Commonwealth Fund study finds most states unprepared for 2014 implementation
Posted on February 1, 2013 | No Comments
An issue brief recently released by the Commonwealth Fund examines state action on a subset of Affordable Care Act provisions, including guaranteed access to coverage and a ban on preexisting condition exclusions. These protections go into effect in 2014. The analysis finds that, to date, only one state passed new legislation on all of these protections, and an additional 10 states and the District of Columbia passed new legislation or issued a new regulation on at least one of the two. The analysis also finds that some states face limitations in fully enforcing these reforms. According to the report, these findings suggest an acute need for states to take action in 2013 to help ensure that consumers are fully protected by and benefit from the ACA’s most significant reforms.
- Plans that do not meet the minimum requirements for Essential Community Provider inclusion may still be considered a QHP.
- The letter gives a more specific interpretation of what constitutes a "meaningful difference" between QHPs.
- Large and small group QHPs have an additional year to comply with the single out-of-pocket limit for all services, and mental health services are not included in the major medical out-of-pocket limit.
- In non-partnership states, there is no deadline by which CMS must review state evaluations of QHP certification.
- CMS will create technology that allows individuals to enroll into the Exchange through an issuer's website or a web-broker.
- Ancillary plans cannot be sold on the Exchange, but may be sold on non-Exchange programs within the same infrastructure.