The Scoop: Special Edition 2.0
In this edition
Much of normal life in America has ground to a halt in the last week. Schools and restaurants have shut down in many areas, travel plans have been put on hold, and the official recommendation is for people to stay home if at all possible in order to slow the spread of COVID-19.
In the midst of all this uncertainty, there are widespread questions about health insurance coverage for COVID-19. And people without health coverage are facing an even more perilous situation than usual.
Here’s our look at what’s happening at the state level to address these issues:
Eight states + DC now offer special enrollment periods
The list of state-run exchanges offering a special enrollment period to address the COVID-19 crisis continues to grow. As of Wednesday, seven state-run exchanges are offering SEPs directly triggered by the pandemic, and two others have ongoing SEPs for uninsured residents:
- Washington State (until April 8)
- Massachusetts (until April 25
- Maryland (until April 15)
- Rhode Island (until April 15)
- New York (until April 15; SEP applies both on- and off-exchange.)
- Nevada (until April 15)
- Connecticut (starts March 19, ends April 2)
- California (until April 20; unrelated to COVID-19)
- District of Columbia (depends on date tax return is filed; unrelated to COVID-19)
State-run exchanges have the power to issue their own special enrollment periods, but only DC and 12 states have fully state-run exchanges. Most states rely on the federally run HealthCare.gov instead. The federal government has not yet announced a special enrollment period for HealthCare.gov, but its is facing increasing calls to do so. The governors of Michigan and New Jersey have both asked the Department of Health and Human Services (HHS) to create a special enrollment period in order to reduce the number of people who are facing this pandemic without health coverage.
We’re tracking special enrollment periods related to COVID-19 and we’ll continue to update the page as more information becomes available, so you can bookmark it for future reference.
State actions require or encourage insurers to fully cover testing
In the early hours of Saturday morning, the U.S. House of Representatives passed H.R.6201, the Families First Coronavirus Response Act. If passed by the Senate and signed into law, the legislation will require all health plans, including self-insured plans and grandfathered plans, to cover the cost of COVID-19 testing.
But for the time being, states have been acting on their own to regulate the health plans that fall under their jurisdiction. Notably, this does not include self-insured plans – the majority of workers who have employer-sponsored health plans – as they are regulated at the federal level.
Last week, we shared a list of states that had either directed or asked insurance companies to waive cost-sharing (the consumer’s out-of-pocket costs) for COVID-19 testing. Most of the rest of the states have now issued guidance either requiring or asking insurers to fully cover the cost of testing, or noting that insurers have voluntarily agreed to do so. In addition to the states we mentioned last week, the following states have recently issued guidance on this issue:
States requiring insurers to cover testing with no cost-sharing:
States asking insurers to cover testing with no cost-sharing:
- Alabama
- Minnesota (The guidance asks insurers to fully cover the cost of testing and to “limit or eliminate” the cost of treatment. But it also notes that the Walz administration is asking lawmakers to step in to require this)
- Oklahoma
- Wyoming
- North Carolina (plus guidance to allow extra prescription refills)
State where insurers are voluntarily waiving cost-sharing for testing:
States expanding access to telemedicine
New Mexico requires insurers to waive cost-sharing for COVID-19, flu, and pneumonia
New Mexico has gone a step further than most states, requiring insurers to cover – with no cost-sharing – medical services related to COVID-19 as well as influenza and pneumonia. The emergency rule – which will be in effect for at least 60 but no more than 180 days – requires state-regulated insurers to cover testing as well as “delivery of health care services” for those conditions. (In most states, insurance regulations related to COVID-19 require zero cost-sharing only for testing, and some states also require zero cost-sharing for telemedicine related to the disease.)
States pass legislation to address COVID-19 pandemic
Lawmakers in several states are addressing the pandemic with varying legislation, some of which directly pertains to health coverage, including Medicaid. The National Conference of State Legislatures is an excellent resource for keeping track of these developments.
Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006. She has written dozens of opinions and educational pieces about the Affordable Care Act for healthinsurance.org. Her state health exchange updates are regularly cited by media who cover health reform and by other health insurance experts.
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