When It Comes to Short-Term Health Plans, Some States Just Say No

While the Trump administration has rolled out plans to make available short-term health plans, up from the current 90 days to 12 months in duration, some states have already said they don’t want any part. Since the plans don’t have to include all the essential health benefits (EHBs) of the Affordable Care Act (ACA, or […]

Read the rest of this entry »
GoTo top Top

Three States Join Challenge to Constitutionality of Obamacare

With the addition of North Dakota, South Dakota and Wisconsin this week, the lawsuit against the constitutionality of the Affordable Care Act (ACA, or Obamacare) is now being waged in Texas — where the legal action originated — by a combined 23 states. The crux of the lawsuit, filed by the Texas attorney general, is […]

Read the rest of this entry »
GoTo top Top

CMS Cuts Obamacare Navigator Funding from $36M to $10M

The Affordable Care Act (ACA) Navigator program, which funds groups and individuals to help walk people through the Obamacare sign-up process, is being cut financially once again by the Trump administration, this time from $36 million to $10 million. In 2017, funding stood at $63 million. Regardless of the federal outlay, the Navigator program has […]

Read the rest of this entry »
GoTo top Top

ACA Risk-Adjusted Payments Halted after Judge’s Ruling

UPDATE: On Tuesday, July 24, the Trump administration restored the risk-adjusted payments to prevent “chaos” in the health insurance market. Risk-adjusted payments, a principal component of the Affordable Care Act (ACA, or Obamacare) that seeks to level the playing field among insurers, have been put on hold by the Centers for Medicare and Medicaid Services […]

Read the rest of this entry »
GoTo top Top

IRS Preparing to Send 2016 Obamacare Penalty Notices

Even as many applicable large employers (ALEs) grapple with Employer Shared Responsibility Penalty (ESRP) letters from 2015, the Internal Revenue Service (IRS) is preparing to issue more such letters — known as Letter 226-J — for 2015, with still more coming later this year for 2016. Still down the road later this year, the agency […]

Read the rest of this entry »
GoTo top Top

CMS Proclaims a ‘Death Spiral’ for Unsubsidized Obamacare Policyholders

Though the actual number of open enrollment Obamacare policyholders who paid their premiums the first month rose over 2017 by 3 percent — standing at 10.6 million people for 2018 — those seeking policies who didn’t qualify for subsidies fell by as much as one-third in many states, the Centers for Medicare and Medicaid Services […]

Read the rest of this entry »
GoTo top Top

CHIP Survives Senate Rescission Vote

A move by the Trump administration to claw back nearly $15 in spending from the massive March 23 budget bill has failed in the Senate in a vote eerily similar to last summer’s vote on repealing the Affordable Care Act (ACA). The rescission measure would have hit the Children’s Health Insurance Program (CHIP) hardest at […]

Read the rest of this entry »
GoTo top Top

Trump DOJ Announces It Will No Longer Defend the ACA in Court

Faced with a challenge by 20 attorneys general in a federal court in Texas, the Affordable Care Act (ACA) is going to trial with no defense from the Trump administration’s Department of Justice (DOJ). The case rests on the constitutionality — or unconstitutionality — of the health care act now that the individual mandate has […]

Read the rest of this entry »
GoTo top Top

New Jersey Institutes Statewide Obamacare Individual Mandate

New Jersey has become the second state to legislate an individual Obamacare-like health care mandate following the lead of Massachusetts, which instituted its mandate in 2006 when it passed Romneycare. The New Jersey mandate replaces the financial penalty for not having health insurance that Republicans in Congress repealed in December. In 2015 some 189,000 New […]

Read the rest of this entry »
GoTo top Top

U.S. to Spend $685 Billion on Health Care Coverage for Those Under 65 in 2018

The federal government subsidizes health insurance for most Americans through a variety of programs and tax provisions. In 2018, net subsidies for non-institutionalized people under age 65 will total $685 billion, the Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT) estimate. That amount includes the cost of preferential tax […]

Read the rest of this entry »
GoTo top Top