No Rest for the Weary: Unexpected Defeat of ACA Repeal Effort Doesn’t Mean End of Threats to Law

In the wake of the surprise defeat of the effort to repeal the ACA, President Trump called for letting the law “implode.” In fact, the executive branch has considerable power to undermine and roll back key elements of the ACA, without congressional involvement. CHIR’s Sabrina Corlette reviews potential administrative actions that could de-stabilize the marketplaces, and reduce the dramatic coverage gains experienced under the law. Continue reading

A Head Scratcher of a Bill: Revised Senate Health Care Legislation Likely to Undermine Pre-existing Condition Protections, Upend Insurance Markets

Policymakers promised to replace the Affordable Care Act with something that would cover “everybody,” with lower premiums and deductibles and continued protections for people with pre-existing conditions. Sabrina Corlette reviews the pending Senate Better Care Reconciliation Act to see if it lives up to the promises. Continue reading

Fix it, Don’t End it: Common Sense Prescriptions for Individual Market Stability

For the time being, the Affordable Care Act (ACA) is the “law of the land.” But increasing uncertainty about the policy future has left the individual insurance market at risk and could result in fewer choices and higher premiums, In the past, Congress has demonstrated that it can arrive at bipartisan solutions to tackle insurance market challenges and help consumers. CHIR’s Sabrina Corlette outlines what a common sense ACA reform package could look like. Continue reading

Reading the Fine Print: Do ACA Replacement Proposals Give States More Flexibility and Authority?

State leaders have been heartened by statements from the new President and Congressional leaders that ACA replacement plans will give them more autonomy over their health insurance markets. But is that really true? In a post for the Health Affairs blog, CHIR experts Sabrina Corlette and Kevin Lucia examine the fine print of House and Senate replacement plans and find that they broadly preempt state authority. Continue reading

Congress Asked States for Health Reform Ideas. They May Be Surprised by What They Hear

Shortly after the election, Congress asked state officials to provide input on repealing and replacing the Affordable Care Act. CHIR expert Sabrina Corlette tracked down 34 of those letters, and found the responses – particularly from states with Republican leaders – to not not always be what she expected. She shared her top takeaways here. Continue reading