In the Health Reform Update for this week, the nonpartisan Government Accountability Office (GAO) confirms that Trump Administration policies depressed enrollment in the Affordable Care Act (ACA) Marketplaces for 2018.

The California legislature sends Governor Jerry Brown (D) a flurry of health reform bills, including legislation that would create guardrails for charitable foundations to provide third-party premium assistance and a bill that would make the state the first to ban all short-term health plans that do not comply with the ACA. Governor Bruce Rauner (R) in Illinois vetoes legislation that would have limited the use of short-term health plans expanded by the Trump Administration, while Washington becomes the latest of seven states seeking to restrict their use.

Maryland becomes the seventh state with federal approval to mitigate premium increases by compensating insurers for exceptional claims.   Medicaid expansion proponents win legal victories in Maine and Nebraska, while a new study shows Louisiana halved their uninsured rate by expanding Medicaid in 2016.

You can find the full Health Reform Update here. If you’re interested in Advocacy you can also join the PSI Patient Coalition here.