PEB board pauses rate-setting for 2027, keeps January plan design after data reconciliation questions The Public Employees Benefits Program Board declined to set premiums Feb. 24, citing a reconciliation of employer-share transfers from AEGIS and RGGI and gaps in previously used data; the board kept the plan design adopted in January and asked staff to return in March with rates based on 2024–25 actuals plus inflation.

The Public Employees Benefits Program Board has hit the brakes on setting 2027 health insurance rates, citing major data discrepancies that could impact millions in revenue.

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#NV #CitizenPortal #DataTransparency #HealthInsuranceReform #PublicFinance #NevadaPublicEmployees

Big Insurance Earnings 2025: Stock Buybacks, Earnings Per Share, Market Capitalization The seven largest for-profit health insurance conglomerates took in nearly $1.7 trillion from their customers in 2025 ($175 billion more than in 2024) and they booked more than $54 billion in profits.

#healthinsurance #healthinsurancenews #healthinsurancereform

open.substack.com/pub/healthca...

Senate committee backs extending 80/20 health premium split for school employees The Senate Education Committee recommended a do‑pass for House Bill 47, which would set a minimum 80% employer / 20% employee health‑insurance premium contribution for school employees to match other public employees. An amendment to change procurement rules was proposed but not adopted; the bill moves to the Senate floor.

House Bill 47 is poised to transform health insurance for educators in New Mexico by ensuring employers cover 80% of premiums, a critical step toward fair treatment for school employees.

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#NM #CitizenPortal #TeacherSupport #NewMexicoEducation #PublicPolicy #HealthInsuranceReform

Committee advances DMS reforms including prescription drug formulary and supplier diversity changes after heated questioning PCB SAB 26-01, sponsored by Representative Abbott, was reported favorably. The bill would authorize a prescription drug formulary for the state group health plan (projected savings cited by sponsor), require an administrative assessment on vacant positions to support the State Employee Health Insurance Trust Fund, remove the sunset on a $3 traffic surcharge (~$4M), and restructure the Office of Supplier Diversity; several members pressed for data on fiscal and equity impacts and raised concerns about prescription access and minority-business outcomes.

A controversial new bill aiming to tackle a $362 million health insurance deficit could reshape prescription access and minority business opportunities in Florida.

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#FL #CitizenPortal #SmallBusinessSupport #HealthInsuranceReform #EquityInitiatives

Hawley and Warren Introduce “Break Up Big Medicine Act” to Force Separation of Insurers, PBMs and Providers Bipartisan bill modeled on the 1933 Glass-Steagall Act would require health care conglomerates to divest vertically integrated subsidiaries.

#healthinsurance #healthinsurancenews #healthinsurancereform

open.substack.com/pub/healthca...

Putting the Extraordinary ACA Premiums Increase in Perspective The Affordable Care Act premium increases for 2026 are an aberration, far above those observed in recent years.

#healthinsurance #healthinsurancenews #healthinsurancereform
www.commonwealthfund.org/blog/2026/pu...

House Healthcare reviews H-585 to allow limited age-rating, reopen association plans and expand short-term policies The House Healthcare committee examined H-585, which would let the Department of Financial Regulation permit limited age-based premium variation (up to ±5% from community rates starting in the 2028 plan year), align Vermont law with federal definitions to expand association health plans, and relax short-term limited-duration plan restrictions to allow up to 12 months with renewals.

Vermont's House Healthcare Committee is diving deep into H-585, a pivotal health-insurance reform bill that could reshape premium rates and expand coverage options.

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#VT #HealthInsuranceReform #CitizenPortal #VermontHealthcare #PolicyAnalysis #ConsumerProtection

Americans’ Challenges with Health Care Costs | KFF This data note reviews our recent polling data that finds that many Americans struggle to afford many aspects of health care, including disproportionate shares of uninsured adults, Black and Hispanic ...

#healthinsurance #healthinsurancenews #healthinsurancereform

www.kff.org/health-costs...

