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Health Reform

Health Reform

HEALTH EXCHANGES: 2015 PLAN RESULTS

The second year open enrollment period for private insurance plans offered through state and federal marketplaces ran for three months, Nov. 15 to Feb. 15, 2015 plus a new extension to April 30. Preliminary results show 11.4 million enrolled. Individuals with qualifying events such as a marriage, job change, birth or move out of state still may enroll between now and November 2015. NCSL's report has the 50-state enrollment, plans and pricing, plus legislative history.

 

 

 

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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 halted certain widely criticized insurance practices. The biggest changes came in 2014 when Medicaid coverage expanded in about half the states and health insurance exchange or marketplace policies provided coverage for som 11.4 million enrollees. States have considered and acted on hundreds of ACA-related laws, with more legislation pending in 2015.  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.  Read about the U.S. Supreme Court case on subsidies due to be decided this June.  [Updated 3/6/2015]

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 | JAN. 5 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. 235 measures have been signed into law or adopted in 43 states and D.C.

State Laws and Actions Challenging Certain Health Reforms – NCSL report, updated Feb. 2015

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FEATURED

  • Health Insurance State Flexibility

    This April 24 webinar will provide an insightful and timely look at state options for health insurance.. Several national experts will share 2015 perspectives on what consumers, state policymakers, regulators and industry professionals face.

  • State Actions to Address Health Insurance Exchanges

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

  • Health Insurance Premiums and Premium Costs by State

    Actual health insurance premiums and rates presented nationally and by state for 2014 and 2015. Table includes historical trends and links to the best sources, including a Commonwealth Fund-designed interactive map.

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