As federal health reform legislation has stalled, health policy attention turns to the states, which have many tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states.
Short-term, Limited-duration Insurance and Excepted Benefits
Kayla Connor, Georgetown Health Policy Institute, Center on Health Insurance Reforms
Excepted benefits and short-term, limited-duration insurance are insurance products that are exempted from the Affordable Care Act’s (ACA) consumer protections. Recent questions from several states have indicated that some confusion exists about which insurance products qualify as “excepted benefits” and are therefore exempt from several requirements of the ACA, such as coverage for preventive health services, a prohibition on lifetime limits, and minimum value requirements. This issue brief, prepared by the Georgetown University Health Policy Institute’s Center on Health Insurance Reforms, provides a framework of the federal law governing requirements for identifying both “short-term, limited-duration” insurance and “excepted benefits,” walking through the categories of excepted benefits and discussing particular product types in detail.