ACA Days of Summer

Implementing the ACA

It’s summer and the courts have rendered another decision on the Affordable Care Act affecting it’s implementation. This week two courts reached opposite decisions on whether the IRS can issue premium subsidies-potentially affecting an estimated 7.3 million Americans with subsidies through federally facilitated marketplaces. Research Fellow Sandy Ahn talks about the court’s decision on the ACA’s intent to address the three A’s-access, affordability, and adequacy in private health insurance. Continue reading

New Report on Key Lessons for LGBT Outreach and Enrollment under the Affordable Care Act

Implementing the ACA

Today, Out2Enroll—a nationwide campaign dedicated to connecting LGBT people with their health insurance coverage options—released a new report exploring the extent to which this year’s outreach and enrollment efforts met the needs of the lesbian, gay, bisexual, and transgender (LGBT) community. Katie Keith provides an overview of the report’s major findings in this guest post. Continue reading

Enrolled in a Plan that Doesn’t Cover Your Prescription Drug: What Consumers Need to Know

Implementing the ACA

One of the key consumer protections in the Affordable Care Act is the requirement that plans must have a limit on out-of-pocket costs. However, there are limits on the limit, and the details matter. Consumers who need a non-formulary drug run smack into one of those limits, but they have options to get the drugs they need as a covered benefit. JoAnn Volk provides a run down. Continue reading

New Report Finds that, Under the ACA, Consumers Nationwide Are Experiencing Improved Protections in the Individual Insurance Market

State of the States

The ACA includes numerous consumer protections designed to remedy shortcomings in the availability, affordability, adequacy, and transparency of individual market insurance. However, because states continue to be the primary regulators of health insurance and implementers of these requirements, consumers are likely to experience some of these new protections differently, depending on where they live. CHIR’s latest issue brief finds that consumers nationwide will enjoy improved protections in each area targeted by the reforms. Continue reading

State Restrictions on Health Reform Assisters May Violate Federal Law

State of the States

Regulations issued last month by the Department of Health and Human Services show that laws in more than a dozen states may be invalid because they go too far in restricting the work of consumer assistance personnel certified under the Affordable Care Act. In a blog post published by The Commonwealth Fund, Justin Giovannelli, Kevin Lucia, and Sabrina Corlette discuss these new rules and how they affect state efforts to regulate consumer assisters. Continue reading

Georgetown University Law Center Summer Program Promises Deep Dive Training on the Affordable Care Act

Implementing the ACA

This July the Georgetown University Law Center’s O’Neill Institute for National and Global Health Law is offering its first-ever summer program on the Affordable Care Act. The week long program promises a deep dive look at the legal and policy implications of the law and its implementation. Program co-director Sabrina Corlette shares a sneak peek at the faculty and agenda. Continue reading

SHOP Marketplaces for Small Businesses: State Design Decisions and Implications for Employers

State of the States

The Commonwealth Fund recently hosted a one-hour webinar on the small business health insurance marketplaces created under the Affordable Care Act. The webinar, led by CHIR’s Kevin Lucia and Sarah Dash and joined by state and federal officials, examined key state marketplace design decisions, small business perspectives, and the future of the program. Ashley Williams provides this overview. Continue reading