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Republicans Can’t Repeal Health Reform and Keep Current Pre-Existing Condition Protections

December 15, 2016

Congressional Republican leaders who plan to repeal the Affordable Care Act (ACA) as early as next month also say they want to ensure that people with pre-existing health conditions can continue to get health coverage.  But it’s hard to see how that’s possible.  

The reconciliation bill...

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Immediate Harm Even from “Delayed” Health Reform Repeal, Urban Institute Finds

December 7, 2016

Congressional Republicans claim that, when they repeal the Affordable Care Act (ACA) early next year, they can avoid hurting consumers by delaying the elimination of its Medicaid expansion and marketplace subsidies for two years or more.  This delay, they say, would ensure that “...

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Consumers Should Keep Enrolling in Marketplace Coverage

November 14, 2016

Donald Trump’s election and incoming House and Senate Republican majorities have millions of people who buy their health insurance on the individual market — as well as many uninsured people poised to buy a plan there — concerned about what may happen to that coverage.  But the marketplace plans and the subsidies to help modest-income people afford them are still available and will likely...

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Ignore the Hype: Marketplace Plans Offer Good Deals

November 1, 2016

Open enrollment for 2017 health insurance marketplace plans starts today.  While premium increases in the individual health insurance market are getting lots of attention, people who buy their own coverage can find a good plan, often with financial help from the federal government.   

People who don’t get coverage from other sources, such as their employer, Medicare, or Medicaid, should...

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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,...


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...


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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