In the Health Reform Update for this week, federally-facilitated Marketplace enrollment continues to lag by more than ten percent after dramatic cuts to marketing and outreach. However, states that created their own Marketplaces under the Affordable Care Act (ACA) are signing-up more consumers than during last year’s open enrollment period.

New guidance from the Centers for Medicare and Medicaid Services (CMS) give states greater flexibility to expand the eligibility and use of ACA premium tax credits, as well as opt-out of key ACA consumer protections. CMS also issues proposed regulations that would let Medicare Part D plans exclude drugs within the six protected classes (that currently require coverage of “substantially all” drugs for conditions like HIV and cancer).

Republican-controlled legislatures in Michigan and Wisconsin seek to strip incoming Democratic officials from enacting health reforms without legislative approval. A state court forces Maine to implement their voter-mandated Medicaid expansion retroactive to July 2nd.  CMS lets Florida limit retroactive eligibility for Medicaid and re-approves the Medicaid work requirement for Kentucky that had been blocked by a federal court.

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