ACA Protection/ 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
House
Dems
(USEAHIA)
Senate
Dems
(CHIPA)
ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
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Formally appropriate CSR reimbursement paymentsYesYes
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Restore Legally-Owed Risk Corridor funding
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Fix the ACA's "Family Glitch"YesYes
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Fix the ACA's "Skinny Plan Glitch"
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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 capYesYesSB 1255HB1205
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Beef up APTC subsidy formulaYesYesSB 1255
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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 Penalty
AB5379*
DCXCHSB2924
HB1167*
✔︎A3380H 696HB2408
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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 ProgramYesHB 374HB1392HB2146LD659HB 1782HF 5S1878
HB 2391
HB2355
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Institute 80/20 Medical Loss Ratio rule for PHARMA
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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(sort of)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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CODIFY GUARANTEED ISSUEACAACASB2340✔︎
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CODIFY COMMUNITY RATINGACAACASB2340✔︎
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CODIFY ESSENTIAL HEALTH BENEFITSACAACA
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CODIFY 60% MINIMUM ACTUARIAL VALUEACAACA
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CODIFY NO ANNUAL/LIFETIME CLAIMS LIMITSACAACA
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CODIFY FREE PREVENTATIVE SERVICESACAACA
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CODIFY YOUNG ADULTS STAYING ON PARENTS PLAN THRU 26ACAACASB2340
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CODIFY NO GENDER DISCRIMINATION ON PREMIUMSACAACASB2340
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ACA Medicaid Expansion to all residents earning up to 138% FPL✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎
HB5001
✔︎✔︎
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$250/mo cap on prescription drug costsYesSB 1021
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Lock in (or increase) 80% MLR rule for individual/sm. group marketsYesAB2499
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Lock in (or increases) 85% MLR rule for large group marketAB2499
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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
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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
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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)Yes✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎HB2114✔︎
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Prohibit Balance Billing (In-Patient)Yes✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎✔︎
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Prohibit Surprise BillingYes
A 2039
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Codify crackdown on Short-Term Plans**YesYesSB 9105/9/18
HB1520
SA 3HB 1782✔︎
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Codify crackdown on Association plans**YesYesSB1375HB 1782A3380
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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 3087✔︎
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2019 CSR Loading Status (Silver Load/Silver Switch)?n/an/aSilverSwitchMixed
Switch
SwitchSwitchSwitchBroadNone
Switch
MixedSwitch
Switch
MixedBroadSilverSilverSilverSilver
Switch
SwitchSilver
Switch
Switch
BroadSilverMixedSilver
Switch
SilverSilverMixedSilverSilver
Switch
Switch
BroadSilver
Switch
Switch
Switch
SilverSilverMixed
Switch
Switch
Switch
SwitchBroad
Switch
Switch
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General Work Group/Study Group to consider various optionsWG
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Prohibit Work Requirements for MedicaidSB1108
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BILLS UNDER CONSIDERATION WHICH I'M NETURAL/UNDECIDED ABOUT
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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 (???)AB2517failedfailedSB5957
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Abandon SHOP exchange (low participation/etc)1332
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Mkae pregnancy a Qualifying Life Event for a Special Enrollment Period
SB206
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*(both CT & MD's mandate bills would've either allowedbill formally submitted/proposedSupport my work at ACASignups.net by donating here:Patreon (monthly)
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or required the penalty $ to be applied to a policy or HAS)bill passed either house or senateGoFundMe (one-time)
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bill passed both house & senatePayPal (one-time or monthly)
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**(NM only commissioned a *study* of Medicaid buy-in)bill signed into law
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law actually implemented✔︎= already state law before ACA went into effect (or prior to 2018)
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