District of Columbia

via the DC Dept. of Insurance, Securities & Banking:

Insurers File Proposed Rates for 2023 District of Columbia Health Plan Offerings

Wednesday, May 25, 2022

Washington – The District of Columbia Department of Insurance, Securities and Banking (DISB) has received 208 proposed health insurance plan rates for annual review in advance of open enrollment for plan year 2023. The proposed rates were submitted for DC Health Link, the District of Columbia’s health insurance marketplace, from Aetna, CareFirst BlueCross BlueShield, Kaiser Permanente and United Healthcare.

The proposed rates are for individuals, families and small businesses for the 2023 plan year. Overall, the number of plans submitted for 2022 is up by 51 from those submitted for 2022.

CMS Logo

via the Centers for Medicare & Medicaid Services:

Today, Secretaries Xavier Becerra, Marty Walsh, and Janet L. Yellen of the U.S. Departments of Health & Human Services, Labor and Treasury (Departments), respectively, issued a letter to group health plans and health insurance issuers reminding them of their obligations under the Affordable Care Act (ACA) to provide coverage for contraceptive services at no cost.

In all fifty states, the ACA guarantees coverage of women’s preventive services, including free birth control and contraceptive counseling, for individuals and covered dependents. Recent reports have shown that some issuers and plans may not be appropriately providing this coverage. The letter is another step for the Departments to put the industry on notice for the required coverage and demand prompt action to ensure that people can rightfully access the birth control they need.

I have little to add to the discussion this morning, so I'll just repost this tweet by a Wall St. Journal health reporter:

Almost half the states have laws in place or at the ready to curtail or outlaw abortion, including 13 states with trigger laws in place that will ban it immediately.

— Alex Janin (@AlexLJanin) June 24, 2022

America is in a very, very dark place right now.

Once again, here's what the Affordable Care Act's premium subsidy tables look like under the original ACA itself and under the American Rescue Plan (ARP). The premium caps are the maximum percent of household income which a household has to pay for the benchmark Silver plan at various income ranges.

The ARP table is currently scheduled to sunset at the end of December, at which point, without legislation passing Congress & being signed into law by President Biden, it will revert back to the original ACA subsidy table:

As always, here's my methodology:

Remember: "Decile" means 1/10th or 10% of the total population (all 50 states + DC).

(sigh) The Sword of Damocles continues to dangle over the head of the Affordable Care Act. This time it isn't about an existential threat to the PPACA, at least...but the expanded/enhanced subsidies which were put into place temporarily by the American Rescue Plan (ARP) are definitely at risk.

Just a week or so ago, things were looking promising...

Conversations are underway between Joe Manchin III, D-W.Va., and Senate Majority Leader Charles E. Schumer to negotiate a budget reconciliation bill, which would require only a simple majority for passage, that would meet Manchin’s demands without losing support from other Democrats.

...Another Manchin condition is that the measure avoid any “cliffs” that sunset new programs early to keep the price tag down, something Manchin argues artificially hides the true costs since programs will prove too popular not to extend.

No, this is not a repeat, though it may sound like it. From March:

Since the collapse of the Build Back Better Act in the U.S. Senate last December (reminder: It passed the House but came to a screeching halt when all 50 Republican Senators along with conservative Democrat Joe Manchin refused to support it), Congressional Democrats have been quietly trying to put at least some of the pieces of the bill back together in an attempt to salvage something out of President Biden's signature social spending agenda.

...One of the other provisions of BBB which some members of Congress are trying to save has been reintroduced as a standalone bill in both the House (H.R. 6833) and Senate (S.3700), the Affordable Insulin Now Act.

The AINA does two simple (but important) things:

CMS Logo

via the Centers for Medicare & Medicaid Services:

Today, the U.S. Department of Health and Human Services (HHS) through the Centers for Medicare & Medicaid Services (CMS) announced that during the Biden-Harris Administration 253,000 parents have gained access to 12 months of postpartum coverage through Medicaid and Children’s Health Insurance Program (CHIP) extensions. President Joe Biden and Vice President Kamala Harris have made addressing the maternal mortality and morbidity crisis a key priority for their Administration.

BeWellNM Logo

This just in via BeWellNM:

BeWellnm Announces Operational Changes to Aid Leadership Transition

Albuquerque, N.M. (June 16, 2022) – BeWellnm, the New Mexico Health Insurance Exchange, announces operational updates as the state prepares for a successful 2023 Open Enrollment Period in the fall. As beWellnm begins its search for a permanent CEO, it has contracted with GetInsured, the nation’s leading provider of health insurance exchange technology and customer service solutions for health and human services agencies, to provide consultative and operational support during the period of transition. The organization will provide temporary, interim operational leadership for a 10-month period and offer strategic oversight and direction to beWellnm, along with long-term recommendations for maintenance and operations.

Washington State

I don't write about specific state insurance commissioners very often. The main ones which come to mind are:

In all three cases, the commissioners in question were Republicans.

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