The Care Ledger

Section Policy

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Tuesday, November 3, 2026 From the publisher Free hospital price search Published bysoro
The Care Ledger

Section

Policy

Federal and state rules and laws that change what care costs or what prices must be disclosed: Medicare payment, price transparency, surprise billing, marketplace premiums and subsidies, Medicaid, and state laws on medical debt and facility fees.

  1. Policy

    Medicare drug plan premiums set to rise 50% for enrollees who stay put, KFF finds

    The average premium for a stand-alone Medicare drug plan would climb from $34 to $51 a month in 2027 for people who keep their current plan, after federal regulators ended a subsidy that had held premiums down.

  2. Policy

    ACA open enrollment opens with benchmark premiums up 13% for 2027

    Marketplace shoppers face a second straight year of double-digit premium increases, and a higher cap on what they can be asked to pay for care.

  3. Policy

    Judge strikes federal limit on Medicaid work rule exemption for medically frail adults

    A federal court ruled that the administration narrowed a protection Congress wrote for people with serious health conditions, two months before Medicaid work requirements begin in expansion states.

  4. Policy

    Labor Department rule makes pharmacy benefit managers disclose pay to large employers

    A Labor Department rule gives large self-insured employers a regular look at the rebates, fees and price spreads their drug benefit managers collect, starting with plan years that begin in mid-2027.

  5. Policy

    Medicare raises dialysis payments 2.7% for 2027, and patient coinsurance rises with it

    A final rule sets next year's per-treatment rate for kidney dialysis, finishes folding phosphate binder drugs into the payment and expands extra pay for low-volume clinics.

  6. Policy

    Proposed rule would hold back ACA subsidies until eligibility is verified

    A federal proposal would stop paying marketplace subsidies while eligibility questions are resolved, starting with 2028 coverage, and officials expect fewer people to enroll as a result.

  7. Policy

    Medicare proposal would cap costs for patients misled by wrong provider directories

    A proposed rule carrying out a 2026 law would also limit how drug benefit managers are paid in Part D and end generic drug copays for the poorest enrollees in 2028.