More Than a Website: Should the Federal Government Establish Additional Minimum Standards for the ACA’s Health Insurance Marketplaces?
The Affordable Care Act established health insurance Marketplaces to facilitate enrollment in comprehensive and affordable health insurance. Most states rely on the federal government to run their Marketplace, but recently, several states have expressed interest in taking over Marketplace operations. With Marketplace enrollment at an all-time high, and millions more people poised to transition from Medicaid to commercial insurance, the role of the Marketplaces as a coverage safety net has never been more pivotal. But federal rules impose few standards for states launching and maintaining a Marketplace. It may be time for the federal government to establish a stronger federal floor.