The Trump administration has released new guidance that revamps the Affordable Care Act (ACA) state innovation waivers – also known as 1332 waivers – to give states more flexibility to expand access to less expensive non-ACA plans.
One of the biggest changes would be allowing people to use their ACA subsidies to buy insurance outside of ACA markets, including short-term plans or association health plans that don’t meet ACA coverage and patient protection rules. Continue reading
Photo by Sean Stayte via flickr
Lamar Alexander and Patty Murray are circulating a new “ACA stabilization” plan that in some ways is more ambitious than past efforts and takes into account the repeal of the individual mandate penalty. The senators are trying to get it into the omnibus spending bill Congress wants to pass by March 23.
But success is not very likely at this point. It’s not impossible given all the horse-trading that has to happen to get a huge omnibus spending bill passed, and Alexander, in particular, is persisting. But it definitely is a long shot. Continue reading
In the next few days and weeks we’ll see the first wave of reactions from health plans – and unsubsidized Affordable Care Act exchange shoppers, because of premium increases – to President Trump’s decision to cut off immediately the cost-sharing subsidies to health plans participating in the exchanges.
In my blog posts, I usually try to highlight stories that have a lesson – something that you can take and apply to your own reporting on health reform.
This story by the Washington Post’s Jenna Johnson doesn’t have such a clear-cut, practical “how-to” aspect. But I’ve found myself thinking about her opening anecdote again and again since I read it, so I figured it’s time to share. Continue reading
For those of us who cover health policy nationally or in our states and local communities, it has been a dizzying couple of months.
The “Day 1” slam dunk repeal that President Donald J. Trump and the Republicans who control the House and the Senate promised turned into a prolonged and uncertain mélange of repeal, replace, repair, implode, explode – not to mention beg, negotiate, threaten and wheedle. Continue reading