Charles Gaba's blog

Way back in the Before Times® of 2015, fellow healthcare policy wonk Andrew Sprung (aka Xpostfactoid) posed an interesting question:

Do any ACA marketplace enrollees (or off-exchange enrollees for that matter) actually confess to being smokers? Why would you?

— xpostfactoid (@xpostfactoid1) November 13, 2015

I've been posting weekly looks at the rate of COVID-19 cases & deaths at the county level since the point at which every U.S. adult could theoretically have received 2 COVID vaccination doses nearly a year ago, broken out by partisan lean (i.e, what percent of the vote Donald Trump received in 2020), as well as by the vaccination rate of each county in the U.S. (nonpartisan).

For a long time I used July 1st, 2021 as my start point, but in recent months I decided to back this up to May 1st, 2021 instead. Pinning down an exact date for this is a bit tricky since a) different populations were made eligible at different points in 2021, and b) it takes 3-4 weeks after getting your first vaccination dose before you can get the second one, but May 1st is what I've finally settled on.

As always, here's my methodology:

A few weeks ago I sounded the alarm about the massive health insurance premium rate hikes which millions of ACA enrollees will face starting in January 2023 if the American Rescue Plan's (ARP) enhanced premium tax credits aren't extended beyond their current expiration date at the end of 2022.

Today, the Urban Institute, supported by the Robert Wood Johnson Foundation, released a detailed analysis which projects just how many people would likely find themselves priced out of the health insurance market, thus losing healthcare coverage, if the ARP subsidies aren't extended. They delve into the impact at different income brackets and even break out their estimates by state:

Key Findings

With the Build Back Better Act having passed the U.S. House of Representatives last fall only to come screeching to a halt when it reached the U.S. Senate due to all 50 Republicans + Dem. Senator Joe Manchin refusing to support it, Congressional Democrats have started introducing standalone bills in an attempt to push through at least some of the more popular provisions.

One of these, which would limit co-pays for insulin to no more than $35/month or less, passed the House last week.

Today, U.S. Senator Raphael Warnock, who also sponsored the Senate version of the insulin co-pay cap bill, introduced a second stand-alone bill plucked from the ashes of Build Back Better:

Senator Reverend Warnock Introduces New Legislation to Cap Prescription Drug Costs for Georgia Seniors

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via Access Health CT:

The Health Insurance Exchange is seeking responses to an official request for proposals and is allocating up to $400,000 to support the initiative

HARTFORD, Conn. (April 7, 2022) — Access Health CT (AHCT) today announced the opening of its fiscal year 2023 Navigator Grant Program. The program will allow AHCT to deepen its community relationships with the goal of engaging, educating, informing and enrolling individuals in health insurance throughout Connecticut, particularly in minority communities that experience significant health disparities and higher uninsured rates.

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via MNsure:

ST. PAUL, Minn.—More than 1,100 residents used the Minnesota Insulin Safety Net Program to access over $6 million worth of insulin in 2021, according to a recent report from the Minnesota Board of Pharmacy.

Together, MNsure and the Minnesota Board of Pharmacy are reminding all Minnesotans that this program is available to provide fast, reliable help for those who need insulin and may be struggling to afford this life-saving drug.

For residents who are in immediate need of assistance – that is, have less than a seven-day supply of insulin and will likely face significant health consequences without it – the urgent need program enables eligible Minnesotans to receive a 30-day supply of insulin right away at their pharmacy and pay no more than a $35 co-pay, one time per year.

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via Connect for Health Colorado:

Federal and State Health Insurance Subsidies Boosted Enrollments on Colorado’s Exchange

  • Record number of Coloradans enrolled during the annual enrollment period

DENVER— In a report released today, the state’s official health insurance marketplace, Connect for Health Colorado, attributes record enrollments this past Open Enrollment Period to federal and state policy changes making health coverage more affordable.

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via the Centers for Medicare & Medicaid Services:

The Biden-Harris Administration is announcing today that more than 59 million Americans with Medicare Part B, including those enrolled in a Medicare Advantage plan, now have access to Food and Drug Administration (FDA) approved, authorized, or cleared over-the-counter COVID-19 tests at no cost. People with Medicare can get up to eight tests per calendar month from participating pharmacies and health care providers for the duration of the COVID-19 public health emergency.

CMS Logo

via the Centers for Medicare & Medicaid Services:

The Biden-Harris Administration is announcing that, beginning today, as many as 720,000 pregnant and postpartum people across the United States could be guaranteed Medicaid and Children’s Health Insurance Program (CHIP) coverage for a full 12 months after pregnancy thanks to the American Rescue Plan (ARP). Medicaid covers 42 percent of all births in the nation, and this new option for states to extend Medicaid and CHIP coverage marks the Biden-Harris Administration’s latest effort to address the nation’s crisis in pregnancy-related deaths and maternal morbidity by opening the door to postpartum care for hundreds of thousands of people.

New Mexico

Back in 2020, New Mexico attempted (but ultimately failed) to pass a bill establishing a new "Healthcare Affordability Fund" which would be used primarily to reduce individual market (ACA) health insurance premiums:

New Mexico would raise a state health-insurance tax and dedicate the new revenue to programs intended to make health care more affordable under a proposal that passed the state House on Sunday.

Rep. Deborah Armstrong, D-Albuquerque, described the legislation as an unusual opportunity to generate more revenue for health care without increasing the total amount consumers now pay.

The increased state tax would partially replace a federal tax that’s being repealed, she said, meaning health insurance carriers would actually be charged less in taxes than they are now, even after the state increase.

The legislation, House Bill 278, would raise about $125 million in annual revenue when fully phased in — the bulk of it dedicated to a new fund for health care affordability, according to legislative analysts.

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