Commonwealth Fund February 17, 2021
Rachel Schwab, Justin Giovannelli, Julia Buschmann, Kevin Lucia


  • As federal policymakers chart a course to more accessible and affordable health insurance, state-based marketplaces will be key players

  • The Biden administration and Congress have several opportunities to strengthen state-based ACA marketplaces, from enhancing marketplace subsidies to eliminating the family coverage glitch


  • Issue: The Affordable Care Act’s (ACA’s) health insurance marketplaces provide a critical source of coverage and financial assistance. States operating their own marketplaces cover a significant number of consumers without access to employment-based health insurance or public programs. Federal actions under the Trump administration have undermined the marketplaces, but the new administration has opportunities to implement and advocate for policies that strengthen state-based marketplaces...

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Topics: ACA (Affordable Care Act), Govt Agencies, Insurance, Patient / Consumer, Payer, Public Exchange, States
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