When President Trump took office, small businesses and hard-working, middle-class families were finding it increasingly difficult to afford health insurance. The Trump administration already has taken significant steps to help, and Thursday it took another one. A new Trump administration rule will provide an estimated 800,000 businesses a better way to offer coverage and give millions of workers new ways to obtain coverage through the expansion of Health Reimbursement Arrangements (HRAs).

The Trump administration’s new HRA rule undoes an Obama administration action that forbade workers from using HRA funds to purchase health insurance policies offered outside their workplace.  “President Trump’s new rule undoes this misguided restriction” that reduced choices for workers and especially for small businesses, White House economist Brian Blase explains. The new accounts have the potential to be transformative, much as 401(k)s were for retiree benefits, giving employees more control and portability with their health coverage.

The Maine Senate unanimously advanced a package of bills on Tuesday aimed at reducing prescription drug prices, including a Canadian drug importation program modeled on a first-in-the-nation Vermont law that would need federal approval.

The legislative push is led by Senate President Troy Jackson, D-Allagash, and endorsed by AARP Maine. It looks to lower drug prices in the nation’s oldest state by median age, where people have often made bus trips to neighboring Canada for access to price-controlled prescription drugs that have been the subject of action in Maine over the past decade.

Seniors in progressive U.S. states are choosing private Medicare Advantage plans more so than the national average even as the politicians who want to represent them talk about getting rid of the insurer’s role in health coverage.

New data from the Kaiser Family Foundation shows more than 40% of new Medicare beneficiaries in Oregon and Minnesota chose Medicare Advantage plans in 2016. And more than 36% of new Medicare beneficiaries in New York and California chose Medicare Advantage plans in 2016.

Scott Kohan woke up in an Austin, Texas, emergency room after an attack that broke his jaw. The hospital was within his insurance network. But the oral surgeon who set his jaw wasn’t. Mr. Kohan’s insurer refused to pay the surgeon’s $8,000 bill.

He’s not alone. An estimated 51% of ambulance rides, 22% of emergency-department trips, and 9% of elective cases, in which patients have time for due diligence, lead to surprise bills. These typically come from providers who refuse to join insurance networks so they can charge astronomical fees.

Congress could eliminate the Part D “protected classes” rule which forces insurers to pay for any drugs in six arbitrary categories, regardless of their price or value. (The Trump administration had proposed just such a reform, but withdrew it in a sop to the drug lobby.)

More substantially, Congress should require that drug companies selling drugs into Part D rebate any price increases above consumer inflation to Medicare, to offset the program’s taxpayer-funded subsidies.

Without reforms of this type, it’s highly likely that restructuring Part D would drive costs upward.

Consolidation in the health system and health insurance industries has been a focus for years. But a new report sheds light on how the “bigger is better” mantra has taken hold in companies that make syringes, X-ray machines or other healthcare products

The report, prepared by the Open Markets Institute using data from IBISWorld, shows a small handful of companies dominate their respective markets in certain healthcare sectors that tend to get less of a spotlight than their payer and provider counterparts.

Instead of debating how to expand Medicare coverage, politicians should focus on fixing the fatal financial flaws in the existing program that threaten to bankrupt the nation.

Medicare spent 3.6% of gross domestic product in 2016, more than six times the share it consumed in 1967, the first full year it was implemented. The forecasts I have analyzed show that the share of GDP will rise to at least 9% within 75 years—and that’s the good-news scenario. Other plausible forecasts show that Medicare could spend more than twice that.

Citing the need to reduce rising health care costs, Gov. Ron DeSantis signed a bill Tuesday that would allow Florida to pursue importing prescription drugs from abroad — though components of the bill will still require federal approval to take effect.

HB 19 will open up three pathways for bringing medication in from different countries, including Canada, through a 2003 federal law that tasks federal officials with authorizing state plans to import prescription drugs. No state has received such approval in the 16 years since the bill was passed, but DeSantis, surrounded by a half-dozen lawmakers in the Villages, said he is confident Florida will clear those hurdles when the state asks for the approval likely next year.

California will become the first state to pay for some adults living in the country illegally to have full health benefits as the solidly liberal bastion continues to distance itself from President Donald Trump’s administration.

Democrats in the state Legislature reached an agreement Sunday afternoon as part of a broader plan to spend $213 billion of state and federal tax money over the next year. The legislature is expected to approve the deal this week. The agreement means low-income adults between the ages of 19 and 25 living in California illegally would be eligible for California’s Medicaid program, the joint state and federal health insurance program for the poor and disabled.