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HEALTH CARE BRIEFING: Senate Democrats See Slim Health-Care Wins

January 7, 2021 6:12 AM By Brandon Lee Democrats, holding the slimmest-possible majority in the Senate, will set the health-care agenda in the new Congress but face an uphill battle in sending major legislation to the president’s desk. President-elect Joe Biden has vowed to build on the Affordable Care Act by expanding its insurance subsidies and creating a government-run insurance plan. Those ideas face strong political headwinds. Election runoff victories by Jon Ossoff and Raphael Warnock give Democrats control of Senate confirmations of political and judicial nominees. The bar is higher for passing legislation: Democrats must keep their caucus unified and win the support of 10 Republicans, unless they turn to budget tricks or change Senate rules.

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HEALTH CARE BRIEFING: Surprise Billing to Ride on Omnibus Bill

December 21, 2020 6:11 AM By Brandon Lee and Alex Ruoff A fix for unexpected medical bills will advance as part of a year-end spending package after key lawmakers reached agreement on how to address the issue earlier this month. The text of the $1.4 trillion omnibus spending measure and $900 coronavirus stimulus package hasn’t been released yet. The House and Senate plan to vote on the measure today. Both chambers passed, and President Donald Trump signed, a single-day stopgap measure last night keeping the government open through midnight. The legislation is based on a deal announced Dec. 11 that would ban doctors and hospitals from charging patients fees on most out-of-network care that their insurer won’t cover. It would limit patients’ financial responsibility for emergency care from providers not in their network, and would establish an arbitration process for payment disputes between insurers and providers.

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