1. Open Enrollment 4 Update
Cheryl O’Donnell, State Assistance Regional Manager

2. Agenda

3. Oe4 Enrollment trends

4. HealthCare.gov OE4 enrollment

5. Mid-OE4 Report Key Findings
50 states/DC
11.5 million plan selections
81% receiving financial help
HealthCare.gov states
82% receiving financial help
Average tax credit $386/person/month
65% of reenrollees actively shopped
217,101

6. New vs. Reenrolling Consumers
All of OE3
OE4 Nov-Dec
New,
24%
Active,
47%
Auto,
29%
106,406
New Enrollees
125,443
Reenrollees
80%
Actively reenrolled
50,784
New Enrollees
160,815
Reenrollees
62%
Actively reenrolled

7. Financial Assistance All of OE3 OE4 Nov-Dec $309 $97 $422 69%
Average monthly tax credit
$97
Average monthly premium after tax credit
$422
Average monthly tax credit
69%
w/ CSR

8. Age Distribution All of OE3 OE4 Nov-Dec 36% 34%
[CUSTOMIZATION REQUIRED]:
Slides exist for campaign FFM states:
And local data can be found here:
You may also want to add a slide showing the changing uninsured rates by County from 2013 to You can get screen shots here:
[QUESTION TO THE AUDIENCE]: This is a great slide to ask your audience to read. Ask them what stands out. These are topics that should hopefully come out of the discussion:
Big gains! Let’s celebrate
About equal between re-enrollees and new enrollees
Large majority receive fin help
Proportion of young people going up
Sources:
CMS Weekly Marketplace Enrollment Snapshot
ASPE January Marketplace Enrollment Report, 1/9/16
ASPE, Health Insurance Marketplace 2016: Average Premium After Advance Premium Tax Credits In The 38 States Using The Healthcare.Gov Eligibility And Enrollment Platform, January 2016,
36%
Under Age 35
34%
Under Age 35

9. FUTURE OF THE ACA

10. Repeal and Replace

11. Repeal Process Budget reconciliation process
Senate votes on budget resolution
House votes on budget resolution
Committees meet to craft legislation
House: Energy and Commerce; Ways and Means
Senate: Finance; Health, Education, Labor, Pensions (HELP)
Senate and House vote on legislation
Conference committee if Senate and House versions differ
Final up / down votes from Senate and House
President’s signature
Budget resolutions aren’t law and don’t go to the president for signature; they are used to begin the process, and may include reconciliation instructions. X X

12. What Can Actual Be Changed
Could be in reconciliation legislation
Cannot be in reconciliation legislation
Premium tax credits
The expansion of Medicaid coverage for adults up to 138 percent of the federal poverty level, presumptive eligibility, maintenance of effort, and benchmark plans for Medicaid
The individual and employer mandate
Cap on “pay back” during tax credit reconciliation
Ban on pre-existing condition exclusion and health status underwriting
Caps on annual and lifetime annual limits
AV requirements
Age underwriting restrictions

13. ACA Replacement Proposals
Trump: “Insurance for All”
Price: “Access to Insurance”
Patient Freedom Act: State block grant
Better Way:
Age-adjusted tax credits
Health savings accounts
Buy across state lines
Empower states to reform Medicaid
Move Medicare to the marketplace
Keep protections for pre-existing conditions, 26 y.o., and no denial of coverage

14. CBO: Cost of Repeal
No individual mandate: fewer enrollees = 20-25% premium increase next year
No subsidies: sicker population = higher risk for insurers = ½ country w/o marketplace plans in 2 years

15. What’s Next Continuation of reconciliation process for ACA repeal
Second budget resolution to achieve other congressional priorities, like ACA replacement package, Medicaid block grant, changes to Medicare, and many non-health items

16. Messages for Consumers
Consumer Resource to compare ACA alternatives:

17. Other Transition Issues
HHS/CMS Staff Changes
Tom Price for Secretary of Health and Human Services
Seema Verma for Administrator of the Centers for Medicare and Medicaid Services
Enrollment Reports
Future Funding

18. Questions & Final Thoughts

19. HALF ALL 10% Impact of the ACA
Uninsured rate for non-elderly adults declined nationally by nearly half, from 16.4 to 8.3 percent between 2013 and 2016.
ALL
Uninsured rate declined in all 50 states and DC, across every demographic group, including for all racial/ethnic groups, all ages and age groups, men and women, and for residents of metro and non-metro areas.
10%
The number of counties with uninsured rates of 10 percent and under grew from a mere 145 counties in 2013 to 1,834 counties in 2016.