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.
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.