Health Reform WK-EDGE 30 states, DC receive grants to ensure effective regulation of marketplace
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Thursday, August 23, 2018

30 states, DC receive grants to ensure effective regulation of marketplace

By Susan Smith, J.D., M.A.

Thirty states and the District of Columbia will receive grants from the State Flexibility to Stabilize the Market Grant Program (State Flexibility Grant) to ensure the states are able to effectively regulate their health insurance markets through innovative measures that support the selected federal market reforms and consumer protections established by the Patient Protection and Affordable Care Act (ACA) (P.L. 111-148). The states use the grants to help support state Departments of Insurance efforts to make sure laws, regulations, and procedures are in line with federal requirements. The grant project and budget period runs for 24 months from the award date, which is August 20, 2018, to August 19, 2020. Each applicant receiving a grant will receive a minimum baseline amount of $274,345 as well as "Workload" funds determined on the basis of population and number of health insurance issuers in the state (State Flexibility to Stabilize the Market Grant Program, August 21, 2018).

State Rate Review Grants. Section 2794 of the ACA provided $250 million for State Rate Review Grants to improve the process for how states review proposed health insurance rates. The funds, which are available to the Secretary to use for grants to the states, are unspent Rate Review Grant funding from prior years. Approximately $8.6 million is being awarded to assist state Departments of Insurance in planning and implementing select key insurance market reforms and consumer protections. Because additional funding remains, CMS is in a position to award funds for this new grant.

States receiving grants. Grants will be awarded to the District of Columbia, Alaska, Arkansas, Colorado, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, Nevada, North Carolina, Oregon, Pennsylvania, Rhode Island, South Dakota, Tennessee, Utah, Virginia, Washington, West Virginia, and Wyoming.

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