On March 11, 2021, President Biden signed the American Rescue Plan Act of 2021 (the ARP), a wide-ranging package of health care and economic measures responding to the coronavirus pandemic. The ARP includes a broad expansion of the Affordable Care Act’s (ACA) main health insurance subsidy, the premium tax credit (PTC), the first major expansion of the health care reform law since its passage. This piece highlights the policymaking considerations that states must account for in light of the PTC expansion and uncertainty about future federal action. A key theme that emerges is that states will benefit from approaches that give them the flexibility to adjust policies year by year as the federal landscape develops.
1332 State Innovation Waivers: States Seek to Preserve Small Group Market Practices Through 1332
Manatt Health Solutions
The State Network 1332 Waivers Affinity Group continued with a presentation from the team at Manatt Health Solutions. This webinar included an overview of the small group market requirements in the ACA, and the efforts of three states to preserve their innovative pre-ACA programs. The presentation included information on the ways in which officials in Hawaii, Massachusetts, and Vermont are pursuing 1332 waivers in order to continue these pre-ACA small group market practices, the progress that they have made thus far, and assessment of how their proposals meet the guardrail requirements under Section 1332. Prior editions of this webinar series are available in the State Network 1332 Waivers Resource Library.