing previous calculations that the healthcare industry remains a force even during an otherwise lackluster quarter.

The U.S. Commerce Department’s Bureau of Economic Analysis released its second estimate of first-quarter economic growth, finding that healthcare spending climbed 5.4% annually when adjusted for inflation.

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A new survey shows that 44% of Covered California policyholders find it difficult paying their monthly premiums for Obamacare coverage.

And a similar percentage of uninsured Californians say the high cost of coverage is the main reason they go without health insurance.

The issue of just how much people can afford will loom large as the state exchange prepares to negotiate with health insurers over next year’s rates.

Many analysts are predicting bigger premium increases for 2016 in California and across the country. Insurers have more details on the medical costs of enrollees, and some federal programs that help protect health plans from unpredictable claims will be winding down.

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The cost of Obamacare could rise for millions of Americans next year, with one insurer proposing a 50 percent hike in premiums, fueling the controversy about just how “affordable” the Affordable Care Act really is.

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The GOP’s months-long debate over when and how to send a repeal of Obamacare to the president’s desk now appears to have an answer.

They can’t do it all at once.

Repealing the law “root and branch” is probably out of the question, the chamber’s parliamentarian is hinting, because some parts of Obamacare don’t affect the federal budget. That’s a must in order to use the obscure procedure known in Senate parlance as reconciliation, which allows lawmakers to avoid the 60-vote filibuster hurdle and pass bills on a simple majority vote.

That’s not the GOP’s only problem. Under those rules any Obamacare repeal has to reduce — not increase — the deficit. So Republicans will have to pick and choose which parts of the Affordable Care Act they most want to ditch.
Obama will, of course, veto any bill that significantly damages his signature domestic policy achievement.

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The HSA Council’s study is designed to address the uncertainty surrounding Cadillac Tax liability by providing a relational
tool employers can use to compare the cost of their plan against average plan data compiled by AHIP and KFF, the
industry benchmarks. Some employers are currently contracting for healthcare plan designs through 2018. Since
industry data is not consistent and there are considerable state-by-state variations in average premiums, employers and
brokers are looking for affordable plan designs that allow them to avoid the Cadillac Tax. HSA-qualified plans can be
that solution.

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Democrats and Republicans are sitting on the edge of their seats, waiting to see what the Supreme Court will decide in King v. Burwell, the looming decision about the Affordable Care Act, or Obamacare, as it has come to be known.

If the Supreme Court agrees with the challenge, an estimated 13 million people will lose their federal health insurance subsidies. The plaintiffs have argued that based on the literal reading of the legislation, the government is only supposed to provide citizens with subsidies in states that set up their own health care exchanges (a total of 16 states). The sentence in the law upon which their claim is based, The New York Times reported, was based on a sloppy error made during the drafting process.

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There have been numerous disasters along the way as the federal government and the states have struggled to implement the Patient Protection and Affordable Care Act (a.k.a. Obamacare), but none come close to Oregon’s sorry effort for the millions of dollars lost, the raw political opportunism, and the melodramatic plot twists. Now from the Insult-to-Injury Department comes word that it all could have been avoided.

Earlier this month, five years after President Barack Obama signed ACA, The Hill published a series of articles about how Obamacare is working around the country. It reported that many of the 13 states that established their own stand-alone health-care marketplace exchanges are looking for ways to mitigate the damage and get something up and running before federal funding dries up.

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