Health Affairs May 21, 2020
Katie Keith

The Centers for Medicare and Medicaid Services (CMS) continues to issue new guidance and materials on coronavirus and Affordable Care Act (ACA) implementation. This post summarizes New Hampshire’s application for a waiver under Section 1332, new materials on the risk adjustment program, and additional coronavirus-related delays to ACA programs.

New Hampshire’s Reinsurance Waiver Deemed Complete

On May 13, CMS notified New Hampshire that its application to develop a state-based reinsurance program under Section 1332 was complete. If approved, New Hampshire’s reinsurance program would begin in the 2021 plan year. Comments can be submitted through June 12. Following the comment process, CMS and the Department of Treasury will approve or deny the application within 180 days.

Under Section 1332, states, with...

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