PPC Documents, Letters and Statements
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PPC Comments RE: Request for Information Regarding Medical Payment Products09/11/2023
Comments to HHS, Treasury, and CFPB regarding medical debt, junk plans and other challenges to ensuring health insurance is affordable, accessible, adequate.
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PPC Comments RE: NPRM on Short-Term, Limited-Duration Insurance; Independent, Noncoordinated Excepted Benefits Coverage; Level-Funded Plan Arrangements; and Tax Treatment of Certain Accident and Health Insurance09/11/2023
Comments expressing strong support of this proposal, which would reduce the risk that products not subject to the insurance market rules of the Affordable Care Act (ACA) will be marketed and sold to consumers as a substitute for ACA compliant comprehensive coverage.
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PPC Comments Re: Washington Medicaid Transformation Project Amendment09/08/2023
Comments supporting Washington's waiver proposal to implement multi-year continuous eligibility for young children as a method to reduce negative health outcomes in Washington.
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PPC Statement on Medicaid Unwinding08/21/2023
PPC statement urging that states use flexibilities in Medicaid to minimize unnecessary coverage losses, ensure lost coverage is reinstated as quickly and seamlessly as possible, and proactively notify beneficiaries of coverage reinstatements so that patients have access to the health care they need.
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PPC Letter to CMS re: Premiums in Medicaid08/18/2023
Letter supporting elimination of premiums in the Medicaid program that go beyond those authorized in statute
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Comments re: HHS Notice of Benefit and Payment Parameters Proposed Rule for 202408/18/2023
Letter requesting rulemaking to limit the sale and availability of short-term, limited-duration (STLD) health insurance
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Leading Patient Organizations Call for Immediate Action to Protect Patients’ Medicaid Coverage07/28/2023
Following the administration’s release of its first monthly Medicaid unwinding data report, patient organizations call for urgent, meaningful actions to address the unprecedented coverage losses occuring over the past few months.
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PPC Comments RE: Illinois 1115 Behavioral Health Transformation Extension07/27/2023
Comments supporting 1115 waiver application and Illinois' efforts to improve equitable access to quality and affordable health coverage.
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Letter to HHS RE: Patient Priorities for the Notice of Benefit and Payment Parameters Plan Year 202507/27/2023
Letter thanking the Administration for its ongoing efforts to ensure the effective implementation of the patient protections and consumer-focused policies of the Affordable Care Act (ACA) and offering input for future rulemaking for the 2025 plan year and beyond.
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PPC Comments Re: Arkansas Health and Opportunity for Me (ARHOME) 1115 Amendment07/14/2023
Comments strongly opposing Arkansas’ proposal to implement a complex new demonstration amendment that includes both work requirements and time limits for Medicaid beneficiaries as they will greatly threaten access to and continuity of care for Medicaid patients while creating additional barriers and implementation challenges within the ARHOME program.
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PPC Letter to the White House on Medicaid Unwinding07/10/2023
Letter to the White House urging the Administration to take immediate action to protect Medicaid coverage for patients in states with high procedural termination rates.
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Patient Organizations Applaud Proposed Rule to Rein in Short-Term Plans07/07/2023
Patient groups applaud the Biden Administration’s newly proposed rule designed to protect patients from short-term health plans, a rapidly growing form of low-quality health coverage.
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PPC Comments RE: Ensuring Access to Medicaid Services06/29/2023
Comments supporting policies to improve access to Medicaid for individuals with chronic illness and to empower the voice of enrollee stakeholders and offering recommendations to strengthen the proposed rule.
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PPC Comments RE: Proposed Rule on Medicaid Program; Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality06/29/2023
Comments supporting critical policies to improve access to care in Medicaid, including access and network standards, state directed payments, in lieu of services, and quality.
