Author Archives: Nicholas Bagley

Just how many billions of dollars are at stake in the litigation over cost-sharing payments?

by Nicholas Bagley — Friday, Apr. 20, 2018

Earlier this week, the Court of Federal Claims certified a class action brought by insurers to recover the cost-sharing payments that President Trump unceremoniously terminated. At first blush, the court’s opinion looks unremarkable. Because insurers share a common legal claim—you promised to pay me, and you broke that promise—it makes sense to certify a single […]

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Massachusetts wants to drive down Medicaid drug costs. Why is the Trump administration so nervous?

by Nicholas Bagley — Thursday, Apr. 5, 2018

This piece is co-authored by Rachel Sachs, associate professor of law at Washington University Law School. It’s cross-posted at the Health Affairs Blog. Although drug formularies are ubiquitous in Medicare and the private insurance market, they’re absent in Medicaid. By law, state Medicaid programs that offer prescription drug coverage (as they all do) must cover all drugs approved […]

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Knock it off, Idaho. (But carry on, Idaho.)

by Nicholas Bagley — Friday, Mar. 9, 2018

Credit where credit is due: the Trump administration announced yesterday that it won’t look the other way if Idaho flouts the Affordable Care Act. The ACA “remains the law and we have a duty to enforce and uphold the law,” CMS administrator Seema Verma explained in a letter to Idaho’s governor and its insurance director. Maybe it’s a […]

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A feeble constitutional challenge to the ACA.

by Nicholas Bagley — Monday, Mar. 5, 2018

I was gone last week when twenty states filed yet another lawsuit challenging the constitutionality of the Affordable Care Act. But no matter. This case isn’t going anywhere—or at least it shouldn’t go anywhere. In their complaint, the states point out (rightly) that the Supreme Court upheld the ACA in NFIB v. Sebelius only because […]

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As Idaho goes, so goes the nation.

by Nicholas Bagley — Thursday, Feb. 22, 2018

I’ve got a new piece at Vox digging into Idaho’s decision to flout the Affordable Care Act. If you want to learn something about Idaho administrative law (I know, I know, pure clickbait) this is the place to look. I also examine the analogy between what Idaho’s doing and marijuana legalization. The upshot is that […]

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Are Medicaid work requirements legal?

by Nicholas Bagley — Wednesday, Jan. 31, 2018

That’s the title of a new piece of mine that came out in JAMA this morning. It’s pretty timely: a lawsuit was filed last week challenging CMS’s approval of Kentucky’s waiver, which includes work requirements. More waivers, and more litigation, are sure to come. I’m no fan of work requirements. They’re harsh, stigmatizing, and ineffective. And they will hurt people, […]

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Call for Papers for the Administrative Law New Scholarship Roundtable

by Nicholas Bagley — Thursday, Jan. 18, 2018

I’m proud to announce that Michigan will be hosting the third annual Administrative Law New Scholarship Roundtable in June. The first two roundtables were outstanding, and I have high hopes for this year’s event. The Roundtable is an excellent opportunity for young admin law scholars to get low-pressure feedback on their work from senior scholars in the field. From […]

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The Limits of Presidential Power: A Citizen’s Guide to the Law

by Nicholas Bagley — Saturday, Jan. 13, 2018

That’s the title of a new book by Lisa Manheim and Kathryn Watts. From the press release: The book emerged from a class Watts and a colleague put together — at the request of students — within weeks of Trump’s election. The feedback they received, along with news coverage of the class, helped to confirm […]

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Vacating an EEOC rule on wellness programs

by Nicholas Bagley — Thursday, Dec. 21, 2017

A few months back, I flagged an opinion from a D.C. district court holding that a new EEOC rule governing wellness programs was arbitrary and capricious. The rule allowed employers to impose huge penalties on employees who refused to participate in wellness programs, even though the Americans with Disabilities Act says those programs must be […]

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Can insurers sue to recover cost-sharing money?

by Nicholas Bagley — Tuesday, Dec. 19, 2017

Murray-Alexander is going nowhere. Senator Collins insists that passing the bipartisan legislation, which would restore cost-sharing payments for two years, is a condition of her vote on the pending tax bill. But she appears willing to accept airy promises that Senate leadership will make the bill a priority. Never mind that House Republicans have no […]

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