On November 15, 2023, the Centers for Medicare & Medicaid Services released its proposed 2025 Notice of Benefit and Payment Parameters, the annual regulation which governs core provisions of the Affordable Care Act. This expert perspective focuses on aspects of the proposed rule likely to be of interest to state officials, including requirements for State-Based Marketplaces to align with the standards of the Federally Facilitated Marketplace, proposals for states to update essential health benefits, and initiatives to ease the eligibility and enrollment process for consumers.
Consumer Organization Directory for State Health Insurance Regulators
Sally McCarty and Kayla Connor, Center on Health Insurance Reforms, Georgetown Health Policy Institute
State action to prevent discriminatory benefit designs has been prompted, in part, by vital input from consumer advocacy organizations. Recognizing the important role that they can occupy in this process, the Georgetown University Health Policy Institute’s Center on Health Insurance Reforms sought to gather a directory of these organizations. Georgetown gathered those organizations willing to be made available to states as resources to insurance regulators in need of assistance with identifying discriminatory benefit designs or for other regulatory tasks that require expertise related to a certain disease group or consumer concern. This resource, which resulted from invitations sent to health-related consumer groups that signed the 2014 “We are (Still) Essential” letter to U.S. Department of Health and Human Services Secretary Burwell, is intended to serve as a resource for regulators seeking assistance from these groups.