The Scoop: September 18, 2019 Version


Welcome to this week’s version of The Scoop. We’ll be publishing The Scoop on Wednesdays going ahead.

Right here’s the newest state-level well being insurance-related information.

Six states prolong their ACA 2020 open enrollment intervals

Open enrollment for 2020 particular person market medical health insurance is scheduled to run from November 1 to December 15, 2019. However state-run medical health insurance exchanges can prolong that window, and most have performed so in prior years. For the upcoming open enrollment interval, six state-run exchanges have introduced extensions. The extensions are everlasting in DC, California, and Colorado, and apply to the Fall 2019 open enrollment interval in Massachusetts, Minnesota, and New York.

Tennessee unveils proposed modified block grant mannequin for Medicaid

Tennessee could change into the primary state within the nation to obtain federal Medicaid funding as a block grant, quite than an open-ended match. State officers unveiled the block grant proposal this week, opening a 30-day public remark interval that runs by October 18. Tennessee’s proposal is taken into account a modified block grant method, because it features a provision that requires federal funding to extend if the state experiences Medicaid enrollment development sooner or later.

Kaiser Permanente staff put together to strike in 5 states and DC

Individuals who use Kaiser Permanente amenities in California, Colorado, DC, Oregon, Virginia, and Washington needs to be ready for a possible strike in October. Negotiations between Kaiser and the unions are ongoing and the state of affairs may nonetheless be resolved and not using a strike. However the unions have voted to authorize a strike if an settlement shouldn’t be reached, and as much as 80,000 staff may take part.

Montana residents misled by short-term insurers may obtain restitution

Montana’s insurance coverage commissioner has despatched letters to greater than three,600 state residents who could also be eligible to assert restitution in the event that they have been misled once they bought short-term protection between 2012 and 2016. A lot of the insurance policies have been offered by Well being Insurance coverage Improvements, however a number of different firms have been additionally utilizing dishonest gross sales ways and/or unlicensed salespeople, and have contributed to the restitution fund.

Anthem companions with Georgia Farm Bureau to supply medically underwritten plans

As of October, sole proprietors and small teams concerned in agriculture in Georgia can have protection beneath Georgia FARM plans so long as they’re members of the Georgia Farm Bureau. These plans are established as a part of a a number of welfare association and are self-insured, though Anthem is offering stop-loss protection and administration providers. Premiums are based mostly on medical underwriting, however the plans are assured subject and do cowl pre-existing situations. It’s not totally clear how Georgia FARM plans are getting across the ACA’s particular person and small-group necessities and the present federal guidelines for affiliation well being plans, however Georgia’s Division of Insurance coverage has indicated that the plan is compliant with present rules.

Louise Norris is a person medical health insurance dealer who has been writing about medical health insurance and well being reform since 2006. She has written dozens of opinions and academic items concerning the Inexpensive Care Act for Her state well being alternate updates are frequently cited by media who cowl well being reform and by different medical health insurance specialists.


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