On November 15, 2023, the Centers for Medicare & Medicaid Services released its proposed 2025 Notice of Benefit and Payment Parameters, the annual regulation which governs core provisions of the Affordable Care Act. This expert perspective focuses on aspects of the proposed rule likely to be of interest to state officials, including requirements for State-Based Marketplaces to align with the standards of the Federally Facilitated Marketplace, proposals for states to update essential health benefits, and initiatives to ease the eligibility and enrollment process for consumers.
The American Rescue Plan Act’s State Option to Extend Postpartum Coverage
Kinda Serafi, Kaylee O’Connor and Patricia Boozang, Manatt Health
The American Rescue Plan Act of 2021 (ARP) establishes a new state option to extend Medicaid and Children’s Health Insurance Program (CHIP) coverage for pregnant women for one year following the baby’s birth. Under current law, Medicaid and CHIP pregnant women’s coverage extends only through 60 days postpartum. ARP’s new state option to extend continuous coverage for one-year postpartum enables states to take a major step towards improving health outcomes for postpartum women and their babies by mitigating coverage loss, providing comprehensive coverage in the postpartum period to address maternal mortality and morbidity, and advancing health equity. This issue brief reviews the policy and operational considerations for states of the new option to extend postpartum coverage. The issue brief has been updated as of April 1, 2022 to include reference to additional guidance released by the Centers for Medicare & Medicaid Services on December 7, 2021.