Colorado Gov. Jared Polis, Gov. JB Pritzker, Maryland Gov. Wes Moore, New Mexico Gov. Michelle Lujan Grisham, and Oregon Gov. Tina Kotek fight against Harmful Proposal to Disrupt State Marketplaces
DENVER — Colorado Governor Jared Polis, Illinois Governor JB Pritzker, Maryland Governor Wes Moore, New Mexico Governor Michelle Lujan Grisham, and Oregon Governor Tina Kotek issued a joint letter to Peter Nelson, Deputy Administrator anf Director of the Center for Consumer Information and Insurance Oversight (CCIIO). The letter is in response to the Marketplace Integrity and Affordability Proposed Rule (CMS-9884-P “Proposed Rule”), which would restrict states’ ability to regulate their health insurance marketplaces, causing confusion among customers, limiting enrollment options for low-income families, and ultimately disrupting local healthcare landscapes and making coverage less accessible to residents. The Governors urged Director Nelson to withdraw the Proposed Rule and ensure states retain flexibility in the health insurance marketplace.
The proposed rule comes as a record number of Americans (24.2 million) accessed healthcare through marketplaces in 2024, including nearly four million new customers.
“The Affordable Care Act has helped hundreds of thousands of Coloradans connect to health care coverage they can afford. The rule being pushed could raise premiums and make it harder for Americans to continue to see their doctors and get the coverage they need. I urge the Trump administration and CMS not to raise health care premiums and to protect this important coverage for millions of Americans,” said Governor Jared Polis. “The proposed rule will put record enrollment at risk. It will create more challenges that harm Colorado’s market if subsidies are also cut through the Congressional reconciliation process. The combination of this rule and the loss of subsidies could mean millions of Americans lose coverage when they see their insurance premiums increase.”
“Once again, it is clear that the Trump Administration will stop at nothing to restrict access to health insurance for Americans,” said Governor JB Pritzker. “This proposed rule will cause confusion, make it harder to enroll, and limit healthcare access for the most vulnerable Illinoisans.”
Governors are advocating for withdrawal of the harmful portions of the Proposed Rule; key concerns include:
- Restrictions on states’ ability to set open enrollment periods and determine eligibility: States intimately know local healthcare landscapes, and inconsistency in eligibility, benefits, and open enrollment periods will create confusion among consumers. The markets, which rely on risk calculation, will suffer destabilization and uncertainty if individuals and families are left without coverage.
- Eliminating Enrollment Options for Low-Income Families: Eliminating options for special enrollment will increase the likelihood that large numbers of our residents will return to being uninsured and will leave hospitals and providers to foot the bill for their medical care.
- Increased Consumer Costs and Special Enrollment Limitations: Changing premium adjustment calculations will significantly increase the cost burden on consumers and contribute to overall price inflation. Additionally, low-income families who rely on special enrollment will return to being uninsured, creating imbalance in the amount hospitals and providers pay for medical care.
“When the Affordable Care Act took effect, roughly three-quarters of a million Marylanders lacked health coverage–since then our state has seen seven consecutive years of enrollment increases. This proposed rule would jeopardize the progress we’ve seen in Maryland, causing significant disruptions and limiting Marylanders access to healthcare options. Marylanders rely on this affordable health care. We urge the Trump Administration to change course on this overreach, and allow Maryland and so many others to see continued progress,” said Maryland Governor Wes Moore.
The full letter can be accessed here.
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