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Federal rules, HR 1 and marketplace integrity changes force coverage and subsidy shifts in Maryland exchange
Summary
State exchange officials told lawmakers that a June marketplace integrity rule, HR 1 and the likely end of enhanced federal premium tax credits will force immediate eligibility and operational changes, including terminating coverage for about 300 DACA recipients and removing premium tax credits for an estimated 20,000 lawfully present immigrants.
The Maryland Health Benefit Exchange told legislators that two recent federal actions — a marketplace program integrity final rule and HR 1 — plus the scheduled expiration of enhanced premium tax credits will meaningfully change who can receive financial assistance and when people can enroll.
Michelle Everly, executive director of the Maryland Health Benefit Exchange, said the June marketplace integrity rule required the Exchange to discontinue coverage for roughly 300 Deferred Action for Childhood Arrivals (DACA) recipients by September; the Exchange had worked with carriers so that consumers who paid full premiums could preserve accumulators and avoid new deductibles. She said the Exchange began notifying the 300 DACA enrollees in July.
Everly said another federal change will remove eligibility for premium…
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