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The Supreme Court’s 5-4 ruling that upheld almost all of the Patient Protection and Affordable Care Act (ACA) gave practices some certainty knowing that the provisions will move forward. But the November election could introduce that doubt again.

Some early media reports on today’s Accountable Care Act (ACA) ruling stated the Supreme Court overturned the Medicaid expansion provision. However, a closer look at the ruling shows the Court took a more subtle approach.

Part B News has compiled a list of the Patient Protection and Affordable Care Act provisions that could be affected by the Supreme Court’s Thursday ruling on the law. Anything you want to know about that we didn’t mention? Let us know at klong@decisionhealth.com.

Ok, well maybe not in those exact words. But the Office of Management and Budget (OMB) announced over the June 22 weekend that it was extending the review of the Health Information Technology for Economic and Clinical Health (HITECH) Act, which bore the HIPAA mega-rule, for an “undetermined” time period, according to the OMB’s Office of Information and Regulatory Affairs latest list of submissions under review

The mega-rule, a composite of four separate final rules aimed to enhance data security and weed out fraud, was sent to the OMB office for a 90-day final review March 24 with a decision expected by June 24. Review extensions are granted for up to 90 days or indefinitely, at the rulemaking agency’s discretion, i.e. HHS.

The United States Supreme Court Monday morning rulings came and went this morning without an opinion on the Affordable Care Act. That means a decision is now expected on Thursday morning, June 28, the next time the court will issue opinions.

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