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Maryland delays implementing Exchange coverage for undocumented residents amid federal rule and data‑sharing concerns
Summary
The Maryland Health Benefit Exchange has postponed implementation of its Access to Care Act waiver to allow time to reconcile new federal requirements and avoid creating data records that the Exchange says could be subject to federal requests.
The Maryland Health Benefit Exchange said it will delay implementation of the Access to Care Act waiver — which would allow residents regardless of immigration status to enroll on the state marketplace without federal premium tax credits — because of recent federal rule changes and concerns about data sharing.
Michelle Everly, the Exchange’s executive director, told the committee the waiver had been approved but not implemented. The Exchange set an implementation target of Jan. 1, 2028, but Everly said that date is not firm: the agency will try to move sooner if it can reconcile HR 1…
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