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Comments on a Proposed Rule Clarifying Eligibility for a Qualified Health Plan Through an Exchange, Advance Payments of the Premium Tax Credit, Cost-Sharing Reductions, a Basic Health Program, and for Some Medicaid and Children's Health Insurance Programs06/23/2023
Comments supporting clarification that young people granted deferred action under the Deferred Action for Childhood Arrivals (DACA) policy are eligible to enroll in critical federal health coverage affordability programs
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Letter to House Energy and Commerce Committee Leadership re: the detrimental impact HR 824, the Telehealth Benefit Expansion for Workers Act06/21/2023
Letter opposing policies included in HR 824, the Telehealth Benefit Expansion for Workers Act
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Letter to House Leadership re: the detrimental impact of policies included in HR 2868, the Association Health Plans Act; HR 2813, the Self-Insurance Protection Act, and HR 3799, the CHOICE Arrangement Act06/21/2023
Letter opposing policies included in about the detrimental impact of policies included in HR 2868, the Association Health Plans Act; HR 2813, the Self-Insurance Protection Act, and HR 3799, the CHOICE Arrangement Act
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Letter to House Education and Workforce Leaders re: Concerns about detrimental impact of policies included in HR 2868, the Association Health Plans Act; HR 824, the Telehealth Benefit Expansion for Workers Act; and HR 2813, the Self-Insurance Protection Act06/06/2023
Letter opposing policies included in HR 2868, the Association Health Plans Act; HR 824, the Telehealth Benefit Expansion for Workers Act; and HR 2813, the Self-Insurance Protection Act
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Comments re: Alabama 1115 Substance Use Disorder Demonstration Proposal06/02/2023
Comments supporting efforts to address substance use disorder and encouraging the state to expand Medicaid.
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PPC Letter to HHS and CMS re: Medicaid Unwinding05/31/2023
Letter urging HHS and CMS to take immediate action in response to Medicaid unwinding coverage losses.
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Comments to Arkansas Medicaid Program on ARHOME 1115 Amendment05/23/2023
Letter opposing the ARHOME 1115 Amendment that would implement work requirements and time limits for Medicaid.
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PPC Statement: Patient Organizations Concerned by the Loss of Health Coverage for Nearly 75,000 Arkansans05/11/2023
PPC statement on Medicaid Unwinding coverage losses released by Arkansas.
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30 Patient Organizations Oppose Legislation Threatening Healthcare for Millions of Patients04/28/2023
This legislation is a clear attack on access to quality and affordable healthcare with particularly devastating consequences for patients with serious, acute and chronic illnesses. We urge Congress to reject this bill.
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PPC Statement for the House Committee on Education and the Workforce Subcommittee on Health, Employment, Labor, and Pensions Hearing on “Reducing health care costs for working Americans and their families”04/26/2023
Statement fora hearing on reducing health care costs, which expresses concern about Association Health Plans(AHPs) and telehealth as an excepted benefit.
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PPC Statement - House of Representatives’ Work Requirements Policy Proposal Threatens Healthcare for Millions of Americans04/17/2023
Statement in response to the release of House Leadership proposal to institute work requirements for Medicaid as part of the debt ceiling and fiscal policy negotiations
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23 National Health Organizations Comment on Braidwood v. Becerra Ruling that Threatens No-Cost Preventive Care03/30/2023
Patient groups representing millions of people with serious health conditions released a statement today in response to the ruling in the Braidwood versus Becerra case, which threatens coverage of U.S. Preventive Services Task Force (USPSTF) recommended preventive services without cost sharing as required under the Affordable Care Act.
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PPC Statement to House Committee on Ways and Means Health Subcommittee for Hearing on “Why Health Care is Unaffordable”03/23/2023
Statement for the record highlighting the ACA and other policies that have made quality health care more affordable and asking for Congress to make the Enhanced Advance Premium Tax Credits (APTCs) permanent, limit short-term limited duration and other non-compliant plans, address affordability of out-of-pocket costs and expand Medicaid.
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PPC Letter to White House re: Protecting Medicaid in Fiscal Negotiations03/23/2023
Letter to President Biden and Vice President Harris urging them to protect Medicaid in fiscal negotiations around raising the debt ceiling.
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PPC Letter to Congress re: Protecting Medicaid in Fiscal Negotiations03/23/2023
Letter to Congressional leaders urging them to protect Medicaid in fiscal negotiations around raising the debt ceiling.
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PPC letter to CCIIO re: Georgia SBE Blueprint Letter03/22/2023
Letter urging CMS to reject Georgia's plan to transition to a state-based exchange (SBE) for plan year 2024, since it would jeopardize coverage for hundreds of thousands of Georgians.
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Protecting Patients’ Access to Care as the Medicaid Continuous Coverage Requirements End03/17/2023
Statement urging federal and state policymakers to protect patients' access to care at the end of the Medicaid continuous coverage requirement (Medicaid Unwinding)
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PPC Statement on Supporting and Protecting the Medicaid Program03/17/2023
One-page statement with facts about the importance of Medicaid for people with chronic conditions and urging Congress to support and protect the Medicaid program.
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Comments on Proposed Rule and Request for Information; Advancing Interoperability and Improving Prior Authorization Processes03/13/2023
Comment letter addressing Application Program Interfaces (API), prior authorization time frames, reporting requirements, and communication with providers, among other topics.
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Statement for the Record to Energy and Commerce on Reconcilliation Priorities02/11/2023
Statement in support of including policies to strengthen Medicaid coverage and mitigate costs associated with COVID-19 for patients and consumers.
