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Health and Human Services Secretary Xavier Becerra. Photo: Drew Angerer/Getty Images

The federal Centers for Medicare & Medicaid Services will announce Tuesday it plans to send $452 million to more than a dozen states' reinsurance programs.

The big picture: The Biden administration has previously signaled support for these programs, which directly compensate insurance companies for some of their most expensive claims, preventing an increase in premiums.

By the numbers: The additional funds allocated through the American Rescue Plan range from $2.5 million to $139 million per state based on the size of the state’s program.

  • CMS says the funds will result in new individuals enrolled and will cover a portion of the states’ costs for these reinsurance programs.

What's happening: In August, Colorado became the first state to receive approval from CMS and the Treasury Department for a five-year extension of the state’s current section 1332 waiver for a reinsurance program.

  • Colorado's statewide average premium was nearly 20% lower in 2020 than it would have been without the waiver and 20% lower in 2021, so far, due to the reinsurance program.
  • Alaska, Hawaii, Maine, Oregon and Wisconsin also submitted letters signaling their intent to apply for five-year waiver extensions or amendments but no changes to their current programs.
  • Georgia is the only state to have received broader approval which allows restructuring of its individual market and eliminates HealthCare.gov by 2023. The approval has since been scrutinized and the state on Aug. 26 declined for the second time CMS's requests for updated data regarding the approved waiver.

What to watch: In June, CMS and the Treasury Department issued a proposed rule — which has not yet been finalized — for changes to current section 1332 regulations and to bolster access to marketplace coverage.

  • This is the Biden administration’s first proposed rule on the marketplaces and would reverse several Trump-era regulatory changes under the ACA, according to Health Affairs.

Editor's note: This post has been clarified to note that the reinsurance programs directly compensate insurance companies for expensive claims.

Go deeper

Sep 15, 2021 - Health

Pandemic didn't lead to spike in uninsured

Expand chart
Data: Census Bureau; Chart: Axios Visuals

Roughly 8.6% of Americans didn't have health insurance in 2020, a figure that has stayed consistent since 2018, according to the latest U.S. Census Bureau data.

Why it matters: Government assistance, in the form of beefed-up Medicaid eligibility and heavily subsidized plans in the Affordable Care Act markets, kept people insured despite the pandemic-fueled recession.

Tina Reed, author of Vitals
2 hours ago - Health

FDA panel endorses shot of J&J booster for adults

Photo: Wolfgang Kumm/picture alliance via Getty Images)

Members of the Food and Drug Administration's vaccine expert panel on Friday unanimously endorsed a booster shot for adult recipients of Johnson & Johnson's COVID-19 vaccine at least two months after the initial dose.

Why it matters: The advisory committee raised concerns about a dearth of data to support their decision but ultimately decided to support an additional shot for those over 18.

Capitol Police officer indicted for obstructing Jan. 6 investigation

Trump supporters clash with police and security forces as people try to storm the Capitol on Jan. 6. Photo: Brent Stirton/Getty Images

A U.S. Capitol Police officer has been indicted on obstruction of justice charges for allegedly helping hide evidence of a participant's involvement in the Jan. 6 riot.

Driving the news: Officer Michael A. Riley, 50, is accused of telling the unidentified participant, referred to as "Person 1," in the Jan. 6 riot to delete posts from Facebook, which showed them in the Capitol during the attack.