Report from the NAIC Client Representatives to Insurance coverage Regulators
Latest federal legislative and regulatory adjustments will lead to greater than 10 million individuals dropping both Medicaid or Reasonably priced Care Act Market protection over the subsequent decade; a further 4 million persons are anticipated to turn out to be uninsured due to Congress’s failure to increase enhanced premium tax credit (PTCs). State insurance coverage commissioners, working inside their authority and in partnership with state-based Marketplaces and different state officers, can mitigate these harms in significant methods. A new report from the Nationwide Affiliation of Insurance coverage Commissioners (NAIC) Client Representatives, authored by CHIR’s Sabrina Corlette and Karen Davenport, outlines a set of state-level methods to assist shield shoppers’ entry to reasonably priced, high-quality protection and entry to care.
States can pursue a variety of methods to assist residents entry and preserve top quality, reasonably priced medical insurance. State-level coverage and operational actions can enhance protection affordability, scale back pink tape, enhance shopper training and help, and assist preserve markets that present top quality, complete medical insurance. The report gives suggestions for:
- State-funded monetary assist;
- Fundamental Well being Packages;
- Improved Market Eligibility and Enrollment Processes;
- Efficient Client Communications and Engagement;
- Client-focused Plan Administration and Insurance coverage Regulation; and
- Higher Market Oversight and Enforcement.
The report additionally encourages states to gather and analyze knowledge on the affect of federal coverage adjustments on the accessibility and affordability of medical insurance protection, and to share these impacts with policymakers, the general public, and different stakeholders.
States, by themselves, will likely be unable to totally fill the gaps in protection entry and affordability brought on by current federal coverage adjustments, together with the expiration of the improved PTCs, the 2025 funds reconciliation bundle (H.R. 1), and the Market Integrity ultimate rule. Nonetheless, state insurance coverage regulators, in partnership with state-based marketplaces and different state policymakers, can undertake and implement quite a few methods to scale back shopper hardship.
Obtain the total report right here.
Obtain the manager abstract right here.