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Small Business Health Care Bill Raises Questions

June 15, 2016

A bipartisan bill that the House Ways and Means Committee will consider today would let small employers use a health reimbursement arrangement (HRA) — a tax-favored, employer-funded account that people can use to pay out-of-pocket health costs — to help their workers buy individual-market coverage,...

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New GOP Health Plan Guts Health Reform

June 3, 2016

The new health plan from House Rules Committee chair Pete Sessions and Senate Health, Education, Labor, and Pensions Committee member Bill Cassidy would end or undermine all major elements of health reform, including its...

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Previewing a House GOP Leaders’ Health Plan, #6: Little Protection for People With Pre-Existing Conditions

May 12, 2016

Congressional Republicans who oppose health reform (the Affordable Care Act, or ACA) often say their plans to repeal and replace it would preserve one of its most popular elements: protections for people with pre-existing conditions.   But that’s not the case — and it probably won’t be the case with the health plan that House...

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Previewing a House GOP Leaders’ Health Plan, #5: Market Rules and Consumer Protections

May 11, 2016

Any health plan from House GOP leaders would likely scrap much, if not all, of the Affordable Care Act’s (ACA) most popular feature: the market reforms that allow a broad array of people — including those with pre-existing conditions — to buy insurance that meets minimum coverage standards in the individual and small-group...

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Health Reform’s Innovation Waivers Can’t Raise Deficit

April 28, 2016

Ever since health reform (the Affordable Care Act or ACA) became law in 2010, some state officials and policy experts have continued suggesting that its “state innovation waivers” will let states make sweeping changes to health reform and Medicaid beginning in 2017.  But let’s be clear: the law...

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Insurers’ Claims About Special Enrollment Periods Deserve Tougher Scrutiny

February 25, 2016

For months, insurers have claimed that people are abusing special enrollment periods (SEPs), which allow people to newly enroll in a marketplace health plan (or change plans) outside the regular open enrollment period if they experience a major life change such as having a child, getting married, moving, or losing other coverage.  Insurers won a major victory this week when the Department of...

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To Make Marketplaces Work Best, Enroll More People — Not Fewer

January 21, 2016

January 25, 2016: This post has been updated to reflect that the current open enrollment period is for 2016 coverage.

Health insurers...

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Open Enrollment for Small Businesses Eases Path to Covering Workers

October 26, 2015

While the next open enrollment period for individuals and families to buy marketplace coverage for 2016 will get significant focus, health reform has another open enrollment period that also deserves attention...

Ending Subsidies for New Enrollees Would Drive Up Premiums, Threaten Health Marketplaces

June 19, 2015

Congressional Republican health plans, developed in case the Supreme Court invalidates health insurance subsidies in states with federal marketplaces, purport to help the 6.4 million people now receiving subsidies.  But they do nothing for new enrollees who would otherwise be eligible for subsidies.  That’s a big problem for millions of potential enrollees and for the marketplaces’ future....

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New Republican Proposal Would Leave Millions Uninsured or Underinsured

June 11, 2015

With the Supreme Court decision in King v. Burwell looming, another Republican legislative proposal seeks to use that decision to undo most of health reform, likely leaving millions of low- and moderate-income enrollees in federal marketplaces uninsured or substantially underinsured.

The...

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