The open enrollment period (OEP) for the plan year beginning 2023 will begin on November 1, 2022, and marketplaces (SBMs) will be encouraging consumers to sign up for health coverage. This open enrollment period will see a return of enhanced subsidies and for some states, implementation of a fix to the so-called “Family Glitch.” This document includes research-based messaging to support outreach and enrollment, addressing common barriers consumers have to getting and keeping health coverage.
Password protected resource page for members of the Facilitated and Automatic Enrollment Strategies affinity group.
SHVS is tracking the latest federal guidance related to implementation and oversight of the No Surprises Act (NSA), the comprehensive federal law banning balance bills in emergency and certain non-emergency settings beginning January 1, 2022. This resource page highlights the latest SHVS resources for states on federal NSA guidance and summarizes its implications for state regulators.
Password protected resource page for members of the Affordable Health Coverage for Immigrant Populations affinity group.
Slide decks that were shared at the Small Group Convening on Marketplace and Department of Insurance Innovations that was held on May 24, 2022 in Philadelphia, PA.
State Health and Value Strategies has created a flyer for states to customize and place in consulate offices, to serve as a resource to enroll eligible immigrants in health coverage in their state. The flyer is designed so that states can add their own contact information and logos for their outreach purposes and has been translated into Spanish.
Slide decks that were shared at the Small Group Convening on Coordinating the Continuous Coverage Unwinding that was held on April 7 – 8, 2022 in Minneapolis, MN.
The End of the Public Health Emergency Will Prompt Massive Transitions in Health Insurance Coverage: How State Insurance Regulators Can Prepare
Once the public health emergency ends, state Medicaid agencies will need to recommence Medicaid eligibility redeterminations and renewals. As a result, up to 16 million people are projected to lose their Medicaid coverage, and an estimated one-third of these individuals will be eligible for subsidized coverage in the Affordable Care Act (ACA) Marketplaces. Whether a state’s Medicaid agency moves swiftly or slowly to process eligibility redeterminations, the commercial insurance market–and particularly the ACA Marketplaces–could experience a significant growth in enrollment. This issue brief identifies several areas in which state departments of insurance (DOIs) may want to coordinate with other agencies or external stakeholders, issue new regulations or guidance, and establish means for minimizing gaps in coverage or access to services.
As of January 1, 2022, a new federal law, the No Surprises Act, is in effect to protect consumers from surprise medical bills for out-of-network care. Some states have laws that already protect some consumers from surprise medical bills, depending on the type of health insurance they have. The federal law applies to all states, extends protections, and offers protections to many more people, including those with employer-sponsored health insurance. This toolkit includes suggested template resources to use in communicating with consumers about the No Surprises Act.
This slide deck presents policy considerations for states in light of provisions from American Rescue Plan Act of 2021 and if passed, potential implications from the Build Back Better legislation.