Kentucky: Uncertainty in Medicaid Expansion and Marketplace Following Gubernatorial Election

The future of Medicaid expansion and Kynect, Kentucky's Marketplace, is uncertain following last week’s gubernatorial election. Governor-elect Matt Bevin (R) initially campaigned on repealing Medicaid expansion and shutting down Kynect. While the Governor-elect continues to pledge to dismantle Kynect, which would require the State to shift issuers and enrollees to HealthCare.gov, he has said in more recent interviews that his administration may maintain Medicaid expansion but introduce new components through an 1115 Medicaid waiver to encourage “personal and financial responsibility.” According to a recent report by Gallup, Kentucky had the second highest statewide reduction in the uninsured rate in the country (11.4 percentage points) following implementation of the ACA. A study of the State’s Medicaid expansion program estimated that the program will have a net positive impact of $30.1 billion on Kentucky’s economy through 2021.

Minnesota: State Marketplace Nominates New CEO

The board of MNSure, Minnesota’s health insurance Marketplace,announced the nomination of Mark Nyquist as the sole finalist from the 42 applicants for the open chief executive position. If confirmed by the board, Nyquist would be the fourth CEO in two years. Nyquist has previously worked for several large companies in the Twin Cities area, including UnitedHealth Group.

New York: State Offers Additional Protections for Co-Op Consumers

The New York State Department of Financial Services, in conjunction with the New York State of Health Marketplace (NYSOH), announced additional protections for consumers enrolled in the now-defunct Health Republic Insurance of New York (HRINY) plan. HRINY's 200,000 former customers may select a new health insurance plan for the remainder of 2015 through November 30 and will be auto-enrolled in a new NYSOH plan if they fail to elect new coverage by that date to ensure continuity of coverage. Consumers will not be charged by their new plans for deductible amounts already met in 2015, and will be protected from providers attempting to collect funds owed by HRINY directly from consumers. HRINY members who are in their second or third trimester of pregnancy or are undergoing treatment for a life-threatening or degenerative and disabling condition or disease may be able to continue to receive care from their provider under their new policy, even if their provider does not participate in their new health insurer's network.