In mid-April, the Trump administration announced it would stop monitoring marketplace plans for compliance with several important federal protections and instead defer to states. In their latest blog post for The Commonwealth Fund, Justin Giovannelli and Kevin Lucia explain the new changes to insurance oversight, and assess the potential impact of this federal deregulation for states and consumers. Continue reading
HHS released the final Section 1557 rule, completing the suite of non-discrimination rules that constitute some of the most dramatic recent changes in health insurance regulation. JoAnn Volk looks at how the rules stack up in protecting consumers with pre-existing conditions.
Two state insurance regulators, Florida and Montana, have taken recent regulatory action to address concerns raised by advocacy groups about the way specialty drugs are covered in pharmacy benefit plans offered in their states. Sally McCarty provides details of those actions and related updates on the oversight of discriminatory benefit designs. Continue reading
A recent complaint filed with the U.S. Department of Health and Human Services’ Office of Civil Rights against four Florida insurers targets them for violating the Affordable Care Act’s prohibition against discrimination. CHIR expert Sally McCarty evaluates the complaint and its implications for consumers and state insurance regulators. Continue reading
Today, CHIR released a new report exploring how private insurers and state regulators are incorporating and enforcing new nondiscrimination standards under the Affordable Care Act. Katie Keith, one of the report’s authors, has highlights from the report and discusses what the findings mean for these new protections. Continue reading
In implementing the Affordable Care Act, state regulators may increasingly look for ways to ensure that health insurance does not discriminate against certain groups of individuals, such as people living with HIV, older Americans, and even women. In this spirit, Katie Keith describes how Colorado and the District of Columbia each took recent steps to prohibit insurers from discriminating against enrollees based on gender identity and sexual orientation. Continue reading