Policy Uncertainty is Creating Challenges for ACA Marketplace Insurers
Until Congress passes the reconciliation bill, Marketplace insurers will face uncertainty regarding the regulatory landscape and may find it difficult to set premiums for 2026.
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CMS Marketplace Rule’s Sunset Provisions Could Help Congress Find Budget Reconciliation Savings
Quick TakeA CMS rule, once finalized, is generally intended to exist permanently or until it is repealed.... This temporary implementation may preserve the potential for the reconciliation bill to generate official savings through changes to ACA marketplaces in later years (2027–2034) if enacted.
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Working Medicaid Enrollees Value Work But Are Wary About Work Requirements When Told About Paperwork Burden
Quick TakeOur polling finds that most of Medicaid’s working population say losing their coverage would have direct consequences for their financial and personal well-being.
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Tariffs Are Driving 2026 Health Insurance Premiums Up
Quick TakePresident Trump has vowed to impose tariffs on a wide variety of goods from multiple countries. While consumers may expect the price of some imported goods to go up, what may be surprising is that these tariffs are already driving health insurance premiums up.
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How the Reconciliation Bill Limits States’ Authority Over ACA Insurance Markets
Quick TakeTaken together, the reconciliation bill's provisions impose additional administrative burdens on state-based marketplaces and could limit state flexibility in choosing marketplace policies and procedures.
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The Biggest Rollback in Federal Support for Health Coverage Ever
Quick TakeRepublicans are not talking about repealing and replacing the ACA anymore, and the budget reconciliation bill doesn't do that, at least not directly. However, the bill would restrict health insurance for many people who have been helped by the ACA, and it would be the biggest rollback in federal support for health coverage ever.
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An Additional 8.2 Million People are Expected to Be Uninsured from Changes in the ACA Marketplaces
Quick TakeACA Marketplace changes are technical and numerous but consequential. While more attention has been focused on cuts to Medicaid, upcoming changes to the ACA Marketplaces could lead to just as many people losing health insurance coverage.
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Last-minute House Reconciliation Provision Would Set Up Clash with States over Marketplace Abortion Coverage
Quick TakeInsurers in 12 states that require abortion coverage would not be able to access federal funding for reduced cost-sharing under the House provision. How this would get resolved, and what would happen to abortion coverage for low-income ACA enrollees in these states, is unclear.
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House Bill Would Penalize More States for Covering Immigrants, Including Lawfully Residing Children and Pregnant People
Quick TakeA revision made to the bill before it was considered by the Rules committee expanded the penalty from 14 states and DC that cover undocumented immigrants with state funds to 33 states and DC that use a federal option available in Medicaid and/or CHIP to expand coverage for lawfully residing children and/or pregnant people.
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How Could FDA’s New Guidance Affect COVID-19 Vaccination Coverage in the U.S.?
Quick TakeTaken together, the new guidance on clinical trial requirements, the more restricted approval of the Novavax vaccine, and anticipated changes to CDC recommendations add up to fewer Americans eligible for COVID-19 vaccines and more limited access to these vaccines compared to previous years...such a shift would place the U.S. more in line with Australia, Canada, and countries in Europe.