On January 23, 2023, the Federal Communications Commission issued an important ruling that provides states with new flexibility to support enrollee outreach and communication efforts as part of their processes to unwind the Medicaid continuous coverage requirement. The ruling permits state agencies and their partners to send text messages and make phone calls to individuals about enrollment-related issues not only for Medicaid but for other state-run health insurance programs, including marketplace coverage. This expert perspective reviews the ruling and implications for states.
Enforcement of the No Surprises Act: Considerations for States
State Health and Value Strategies hosted a webinar on Thursday, November 4 from 1:00 to 2:00 p.m. ET, during which experts from the Georgetown University Center on Health Insurance Reforms and GMMB provided an overview of federal regulators’ proposed approach to enforcement of the No Surprises Act (NSA) as well as share strategies to consider in planning provider and consumer education efforts. The webinar also included presentations from three states on their enforcement approaches to the NSA: Maryland, Pennsylvania and Texas, followed by a question and answer session. In case you missed it, a corresponding expert perspective is posted on our website along with other NSA-related materials on a resource page for states. We will continue to update this resource page with relevant state information.
The NSA takes effect on January 1, 2022, extending comprehensive protections from balance billing to those individuals not already covered by state-enacted protections, including the nearly 135 million people in self-insured plans. Federal regulators are relying on states to be the primary enforcers of the provisions that apply to insurers and providers and facilities, including air ambulances. Enforcement may therefore require state agencies other than departments of insurance to engage in enforcement efforts.