via John Wilkerson of Inside Health Policy:

House Speaker Nancy Pelosi (D-CA) said Thursday (June 16) that budget reconciliation legislation might not extend an increase in subsidies for health exchange insurance premiums; the subsidies are needed to avert a spike in Obamacare insurance rates right before the midterm elections.

...When a Punchbowl News reporter asked Thursday about that meeting and whether a reconciliation deal is expected soon, Pelosi’s response was, “It’s alive.”

“There are certain concerns we have about subsidies in the health care bill and the rest, which may or may not be in the negotiations,” she said.

...President Joe Biden included drug pricing reform in an inflation-fighting proposal released over the weekend -- but his plan did not mention the enhanced ACA credits, raising some eyebrows.

..Democrats had counted on drug price controls to pay for the enhanced ACA subsidies, but Manchin recently said the subsidies did not come up in his talks with the White House.


The Michigan Dept. of Insurance & Financial Services hasn't issued any press releases yet, so it's conceivable that these may change, but Michigan's preliminary 2023 individual & small group market health insurance policy rate filings appear to be pretty complete on the SERFF database.

Alliance Health & Life Insurance Co:

The following are the key drivers of the requested rate change.

Every summer I root through a mountain of health insurance policy premium rate filings, mostly by using the SERFF (System for Electronic Rates & Forms Filing) database from the National Association of Insurance Commissioners (NAIC).

Depending on the state & carrier, some of these can be found easily; others are either heavily redacted, partial, not available until later in the year; and some are never made available at all.

In addition to the filings for the upcoming year, however, the SERFF database also includes a mountain of other filing forms, from non-ACA compliant insurance policies (short-term, indemnity, etc.) and from previous years (I have no idea how far back they go, but I'm guessing it's at least since the turn of the century). This also includes "grandfathered" and "grandmothered" policies.


SHOT (so to speak):

The FDA’s independent vaccine advisers voted unanimously Wednesday to recommend the agency authorize two Covid-19 vaccines for babies, toddlers and preschool-age children, putting the country’s youngest age group one step closer to immunizations nearly two-and-a-half years into the pandemic.


Florida is the only state in the union that did not preorder COVID-19 vaccines for children ages 4 and under, according to a report from the Miami Herald.

The nation’s third-largest state missed Tuesday’s deadline to preorder the doses from the federal government, which the Herald reports could delay delivery to Florida’s pediatricians, clinics, pharmacies and pediatric hospitals.

COVID-19 Vaccine

UPDATE 6/17/22: OK, now it's official:

The Food and Drug Administration on Friday approved Pfizer and Moderna COVID-19 vaccines for emergency use in children under the age of 5, a monumental step for parents who have spent the past two years buffeted by day care and school closures while taking strict precautions for the health of their kids.

Shots could be in toddlers’ arms before the end of June, pending approval from the Centers for Disease Control and Prevention.

UPDATE 6/18/22: Advisers to the Centers for Disease Control and Prevention on Saturday unanimously recommended the nation’s first coronavirus vaccines for children under 5, one of the last steps before the Moderna and Pfizer-BioNTech vaccines can be given to as many as 19 million children across the United States.

CMS Logo

via the Centers for Medicare & Medicaid Services:

Today, the Centers for Medicare & Medicaid Services (CMS) posted Frequently Asked Questions (FAQs) regarding compensation paid by issuers to agents and brokers who assist consumers with enrollment during a Special Enrollment Period (SEP) or during Open Enrollment Periods (OEPs). The Biden-Harris Administration has made it a priority to provide those who are uninsured and underinsured with quality, affordable health care coverage and recognizes that agents and brokers play a vital role in helping consumers enroll in coverage that best fits their needs and budget.

New York

The New York Dept. of Financial Services hasn't issued a formal press release yet, so it's conceivable that a few more filings will be added, but as far as I can tell, the spreadsheet below contains the preliminary unsubsidized 2023 premium change requests for every carrier offering ACA-compliant individual and small group market healthcare policies.

I've poked around the actual actuarial nattative summaries for several of the carriers with the higher market share (Excellus, Fidelis, etc) and while I see a couple of references to the set-to-expire expanded American Rescue Plan subsidies being set to expire at the end of 2022, this isn't listed as a significant factor in the rate filings (at least the ones I've looked at).

Assuming these rate hikes are approved of as is (which is no sure thing; New York tends to cut them down somewhat), unsubsidized individual market enrollees will be looking at average premium increases of 18.8%, while small group market policyholders will see a 16.3% average increase.


Throughout the 2 1/2 years of the pandemic, there have been numerous accusations of "cooking the books", "hiding deaths" and so forth thrown around at various administrations at the state and federal level. Some of these have proven to be false, others to be accurate, and many to be somewhere in between, depending on your perspective.

Perhaps no state-level administration has been subjected to as many accusations of "hiding data" as that of Florida Gov. Ron DeSantis. In my own case, the biggest data discrepancy I've written about regarding Florida was the massive vaccination rate outlier status of Miami-Dade County...a discrepancy which, at least in that case, turned out to be more about the legal residence of those vaccinated rather than whether the vaccinations actually took place or not.

That brings me to today's Florida COVID data update, courtesy of Ian Hodgson of the Tampa Bay Times:


It's particularly embarrassing for me to not have had this development on my radar seeing how I'm a life-long Michigander who also personally knows at least two of the state legislators onboard. Regardless, this is pretty exciting news from a healthcare policy wonk perspective:

The Michigan Legislature is considering joining the 18 other states that have established state-run health insurance marketplaces through HB 6112. Having an exchange run by the state instead of the federal government, supporters of the bill say, will save Michiganders money by leaving the “rigid and inflexible” federal market for a Michigan-tailored market that can be more responsive and potentially lower premiums. The bill is still in the early days of the legislative process, awaiting a vote from the House Health Policy Committee.

Sure enough, from last week: