On March 11, 2021, President Biden signed the American Rescue Plan Act of 2021 (the ARP), a wide-ranging package of health care and economic measures responding to the coronavirus pandemic. The ARP includes a broad expansion of the Affordable Care Act’s (ACA) main health insurance subsidy, the premium tax credit (PTC), the first major expansion of the health care reform law since its passage. This piece highlights the policymaking considerations that states must account for in light of the PTC expansion and uncertainty about future federal action. A key theme that emerges is that states will benefit from approaches that give them the flexibility to adjust policies year by year as the federal landscape develops.
Terms and Definitions Used by States Reporting on Affordable Care Act (ACA) Enrollment
State Health Access Data Assistance Center and the State Health Exchange Leadership Network
During the initial open enrollment period under the Affordable Care Act, the federal government and states operating state-based exchanges conducted various types of reporting on key indicators of interest to policymakers and the public. There was variation in the definitions employed by different states, and this is expected to continue into the future. As the second open enrollment period nears, several states have expressed interest in better understanding how their counterparts are defining and using key terms in public reporting. This resource, developed by the State Health Access Data Assistance Center (SHADAC) and the State Health Exchange Leadership Network represents a compendium of the terms and definitions most commonly used in the first open enrollment period, and is intended for use by states both for planning future reporting and for facilitating cross-state understanding and comparison.