Report on health reform Implementation: Essential health benefits and the affordable care act: Law and process

Journal of Health Politics, Policy and Law

Volumn 39, Issue 2, 2014, Pages 441-465

  Bagley, Nicholas ^a   Levy, Helen ^a  

^a UNIVERSITY OF MICHIGAN   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

GOVERNMENT; HEALTH CARE POLICY; HEALTH INSURANCE; HUMAN; INSURANCE; LEGISLATION AND JURISPRUDENCE; POLITICS; UNITED STATES;

HUMANS; INSURANCE COVERAGE; INSURANCE, HEALTH; PATIENT PROTECTION AND AFFORDABLE CARE ACT; POLITICS; UNITED STATES; UNITED STATES DEPT. OF HEALTH AND HUMAN SERVICES;

EID: 84898716801     PISSN: 03616878     EISSN: 15271927     Source Type: Journal    
DOI: 10.1215/03616878-2416325     Document Type: Article

References (38)

1. Anthony, Robert A. 1992. "Interpretive Rules, Policy Statements, Guidances, Manuals, and the Like-Should Federal Agencies Use Them to Bind the Public?" Duke Law Journal 41, no. 6: 1311-84.
2. Avalere Health. 2012. "EHB Implentation Progress." State Reform Insights, updated October 4. www.avalerehealth.net/news/spotlight/index.php?year=2012.
3. Bentley, Robert. 2012. Letter to Kathleen Sebelius, Secretary, Department of Health and Human Services. October 1. governor.alabama.gov/.
4. Breyer, Stephen G., et al. 2002. Administrative Law and Regulatory Policy. 5th ed. New York: Aspen.
5. Cassidy, Amanda. 2011. "Health Policy Brief: Essential Health Benefits." Health Affairs (online), April 25. www.healthaffairs.org.
6. CBO (Congressional Budget Office). 2012. Updated Estimates for the Insurance Coverage Provisions of the Affordable Care Act. Washington, DC: CBO. www .cbo.gov/sites/default/files/cbofiles/attachments/03-13-Coverage%20Estimates.pdf.
7. CCIIO (Center for Consumer Information and Insurance Oversight), Department of Health and Human Services. 2011. Essential Health Benefits Bulletin.Washington, DC: CCIIO. cciio.cms.gov/resources/files/Files2/12162011/essential_health_benefits _bulletin.pdf.
8. Croley, Steven P. 2008. Regulation and Public Interests: The Possibility of Good Regulatory Government. Princeton, NJ: Princeton University Press.
9. Department of Labor. 2011. Selected Medical Benefits: A Report from the Department of Labor to the Department of Health and Human Services. April 15.Washington, DC: Department of Labor. www.bls.gov/ncs/ebs/sp/selmedbensreport.pdf.
10. Elliott, E. Donald. 1992. "Re-Inventing Rulemaking." Duke Law Journal 41, no. 6: 1490-96.
11. Enzi, Michael B., et al. 2012. Letter to Kathleen Sebelius, Secretary, Health and Human Services. January 13. edworkforce.house.gov/uploadedfiles/1-13-12_ letter_to_sebelius.pdf.
12. Feder, J. Lester, and Jason Millman. 2011. "Guidance by Any Other Name." Politico Pro (blog), December 15. www.politicopro.com.
13. Final Rule. 2013. Patient Protection and Affordable Care Act: Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation. 78 Fed. Reg. 12,834.
14. Gersen, Jacob. 2007. "Legislative Rules Revisited." University of Chicago Law Review 74: 1705-22.
15. Glied, Sherry. 2011. Conference Call Briefing with Secretary of Health and Human Services Kathleen Sebelius; Sherry Glied, Assistant Secretary for Planning and Evaluation; and Steve Larsen, Deputy Administrator and Director of the Center for Consumer Information and Insurance Oversight (CCIIO), Centers for Medicare and Medicaid Services. Transcript. Federal News Service, December 16.
16. Hahn, Robert W., and Paul C. Tetlock. 2008. "Has Economic Analysis Improved Regulatory Decisions?" Journal of Economic Perspectives 22, no. 1: 67-84.
