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Bills that would have penalized companies with workers enrolled in Medicaid failed in Washington state and Colorado this year.

The groups estimate sticking with the current rules will increase the number of uninsured people by 50%.

The company told analysts that the claim dispute process now accounts for more than 1% of plan spending.

The Promise Act would start "the process of preserving promised benefits," according to Sen. Bill Cassidy.

HCA Healthcare on Tuesday reduced its full-year earnings outlook, citing increased numbers of patients who lost coverage because of changes to the Affordable Care Act.

"Trust is a foundational element of health care today. To truly transform the system, we need to continue to deepen the provider-payer relationship," said Steve Nelson, Aetna's executive vice president and president.