On September 17, the Departments of Health and Human Services (HHS) and the Treasury issued a final rule governing marketplaces and qualified health plans sold through the marketplaces in 2022. The final rule largely codifies changes proposed in June including several changes to rescind policies made under the prior administration including: Repealing prior guidance on 1332 state innovation waivers that significantly broadened the interpretation of […]
Author Archive for: christina-cousart
About Christina Cousart
Christina Cousart joined NASHP in July 2010 where she has worked across a breadth of health policy topics including the health insurance marketplaces, eligibility and enrollment, consumer assistance strategies, delivery system and payment reform, health information technology (HIT), population health, and insurance market reforms. Her current project work is mainly focused on management of the State Health Exchange Leadership Network, a peer learning community of state officials working on the development and operation of health insurance marketplaces. In this role, she delivers timely technical assistance and facilitates workgroups and in-person convenings for state insurance marketplace officials. Her recent portfolio also includes work evaluating the State Innovation Model (SIM) states; advancing integration of delivery systems and HIT; and analyzing the potential for regional collaboration across states in the implementation of health insurance marketplaces.
Christina attended Wellesley College and the George Washington University School of Public Health and Health Services. She also served in AmeriCorps, where she spent her year of service in New York City conducting asthma education at the Asthma Free School Zone.
Entries by Christina Cousart
The American Rescue Plan Act (ARPA) supported individuals and families in need of coverage by providing temporary increases in tax credits used to purchase health insurance and by capping monthly insurance premium amounts for all households regardless of income. Click here to learn more about ARPA’s coverage provisions. Since ARPA’s passage in March 2021, the health insurance […]
Updated Aug 18, 2021 This chart describes the regular and special enrollment periods when individuals may sign up for health insurance coverage through either the federal marketplace (healthcare.gov, which 36 states use) or state-operated marketplaces (used by 14 states and Washington, DC). Marketplace Original 2021 Open Enrollment Period 2021 COVID-19 Special Enrollment Period (SEP) Federally facilitated marketplace (36 states) Nov. 1 – Dec. 15, 2020 Feb. 15 – May 15, 2021* State-Operated Marketplaces California Nov. 1, 2020 – Jan. 31, 2021 Feb. 1 – May 15, 2021 and […]
Increased flexibility in the delivery and payment of telehealth across many coverage programs, but particularly in Medicaid and CHIP, throughout the COVID-19 pandemic has been a significant shift for some states. Many state officials are considering if and how to adapt rapidly implemented telehealth policies as the nation emerges from the public health emergency. Existing and emerging patient-centered research can help inform these important decisions.
In late June, the U.S. Department of Health and Human Services (HHS) issued its first proposed rule governing the health insurance markets and marketplaces. The rule includes some significant changes aimed at achieving priorities outlined in President Biden’s Executive Order to strengthen provisions within Medicaid and the Affordable Care Act (ACA). Major changes proposed by the rule are summarized below. Comments on the rule may be submitted here by July […]
On June 17 the Supreme Court decisively rejected California v. Texas, the latest lawsuit before the Court that challenged the legality of the Patient Protection and Affordable Care Act of 2010 (ACA). The notable 7 to 2 decision maintains the current status of the law and preserves the ACA’s landmark changes that have extended coverage […]
COVID-19 vaccine distribution has accelerated across states as the Biden Administration updates its vaccine goal to 200 million doses by April 23, 2021 and many states are opening eligibility to all adults by early April. The National Academy for State Health Policy (NASHP) recently spoke with several state Medicaid officials to learn more about how […]
Last week, the House passed the American Rescue Plan Act of 2021 (ARPA). The $1.9 trillion relief package’s current proposals would change health coverage programs, including Medicaid, health insurance marketplaces, and continuation coverage offered through the Consolidated Omnibus Budget Reconciliation Act (COBRA). If enacted, the changes could have significant ramifications for states and individuals served by these […]