Report

What Advocates Should Know about 1332 State Innovation Waivers

Beginning in 2017, the Affordable Care Act permits states to apply for waivers to begin experimenting with strategies to provide residents with access to high-quality, affordable health insurance. Kno...

Consumer Protections for Web Brokers that Participate in the Health Insurance Marketplace

The issue of “direct enrollment” for marketplaces has become a hot topic in many states. “Direct enrollment” is when an insurer or broker facilitates a consumer’s enrollment in a marketplace...

The Trump Tax on Health Insurance: CBO Report Shows 31-54% Premium Spike

On May 23, the nonpartisan Congressional Budget Office (CBO) released its latest analysis of health insurance coverage and costs. Much of the report’s media coverage has focused on the projected 15...

How Could a 1332 Waiver Affect Medicaid and CHIP?

States can receive approval from the federal government to begin state innovation projects in 2017 that would waive certain provisions of the Affordable Care Act pertaining to private insurance covera...

CMS Suspends Risk Adjustment Program, Endangering Health of Millions

On July 7, the Centers for Medicare and Medicaid Services (CMS) announced a policy change that could fundamentally undermine the individual market, endangering health care for millions of people who g...

How Does the Affordable Care Act Affect People Who Buy Health Insurance in the Individual Market?

New data released yesterday by the Obama administration estimates the number of people whose health insurance was canceled and who have yet to sign up for new coverage in the marketplace to be less th...

Texas v. United States: The Latest Court Case to Threaten Health Coverage for Millions

Update: Judge O’Connor heard oral arguments in Texas v. United States on September 5, summarized in this Health Affairs article. It is not clear how quickly the judge will rule on a preliminary i...

Seven State Options to Reduce the Number of Uninsured (and Stabilize Insurance Markets)

The Affordable Care Act (ACA) added 20 million people to the ranks of the insured, comprising our country’s largest coverage expansion since the creation of Medicare and Medicaid more than 50 years ...

Beware! New Guidance on Section 1332 Waivers Opens  the Way for Serious Harm

Under Section 1332 of the Affordable Care Act, states are allowed to apply for state innovation waivers that waive certain parts of the act’s requirements1 for private health insurance and marketpl...

Proposed Program Integrity Rule: The Potentially Good and the Bad

UPDATE: 1/8/19 - Links to Families USA's comments on the proposed Program Integrity Rule are available here. On November 7, 2018—the morning after Election Day—the Trump administration propos...