Tag Archives: mandate

Biden’s bid for a nursing home vaccine mandate faces obstacles

Photo: Wyoming National Guard via Flickr

EDITOR’S NOTE: This is the second in a series about the Biden Administration’s efforts to increase COVID-19 vaccination rates among nursing home workers. For the first story see: Federal funds at stake as Biden Administration seeks to require vaccines for nursing home workers

The Biden administration likely will face challenges in trying to implement a planned mandate for COVID-19 vaccinations for staff of nursing homes, despite efforts to portray this proposal as a done deal. Continue reading

Federal funds at stake as Biden Administration seeks to require vaccines for nursing home workers

Photo: Maryland GovPics via Flickr

Is a new push by the Biden Ad­min­i­stra­tion to increase COVID-19 vaccinations among nursing home workers the right approach? While patient, resident and industry advocates are mostly supportive, others are alarmed by even the vague outline of the rule recently announced by the Centers for Medicare and Medicaid Services (CMS).

President Biden asked CMS to issue an emergency declaration on August 18 to mandate that workers at the nation’s more than 15,000 nursing homes that receive Medicare and Medicaid dollars get the COVID-19 vaccine or put the facility’s federal funding at risk. Continue reading

Will the ACA individual mandate case go directly to the Supreme Court?

Supreme Court

Photo by dbking via Flickr

Under the most usual course of events, the Supreme Court would not consider (again) the fate of the Affordable Care Act smack in the midst of the 2020 presidential elections.

But we aren’t living amid “usual” course of events. A coalition of state attorneys general wants the legal process speeded up. And while it’s not that likely that the high court will agree, it’s not impossible either.

In December the Fifth Circuit Court of Appeals voided the ACA’s individual mandate. But it didn’t agree with the earlier District Court ruling from December 2018 that because the mandate is unconstitutional, the whole law is invalid. Continue reading

Looking at the conservative ‘heritage’ of some core ACA features

Photo: Fibonacci Blue via Flickr

The New York Times Magazine recently looked at the prolonged fight against the Affordable Care Act (ACA) waged by Heritage Action for America, the political arm of conservative think tank Heritage Foundation, which has helped populate the Trump administration both in and out of health care.

Vice President Mike Pence and Health and Human Services Secretary Tom Price are Heritage supporters and have brought in like-minded associates.

But, as we have seen, the task of repealing the ACA is hard, in part because the legislation has changed the health care landscape in so many ways. Continue reading

No shift to part-time work seen (yet) under ACA

Photo by Marta P via Flickr

Photo by Marta P via Flickr

Remember all those stories about people being shifted into part-time work so their employers don’t have to provide health insurance?

According to a new Urban Institute report, funded by the Robert Wood Johnson Foundation, it hasn’t happened.

If, and when, the employer mandate fully kicks in (more on that below) things could change. But the anecdotes we’ve heard about employers cutting hours because of the Affordable Care Act are just that – scattered anecdotes. (And when it does occur, it might be a result of other business conditions, not the health law). Under the ACA the definition of “full-time” work is 30 hours; anyone working 30 hours a week or more would have to be covered. The fear was that employers would cut them to, say, 28 or 29 hours, to avoid that obligation. Continue reading