The American Rescue Plan Act (ARPA) was signed into law on March 11, 2021 as a signature effort to assist in the recovery from the COVID-19 pandemic and the related economic downturn. Included as part of the sweeping legislation is a program to fully subsidize COBRA coverage for six months starting in April of 2021. This expert perspective provides a short overview of COBRA and mini-COBRA, the major elements of the ARPA COBRA Assistance program, and considerations for state policymakers related to the program.
State Considerations for Medicaid Buy-In Proposals
Lawmakers across the country are considering Medicaid buy-in or “public option” programs to stabilize the Affordable Care Act (ACA) insurance market and offer a coverage option that is more affordable and accessible than current options in the individual and employer markets. So far in the 2019 legislative session, more than 10 states have introduced legislation to study or implement a buy-in.1 A new State Health and Value Strategies issue brief, State Medicaid Buy-Ins: Key Questions to Consider, explores the key questions that states will want to consider as they pursue design, and implementation of buy-in proposals. This State Health Policy Highlight provides a checklist summarizing the key questions, which are laid out in greater detail in the underlying issue brief.