States Face Key Decisions if Alexander-Murray Proposal Is Included in Year-End Budget Bill

The Alexander-Murray bill to fund the Affordable Care Act’s cost-sharing subsidies could be included in an end-of-year budget deal. It includes provisions requiring states to make some quick decisions on an issue that many may have thought was put to bed. CHIR’s Justin Giovannelli provides an overview of what states may need to do, and when, if Alexander-Murray passes. Continue reading

The Future of the Affordable Care Act under President Trump: Stakeholders Respond to Proposed 2019 Marketplace Rule. Part I: Insurers

The Trump Administration has proposed a number of changes to the Affordable Care Act’s essential health benefit standard, marketplace operations, and other consumer protections. In this first in a series of blog posts analyzing public comments on the proposed rules, CHIR’s Sabrina Corlette finds that insurance industry responses were not always what you’d expect. Continue reading

New Rules Pending on Short-Term Health Plans: Impacts for Consumers, Markets and Potential State Responses

New rules are due any day now in response to President Trump’s October 13, 2017 executive order to expand access to short-term limited-duration health plans that don’t have to comply with Affordable Care Act protections. The impact of the proposed new rules were debated at the National Association of Insurance Commissioners’ December meeting, as well as potential state policy options to protect consumers and stabilize their markets. CHIR recently outlined some in an issue brief, and we share some highlights here. Continue reading

State Options Blog Series: Implications of Weakening the 80-20 Rule for States and Consumers

The Trump administration recently issued a proposed regulation that could significantly impact how much of consumers’ premium dollars are spent on their health care needs. CHIR expert Kevin Lucia assesses the proposed relaxation of the Affordable Care Act’s “80-20” or medical loss ratio standards and outlines policy options for states wishing to maintain them. Continue reading