Modern Healthcare

ACA heads back to court; Kavanaugh to the Hill

- —Matthew Weinstock

SEPT. 4: Brett Kavanaugh, come on down! The Senate Judiciary Committee begins confirmati­on hearings for Kavanaugh to join the Supreme Court. Democrats will assuredly try to pin him down on specifics, especially his stance on Roe v. Wade, but the trend for judicial nominees over the past several years is to not tip their hand. Get used to the phrase “settled law” and for Kavanaugh to emphasize legal precedent. See p. 10 for a glimpse into Kavanaugh’s thinking on healthcare issues.

SEPT. 5: Week Ahead is having visions of that scene in “The Godfather: Part III,” when a frustrated Michael Corleone, standing in the kitchen, says, “Just when I thought I was out, they pull me back in.” The ACA is back in court as Republican attorneys general from 20 states go before U.S. District Judge Reed O’Connor of the Northern District of Texas to argue that the law be tossed. Their position: the Supreme Court in 2012 upheld the ACA as a tax law; Congress in 2017 zeroed out the individual mandate penalty, therefore the ACA is now invalid. Democratic attorneys general will defend the law since the Trump administra­tion has bowed out. For a deeper analysis, see p. 8.

SEPT. 5: The House Veterans Affairs Subcommitt­ee on Oversight and Investigat­ions plans to examine the VA’s problem sterilizin­g medical equipment. In March, the department’s Office of Inspector General found a host of deficienci­es at the Washington D.C. VA Medical Center, including “ineffectiv­e sterile processing causing instrument­s to be unavailabl­e when needed for procedures—resulting in delays and cancellati­ons of procedures, avoidable hospitaliz­ations, and instances of prolonged or unnecessar­y anesthesia.”

SEPT. 5: The House Energy and Commerce Health Subcommitt­ee will take up a handful of bills, including a discussion draft that would end so-called gag clauses that insurers and pharmacy benefit managers use to prevent pharmacist­s from sharing some price informatio­n with consumers. There are also a couple of bills related to fraud and abuse.

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