Commonwealth Fund January 15, 2020
Justin Giovannelli, JoAnn Volk, Kevin Lucia


In 2020, states will continue to pursue policies to bring comprehensive coverage within reach of everyone

Most states have adopted reforms to make comprehensive coverage more affordable, but long-term solutions will require federal leadership

  • Issue: The individual health insurance markets of most states are stable but face ongoing challenges. Federal policies to promote limited-coverage products for sale outside the individual market, concerns about the affordability of comprehensive coverage, and uncertainty about the durability of the Affordable Care Act have put the onus on state policymakers from across the political spectrum to explore options for safeguarding and improving their residents’ coverage.
  • Goal: Understand actions states have taken to affect access...