In the Health Reform Update for the past two weeks, the
Trump Administration delays a critical decision on whether to terminate
cost-sharing reductions under the Affordable Care Act (ACA), despite insurer
requests for clarity on whether they will be available for the 2018 plan
year. Dominant insurers in Georgia and
Kansas pledge to stay in their ACA Marketplaces, while insurers in Missouri,
North Carolina, and Oregon either exit the Marketplace, more than double their
premiums, or scale back coverage areas in response to the uncertainty.
The Congressional Budget Office (CBO) confirms that
the ACA repeal and replace bill passed by the House this month will
dramatically raise premiums and out-of-pocket costs for those with pre-existing
conditions. Projections of 24 million in
coverage losses and nearly 850 percent cost increases for the low-income
elderly are also forcing closed-door Senate negotiations to consider significantly
boosting the amount of premium tax credits under the legislation.
A bipartisan letter that urges the Trump
Administration to ensure non-profit premium and cost-sharing assistance are
available to Marketplace consumers attracts more than 180 House members.
The Centers for Medicare and Medicaid Services (CMS)
announces that it will let states decide whether insurer cost-sharing tiers are
discriminatory, will no longer handle enrollment for the small business
Marketplaces created by the ACA, and will stop requiring federal Marketplace
consumers to complete their applications on HealthCare.gov.
You can find the full Health Reform Update here. If
you’re interested in Advocacy you can also join the PSI Patient Coalition here.