Federal Marketplace Rule and H.R.1 Target California Exchange Coverage

The Trump Administration's Marketplace Final Rule and pending H.R.1 legislation contain provisions that could significantly reduce enrollment and affordability in Covered California and other state-based marketplaces. The changes affect eligibility, premium subsidies, and plan requirements that have expanded coverage since the ACA's implementation. California Medicaid managed care organizations may see enrollment shifts as marketplace enrollees lose coverage or face higher costs. Implementation timelines depend on final regulatory effective dates and congressional passage of H.R.1.

Managed Care · CHIP