Tag Archives: 1332 waivers

ACA Round-Up: Bipartisan Market Stabilization Efforts Stall; Iowa 1332 Waiver Application Advances; And More

Talks on individual market stabilization measures collapsed as GOP leaders focus on the Graham-Cassidy legislation. CMS has preliminarily declared Iowa’s application for a 1332 state innovation waiver complete, opening a comment period on the most far-reaching such waiver application to date.

September 20, 2017

Medicaid Waivers Should Backstop The Exchanges

Temporary Medicaid buy-in would be a useful tool for state regulators to improve the quality of plans offered in counties that otherwise would have been bare.

September 14, 2017

ACA Round-Up: Last Bare County Covered, Oklahoma Waiver Application Complete, And More

The last bare county is covered, Oklahoma’s waiver application is complete, a judge sides with a plaintiff in a lactation support coverage dispute, CBO Director Hall responds to Rep. MacArthur on CBO’s AHCA evaluation, and CMS describes its planned treatment of consumers who resolve data issues.

August 25, 2017

Iowa Waiver Application Presents Crucial Decision Point For Administration; Judge Rebuffs EEOC On ADA/GINA Rules

If CMS approves Iowa’s 1332 waiver application rewriting parts of the ACA, other states unhappy with the law will surely follow Iowa’s example. Also, a judge found that the EEOC had not sufficiently justified its approval of incentives for employee release of medical and genetic information.

August 24, 2017

The Skinny On The Senate ACA Debate, Day Three

The endgame of the Senate’s ACA debate may be coming into focus: a “skinny plan” which might repeal the individual and employer mandates and the medical device tax, beef up 1332 waivers, and/or defund Planned Parenthood and eliminate the Prevention Fund.

July 27, 2017

ACA Round-Up: CMS Approves Alaska 1332 Reinsurance Waiver, Ceases Premium Outlier Reviews

On July 11, CMS announced approval of Alaska’s state innovation waiver application for its reinsurance program. Another reinsurance program 1332 waiver application is pending from Minnesota and more are expected. Alaska’s 1332 waiver approval follow’s Hawaii’s successful application last year.

July 12, 2017

CBO Projects That 22 Million Would Lose Coverage Under Senate Bill

The CBO projects that the Senate GOP health reform bill would reduce spending over the period of 2017-2026 by $321 billion. It would also, however, reduce coverage by about 22 million people by 2026, and would increase the cost and decrease the value of coverage for lower-income and older people.

June 26, 2017

Iowa Submits 1332 Waiver Request, Claiming It Is Necessary To Avoid An Individual Insurance Market Collapse

On June 12, Iowa submitted a 1332 waiver request that would dramatically change the nature of its marketplace, claiming that this was needed to save a collapsing individual insurance market. To grant the request, CMS would have to waive many of 1332’s normal statutory and regulatory requirements.

June 12, 2017

HHS Requests Feedback On ACA Regulations; Evidence On Effect Of CSR Payment Uncertainty Continues To Mount (Updated)

On June 8, CMS posted an RFI titled “Reducing Regulatory Burdens Imposed by [the ACA] & Improving Healthcare Choices to Empower Patients.” Meanwhile, stakeholders cite uncertainty over cost-sharing reduction factors as the biggest factor destabilizing the individual insurance market.

June 9, 2017

How Minnesota Is Stepping Up To Preserve Its Individual Market

After capping enrollment, the Minnesota legislature also passed a premium relief rebate bill during the first week of the legislative session, and a reinsurance bill was allowed to become law without Governor Mark Dayton’s signature.

April 18, 2017