Policy and Advocacy - American Chiropractic Association
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The ACA blog provides readers with information to help them advance their knowledge, achieve their professional goals and strive for excellence, while also creating a greater sense of community among chiropractors nationwide through online engagement and information-sharing with their colleagues.

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ACA Staff and Consultants Lay Groundwork for New Medicare Parity Bill

ACA continues its work to re-introduce a bill that would increase access to chiropractic services for Medicare beneficiaries. A similar bill introduced in 2018 is being used as a starting point for a 2019 bill and was a focal point at NCLC 2019. The proposed legislation would simply update the current Medicare statute and allow patients to access all Medicare-covered benefits permitted under a chiropractor’s licensure. 

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ACA Announces Legislative Priorities for 116th Congress

With the new year and the first session of the 116th Congress underway, the American Chiropractic Association is ready to tackle a number of important legislative issues on behalf of ACA members, patients and the chiropractic profession. The push for full inclusion of chiropractic services in the Medicare program remains the No. 1 legislative priority for the association and its members. Find out what else made the list.

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Affordable Care Act Struck Down in Federal Court: What’s Next

Late in the evening on Friday, Dec. 14, a Texas federal judge struck down the entire Affordable Care Act. It wasn’t long after that the California attorney general's office said California and other defendant states would challenge the ruling with an appeal in the U.S. Court of Appeals for the Fifth Circuit.  California and the others probably will focus on the various patient protections such as coverage for pre-existing conditions. Such an approach would by necessity also include the other patient protections such as Section 2706 of the Act. What we know now is that the law will remain in place through the appeal process up to its probable hearing before the Supreme Court.

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Post Election Report 2018

"Election Night Defied a Single Takeaway"

"People like to understand things. It’s an earnest and charming quality of the human race. We like to flip to the back of the book to look at the answers. We like it when there’s a tidy way to summarize things. One or two takeaways, please. It’s why Aesop’s fables continue to do so well."

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HHS Issues Plan Allowing States More Flexibility in Dealing with Affordable Care Act Rules

Chiropractic state associations urged to be watchful as states can now skirt legislatures.

Late last month, the U.S. Department of Health and Human Services (HHS) released a guidance document significantly changing the way the department will handle waiver requests under the 2010 Affordable Care Act (Act).  This enhanced flexibility from the Act could lead to far greater variation across states in the types of plans offered, creating a “patchwork quilt” of benefits and services available to consumers.

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House-Senate Opioid Bill Contains Provisions Related to Chiropractic

The president is expected to sign the massive legislation.

As the second session of the 115th Congress nears the election, members of the House of Representatives and the Senate recently agreed on a comprehensive legislative package to help end the scourge of opioid addiction.  The opioid issue, which federal and local legislatures across the country have been grappling with for several years, will soon see more federal dollars being focused on ways to help alleviate the destructive force associated with the addiction. 

Author: Jack Dusik
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‘Travel-to-Treat’ Legislation Heads to President’s Desk for Signature

The U.S. Senate today passed by a vote of 93-6 legislation that ensures that sports health professionals traveling to another state with athletic teams remain covered by their malpractice insurance. The bill now advances to the president’s desk, where it is expected to be signed into law. As lawmakers drafted the legislation, the American Chiropractic Association worked to ensure that doctors of chiropractic, along with other providers, were included in the bill’s final language. 

Author: Jack Dusik
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Overdue ‘Travel-to-Treat’ Bill Advances in Congress

On Sept. 6, 2018, the U.S. Senate unanimously passed H.R. 302, the “Sports Medicine Licensure Clarity Act of 2017.” The legislation, also referred to as “Travel to Treat,” would ensure that sports health professionals are covered by their malpractice insurance while traveling to another state with athletic teams. As lawmakers drafted this legislation, the American Chiropractic Association worked to ensure that doctors of chiropractic, along with other providers, were included in the bill’s final language.

Author: Jack Dusik
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Summer Shaping Up to Be Time of Change in Health Policy

Proposal, Final Rule and Other Initiatives Aim to Reshape Medicare and Affordable Care Act

http://www.twitter.com/acaonthehillSummer is often a time in Washington where the business of government seems to slow down as everyone starts to look forward to the August recess and dreads the oncoming heat and humidity.  However, this year is a change from years past, as not only has Washington pretty much been spared oppressive temperatures, but the Senate has decided to stick around most of August and the Trump Administration has issued a proposal, and a final regulation, that could very well shape healthcare policy for years to come.

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Latest OIG Report: A Spark to Reignite Our Pursuit of Medicare Parity

The American Chiropractic Association (ACA) received news recently that the HHS Office of the Inspector General (OIG) discovered inappropriate Medicare payments to chiropractors between 2013-2016 caused by a delay on the part of CMS to implement claims processing edits that automatically deny non-covered services. A few media outlets picked up on the report, focusing on the payments, not surprisingly. But there’s more to this story. The OIG report actually found that CMS’s billing edits were largely successful in preventing improper payments, and that most of improper payments were made prior to CMS finally implementing its edits in 2014.

Author: N. Ray Tuck
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