Zombiecare - I like that! To Denise's point, I think CHIP gets pushed to a wrap up budget deal in December. It still has bipartisan support but there is disagreement on how to finance it and for how long.

Maine governor pledges to hold M'Caid expansion hostage until legislature finds a funding mechanism, but I think bigger implications are that even purple states - and some red ones - are seeing the tide turn on expansion efforts. #HLSchat

I agree with Denise the robust exchange enrollment will force the hands of those holding back on CSRs, market stabilization efforts. #HLSchat

I'm told CBO analysts don't see the Marketplaces as fundamentally "unstable" anymore, a big turnaround from even six months ago. #HLSchat

It certainly seems like Administrator Verma and CMS leadership are interested in work requirements for some portions of the Medicaid population. Enjoys support among conservatives in the House and Senate. #HLSchat

Yes, 340B VERY hot issue, my sense is it will be tied up in litigation and legislation for some time to come. CMS and OMB are satisfied with their decision, however. Could be an uphill climb on both fronts. #HLSchat

Same here to that Matt. #HLSchat

I agree that success on mandate repeal will drive success on Alexander/Murray, even though the Freedom Caucus is not there yet. #HLSchat

I don't see CHCs and SCHIP getting lost in the fray -- too important to too many Members and strongly bipartisan. Likely included in a late year wrap up budget package or continuing resolution. #HLSchat

But it is notable that these other critical funding programs, including Medicare extender policies, get lost in the noise of health and tax reform and won't get done till the dust settles on those. #HLSchat

Our understanding is that the W&M Committee will shortly release its list of bipartisan Medicare extenders and offsets to leadership, language is expected today. #HLSchat

Yes there is bipartisan language introduced in the House and Senate that can be quickly tagged onto a larger vehicle for CHCs. Am looking for bill numbers to share. #HLSchat

CHC reauthorization legislation FYI: S. 1899 in the Senate (Blunt) and H.R. 3770 in the House (Stefanik) #HLSchat

I like the 280 limit too Joel! Like I said, the Extender policies and issues like therapy caps will likely be rolled up into a larger omnibus package near the end of the year and not passed as standalone bills. #HLSchat

Re payfors: I've seen some ideas float around, OIG recommendations, etc, reductions to PAC providers, but nothing certain yet, if one policy besides CHIP survives the extender process, it will be CHCs. #HLSchat

I too think it will be a better than expected result if A-M passes and enrollment continues to grow with premiums holding. A better to end to a bitter start I agree. #HLSchat

Right, I haven't seen a CBO document on A-M yet, bust staff estimates vary, and you're right there are a LOT of moving pieces. #HLSchat

I see a CMMMI that is less focused on mandatory modes and more interested in small scale testing, choice and competition in the market, patient centered care, benefit design and price transparency -- these are some of the "guiding principles" in the RFI. #hlschat

No I think its here to stay just "under new management" and models tested will be voluntary and with a a GOP flavor. #hlschat

THNAK YOU to everyone who participated in our #HLSchat - was fun and informative, thank you for all your insights!