Health Reform
Select a subcategory on the left to see how the indicators compare across the states. Results will be shown as a table, map, or trend graph as available.
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Health Reform Indicators
Health Insurance Exchanges
Health Reform Grants and Loans
- Health Insurance Exchange Establishment Grants
- Early Innovator Grants to Develop the Information Technology Infrastructure for the Health Insurance Exchanges
- Exchange Planning Grant Awards as of FY 2013
- Consumer Assistance Program Grants under the Affordable Care Act, as of FY 2012
- Consumer Oriented and Operated Plan (CO-OP) Loans Awarded
Essential Health Benefits
Pre-Existing Condition Insurance Plans
Medicaid and Health Reform
- State Activity Around the Medicaid Expansion Under the Affordable Care Act, as of May 9, 2013
- Grants Awarded for Medicaid Incentives for Chronic Disease Prevention Programs, January 2012
- Integration and Upgrade of Medicaid and CHIP Eligibility Systems
- State Adoption of Health Homes for Beneficiaries with Chronic Conditions Provided by the Affordable Care Act
- Adult Income Eligibility Limits at Application as a Percent of the Federal Poverty Level (FPL), January 2013
Rate Review
- Rate Review Processes in the Individual and Small Group Markets
- Number of Rate Filings Received, Reviewed, and Disapproved, Withdrawn, or Resulting in Rates Lower Than Originally Proposed, by Market Size, 2010
- Health Insurance Premium Review Cycle I Grants: Application Status and Summary of Proposed Activities, as of FY 2012
- Health Insurance Premium Review Cycle II Grants, as of FY 2012
- Total Health Insurance Premium Review Grants Awarded, as of FY 2012
- State Statutory Authority to Review Health Insurance Rates, Individual Plans
- State Statutory Authority to Review Health Insurance Rates, Small Group Plans
Medical Loss Ratios
- Medical Loss Ratio Adjustments
- Total Medical Loss Ratio (MLR) Rebates in All Markets for Consumers and Families, 2012
- Medical Loss Ratio (MLR) Rebates in the Individual Market for Consumers and Families, 2012
- Medical Loss Ratio (MLR) Rebates in the Small Group Market for Consumers and Families, 2012
- Medical Loss Ratio (MLR) Rebates in the Large Group Market for Consumers and Families, 2012
Individual and Small Group Markets
- Individual Market Guaranteed Issue (Not Applicable to HIPAA Eligible Individuals)
- Small Group Health Insurance Market Guaranteed Issue
- Individual Market Rate Restrictions (Not Applicable to HIPAA Eligible Individuals)
- Small Group Health Insurance Market Rate Restrictions
- Health Insurance Broker Compensation, 2010
- Private Health Insurance Expenditures on Direct Sales, 2010
- State External Appeals Review Processes
Medicare and Health Reform
Early Retiree Reinsurance Program
State Positions on ACA
data collection
Medicaid Benefits
This data collection reflects Medicaid benefits covered in each state, limitations applied to those benefits, cost-sharing charges, and the reimbursement methodologies used for those benefits as of October 1, 2010. Data for four additional points in time (January 1, 2003, October 1, 2004, October 1, 2006, and October 1, 2008.) are also available. In general, the data presented here represents a state’s policies applicable to adult Medicaid beneficiaries receiving care on a “fee for service” basis.
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Medicare Health and Prescription Drug Plans
This data collection covers private plans participating in the Medicare Advantage program and the Medicare prescription drug program.
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