ACA 2.0 Legislation Status
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My ACA 2.0 Wish List vs. House & Senate Democratic Bills
Charles Gaba / ACASignups.net
State-Level ACA Protection/Improvement Bills
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ACASignups.net: If I Ran the Zoo Wish List
(from spring 2017)
House
Dems
(USEAHIA)
Senate
Dems
(CHIPA)
AKCACOCTDEDCFLHIILINIAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPERISCSDTNTXUTVTVAWAWVWIWY
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Formally appropriate CSR reimbursement paymentsYesYes
4
Restore Legally-Owed Risk Corridor funding
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Fix the ACA's "Family Glitch"YesYes
6
Fix the ACA's "Skinny Plan Glitch"
7
Extend 3-yr 100% federal funding of Medicaid expansion
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Encourage additional BHP programs
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Raise or Remove 400% FPL income APTC subsidy capYesYesAB 2459HB1205
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Beef up APTC subsidy formulaYesYesAB 2565
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Raise 250% FPL income CSR subsidy capYesYesAB 3148
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Beef up CSR subsidy formulaYesYesAB 3148
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Restore the Individual Mandate PenaltyAB5379*DCXCHSB2340HB1167*pre-ACAA 3380H696HB2408
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Beef up the Individual Mandate Penalty*AB5379*HB1167*
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Require all ACA plans to be sold on-exchange only
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Let Undocumented Immigrants buy on-exchange (at full price)pulled
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Tie Med. Adv., MCO or school district contracts to exchangeYesAB 2416HB2408
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Reinstate Reinsurance ProgramYes
HB 374
HB1392HB2146LD659HB 1782HF 5S 1878
HB 2391
HB2355
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Institute 80/20 Medical Loss Ratio rule for PHARMA(see below)
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Allow Medicare negotiate drug prices
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Fix the ACA's "Silver Spam" loophole(sort of)Yes
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Make Standardized Plans mandatory(optional)Yes
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Merge rating areas statewide
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Merge Individual & Small Group risk pools
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Unleash the Public Option Kraken! (including Medicaid buy-in)AB 2472HB1384AB 374HM 9**HB2232
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Repeal the Employer Mandate(but only after others are enabled)
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ADDITIONAL PROVISIONS INCLUDED IN PROPOSED BILLS
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$250/mo cap on prescription drug costsYes
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Increase individual & small group MLR from 80% to 85%YesAB 2499
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Increase large group MLR from 85% to 90%AB 2499
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Stop bait-n-switch of formularies mid-yearYes
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Allow SEP if treatment dropped mid-yearYes
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Require notification of network switch mid-yearYes
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Codify ad/marketing budget/spendingYesYes
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Codify outreach/education budget/spendingYesYes
36
Further codify Essential Health BenfitsYesYesSB6102
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Grant HHS authority to veto excessive rate hikesYes
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Tighten up Network Adequacy requirementsYes
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Require OEP to last at least 8 weeks**Yes
40
Let enrollees pre-opt-out of auto-renewals if they lose creditsYes
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Eliminate 50% Smoker premium surchargeYes
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Beef up public posting of health insurance info (?)Yes
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Prohibit Balance Billing (ER)Yespre-ACApre-ACApre-ACA
pre-ACA
pre-ACApre-ACApre-ACApre-ACApre-ACA
pre-ACA
pre-ACApre-ACApre-ACApre-ACApre-ACApre-ACApre-ACApre-ACApre-ACAHB2114pre-ACA
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Prohibit Balance Billing (In-Patient)Yespre-ACApre-ACApre-ACApre-ACApre-ACA
pre-ACA
pre-ACA
pre-ACApre-ACApre-ACApre-ACApre-ACA
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Prohibit Surprise BillingYesA 2039
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Codify crackdown on Short-Term Plans**YesYesSB 910HB 1782pre-ACA
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Codify crackdown on Association plans**YesYesHB 1782A 3380
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Fund state innovation programs (pilots/tech/etc)Yes
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Restore federal funding for state-based marketplace creationYes
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Audit HC.gov re. how they're using exchange user fees**Yes
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Expand Medicaid to income-eligible undocumented immigrantsAB 2965
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Prevent those <250% FPL from enrolling in Bronze planAB 3148
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Establish All-Payer Rate RequirementAB 3087pre-ACA
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Silver Loading or Silver Switchingn/an/a
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Codify Young Adults staying on parents plan thru 26ACAACASB2340
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Codify no gender discriminiation re. premiumsACAACASB2340
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Codify guaranteed issue/community ratingACAACASB2340
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General Work Group/Study Group to consider various optionsWG
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ACA-RELATED BILLS UNDER CONSIDERATION WHICH I HAVEN'T FORMED AN OPINION ABOUT YET
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let brokers charge commissions if carrier doesn't provideSB136
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let anyone to buy unsubsidized catastrophic plans thru exchangeSB132
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let carriers offer plans that are ACA-compliant but not beyondHB2228
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Create state-based Single Payer system (???)failedfailedSB5957
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Abandon SHOP exchange (low participation/etc)1332
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*(both CT & MD's mandate bills would've either allowedbill formally submitted/proposed
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or required the penalty $ to be applied to a policy or HAS)bill passed either house or senate
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bill passed both house & senate
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**(NM only commissioned a *study* of Medicaid buy-in)bill signed into law
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law actually implementedpre-ACA= already state law before the ACA went into effect
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