On April 9, 2018, the U.S. Department of Health & Human Services released the annual Notice of Benefit and Payment Parameters for 2019, a rule that includes a wide range of policy and operational changes under the Affordable Care Act (ACA). The first such rule issued by the Trump administration, it signals a new direction for the ACA’s insurance rules and marketplaces, including an expansion of the role of states.

In a new expert perspective for the Robert Wood Johnson Foundation’s State Health & Value Strategies program, Sabrina Corlette untangles major provisions of the rule and their implications for states, including changes that could significantly affect health plan benefit design, affordability, and consumers’ experiences enrolling in marketplace coverage. You can read the full summary here.