Category: Coverage and Access
Kentucky Drops Adult Dental Care from State’s Essential Health Benefits Benchmark Plan Submission

The 2025 Notice of Benefit and Payment Parameters gave states the flexibility to require adult dental coverage beginning in plan year 2027. CHIR experts discuss Kentucky’s decision to not add adult dental services as an essential health benefit and what recent federal law changes may mean for states considering coverage changes.
June-July Research Roundup: Anticipated Effects of H.R. 1 on health insurance coverage, affordability, and uncompensated care

President Trump recently signed into law some of the most dramatic changes to our healthcare system since the Affordable Care Act (ACA) was enacted in 2010. CHIR’s Leila Sullivan provides a roundup of recent research projecting what the new law means for coverage, affordability, and uncompensated care.
Explainer: The Medicaid and Marketplace Provisions of the Budget Reconciliation Bill
A Setback, Not a Defeat: Our Work to Ensure Access to Affordable, High Quality Health Care Continues

President Trump’s signature on H.R. 1, the budget reconciliation bill, will lead to upwards of 17 million people losing their health insurance and millions more with higher barriers to accessing care. At CHIR, we’ll be working to minimize the law’s harms, document its effects, and partner with those seeking to reverse its worst abuses.
The Reconciliation Bill Eliminates Long-Standing State Flexibility to Operate Marketplaces and Regulate Private Health Insurance

The budget reconciliation bill passed by the U.S. House of Representatives would eliminate much of the flexibility granted to states over the operations of State-Based Marketplaces (SBMs), impose burdensome new requirements, and reduce their revenue base. In a new CHIRblog post, ACA experts Jason Levitis, Christen Linke-Young, Sabrina Corlette, Ellen Montz, and Claire O’Brien dive into the bill’s costly new mandates for states.
Congress’ Proposed Paperwork Requirements Could Leave New Families, Laid-off Workers, and Self-Employed Without Health Coverage

The Senate will soon consider the “One Big, Beautiful Bill” that would make changes to Marketplace eligibility and enrollment processes, potentially leaving millions, including new families, laid-off workers, and small business owners in a tangle of red tape and at risk of losing critical health coverage. CHIR’s Karen Davenport looks at who might be hurt by these policies.
The Sleeper Provision in the Reconciliation Bill That Could Hobble the ACA Marketplaces

An obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute’s Jason Levitis and Brookings’ Visiting Fellow Christen Linke-Young dig into how this provision could radically change people’s ability to access and maintain affordable health insurance.