The ACA’s Preventive Services Benefit Is in Jeopardy: What Can States Do to Preserve Access?

By Justin Giovannelli, Sabrina Corlette, and Madeline O’Brien, Georgetown University Center on Health Insurance Reforms A federal judge is poised to gut one of the most popular provisions of the Affordable Care Act (ACA). The ACA requires that most private health plans cover preventive services, such as certain cancer screenings and immunizations, without imposing cost sharing on […]

States Leading the Way on Connecting All Children with Health Coverage – Will Congress Follow?

According to the Urban Institute, over half of the remaining uninsured children are eligible for Medicaid or the Children’s Health Insurance Program (CHIP) but unenrolled. About a third of uninsured children are ineligible for Medicaid or CHIP because their family income exceeds the eligibility thresholds. Another 10% are ineligible for Medicaid/CHIP because of their immigration […]

What’s New for 2023 Marketplace Enrollment?

By Emma Walsh-Alker, Georgetown University Center on Health Insurance Reforms The annual open enrollment period for marketplace coverage is right around the corner. There are many new policies impacting the marketplace in 2023, including an extension of enhanced financial assistance through the Inflation Reduction Act; a federal fix to the “family glitch” that will create […]

Standards for Provider Network Adequacy in Medicaid and the Marketplaces

The Centers for Medicare & Medicaid Services (CMS) has issued final rules for provider network adequacy in Qualified Health Plans (QHPs) offering coverage in the Marketplaces that the federal government operates through Under these rules, which come with the snappy title, “Notice of Benefit and Payment Parameters” and the even snappier initialism (NBPP), CMS […]

Updated Breast Pump Coverage Guidelines Provide Important Protections for Families But More Guidance May Be Needed to Increase Access

By Christine Monahan As a new mom to a seven-month old (hi Baxter!), I’ve been on a crash course in breastfeeding since he was born. I’ve quickly learned that breastfeeding isn’t easy and, despite the claims, it isn’t free. And I better understand why so few families meet the American Academy of Pediatrics (AAP) recommendation to feed infants only breastmilk for their […]