Nov 1, 2019 - Health

How Georgia plans to radically reshape its individual health insurance market

Georgia Governor Brian Kemp speaks at a rally.

Georgia Gov. Brian Kemp Photo: Kevin C. Cox/Getty Images

Georgia Gov. Brian Kemp released a set of waiver proposals yesterday that would remake the individual market, the Atlanta Journal-Constitution reports.

Between the lines: Kemp's proposal — which must be approved by the federal government — would move more control over ACA dollars to the state while attempting to lower premiums in the individual market.

Details: Controversially, the exchange market would be brought under state control, including how subsidies are structured and distributed. Plans would no longer have to cover all of the ACA's essential health benefits for enrollees to receive subsidies.

  • Small business employees whose employers give them a bonus to buy health insurance would also be eligible for subsidies.
  • The plan also creates a $300 million dollar reinsurance program, which would compensate insurers for high-cost claims that contribute to higher premiums.
  • Georgians would no longer use to enroll in ACA plans. Instead, those who try to use the site would be routed to a page with options —including private web brokers that could sell skimpier plans.

What we're watching: This is only step one. Kemp is expected to detail on Monday another waiver proposal that could lead to a limited Medicaid expansion, per AJC.

On the other hand, Indiana announced yesterday that it's temporarily halting its Medicaid work requirements because of a lawsuit, per the Wall Street Journal.

  • Arizona has also delayed the program, and other states are reviewing their work requirements.
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