On February 26, 2018, the Urban Institute released a report showing the need for Maryland’s health insurance down payment plan, called the “Protect Maryland Health Care Act of 2018.” According to the report, two policies that attack the Affordable Care Act—the end of federal enforcement of the ACA’s individual mandate and new Trump administration rules that authorize the sale of cut-rate, substandard insurance that violates ACA consumer protections—will do tremendous harm in virtually e
Many state legislatures are passing the midpoint for 2018 sessions, and trends are emerging in their efforts to tackle health care affordability and coverage. States are also reacting to federal activity around Medicaid and private market coverage including the repeal of the individual mandate. Below are some of the noteworthy state health legislative measures already moving this year.
While it may seem that Congress has moved on from its reckless quest to repeal the Affordable Care Act and cut Medicaid, many lawmakers are not giving up.
It’s important that we remind members of Congress that we’re watching them and will mobilize to defend health care.
Earlier this week, the Trump Administration released its proposed budget for fiscal year 2019. This is the president’s first full budget proposal since taking office and it outlines the administration’s vision for the future. Although the budget proposal is non-binding and many elements need congressional approval for enactment, the administration can implement some of these policies on its own, through regulations, executive orders, and guidance. This is an eye-opening and chilling road map for where the administration wants to take health care for families and children.
One popular aspect of the Affordable Care Act is its requirement that all individual and small group health plans (for people who don’t have traditional job-based coverage) cover important health benefits like maternity, mental health, preventive, and pediatric dental care. Members of Congress and the Trump administration have frequently proposed measures that would eliminate or undermine these essential health benefits (EHBs), as they are known.
A new study released by Senior Fellow Stan Dorn and others serves as a reminder that vigorous federal and state action can use the tools created by the ACA to help laid-off workers get health coverage.
Idaho state officials sought to create “state-based plans” for health insurance that would set a precedent for individual market insurance plans that could deny coverage for preexisting conditions. The Idaho health insurance guidelines would put older and sicker residents at a disadvantage.
To protect their residents, some states are considering using their own income tax systems to replace the federal government’s enforcement of the individual mandate. But another approach under consideration in Maryland would both prevent the harm forecast by CBO while taking new steps to insure families who would otherwise remain without coverage.
Not only would Maryland’s approach increase coverage, newly insured young and healthy residents would improve the overall risk pool, stabilizing markets and lowering premiums for numerous insured residents who buy individual coverage.
In late January, the Trump administration quietly announced two alarming new policies that will lead to more discrimination in health care: a change in Medicaid policy made through executive order, and a proposed rule that is open for comment until March 27, 2018.
Idaho’s governor wants to roll back insurance coverage in the Gem State to the days when it was more expensive to get health care if you had a pre-existing condition.
Governor Butch Otter and Lt. Governor Brad Little signed an executive order on January 5, directing the Idaho Department of Insurance to create new guidelines for health insurance carriers to sell lower-priced, less-comprehensive coverage plans in the state. The Idaho plan will be getting a lot of attention from other governors across the country who want to get around the requirements of the Affordable Care Act.