As always, here's my methodology:

Remember: "Decile" means 1/10th or 10% of the total population (all 50 states + DC).

COVID-19 Vaccine

Methodology reminders:

  • I go by county residents who have received the 2nd COVID-19 shot only (or 1st in the case of the J&J vaccine).
  • I base my percentages on the total population via the 2020 U.S. Census including all ages (i.e., it includes kids under 12).

via NBC News:

WASHINGTON — Sen. Joe Manchin, D-W.Va., and his staff told Democratic leadership on Thursday that he's not willing to support major climate and tax provisions in a sweeping Biden agenda bill, according to a Democrat briefed on the conversations.

Instead, Manchin, a key centrist who holds the swing vote in the 50-50 Senate, said he is willing to back only a filibuster-proof economic bill with drug pricing and a two-year extension of funding under the Affordable Care Act, the source said.

Manchin's move upends lengthy negotiations with Senate Majority Leader Chuck Schumer, D-N.Y., most likely forcing the party to scrap climate change policies and new taxes and delivering a major blow to some of President Joe Biden's priorities heading into an already challenging midterm election landscape for Democrats this fall.

Covered California Logo

via Covered California:

  • With Congress scheduled to recess at the end of July, and health insurance marketplaces finalizing their rates for the 2023 coverage year, timely action to decide on the future of the American Rescue Plan’s benefits is critical.
  • The law, which provides increased and expanded federal financial assistance and helped millions of Americans sign up for health insurance through the Affordable Care Act, is set to expire at the end of this year.
  • An estimated 220,000 Californians could become uninsured, with premiums doubling for 1 million low-income consumers.
  • Middle-income consumers would lose all federal financial help, and their premiums would increase by an average of $272 per month if Congress does not act to extend the law.

La versión en español de este Comunicado puede ser descargada en este enlace

via Hans Nichols of Axios:

Rep. Josh Gottheimer (D-N.J.) is gauging support among House centrists for a counteroffer to the emerging Senate reconciliation package, with one big clause: No new taxes.

Why it matters: Any attempt to modify a deal that Senate Majority Leader Chuck Schumer may reach with Sen. Joe Manchin (D-W.Va.) could scuttle the entire package. That could deprive President Biden — and vulnerable lawmakers — of a pre-election win at a time of real weakness.

Gottheimer's discussions target a small group that includes Reps. Carolyn Bourdeaux (D-Ga.), Ed Case (D-Hawaii), Tom Suozzi (D-N.Y.), Susie Lee (D-Nev.) Dean Phillips (D-Minn.) and Mikie Sherrill (D-N.J.).

...Gottheimer's formula would leave $177 billion for deficit reduction — a step toward Manchin but a long way from his roughly $500 billion target.

...After declaring Biden’s original $2.2 trillion social spending and climate package dead last December, Manchin revived talks with Schumer on a much smaller deal this spring, and the two sides are continuing their negotiations.

UPDATE 7/26/22: Apparently this case is scheduled to be heard by TX District Judge Reed O'Connor today.

UPDATE 9/07/22: Annnnd there it is, via SCOTUS, legal & political journalist Chris Geidner:

BREAKING: US District Judge Reed O’Connor in Texas rules that requiring employers to provide coverage for PrEP drugs (preventing the transmission of HIV) violates the religious rights of employers under federal law (RFRA).

...O’Connor also rules that the U.S. Preventive Services Task Force (PSFT) violates the Appointments Clause because he finds the members are officers of the United States not appointed properly.

...O’Connor rejects several other claims, as to Appointments Clause claims and as to the nondelegation doctrine.

Colorado

Moments ago via the Colorado Division of Insurance:

Reinsurance continues to save Coloradans money on health care, while the Colorado Option Plan is included for the first time.

DENVER - The Colorado Division of Insurance (DOI), part of the Department of Regulatory Agencies (DORA), has released preliminary information about the health insurance plans and premiums for 2023 -- for the individual market (meaning health insurance plans for people who don’t get their insurance from an employer) and the small group market (for small businesses with 2-100 employees).

The initial review by the DOI of the insurance companies’ filings for 2023, indicate that the overall average consumer impact on premiums in the individual market will be an 11.3% increase over 2022 premiums. These are the health insurance plans available to individuals on Connect for Health Colorado, the state’s health exchange made possible by the Affordable Care Act (ACA).

Tennessee

Tennessee has posted their preliminary 2023 individual & small group market health insurance rate filings. For the most part they're fairly straightforward: The individual market is looking at average rate increases of around 9%, assuming they're approved as is by state regulators, while the small group market averages around +2.9% overall.

A couple of noteworthy items, however:

Delaware

David Anderson, ten days ago:

Is anyone other than @Highmark ever going to offer ON-Exchange products in #Delaware?

And if not, will HIGHMARK ever price to maximize on-exchange affordability as a sole issuer?

— David Anderson (@bjdickmayhew) July 1, 2022

Today:

Company Legal Name: Aetna Health, Inc.
State: DE HIOS
Issuer ID: 67190
Market: Individual
Effective Date: 01/01/2023

The development of the rates reflects the impact of the market forces and rating requirements associated with the Patient Protection and Affordable Care Act (PPACA) and subsequent regulation. These rates are for plans issued in Delaware beginning January 1, 2023. The rates comply with all rating guidelines under federal and state regulations. The filing covers plans that will be offered on and off the public Marketplace in Delaware.

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