A Permanent Boost to Federal Premium Assistance Could Change State Approaches to ACA 1332 Waivers
The American Rescue Plan temporarily increases the availability and generosity of federal premium assistance for people who obtain coverage through the ACA marketplaces. Were Congress to make these premium subsidy enhancements permanent, states would have more breathing space to address other barriers to care, potentially with support from an ACA Section 1332 waiver. In a new work for The Commonwealth Fund, Justin Giovannelli examines how a permanent boost to federal subsidies could give states new and different opportunities to help their residents using the ACA’s waiver program.
The Affordable Care Act in the Biden Era: Identifying Federal Priorities for Administrative Action
The Biden administration has pledged to use its executive authority to build on and improve the Affordable Care Act. In a new issue brief for the Commonwealth Fund, Katie Keith analyzes recommendations to the Biden–Harris presidential transition team made by patient and consumer advocates, health insurers, hospitals, physicians, state marketplace officials, and state insurance commissioners to identify high-priority policy changes.
Nevada Jumps Aboard the Public Option Train: Legislative Proposal Aims to Lower Health Care Costs, Expand Coverage Choices
Figuring out if COBRA Coverage is Right for You
By the end of May, employers must notify eligible employees and former employees about the COBRA subsidies under the American Rescue Plan. Many of these folks may also be eligible for enhanced premium tax credits through the Affordable Care Act. CHIR’s Maanasa Kona walks through the different coverage options available.
Out of the Fire and Back in Federal Court: This Mother’s Day, Another Challenge to the ACA Puts Access to Preventive Services at Risk
This Mother’s Day, CHIR’s Rachel Schwab and Nia Gooding assessed the potential impact of a new legal challenge to the Affordable Care Act (ACA) for women. Judge Reed O’Connor has recently allowed a challenge to the ACA’s preventive services coverage provision to move forward in a U.S. district court. Invalidating this provision could jeopardize access to a broad set of preventive services for millions of women.
The Final 2022 Notice of Benefit & Payment Parameters: Implications for States
In its first major rulemaking related to the Affordable Care Act, the Biden administration published the final 2022 “Notice of Benefit and Payment Parameters” on April 30. Sabrina Corlette reviews the rule and its implications for state insurance regulation and the health insurance marketplaces in her latest “Expert Perspective” for the State Health & Value Strategies project.
April Research Roundup: What We’re Reading
April’s latest health policy research is provided by CHIR’s Nia Gooding in our monthly roundup. She reviews studies on demographic characteristics of the people who fall into the ACA family glitch, trends in contraceptive use among women enrolled in high-deductible health plans after the passage of the ACA, and state policy considerations given the American Rescue Plan’s premium tax credit expansions.
States Attempt to Rein in Rising Health Care Costs: Is a Self-Regulating Industry Enough?
Colorado lawmakers recently announced that hospital and health plans had agreed to remain “neutral” on the state’s proposal for a public option plan. That’s in part because Colorado is hoping the industry will voluntarily achieve spending reductions, without state intervention. CHIR’s Megan Houston assesses how that approach is working in other states that have tried it.
Opponents of Fixing the Family Glitch Reveal their Fundamental Misunderstanding
The “family glitch,” a loophole in federal rules, bars millions of people from subsidized coverage because they have access to a family member’s employer-sponsored coverage The glitch is easy to fix, through either regulation or legislation. CHIR exposes that a paper released this week claiming a fix is illegal and harmful is based on a faulty presumption.