17. House Committee on Government Reform. 2000. Non-Binding Legal Effect of Agency Guidance Documents. H.R. Rep. 106-1009. Implementation of Health Insurance Exchanges and Related Provisions: Hearing before the Subcommittee on Health of the Health Committee on Ways and Means. 2012. 112th Cong., 2d sess. (statement of Michael Consedine, Commissioner, Pennsylvannia Office of the Commissioner, Department of Insurance).
18. IOM (Institute of Medicine). 2011a. Essential Health Benefits: Balancing Coverage and Cost. Washington, DC: IOM. www.iom.edu/Reports/2011/Essential-Health Benefits-Balancing-Coverage-and-Cost.aspx.
19. IOM (Institute of Medicine). 2011b. Perspectives on Essential Health Benefits: Workshop Report. Washington, DC: IOM. www.iom.edu/Reports/2011/Perspectives-on -Essential-Health-Benefits-Workshop-Report.aspx.
20. KFF (Kaiser Family Foundation). 2007. State Children's Health Insurance Program (SCHIP) at a Glance. Menlo Park, CA: Kaiser Family Foundation. www.kff.org /medicaid/upload/7610.pdf.
21. KFF (Kaiser Family Foundation). 2010. Focus on Health Reform: Explaining Health Reform: Benefits and Cost-Sharing for Adult Medicaid Beneficiaries. Menlo Park, CA: Kaiser Family Foundation. www.kff.org/healthreform/upload /8092.pdf.
22. McCubbins, Mathew D., et al. 1987. "Administrative Procedures as Instruments of Political Control." Journal of Law, Economics, and Organization 3, no. 2: 243-77.
23. Mendelson, Nina. 2007. "Regulatory Beneficiaries and Informal Agency Policymaking." Cornell Law Review 92, no. 3: 397-452.
24. Mendelson, Nina. 2011. "Rulemaking, Democracy, and Torrents of E-Mail." George Washington Law Review 79: 1343-80.
25. Millman, Jason. 2011a. "First Crack at Essential Health Benefits Draws No Backlash." Politico (blog), December 18. www.politico.com.
26. Millman, Jason. 2011b. "IOM Authors Fault HHS on Benefit Safeguards." Politico Pro (blog), December 21. www.politico.com.
27. NHeLP (National Health Law Program). 2011. Letter to Kathleen Sebelius, Secretary, Department of Health and Human Services. December 2.
28. Nou, Jennifer. 2013. "Agency Self-Insulation." Harvard Law Review 126, no. 7: 1755.
29. NPRM (Notice of Proposed Rulemaking). 2012. Patient Protection and Affordable Care Act: Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation. 77 Fed. Reg. 70,644.
30. Obama, Barack. 2009. Executive Order 13497. 74 Fed. Reg. 6113.
31. OIRA (Office of Information and Regulatory Affairs). 2011. "Historical Reports." Last modified January 2013. www.reginfo.gov/public/do/eoHistoricReport.
32. OMB (Office of Management and Budget). 2007. Final Bulletin for Agency Good Guidance Practices. 72 Fed. Reg. 3432.
33. Orszag, Peter R. 2009. "Memorandum to Heads and Acting Heads of Executive Departments and Agencies." March 4. www.whitehouse.gov/sites/default/files/omb/ assets/memoranda_fy2009/m09-13.pdf.
34. Pear, Robert. 2011. "Health Care Law Will Let States Tailor Benefits." New York Times, December 17.
35. Raso, Conor N. 2010. "Strategic or Sincere? Analyzing Agency Use of Guidance Documents." Yale Law Journal 119, no. 4: 782-824.
36. Reichow, Brian. 2012. "Overview of Meta-Analyses on Early Intensive Behavioral Intervention for Young Children with Autism Spectrum Disorders." Journal of Autism and Developmental Disorders 42, no. 4: 512-20.
37. Schwartz, Sonya. 2012. "States Take a First Step on the Path to Essential Health Benefits." Health Affairs (blog), October 3. healthaffairs.org/blog/2012/10/03 /states-take-a-first-step-on-the-path-to-essential-health-benefits/.
38. Sebelius, Kathleen. 2011. Conference Call Briefing with Secretary of Health and Human Services Kathleen Sebelius; Sherry Glied, Assistant Secretary for Planning and Evaluation; and Steve Larsen, Deputy Administrator and Director of the Center for Consumer Information and Insurance Oversight (CCIIO), Centers for Medicare and Medicaid Services. Transcript. Federal News Service, December 16.