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Section 1115 Medicaid Expansion Waivers: A Look at Key Themes and State Specific Waiver Provisions

This issue brief focuses on Section 1115 waivers that implement the ACA’s Medicaid expansion and highlights themes in approved, pending, and denied provisions to date as well as key issues to watch looking ahead. Additional detail about each state’s waiver is provided in the Appendix tables.

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Kaiser Health Tracking Poll – August 2017: The Politics of ACA Repeal and Replace Efforts

Following the U.S. Senate’s failed vote on the “skinny repeal”, the latest Kaiser Health Tracking Poll finds that the majority of the public say it is a “good thing” that the Senate did not pass the bill that would have repealed and replaced the ACA. A large share of Americans think President Trump and his administration should do what they can to make the current health care law work and a majority of the public want to see bipartisan efforts to improve the 2010 health care law. However, about half of Republicans and Trump supporters would like to see Republicans in Congress keep working on a plan to repeal the ACA, and most Republicans and Trump supporters endorse using hard-ball tactics to encourage Democrats to start negotiating with President Trump on a replacement plan. The majority of the public are also unaware that health insurance companies choosing not to sell insurance plans or charging higher premiums in certain marketplaces only affect those who purchase their own insurance on these marketplaces.

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Poll: Large Majority of the Public, Including Half of Republicans and Trump Supporters, Say the Administration Should Try to Make the Affordable Care Act Work

Most Republicans Are “Disappointed” But Not “Angry” That Repeal-and-Replace Legislation Did Not Pass Senate After the Senate’s failure to pass legislation to repeal and replace the Affordable Care Act, the latest Kaiser Health Tracking Poll finds that eight in 10 Americans (78%) say President Trump and his administration should do…

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The Henry J. Kaiser Family Foundation

Health Reform

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The Henry J. Kaiser Family Foundation

Early Analysis of 21 Major Cities Tracks ACA Marketplace Premium Changes, Insurer Participation, Uncertainty

As insurers grapple with continuing uncertainty surrounding 2018 Affordable Care Act (ACA) marketplaces, a new Kaiser Family Foundation analysis of initial filings in 21 major cities finds that changes in 2018 benchmark silver plan premiums are likely to range widely, from a decrease of 5 percent in Providence, R.I., to…

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The Henry J. Kaiser Family Foundation

The ACA Stability “Crisis” In Perspective

In this column for Axios, Drew Altman presents new data analysis showing how many people are impacted by premium increases in the small group market, and discusses the implications. 

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An Early Look at 2018 Premium Changes and Insurer Participation on ACA Exchanges

This analysis looks at preliminary premiums and insurer participation in Affordable Care Act (ACA) marketplaces, noting the effects of uncertainty surrounding individual mandate enforcement and cost-sharing reduction payments.

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The Henry J. Kaiser Family Foundation

JAMA Forum: Has Obamacare Become Trumpcare?

With the effort to repeal or replace the Affordable Care Act seemingly on hold or even dead, Larry Levitt discusses what the Trump administration could do to make the ACA successful – including providing clarity around individual mandate enforcement and cost-sharing reduction payments; maintaining outreach and consumer assistance; and encouraging insurers to participate in the individual insurance marketplaces. The post is now available at The JAMA Forum.

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Proposed Changes to Medicaid Expansion in Kentucky

On June 22, 2016, Governor Bevin released his proposed Section 1115 demonstration waiver application called Kentucky HEALTH (Helping to Engage and Achieve Long Term Health) as an alternative to the current Medicaid expansion which is being implemented through a state plan amendment according to the terms in the ACA. On July 3, 2017, Kentucky submitted an amendment, proposing several changes, to its pending waiver application to the new Administration. This fact sheet summarizes the proposed changes to the current Medicaid expansion in Kentucky.

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What’s the Near-Term Outlook for the Affordable Care Act?

If Congress abandons efforts to repeal and replace the Affordable Care Act (ACA), President Trump has said he would “let Obamacare fail.” This Q&A examines what could happen to the individual insurance marketplaces if the ACA, also called “Obamacare,” remains the law and what it might mean to let Obamacare fail.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.