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The managed care company will pay a $2.8 million penalty and $28.3 million in connection with enrollees' use of out-of-network care.

Republicans on the committee are grilling those carriers and others over ACA exchange plan subsidy eligibility verification.

What began last month with approximately 31,000 registered nurses and other health care professionals striking at more than two dozen Kaiser Permanente hospitals and clinics in California and Hawaii has expanded to include an estimated 3,000 to 4,000 pharmacy employees and lab technicians.

"Although MultiCare received repeated assurances from Change that these issues would be addressed, this did not occur," the lawsuit said.

The "web-based supermarkets for health insurance" could change, but officials predict they'll still serve more than 15 million people.

Sen. Elizabeth Warren, D-Mass., and Sen. Josh Hawley, R-Mo., are launching the fight in a world where federal PBM transparency mandates are now law.