In the Health Reform Update for this week, insurers threaten dramatic premium spikes after Congress fails to include Marketplace stabilization bills as part of the two-year spending bill signed by the President. Covered California predicts 12-32 percent rate hikes for every state and up to 90 percent increases for states that fail to pass their own stabilization measures, such a reinsurance payments, cost-sharing subsidies, or a comparable version of the ACA’s individual mandate.
The Trump Administration approves Medicaid work requirements for a third state (Arkansas), but defers decisions on whether to allow states to partially expand Medicaid under the Affordable Care Act (ACA) or place lifetime limits on enrollees. The Administration rejects an effort by Idaho to offer “junk” insurance plans that fail to comply with ACA consumer protections for essential health benefits or discrimination based on health status.
Oregon becomes the sixth state to enact a prescription drug price transparency law.