The Centers for Medicare & Medicaid Services issued guidance allowing insurers to reallocate unspent Section 1303 segregated abortion premiums to general revenue after the coverage year ends. This ends years of accumulated “abortion funds,” which analysts estimate could total between $400 million and $500 million nationwide. The change follows a long‑standing debate over the ACA’s Hyde‑Amendment‑related provisions and comes as many states tighten or lift abortion restrictions. Insurers and state regulators now face new choices on how to deploy these previously locked‑away dollars.
Oregon and Oklahoma are set to launch their own state‑based ACA exchanges, bringing the total to 23 states (including DC) that will operate independent marketplaces by 2028. This shift will push state‑run exchanges past the 50 percent population mark, a milestone...
The Centers for Medicare & Medicaid Services (CMS) announced a $259.5 million deferral of federal Medicaid matching funds to Minnesota, citing questionable and potentially fraudulent claims. The agency also imposed a six‑month nationwide moratorium on new enrollment for Durable Medical Equipment,...
The Centers for Medicare & Medicaid Services released its proposed 2027 Notice of Benefit & Payment Parameters, a 577‑page rule outlining changes to ACA implementation. Key proposals include stricter marketing restrictions, removal of the gender‑identity definition of sex, lowering the...

Maine’s state‑run CoverME.gov marketplace reported its lowest enrollment since launch, with 58,523 consumers signing up in 2026 – a 9.5% drop from the previous year. New customer registrations fell 24%, while the share of enrollees receiving Advance Premium Tax Credits...