States continue to identify and pursue strategies to further reduce the number of uninsured, to make coverage more affordable for consumers and to improve access to care. Several proposals have been introduced at both the federal and state levels that would permit people above Medicaid eligibility levels to “buy in” to Medicaid or would leverage the Medicaid program to strengthen coverage across the individual market and Medicaid. This issue brief presents two possible models for a Medicaid buy-in program for states, and details the design considerations and authorities needed to implement each model.
The U.S. Department of Health & Human Services released on April 9, 2018 its annual Notice of Benefit and Payment Parameters, a collection of policies governing the ACA’s marketplaces, insurance reforms, and premium stabilization programs. The first such annual notice issued under the Trump Administration, it contains a number of provisions that require state officials to make important decisions on short notice that will affect plan benefits, premiums, and marketplace operations. State Health and Value Strategies hosted a webinar, together with experts Sabrina Corlette and Justin Giovannelli from Georgetown’s Center on Health Insurance Reforms, Joel Ario from Manatt Health and Jason Levitis, to help participants untangle the rule and its many implications for states.
Analysis of the Trump Administration’s Proposed Short-Term Health Plan Rule: Implications for States
The Secretaries of Health and Human Services, Treasury, and Labor released a proposed rule to implement the President’s October 12, 2017 executive order calling for expanded availability of short-term limited duration health plans that do not have to comply with Affordable Care Act standards. The proposed rule would relax current federal rules by allowing short-term plans to be sold for a duration of up to 12 months. It also modifies required consumer disclosures about these products.
State Health and Value Strategies hosted a webinar for states on the Executive Order affecting state insurance markets and the implications for states of discontinuation of CSR payments. The webinar featured insurance market experts from Georgetown’s Center on Health Insurance Reforms and Manatt Health who discussed the elements of the Executive Order, what states can expect in the coming weeks, and the policy decisions states can consider.
Following the expiration of funding for the Children’s Health Insurance Program (CHIP), both the House and the Senate have turned their attention to the program’s renewal. As states know well, the program was provided with funding through fiscal year 2017, which ended on September 30th, creating pressure for Congress to act quickly before states begin to run out of CHIP dollars in the coming weeks and months. Both the Senate and the House recently have taken up legislation to provide funding for an additional five years and make a number of other modifications to the bill.
Federal funding for the Children’s Health Insurance Program (CHIP) is set to expire on September 30th, raising multiple issues for states. State Health and Value Strategies, in partnership with technical experts from Manatt Health, hosted a webinar to discuss key considerations for states as Congress debates CHIP reauthorization. Topics included the funding level and duration of the extension, maintenance of the 23 point FMAP bump, maintenance of effort requirements, and operational implications of reauthorization timing.
Continued uncertainty surrounding federal legislative action affecting the Affordable Care Act (ACA) have led many states to reconsider the option of Section 1332 State Innovation Waivers. These waivers allow states broad flexibility to redesign the coverage provisions of the ACA according to certain statutory guidelines. Given the renewed interest in 1332 waivers, the State Network hosted a webinar for state officials featuring the experts at Manatt Health.
American Indians and Alaska Natives could face a disproportionate impact in the event of ACA repeal. This report, authored by Dr. Donald Warne at North Dakota State University, in partnership with the National Indian Health Board, highlights the specific effects of ACA repeal.
Changes to the individual health insurance market are at the heart of the American Health Care Act. This webinar featured experts from Manatt Health who discussed changes in the individual market, including tax credits and the marketplace, that states will need to consider moving forward. The attached slide deck includes details on what is in the legislation, what are the key policy areas for states and an impact analysis for state policy makers.
On February 15, 2017, CMS released a proposed rule on market stabilization in the individual market nationally. The State Network hosted a webinar for state insurance departments and state-based marketplaces to review the topics addressed in the rule, and identify policy implications for states. This slide deck highlights the points of the webinar and includes all of the specific questions on which CMS requested feedback.