• An Overview of ACA Provisions and Their Repeal Implications for States

    Much has been written about the impact of ACA repeal on consumers and health insurance markets. With this chart NASHP provides an overview of ACA provisions and snapshot of the implications to states if the ACA is repealed. States are the primary regulator of insurance and as such had laws in place prior to the enactment of ACA. Some states repealed those laws and replaced them with ACA provisions, while other states revised their laws but left other old, preempted laws on the books. Sorting through these laws and regulations to have a coherent system of insurance regulation after an ACA repeal will be a complex undertaking in every state.

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  • State Checklist: Medicaid-Related Provisions Impacted by an ACA Repeal

    This worksheet, originally created by the Virginia Department of Medical Assistance Services (DMAS), identifies key requirements of the ACA that impact state Medicaid and CHIP programs and poses questions for state officials to consider in preparing for actions that may need to be taken upon repeal. NASHP is pleased to share this tool allowing other states to preliminarily assess the impact of repeal on state Medicaid programs and identify efforts that would need to be taken upon repeal.

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  • State Leaders Offer Solutions to Address Rapid Increase in Prescription Drug Spending

    As part of the 29th Annual State Health Policy Conference, held 17-19 in Pittsburgh, PA, NASHP released findings from our Pharmacy Costs Work Group aimed at addressing the increasingly rising costs of pharmaceuticals. 

    The solutions offered in the newly released findings serve as a toolbox for states. While they recognize the value of the pharmaceutical industry, state policymakers have for some time been engaged in considerable work to maintain the affordability of prescriptions. Despite these efforts drug pricing and the unpredictability of increases continues to vex state budgets. Annually states spend more that $20 billion on prescription drug coverage for public employees, incarcerated individuals, higher education, and Medicaid.  

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  • 2016 CHIP State Fact Sheets Released

    With help from the American Academy of Pediatrics (AAP), NASHP is releasing 2016 CHIP fact sheets that provide up-to-date information about CHIP for each state, including data on enrollment, participation rates, eligibility levels, benefits, cost sharing requirements, and other key program characteristics.

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  • State Legislative Action on Pharmaceutical Prices

    As part of our Pharmacy Cost Work Group, an ongoing project that looks beyond the strategies currently used in states to identify and develop new ideas which address the growing problem of prescription drug costs, NASHP has been tracking state legislative actions to control the rising cost of prescription drugs. This series of maps and accompanying chart summarize state legislation that has been introduced during the 2015-2016 legislative season.

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The Latest

  • Informal Call for Ideas | Submissions due by March 10, 2017 As the health policy community across the nation engages in discussions about the future of the ACA, three things are clear 1. Uncertainty poses challenges for state policymakers 2. Not withstanding, state leaders have programs to run and people to serve, even as the policy […]

    February 16, 2017 | Filed under: 2017 Conference, Front Page
  • As Congress continues its Affordable Care Act (ACA) repeal effort, and evolving replacement options are in the spotlight, NASHP continues to track issues that appear in replacement proposals and provide state perspectives. In past weeks we’ve looked through a state lens at high-risk pools and selling insurance across state lines. Today we tackle another element of possible ACA replacement proposals: health savings accounts […]

    February 14, 2017 | Filed under: ACA, Front Page, Indiana, Michigan, Publications
  • 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 […]

    February 7, 2017 | Filed under: ACA, Front Page, Publications
  • Congress has begun its Affordable Care Act (ACA) repeal effort and evolving replacement options are receiving considerable attention. NASHP is tracking issues that appear in multiple proposals and will provide state perspectives, including: How might they impact states? What might they cost? Have they been tried before in states and what did we learn from […]

  • This worksheet, originally created by the Virginia Department of Medical Assistance Services (DMAS), identifies key requirements of the ACA that impact state Medicaid and CHIP programs and poses questions for state officials to consider in preparing for actions that may need to be taken upon repeal. NASHP is pleased to share this tool allowing other […]

    January 31, 2017 | Filed under: All States, Charts, Front Page, Medicaid, State Exchanges

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