Facility Fee State Legislative Roundup: 2024 Session

With more outpatient care being delivered in hospital outpatient departments (HOPDs) than in previous years, consumers increasingly face high hospital facility fee charges on top of their provider’s bill for routine medical care. CHIR’s Hanan Rakine discusses the 2024 legislative session and how different states have been successful in regulating outpatient facility fees.

Improving Health Care Competition: Federal and State Perspectives

On Tuesday, May 21st, Georgetown University’s Center on Health Insurance Reforms held the final of three events in its series on the Futures of Employer-Sponsored Health Insurance. Event speakers Stacy Sanders, Erin Fuse Brown, David Seltz and Charles Miller discussed competition in health care from the federal and state perspectives.

Final Rule Rescinds Trump-Era Association Health Plans

The US Department of Labor recently finalized regulations governing the formation of Association Health Plans, reversing a 2018 Trump-era policy. In a recent Health Affairs Forefront article, CHIR’s Sabrina Corlette reviews the final rule and its impact on small business health insurance.

The Final 2025 Notice of Benefit and Payment Parameters: Implications for States

The Centers for Medicare & Medicaid Services have recently finalized rules and standards governing health plans and Marketplaces under the Affordable Care Act. In a recent Expert Perspective for the State Health & Value Strategies project, CHIR’s Sabrina Corlette and the Urban Institute’s Jason Levitis summarize provisions that have implications for states.

Consumer Protections Meet Political Pushback: Lessons from States Studying Facility Fees

A growing number of states are taking action to reform facility fee billing practices, but opposition from hospital associations can stall these efforts. Several states have enacted legislation mandating facility fee studies instead of reforms. CHIR’s Rachel Swindle explores some lessons learned from these states and how studies can be leveraged to lead to meaningful consumer protections.

April Research Roundup: What We’re Reading

April showers bring…cozy rainy days to catch up on the latest health policy research. This month we read about public option plans, provider price regulation, and self-reported insurance coverage during the Medicaid unwinding.

Ensuring Access to Behavioral Health Providers

Lack of access to care for behavioral health conditions is a longstanding issue. In a recent post for the Commonwealth Fund, CHIR experts JoAnn Volk and Justin Giovannelli reviewed state and federal access standards for behavioral health providers and services.

The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.