Trump Proposal Threatens Coverage of Enrollees

By Tara Straw: For Complete Post, Click Here…

A proposed Trump Administration rule would undermine the Affordable Care Act (ACA) and could cause many people to lose health coverage. If finalized, the Notice of Benefit and Payment Parameters (NBPP) for the 2022 coverage year would encourage privatization of core functions of the health insurance marketplaces, starve of needed funds, codify Administration efforts to waive important parts of the ACA, and continue a policy that raises premiums and cost-sharing. Comments on the rule are due December 30 and can be submitted here.

The proposed rule doubles down on the Administration’s November 1 approval of Georgia’s marketplace privatization waiver by letting any state follow suit without a waiver. Under Georgia’s 1332 waiver (named after section 1332 of the ACA), the state will leave and require its marketplace enrollees to enroll exclusively through private web brokers or insurers.

This scheme will reduce coverage among the 500,000 Georgians who now enroll through, without a broker. For starters, many people will likely fall through the cracks in this massive change due to confusion about the new process. That’s what happened in states that shifted from the federal marketplace to a state-based marketplace or vice versa, a transition much simpler for consumers than what Georgia is attempting.

Also, consumers will lose access to’s apples-to-apples plan comparisons. Instead, they’ll have to rely on profit-driven entities, which can withhold essential information (like premiums and deductibles) for plans that don’t pay them commissions, forcing consumers to do significant legwork if they want to explore those options. And these entities sometimes steer people to short-term and other subpar plans and discourage Medicaid enrollment.

By encouraging more states to follow Georgia’s lead, the NBPP would likely cause more loss of coverage and divert more people to subpar plans.

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