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Analysis

Maryland Expected to Win ACA Reinsurance Waiver Approval Wednesday

By Steven Porter  
   August 22, 2018

This is the fourth waiver approval of its kind in the past month and the seventh in the past two years.

Maryland lawmakers are expected to announce Wednesday that the federal government has approved a waiver under the Affordable Care Act to permit the state to launch a reinsurance program, as The Baltimore Sun reported.

The anticipated approval would make Maryland the fourth state to secure such a waiver from the Trump administration in the past month, following Wisconsin, Maine, and New Jersey, although each state customizes its own program plan.

The recent spree of approvals comes after three other states—Alaska, Minnesota, and Oregon—had the waivers for their programs authorized last year.

In Maryland, the program enjoyed bipartisan backing, with the state's Republican governor collaborating alongside Democratic legislative leaders, as the Sun reported. The plan they came up with includes a one-year state tax on insurance companies to subsidize the most expensive claims from Maryland's exchange plans.

The Centers for Medicare & Medicaid Services, which determined last month that Maryland's waiver application was complete, had not as of 10 a.m. Wednesday announced a decision on whether it would approve the waiver.

Steven Porter is editor at HealthLeaders.


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