Health Reform & ACA Implementation

Implementation of the Affordable Care Act, the health care reform law passed in 2010, and other health care reform issues.

Health Practice Council letter to the U.S. Senate on potential adverse consequences of legislation to eliminate the Affordable Care Act’s (ACA) individual mandate. (July 25, 2017)
Health Practice Council paper on what cost-sharing reductions are and why they need to be funded. (July 24, 2017)
Presentation to the National Conference of Insurance Legislators about the Akey drivers of 2018 premiums and what goes into developing a premium. (July 14, 2017)
Health Practice Council FAQ on how risk pooling in the individual health insurance market works. (July 14, 2017)
Individual and Small Group Markets Committee issue brief providing an overview of the general factors underlying premium rate setting and highlighting the major components driving premium changes in 2018. (July 11, 2017)
Indivdiual and Small Group Markets Committee and Medicaid Subcommittee comments on the Better Care Reconciliation Act (BCRA) of 2017, the proposed legislation to repeal and replace provisions in the Affordable Care Act. (June 30, 2017)
Presentation at the SOA Health Meeting explaining the role of the Academy and the current legislative and regulatory environment for health care reform. (June 13, 2017)
Health Practice Council comments to Senate Finance Committee on improving the individual health insurance market and changing the approach to Medicaid funding.
(May 23, 2017)
Risk Sharing Subcommittee issue brief examining the risk adjustment program implemented under the Affordable Care Act (ACA) and the implications for the program under different potential changes to current insurance market rules. (May 10, 2017)
Premium Review Subgroup comments to the Center for Consumer Information and Insurance Oversight on the final 2018 unified rate review template (URRT) instructions. (April 27, 2017)
Health Practice Council issue brief examining ways in which the individual health insurance market can be strengthened and made more viable.
(April 24, 2017)
Health Practice Council presentation to NAIC’s Health Insurance and Managed Care Committee on potential changes to the Affordable Care Act through possible legislation and administrative actions. (April 9, 2017)
Health Practice Council presentation to NAIC’s Health Actuarial Task Force on potential changes to the Affordable Care Act through possible legislation and administrative actions and actuarial considerations. (April 7, 2017)
Indivdiual and Small Group Markets Committee and Medicaid Subcommittee comments on H.R. 1628, the American Health Care Act, the proposed legislation to repeal and replace provisions in the Affordable Care Act. (March 22, 2017)
Individual and Small Group Markets Committee comments to the U.S. House Committee on Education and the Workforce on  H.R. 1101, the Small Business Health Fairness Act, related to association health plans.
(March 8, 2017)
Individual and Small Group Markets Committee letter to the Centers for Medicare & Medicaid Services regarding the proposed rule for market stabilization. (March 7, 2017)
Individual and Small Group Markets Committee issue brief highlighting the various policy considerations and the potential implications of allowing the sale of insurance across state lines. (February 13, 2017)
Individual and Small Group Markets Committee issue brief highlighting the various policy consideration and potential implications of establishing association health plans (AHPs). (February 13, 2017)
Individual and Small Group Markets Committee issue brief providing an overview of three potential high-risk pool approaches to covering the costs of high-risk enrollees and examining the implications of various design features, including eligibility criteria, benefit coverage, funding sources, and regulatory responsibility. (February 10, 2017)
Written testimony on the effectiveness of the individual mandate under the Affordable Care Act (ACA) to a U.S. House Ways and Means Oversight.  (February 6, 2017)