A new toolkit to support states in informing and validating their own fiscal and program impact estimates of federal policy changes, including national and state-by-state data.
On March 10, 2025, the Centers for Medicare & Medicaid Services released a proposed regulation that makes several policy and operational changes to the Affordable Care Act Marketplaces and insurance rules. This expert perspective reviews provisions of the proposed rule to assess their impact on State-Based Marketplaces and state insurance regulators.
On Thursday, May 1, State Health and Value Strategies will host a webinar to discuss significant cuts to Medicaid under consideration by Congress as part of the budget reconciliation process. Manatt Health has developed, with support and input from SHVS, a new toolkit providing national and state-by-state modeling on the potential impacts of proposals. Key proposals to be discussed include those to reduce the federal medical assistance percentage rate, establish a per-capita cap financial approach for enrolled Medicaid populations, and make work reporting requirements a condition of Medicaid eligibility. During the webinar, experts from Manatt Health will review the new toolkit, including proposal-specific modeling data sources and assumptions, and national and state model findings.
On Friday, April 18, State Health and Value Strategies hosted a webinar to discuss the Affordable Care Act enhanced premium tax credits (PTCs) which are currently set to expire at the end of 2025 without Congressional action, and the implications on states’ rate review process. If the enhancements expire, Marketplace premiums will increase and enrollment could substantially decrease. During the webinar, experts from Manatt Health brought together state departments of insurance and Marketplace officials to discuss ways to handle this uncertainty in the rate filing season and help states make sure their constituents understand how the loss of enhanced PTCs will impact various groups.