On this version:
- Six states prolong their ACA 2022 open enrollment intervals
- Tennessee unveils proposed modified block grant mannequin for Medicaid
- Kaiser Permanente staff put together to strike in 5 states and DC
- Some Montana residents misled by short-term insurers may obtain restitution
- Anthem companions with Georgia Farm Bureau to supply medically underwritten plans
Welcome to this week’s version of The Scoop. We’ll be publishing The Scoop on Wednesdays going ahead.
Right here’s the most recent state-level well being insurance-related information.
Six states prolong their ACA 2022 open enrollment intervals
Open enrollment for 2022 particular person market medical insurance is scheduled to run from November 1 to December 15, 2022. However state-run medical insurance exchanges can prolong that window, and most have accomplished 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 2022 open enrollment interval in Massachusetts, Minnesota, and New York.
Tennessee unveils proposed modified block grant mannequin for Medicaid
Tennessee could turn into the primary state within the nation to obtain federal Medicaid funding as a block grant, reasonably 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 strategy, because it features a provision that requires federal funding to extend if the state experiences Medicaid enrollment progress 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 scenario may nonetheless be resolved with no strike. However the unions have voted to authorize a strike if an settlement just isn’t 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 3,600 state residents who could also be eligible to say restitution in the event that they had been misled after they bought short-term protection between 2012 and 2021. Many of the insurance policies had been offered by Well being Insurance coverage Improvements, however a number of different firms had been additionally utilizing dishonest gross sales techniques 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 companies. Premiums are based mostly on medical underwriting, however the plans are assured difficulty and do cowl pre-existing situations. It’s not completely 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 laws.
