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Maryland’s state premium subsidy and reinsurance fund aim to blunt federal cuts but face sustainability limits
Summary
MHBE officials told lawmakers the state premium subsidy helped retain coverage during the end of enhanced federal credits, serving roughly 177,000 people so far, but the reinsurance reserve and subsidy authority sunset in 2027–2028, creating budget uncertainty.
Maryland Health Benefit Exchange briefed the Appropriations Committee on enrollment and the state premium assistance program created after enhanced federal premium tax credits expired.
Executive Director Michelle Eberly said MHBE’s priority during the January 2026 open enrollment was retention. Eberly reported renewed enrollments were up while new enrollments had declined and said premiums rose an average of 13% in 2026. She and other MHBE staff described a marked shift of…
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