LESC staff warn enrollment decline will reshape K‑12 budget; 80/20 health plan would add roughly $73 million LASC staff told the Legislative Education Study Committee that state K‑12 enrollment has fallen about 10% since FY18 and that the Legislative Finance Committee recommends a $44.9 million reduction to the State Equalization Guarantee. Staff also described proposals to increase employer health‑insurance cost share to 80/20 with an estimated $73.2 million price tag.

New Mexico's K-12 schools face a staggering 10% decline in enrollment since 2018, forcing tough budget decisions that could impact student services.

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#NM #HealthInsuranceReform #BudgetAdjustments #CitizenPortal #K12Enrollment #NewMexicoEducation

Senate Health & Welfare hears Legislative Counsel review of 2025 health acts, from market unmerging to medical debt relief Legislative counsel Jen Garvey briefed the Senate Health & Welfare committee on a package of 2025 health-related acts, highlighting permanent unmerging of individual and small-group insurance markets, new Medicaid rate-setting requirements for community-based providers, a $1 million medical debt-relief appropriation, and temporary powers for the Green Mountain Care Board to address insurer insolvency.

Vermont's Senate Health & Welfare committee just received a game-changing briefing on 2025 health acts, including the historic unmerging of insurance markets and a $1 million medical debt relief initiative!

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#VT #HealthInsuranceReform #VermontHealth #MedicaidPolicy

Have the government be the single payer. Merge Medicare, Medicaid and all the piecemeal insurance programs. There will be one single government health care program, and the government will make payments to doctors, hospitals and the pharmaceutical companies. #HealthInsuranceReform

8 Things to Watch for the 2026 ACA Open Enrollment Period | KFF The ACA Marketplace Open Enrollment season begins November 1, and with it comes looming changes to the enhanced premium tax credits, increases in out-of-pocket premium payments, new Marketplace eligib...

#healthinsurance #healthinsurancenews #healthinsurancereform

www.kff.org/affordable-c...

ACA subsidies expiration will cause 114% average premium increase in 2026 The enhanced premium tax credits saved subsidized enrollees an average of $705 annually in 2024, bringing their annual premium payment down to $888.

#healthinsurance #healthinsurancenews #healthinsurancereform

www.benefitspro.com/2025/10/06/a...

County Health Benefits Discussion Highlights Employee Control Concerns and Insurance Options Stakeholders debate employee health benefits structure and insurance provider options during meeting.

Osage County officials are weighing a major shift in employee health insurance options that could redefine benefits and budget impacts for county workers.

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#OsageCounty #KS #CitizenPortal #OsageCountyHealthBenefits #HealthInsuranceReform #FiscalResponsibility #EmployeeWellbeing

ACA Marketplace Premium Payments Would More than Double on Average Next Year if Enhanced Premium Tax Credits Expire | KFF KFF estimates that, if Congress allows the enhanced premium tax credits to expire at the end of this year, ACA Marketplace enrollees on average would see their premium payments more than double next y...

#healthinsurance #healthinsurancenews #healthinsurancereform

www.kff.org/affordable-c...

About Half of Adults with ACA Marketplace Coverage are Small Business Owners, Employees, or Self-Employed | KFF This analysis estimates that 48% of adults under age 65 with individual market coverage are either employed by a small business with fewer than 25 workers, self-employed entrepreneurs, or small busine...

#healthinsurance #healthinsurancenews #healthinsurancereform
www.kff.org/affordable-c...

Employer health costs to top $17,000 per employee in 2026 The continued rise in chronic and high-cost conditions remain primary drivers of escalating medical costs in the United States.

#healthinsurance #healthinsurancenews #healthinsurancereform
www.benefitspro.com/2025/09/11/e...

Study suggests No Surprises Act protections are reducing patients' out-of-pocket costs While data released earlier this week raised questions about the administrative costs associated with No Surprises Act (NSA) arbitrations, a second study suggests the legislation is working to redu | ...

#healthinsurance #healthinsurancenews #healthinsurancereform
www.fiercehealthcare.com/regulatory/s...

Georgia Passes HB 422 to Enhance State Employee Health Savings Accounts State employees gain new tax benefits through high deductible health plans and HSAs.

