The Federal Government’s Response to the Coronavirus (COVID-19) Pandemic: Questions & Answers
Allison Orris and Chiquita Brooks-LaSure, Manatt Health
In response to the COVID-19 pandemic, the federal government is moving rapidly to help states and health care providers respond to mounting needs for new sources of funding and flexibility. Congress has passed three COVID-19 stimulus bills, which authorize programmatic changes in Medicare, Medicaid, and Marketplace coverage and also appropriate billions of dollars to support states, localities, and health care providers.
In addition, the U.S. Department of Health and Human Services—and its component agencies, including the Centers for Medicare & Medicaid Services—has issued voluminous guidance outlining new flexibilities available to states and providers, and is working at breakneck speed to approve additional requests from states, to award funds appropriated by Congress, and to issue more guidance about such funding. This Q&A provides a moment-in-time update in response to questions SHVS has received about the federal government’s response.
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.
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.