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Health Reform

Health Reform

HEALTH EXCHANGES OPEN NOV. 15

The second year open enrollment period for private insurance plans offered through state and federal marketplaces runs for three months, Nov. 15 to Feb. 15, 2015. Both state-run and Federally-Facilitated Marketplaces have changed web designs and use simpler forms, but have a bigger challenge - serving both brand new applicants and some of the more than 7-million enrollees who want to comparison shop or calculate their premium subsidy for 2015.  NCSL's report has the 50-state history and next year's plans.

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ACA MEDICAID EXPANSION OPTIONS

This web report features a Medicaid ACA-related Expansion Map showing which states are currently moving forward with ACA-related expansion, not moving forward at this time, using an alternative method to expand or undecided.

 

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OVERVIEW | HEALTH REFORM

The federal Affordable Care Act (ACA) aims to expand health coverage for up to 32 million uninsured Americans. It relies on a combination of health insurance reforms, insurance exchanges in all 50 states, Medicaid expansions, subsidies, tax credits and mandates. The law also allocates funds to improve quality and halts certain widely criticized insurance practices. The biggest changes came Jan. 1 2014 when Medicaid coverage expanded in about half the states and health insurance exchange or marketplace policies pay for care. States have considered and acted on hundreds of ACA-related laws, with more to do and decide for 2015. More than 1,100 ACA bills were considered in 2014 state sessions. Also, about 21 states have laws to restrict or oppose some reform provsions. Use the topics on the right to read about recent developments, options and requirements.   [Updated 10/22/2014]

STANDING COMMITTEE/ FEDERAL UPDATE

HHS releases new guidance and FAQs for state policymakers on a number of health reform implementation issues.

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DATABASES | NOV. 25 UPDATE

2014 ACA Database Expands: NCSL has updated latest state legislative actions related to health reforms. The online database now provides one-click access to 1,194 bills and resolutions. Sort by state or topics, including Exchanges, Medicaid, Insurance Reforms, Funding or Opt-outs. So far, 235 measures have been signed into law or adopted in 43 states and D.C.

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Fall Forum 2014

FEATURED

  • State Actions to Address Health Insurance Exchanges

    Read this NCSL report for November 2014 information on state actions and responses to implement exchanges as outlined in the Affordable Care Act. This material includes links to implementation activities, with 2015 deadlines and enrollment figures by state. It also includes state information about insurers and premiums.

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