State Exchanges

How State Policymakers Spent Their Summer: Stabilizing Their Insurance Markets

State policymakers spent their summer crafting policies to educate and protect consumers in response to federal actions that threaten to alter state individual insurance markets. In recent months, the federal government issued new rules expanding the availability and sale of association health plans and short-term, limited duration plans and passed legislation effectively eliminating the individual […]

Read More
  • Maps
    Where States Stand on Exchanges

    Where States Stand on Exchanges

    Since 2011, NASHP staff has been dedicated to monitoring the process of the ACA’s health insurance exchanges. NASHP supports the State Health Exchange Leadership Network, project which provides a platform for health insurance marketplaces state staff and leaders to participate in peer-to-peer dialogue, discuss emerging issues, and share best practices. On this page, you’ll find […]

    Read More
    March 15, 2018 | Filed under: ACA, Insurance Exchanges, Maps, State Exchanges

  • State-Based Marketplace Directors Ask Senate Leaders to Support a Reinsurance Program

    Executive directors of 10 state-based insurance marketplaces have asked leaders of the Senate Health, Education, Labor and Pensions Committee to support Congressional efforts to stabilize Affordable Care Act (ACA) insurance marketplaces through a reinsurance program that would spread the financial risk for high-risk individuals across insurance markets. The leaders wrote in a Jan. 30, 2018, […]

    Read More
    February 6, 2018 | Filed under: ACA, Front Page, Presentations and Announcements, State Exchanges

  • State Health Policy Blog

    The Administration Ends CSR Subsidy Payments — What Comes Next?

    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 […]

    Read More
  • State Health Policy Blog
    Cost Sharing Reduction Debate: Why This Matters and How States Are Preparing for an Uncertain Future

    Cost Sharing Reduction Debate: Why This Matters and How States Are Preparing for an Uncertain Future

    An update on CSRs – Aug. 18 Since publication of this blog, two major developments have occurred. The White House indicated that the Administration will make CSR payments for August. The Administration has not commented about future payments; the next is due Sept. 20. On Aug. 15, the Congressional Budget Office (CBO) released an analysis […]

    Read More
  • State Health Policy Blog

    Unpacking the State-Based Marketplaces

    As policy makers debate the future of health care, the twelve state-based marketplaces (SBMs) and five state marketplaces using the federal platform (SBM-FPs) have proven themselves sustainable, solvent examples of how state flexibility can be leveraged to bridge public and private interests to improve lives and drive stable markets. As a result of these efforts, states […]

    Read More
  • An Update on Enrollment and Uninsured Rates in States

    Below, we provide enrollment information, broken out by new enrollees and re-enrollees, for states operating State-based Marketplaces (SBMs), states operating State-based Marketplaces on the federal platform (SBM-FPs), and states using the Federally-facilitated Marketplace (FFM) during the 2016-17 Open Enrollment Period (November 1, 2016-January 31, 2017). [1] This includes data from the 2017 Open Enrollment Period […]

    Read More
    August 2, 2017 | Filed under: Charts, Insurance Exchanges, State Exchanges

  • Issuers Hold Steady in State-based Exchange States

    On Monday, July 10th, the Centers for Medicare and Medicaid Services (CMS) released a tally of issuer submissions to offer individual market coverage through the Federally-facilitated Exchange. The National Academy for State Health Policy (NASHP) conducted an analysis of preliminary rate filings for states that have opted to run a State-based Exchange (SBE), finding that […]

    Read More
  • 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 […]

    Read More
  • 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 […]

    Read More