Georgia just passed House Bill 422, promising state employees significant savings and tax benefits through new high deductible health plans and HSAs!

Learn more here

#GA #CitizenPortal #HealthInsuranceReform #TaxSavings #GeorgiaStateEmployees #EmployeeBenefits

How Will the 2025 Reconciliation Law Affect the Uninsured Rate in Each State? | KFF This analysis apportions the increase in the number of uninsured across the 50 states and DC. CBO estimates that the reconciliation law will increase the number of uninsured by 10M in 2034 and rise to...

#healthinsurance #healthinsurancenews #healthinsurancereform

www.kff.org/uninsured/ho...

Employers brace for a 9% jump in health care costs, largest in over a decade They see GLP-1 agonists and biologics like Humira pushing prices up at the highest rate since at least 2010.

#healthinsurance #heaalthinsurancenews #healthinsurancereform
www.benefitspro.com/2025/08/19/e...

Town Council approves health reimbursement strategy to lower employee deductibles Town sets aside $544,000 to reimburse employees for health deductible costs.

Summerville’s Town Council just approved a game-changing health reimbursement strategy that will lower employee deductibles while cutting premium costs by 15%!

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#SummervilleDorchesterCounty #SC #AffordableCare #CitizenPortal #EmployeeSupport #HealthInsuranceReform

How much and why ACA Marketplace premiums are going up in 2026 - Peterson-KFF Health System Tracker Health insurers submit rate filings annually to state regulators detailing expectations and rate changes for Affordable Care Act (ACA)-regulated health plans for the coming year. A relatively small, b...

#healthinsurance #healthinsurancenews #healthinsurancereform
www.healthsystemtracker.org/brief/how-mu...

Inside Trump’s Bizarre Healthcare Call YouTube video by The Bulwark

youtu.be/Bx_ApTSf2mM?...
#Medicare #Medicaid #HealthInsuranceReform #Healthcare #Insurance
#WETHEPEOPLE

Tracking the Affordable Care Act Provisions in the 2025 Reconciliation Bill | KFF KFF is tracking the Affordable Care Act (ACA) provisions in the 2025 federal budget bill, including changes related to enrollment, verifying eligiblity, and filing and reconciliation.

#healthinsurance #healthinsurancenews #healthinsurancereform

www.kff.org/tracking-the...

Senate committee reviews $11 million from Drinking Water Trust Fund for clean water project Senate committee discusses allocation from Drinking Water Trust for Lake Bassam Besik project.

New Hampshire is set to allocate $11 million from the Drinking Water Trust Fund to improve clean water access, but what does this mean for your community's health and safety?

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#NH #CitizenPortal #PublicHealthPolicy #HealthInsuranceReform #NewHampshireMunicipalities

Nearly two-thirds of employers plan to reallocate benefits spending amid rising costs Rising benefits costs, cited by 90% of U.S. employers, are the top issue influencing strategies this year, the 2025 Benefits Trends Survey from WTW found.

#healthinsurance #healthinsurancenews #healthinsurancereform

www.benefitspro.com/2025/06/16/n...

Aransas County reports alarming health insurance loss ratios over three years Aransas County's health insurance loss ratios exceed 100% for both 12 and 36 months.

Aransas County's health insurance claims have soared to alarming loss ratios exceeding 100%, raising urgent questions about the sustainability of its employee benefits program.

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#AransasCounty #TX #CitizenPortal #HealthInsuranceReform #AransasCountyHealth #FinancialStability

ICHRA: The 401(k) moment for health care ICHRAs shift responsibility while expanding choice, allowing employees to select the plan that works best for them.

#healthinsurance #healthinsurancenews #healthinsurancereform

insurancenewsnet.com/innarticle/i...

Many employers unaware of ICHRA health coverage option, study finds According to a 2025 ICHRA report, 46% of employers not offering ICHRA have never even heard of it.

#healthinsurance #healthinsurancenews #healthinsurancereform

www.benefitspro.com/2025/05/29/m...