Category: Implementing the Affordable Care Act

Third Time is the Charm? Proposed Regulations Strengthen Nondiscrimination Protections for Health Insurance Enrollees

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For the third time, the Department of Health and Human Services’ Office of Civil Rights has proposed rules to effectuate the application of civil rights protections to the health care industry under Section 1557 of the Affordable Care Act. If finalized, the regulation will have significant implications for health insurers and provide important nondiscrimination protections for insurance enrollees.

Amidst Rising Overdose Deaths, Policymakers Look for Ways to Expand Access to Proven Opioid Use Disorder Treatment

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As the number of opioid-related overdose fatalities remains alarmingly high, access to medication-assisted treatment (MAT) is inconsistent. Private insurance does not always cover the full range of MAT options, and when it does provide coverage cost sharing can be prohibitive. CHIR’s Rachel Swindle takes a look at state and federal reforms that can help lessen private insurance related barriers to treatment.

Healthcare Provisions in the Inflation Reduction Act: Implications for States

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Congress is poised to enact the Inflation Reduction Act, a $740 billion reconciliation package that includes sweeping climate change, deficit reduction, and health policy provisions. In her latest Expert Perspective for the State Health & Value Strategies project, Sabrina Corlette reviews the health care changes and their implications for states.

July Research Roundup: What We’re Reading

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New health policy research topped CHIR’s list of beach reads this July. For the latest monthly research roundup, we reviewed studies on marketplace enrollees’ denied claims, how marketplace coverage has benefitted small business and self-employed workers, and out-of-pocket spending on insulin.

What the Data Say About Offering Public Option Plans to Workers with Employer-Sponsored Insurance

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Employer-sponsored insurance is the largest source of health coverage in the U.S., but the employer market’s historic status as the “backbone” of the U.S. health care system is imperiled by rising health care costs. A public health insurance option could help reduce health care costs and expand access to coverage for people with job-based insurance, and has received increasing support among employers.

From Cancer Screenings to Prenatal Care, the Latest Challenge to the Affordable Care Act Threatens Availability of Free Preventive Services

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The ACA requires that most insurers and employers cover a set of preventive health services at no cost to enrollees. Estimates suggest that more than 150 million people have access to over 100 services such as cancer screenings, contraception, and vaccines without any out-of-pocket costs. A case pending in federal court threatens to cut off consumers’ access by allowing insurers to impose cost-sharing on these services or, in some cases, cease covering them altogether. CHIR’s Rachel Schwab takes a look at some of the currently free services in jeopardy.

In a Post-Roe World, Employers Looking to Cover Out-of-State Travel for Abortion Services Have Multiple Options and Plenty of Uncertainty

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Following the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, analyses project up to half of women and girls in the U.S. between the ages of 15 and 44 will live in states that significantly restrict or ban abortion services. The scale and geographic reach of these bans intensifies questions about travel costs and access to these services. Employers are looking at ways to cover abortion-related travel costs for workers.

Delays Extending The American Rescue Plan’s Health Insurance Subsidies Will Raise Premiums And Reduce Coverage

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Congress has spent months debating an extension of enhanced premium tax credits enacted under the American Rescue Plan Act of 2021. However, as CHIR’s Sabrina Corlette and the Urban Institute’s Jason Levitis discuss in this recent Health Affairs Forefront article, the clock is ticking. Continued delays would likely cause coverage losses and additional costs that wouldn’t be restored even if a subsidy extension is later enacted.

The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.