Health Reform Hub
This chart summarizes major provisions included in the 2010 Patient Protection and Affordable Care Act (ACA), provisions included in the American Health Care Act (AHCA) passed by the House on May 4, 2017, as well as preliminary analysis of the Senate Better Care Reconciliation Act (BCRA) discussion draft as amended on June 26, 2017, and the revised on July 13, 2017 and July 20, 2017.
This map tracks state Medicaid expansion decisions and approaches states are taking for expanding eligibility to 138 percent of the Federal Poverty Level (FPL). This map also includes information on state legislative activity around Medicaid expansion, governors’ stances on the issue, and fiscal and demographic analyses from the state or other institutions. For states that are expanding Medicaid, but using an alternative to traditional expansion, the map also contains brief descriptions of these demonstration waivers.
The map below illustrates county-by-county premium variation in states for the second-lowest cost silver plan offered through the health insurance marketplaces in 2017. This map corresponds with our brief: Health Care is Local: Impact of Income and Geography on Premiums and Premium Support discussing discussing the factors that drive geographic variation in premiums and structure to support affordability despite regional variation in costs.
NASHP, in consultation with Covered California, created a 50 State data interactive that compares estimated annual consumer premiums for marketplace enrollees under the Affordable Care Act and the Better Care Reconciliation Act. Users can select and compare premiums for several ages, income levels and bronze or silver coverage. View the interactive tool here.
Medicaid payment models in many states are shifting away from rewarding providers for the quantity of care they provide to models that reward high-quality, coordinated care that addresses some of the broader social factors that influence health and well-being. One example is New York’s Value-Based Payment (VBP) Roadmap, which rewards Medicaid providers and community-based organizations […]
On Friday, March 23, 2018, Congress faces an important deadline to pass an omnibus budget bill to avert a government shutdown. Measures to bolster states’ Affordable Care Act (ACA) markets are currently not in the bill, but a group of lawmakers have proposed an amendment that could strengthen and stabilize insurance markets. Sens. Lamar Alexander […]
On Friday, Oct. 13, 2017,the Trump Administration announced it would no longer make cost-sharing reduction (CSR) payments to insurers offering coverage on health insurance marketplaces. The announcement cited guidance from the US Department Justice that questioned the legality of the appropriation for these payments (for more Cost Sharing Reduction Debate: Why This Matters and How […]
Today we issue another brief in our series, Lessons from States: Questions for Policymakers, that puts a state lens on emerging proposals in the ACA repeal and replace debate. Our latest, Selling Health Insurance Across State Lines notes that over the last decade 21 states introduced legislation to sell across state lines, only five states enacted such […]
The Graham-Cassidy amendment represented a radical overhaul of how health care coverage is financed and delivered, raising anew the question of federalism – what should the federal government guarantee and how much state variation should be supported? The legislation tossed most critical health care coverage and policy decisions to states without giving them sufficient time or […]