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Comments on Delaware 1115 Demonstration Extension Request02/10/2023
Comment letter supporting the state’s decision to reinstate retroactive coverage for all Medicaid beneficiaries
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Comments on Rhode Island 1115 Demonstration Extension Request02/03/2023
Comment letter supporting the emphasis on health equity, inclusion of pre-release coverage for justice-involved populations and extended postpartum coverage, while opposing that the state continues to waive retroactive coverage for the general Medicaid population
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Comments on Oklahoma 1115 Demonstration Extension Request02/03/2023
Comment letter opposing Oklahoma’s continued waiver of three-month retroactive coverage for most of the state’s Medicaid population
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Comments on Kansas KanCare 1115 Demonstration Extension Request02/03/2023
Comment letter supporting Kansas' inclusion of continuous eligibility for parent and caretaker relatives and for children aging out of the Children’s Health Insurance Program (CHIP)
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Comments on the Request for Information on Essential Health Benefits01/30/2023
Comment letter addressing several policies related to updating the Essential Health Benefits, including barriers of accessing services due to coverage and cost, prescription drugs as EHB and substitution of EHB.
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Comments on the HHS Notice of Benefit and Payment Parameters Proposed Rule for 202401/30/2023
Comment letter addressing standardized plan options, network adequacy, navigators, special enrollment periods and other consumer-focused standards.
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Comments on New Mexico 1115 Demonstration Waiver Renewal Request01/25/2023
Comment letter supporting proposals related to continuous eligibility for children under 6 and pre-release services for justice-involved populations.
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Comments Re: Proposed Amendment to Oregon’s 1115 Demonstration12/16/2022
Comments supporting Oregon's amendment to its 1115 Demonstration and requesting that CMS work with the state to identify a clear implementation plan that minimizes the administrative burden on patients to mitigate coverage losses.
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Comments Re: Wisconsin 1115 Demonstration Waiver Extension12/16/2022
Comments supporting Medicaid coverage for childless non-elderly adults with incomes at or below 100% of the Federal Poverty Level (FPL), and opposing the imposition of premiums, lockouts, emergency department copayments and health risk assessment requirements included in the waiver application.
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Comments on National Provider Directory RFI12/06/2022
Comments urging construction of a National Directory of Healthcare Providers and Services that serves as a one-stop-shop for patients considering their provider and health plan choices and be based on robust, current and accurate information.
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Comments on Advanced Explanation of Benefits RFI11/15/2022
Comments on the content, timing, outreach and oversight of the Advanced Explanation of Benefits (AEOB) and Good Faith Estimate (GFE) including its critical role in helping patients understand and effectuate their rights under the No Suprises Act’s balance billing prohibition.
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Comments on Centers for Medicare and Medicaid Services (CMS) RFI on Access, Health Equity, COVID PHE11/04/2022
Comments highlighting key challenges for accessing health coverage and care in the Medicaid program, the Marketplace, and the private market, ideas for promoting health equity across CMS programs, and impact of COVID-19 PHE Flexibilities.
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Comments on Medicaid Enrollment and Eligibility Rule11/04/2022
Comments supporting provisions of the proposed rule, which make it easier for patients to enroll in and maintain coverage through Medicaid and the Children’s Health Insurance Program (CHIP), urging that the rule be effective 30 days after publication of the final rule, and that CMS require states to comply with the provisions eliminating access barriers in CHIP and the returned mail processes as soon as possible given their importance for protecting patients’ access to care at the end of the COVID-19 public health emergency (PHE).
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Comments re: Temporary Increases in Federal Medical Assistance Percentage (FMAP) in Response to the COVID-19 Public Health Emergency (PHE)10/27/2022
Comments urging the Centers for Medicare and Medicaid Services (CMS) to protect Medicaid beneficiaries’ access to care by rescinding 42 CFR §433.400 and returning to the agency’s original interpretation of the maintenance of effort provisions under the Families First Coronavirus Response Act (FFCRA).
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Comments on Tennessee 1115 Demonstration10/06/2022
Comments on Tennessee's 1115 Demonstration project expressing concerns with requests for waiver of retroactive coverage and a 10-year approval and support of the removal of the closed formulary and aggregate cap.
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Comments on 1557 Nondiscrimination Rule10/03/2022
Comment supporting the proposed rule and urging that it be finalized promptly to ensure both robust implementation and subsequent enforcement of Section 1557, which prohibits discrimination across a range of health programs and activities, as this will reduce discrimination and improve equitable access to quality, affordable care for all patients.