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.
Department of Insurance Consumer Services ACA Toolkit – Marketplace Financial Assistance and Tax Filing Issues, including Form 1095-A
Justin Giovannelli and Sally McCarty, Georgetown Health Policy Institute, Center on Health Insurance Reforms
The State Network team at the Georgetown University Health Policy Institute previously developed a toolkit to assist insurance regulators in assuring that Department of Insurance consumer service representatives (CSRs) are well versed in all aspects of insurance basics (for new staff), as well as the changes brought about by the ACA and other recent reforms. The information in this document has recently been added to the consumer services toolkit, and includes updated information on marketplace financial assistance and related tax filing issues, including Form 1095-A. This information is presented in a standalone format from the Consumer Services Toolkit, in order to call the attention of CSRs to issues surrounding the interaction between marketplace financial assistance and tax filing.