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House Farm Bill Supports AHPs with Federal Grants—Following in the Footsteps of the ACA’s CO-OP Program

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Every five years, Congress updates a package of legislation relating to food and farming issues. Somewhat surprisingly, that legislation – commonly known as the Farm Bill – includes a meaningful health provision that could have implications for the affordability and accessibility of health insurance. The provision, included in the House-passed bill and currently being debated in a House-Senate conference committee,…

Federal Flexibility Grants Highlight State Priorities for Market Stability

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…of coverage and generosity of benefits.” Funding will go to state analyses of how non-ACA-compliant coverage will impact insurance markets States are also using grants to respond to the expansion of alternative coverage options. At the time of application, the Trump administration had proposed rules to expand the availability of insurance products that do not have to comply with all…

Massive Navigator Funding Cuts Pose Risks for Consumers, Marketplaces

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…half of all marketplace enrollees needed consumer assistance last year, and the percentage of consumers going to navigators or other in-person assisters actually rose. Compounding the problem, brokers are increasingly reluctant to serve the individual market due to the time commitment and a reduction in commissions from insurers. With less and less funding going to fewer and fewer navigators, CMS…

When Policy and Politics Conflict: Challenges to State-level Market Stabilization Efforts

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My guess is that if you ask most Delaware policymakers what small business owners deserve when they’re buying health insurance, most would say something like this: They deserve affordable, stable premiums for decent benefits that allow them to compete with larger companies for the best and brightest talent. Policymakers might also say that employers deserve a choice of health plans,…

Next Effort to Repeal ACA Would Likely Look Like Last One

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By Edwin Park, Georgetown University Center for Children & Families Unsurprisingly, according to recent news reports (here and here), Congressional Republicans plan to pursue another attempt at repealing the Affordable Care Act next year if they maintain control of Congress after the midterm elections in November. Any repeal effort would likely be based on the 2017 bills from Senators Cassidy…

August Research Round Up: What We’re Reading

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…Coverage Varies Across Commercial Health Plans in the US. Health Affairs; July 31, 2018. Researchers analyzed over 3,000 coverage decisions from the largest commercial health plans in the United States to assess variations in coverage of specialty drugs, and compare decisions to indications from the Food and Drug Administration (FDA) on conditions the drug is approved to treat. What It…

Lawsuit Threatens Affordable Care Act Preexisting Condition Protections But Impact Will Depend on Where You Live

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…differently from state to state. In CHIR’s latest post for The Commonwealth Fund’s To the Point blog, we conducted a comprehensive review of insurance statutes in 50 states and the District of Columbia. We found that most states have not fully incorporated the ACA’s guaranteed issue, preexisting condition exclusion, and community rating standards into state law. Specifically, Four states (Colorado,…

Major State Medical Association Warns Consumers about Health Care Sharing Ministries

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…calls is not surprising. As CHIR followers know, we recently issued a report documenting observations from insurance brokers about the state of the individual market. Most brokers, including several in Texas, have observed that the HCSMs are ramping up their marketing efforts and their enrollment has been growing accordingly. Our report found: Many HCSMs are paying brokers commissions that are…

Impact of Association Health Plans on Consumers and Markets Will Depend on State Approaches

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…these entities in a way that is best for small employers, the self-employed, and health insurance markets. To better understand state decisions with regard to AHP regulation, faculty with the Georgetown University Center on Health Insurance Reforms interviewed state insurance regulators in six states. In our latest To the Point post for the Commonwealth Fund, we found that the impact…

Cities File Suit Against the Administration for Deliberately Failing to Enforce the ACA

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…this constitutional obligation by actively working to undermine the federal law in five key areas. First, they argue that the Administration has sought to decrease enrollment in ACA-compliant policies, by promoting non-ACA-compliant alternatives, including policies that do not cover individuals with preexisting conditions. The complaint points to the recent announcement by HHS that navigators applying for 2019 grant funding must…

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.