Health Reform Hub

The American Health Care Act, which proposes to repeal and replace the Affordable Care Act (ACA), would dismantle the Prevention and Public Health Fund (PPHF). States received over $625 million from the PPHF in fiscal year 2016,[i] and stand to lose more than $3 billion over five years if it is repealed.[ii] The bill would […]

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  • Publications

    Empowering and Protecting Consumers: ERISA Thwarts State Innovation

    As the national debate over the ACA continues, this publication  looks at why Congress needs to amend the Employee Retirement Income Security Act (ERISA) to assure consumers and payers have the information they need to make health purchasing decisions. The considerable discussion of increasing consumer engagement, in part by expanding the use of health savings accounts […]

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    February 28, 2017 | Filed under: Front Page, Health Reform Hub, Publications

  • Publications

    Health Savings Accounts — Lessons from States; Questions for Policymakers

    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 […]

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    February 14, 2017 | Filed under: Front Page, Health Reform Hub, Indiana, Michigan, Publications

  • State Health Policy Blog

    High Risk Pools Deja Vu – Lessons from States, Questions for Policymakers

    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 […]

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

    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 […]

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

    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 […]

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  • State Health Policy Blog

    Reflections on Repeal and Replace

    Amidst discussion of repealing, delaying, and replacing the ACA, what’s ahead for health reform is uncertain, but may be informed by reflection on what’s gone before. In January 2000, the National Academy for State Health Policy (NASHP) convened a bipartisan group of state health policy leaders to discuss lessons learned from 25 years of state […]

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  • Maps
    Where States Stand on Medicaid Expansion

    Where States Stand on Medicaid Expansion

    The map below tracks implementation of the Affordable Care Act’s (ACA) Medicaid expansion in all states, as of July 29, 2019. The map indicates whether states are using alternative approaches through demonstration waivers, and also features information about state legislation or citizen referendums, governors’ stances, and other analyses. Expanding Medicaid increases coverage for people earning up to 138 […]

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  • Health Reform Hub Maps and Charts

    Health Reform Hub Maps and Charts

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    August 21, 2015 | Filed under: Health Reform Hub Featured

  • Health Reform Hub Blog Posts

    Health Reform Hub Blog Posts

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    August 21, 2015 | Filed under: Health Reform Hub Featured