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NCCS Blog CPM Logo

NCCS Concerned About New CMS Guidance on 1332 Waiver Process

October 23, 2018/in Cancer News, Cancer Policy Blog, NCCS News Access to Care, Affordable Care Act, Health Care Coverage NCCS News /by actualize
Department of Health and Human Services (HHS)

Silver Spring, MD – The National Coalition for Cancer Survivorship (NCCS) is extremely concerned by the Centers for Medicare and Medicaid Services’ (CMS) new guidance document that significantly alters the standards that states must meet in order to be granted a waiver from certain Affordable Care Act (ACA) requirements. The Trump administration would permit states to revise the rules of their health insurance markets significantly, including to authorize the use of ACA premium subsidies for short-term insurance plans and association health plans that do not meet ACA benefit standards.

Although the administration maintains that the guidance will still require states to adhere to the guardrails of the ACA that relate to comprehensiveness of coverage, affordability of coverage, and the number of individuals insured, in practice the guidance will bifurcate the insurance markets and deny people with pre-existing conditions access to affordable and adequate insurance options. Healthier Americans will likely choose less expensive insurance options, including short-term plans and association health plans, especially if they may use premium subsidies for their purchase. Cancer patients will be especially hard-hit if they are left in an insurance market that includes only older and sicker consumers.

“This new guiding document is another considerable step backward as it echoes many of the same ACA repeal ideas that have been rejected over the last two years,” said Shelley Fuld Nasso, NCCS CEO. “Now, the Trump administration is taking another route to strip patient protections and offer skimpy health insurance. If adopted, these policies would take us back to the days when health plans didn’t have to cover pre-existing conditions or coverage for basic services like prescription drugs and hospital visits.”

“The Administration calls the new program the ‘State Relief and Empowerment Waiver,’” continued Ms. Nasso. “The new program could not be more inaccurately named, as it fails completely in providing patients relief and empowerment in their pursuit of quality and affordable health insurance.”

CMS Administrator Seema Verma stated that the agency plans to release a series of “wavier concepts” to give states a sense of the kinds of plans they might approve, including a waiver to permit the use of subsidy dollars to help people buy short-term health plans under a 1332 waiver. NCCS recently joined 11 other patient groups in filing an amicus brief challenging short-term health plans, as they would threaten access to adequate and affordable health insurance for people with cancer.

# # #

Related Posts

https://canceradvocacy.org/nccs-news/nccs-joins-11-organizations-amicus-curiae-brief-challenging-short-term-health-plans/
https://canceradvocacy.org/policy-comments/nccs-statement-hhs-final-rule-short-term-health-plans/

Tags: aca update, affordable care act, cancer care, Cancer Survivorship, short-term health plans
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  • About
    • Our Mission
    • Our History
    • Our Leadership
      • Policy Advisors
    • Employment
    • Partnerships
    • Financial Information
  • Policy
    • Quality Cancer Care
    • Access to Care
    • Health Equity
    • Redefining Functional Status (RFS)
    • 2020 State of Cancer Survivorship Survey
    • Cancer Care Planning and Communications Act (CCPCA)
  • Get Involved
    • What is Advocacy?
    • Cancer Policy and Advocacy Team (CPAT)
    • Elevating Survivorship
    • Survivor Stories
    • Cancerversary
    • State Based Cancer Advocacy
  • Resources
    • COVID-19 Resources for Cancer Survivors
    • Survivorship Checklist
    • Cancer Survival Toolbox
    • Telehealth
    • Survivorship Champions
    • Publications
      • Talking With Your Doctor
      • Self Advocacy
      • Employment Rights
      • Remaining Hopeful
    • Cancer Convos Podcast
    • Taking Charge of Your Care
    • Care Planning for Cancer Survivors
    • Tools For Care Providers
    • Order Our Resources
  • News
  • Events
    • Ellen L. Stovall Award
      • Nominations
      • Honorees
      • Sponsors
      • Committees
    • From Shadows to Life: A Biography of the Cancer Survivorship Movement
    • Cancer Policy Roundtable
      • Spring 2021 Cancer Policy Roundtable
      • Fall 2020 Cancer Policy Roundtable
      • Spring 2020 Cancer Policy Roundtable
    • Cancer Policy and Advocacy Team (CPAT) Symposium 2020
    • Webinars
  • Contact Us

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Harmar Brereton, MD

Founder
Northeast Regional Cancer Institute

 

“Perhaps one of the most impactful collaborations in Dr. Brereton’s extraordinary career remains his early work and long friendship with Ellen Stovall. Through him, and in turn through the thousands of lives he has touched, Ellen’s work continues, and her mission lives on.”

—Karen M. Saunders
President, Northeast Regional Cancer Institute