Issue Briefs | Apr 12, 2012

State Milestones for ACA Implementation

Manatt Health Solutions

This State Milestones document, prepared by Manatt Health Solutions, identifies critical Affordable Care Act (ACA) implementation milestones states are striving to achieve by the end of 2012. Organized under the major areas of Health Insurance Exchange, Private Insurance Market Reforms and Medicaid Expansion, these milestones are key checkpoints for states to stay on track towards obtaining federal approval for state-based exchanges and meeting 2014 implementation deadlines. This document may be used to inform and educate various audiences, including public officials and health care stakeholders, regarding the priorities for state health care reform through the end of the year.


Expert Perspectives

March 14, 2025

Recent Federal Marketplace Proposal Imposes New Requirements for States and Consumers

On March 10, 2025, the Centers for Medicare & Medicaid Services released a proposed regulation that makes several policy and operational changes to the Affordable Care Act Marketplaces and insurance rules. This expert perspective reviews provisions of the proposed rule to assess their impact on State-Based Marketplaces and state insurance regulators.

Medicaid Cuts and the States: Tracking State-Specific Estimates of the Impacts of Proposed Changes

Congress is considering a variety of federal policy changes that will have significant impacts on the Medicaid program, widely expected to reduce enrollment and federal Medicaid funding to states. A variety of state-level estimates have been released, which can be helpful for states as they consider how various policy proposals might impact their Medicaid programs. This expert perspective highlights state agencies that have estimated and quantified the potential impacts of various proposals on enrollment and spending. SHVS will continue to regularly monitor published estimates from states and update this expert perspective.