New Report Documents Barriers for People with Mental Illness, Substance Use Disorders Buying Coverage Before the ACA

In a report released this week by the National Alliance for Mental Illness (NAMI), Georgetown researchers Dania Palanker, JoAnn Volk and Kevin Lucia document the many ways that individual market plans available before the Affordable Care Act (ACA) fell far short of providing adequate, affordable coverage for people with mental illness and substance use disorders. Continue reading

A Mother’s Day Gift Basket from Congress and the Trump Administration

This Mother’s Day, both Congress and the Trump administration have put together a special gift basket of policies that continue to threaten access to health care for women, mothers, and families everywhere. From federal funding cuts to weaker benefit requirements, CHIR’s Rachel Schwab and Dania Palanker unwrap the presents and assess their potential impact on coverage. Continue reading

The 2019 Affordable Care Act Payment Rule: Summary & Implications for States

The Trump administration has released a new final rule to govern the Affordable Care Act’s individual and small-group markets, known as the 2019 Notice of Benefit and Payment Parameters. The rule includes an expansion of states’ role over the ACA’s health plan benefit and affordability provisions. In her latest Expert Perspective for the Robert Wood Johnson Foundation’s State Health and Value Strategies Program, Sabrina Corlette untangles the rule and its implications for state decision-makers. Continue reading

The Future of the Affordable Care Act under President Trump: Stakeholders Respond to the Proposed Association Health Plan Rule. Part IV: Business Groups

In a recent proposed rule from the Department of Labor, the Trump administration has proposed major changes to the regulation of Association Health Plans (AHPs). In the fourth blog of our series examining feedback from stakeholders, CHIR’s Olivia Hoppe summarizes comments from twelve business groups. Continue reading

New Funding Opportunity Allows States to Bolster Consumer Protections

On February 5th, the Center for Consumer Information and Insurance Oversight (CCIIO) put out a Notice of Funding Opportunity. The federal agency anticipates that $8.1 million is available for state initiatives focused on insurers’ compliance with federal market reforms and consumer protections, giving states the opportunity to improve their oversight efforts. With the February 26th deadline for letters of intent just around the corner, CHIR’s Rachel Schwab provides an overview of the new grant program. Continue reading

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

The final 2019 Notice of Benefit and Payment Parameters has been submitted to the White House for review. The initial proposal included a number of changes to the Affordable Care Act’s essential health benefits, marketplace operations, and other consumer protections. In this second post in a series of blogs analyzing public comments on the proposed rules, CHIR’s Rachel Schwab examines responses from a range of consumer advocacy groups to better understand who the rule could impact. 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

Proposed 2019 Affordable Care Act Payment Rule: A Big Role for States

The U.S. Department of Health & Human Services published an annual set of proposed rules for the Affordable Care Act marketplaces on October 27. Called the “Notice of Benefit and Payment Parameters,” the rules set out expectations for insurers and the states that regulate them. In her latest post for CHIR, Katie Keith highlights key areas in which this administration would give states new autonomy and authority. Continue reading

State Options Blog Series: Federal Regulators May Weaken ACA Essential Health Benefits Requirements, Creating Need for States to Protect Consumers

In the third of a multi-part blog series on state options in the wake of federal actions to roll back or relax Affordable Care Act regulation, Dania Palanker reviews potential changes to the essential health benefit standard and the implications for consumers. She discusses what state legislatures and insurance regulators can do to ensure consumers continue to access affordable health care services. Continue reading

Graham-Cassidy 2.0: Taking Insurance Protections Out of the Individual Market

Another day, another version of the Graham-Cassidy bill. This new version makes numerous technical changes that continue to place health care for the roughly 90 million consumers who rely on the individual health insurance market or Medicaid at risk. CHIR expert Dania Palanker outlines how the bill could affect access to affordable coverage for women, people with chronic illness, older people, and others. Continue reading