Resources from the Federal Government

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CMS-Letter and FAQs on MOE Requirements

Mar 2011

Amid state budget concerns, on January 7, 2011, thirty-three governors across the country asked the Obama administration and Congress to lift the maintenance of effort (MOE) requirements included in the Affordable Care Act (ACA).


HHS-MLR Decision Letter to Maine

Mar 2011

In a letter to Maine’s Superintendent of Insurance, Mila Kofman, HHS outlined the terms of the MLR waiver and HHS’s reasons for approving the state’s request.


HHS-MLR Interim Final Rule

Mar 2011

The ACA requires that carriers covering large employers spend at least 85 percent of premiums paid on claims or quality improvements, and carriers covering small group and individual insurers spend 80 percent, or refund the difference to policyholders, beginning in 2012.


HHS-New Resources Available to Increase Awareness of Pre-exiting Condition Insurance Plans

Mar 2011

Department of Health and Human Services (HHS) announced that it made new resources available to states, members of the media, consumer groups, providers, and others to increase awareness of the pre-existing condition insurance plans (PCIPs), the temporary high-risk pools implemented to provide comprehensive health coverage to people who have been unable to obtain coverage because of a pre-existing condition.


HHS-Provides Guidance on State Flexibility in Medicaid

Mar 2011

In response to states’ pervasive budget deficits and the related challenges of managing costly Medicaid programs, Department of Health and Human Services (HHS) Secretary Kathleen Sebelius sent a letter to governors outlining areas where states have flexibility to address rising costs.


HHS -- Health Insurance Premiums: Past High Costs Will Become the Present and Future Without Health Reform

Mar 2011

This report examines the past, present, and future regarding the likely effects of the health care law on premiums –along with what might happen without it. -- At Risk: Pre-Existing Conditions Could Affect 1 in 2 Americans

Feb 2011

According to a new analysis by the Department of Health and Human Services, 50 to 129 million (19 to 50 percent of) non-elderly Americans have some type of pre-existing health condition.

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