April 8, 2014 – April 14, 2014

Grace Period to Finish the Enrollment Process Ends April 15: For federally facilitated marketplaces (FFMs) and most state-based marketplaces (SBMs), individuals who tried to enroll through the marketplaces by the March 31 deadline, but who were unable to complete the process, have until April 15 to get covered. In a few cases, however, the deadline to complete the enrollment process varies:

  • Consumers in FFM states who applied using the paper application have until April 30 to select a plan;
  • Consumers who are “in line” for coverage in Maryland and Nevada have until April 18 and May 30, respectively; and
  • All Oregonians have until April 30.

Additionally, consumers may be able to enroll outside of open enrollment if they are eligible for Medicaid, the Children’s Health Insurance Program, or a special enrollment period.

Marketplace Enrollment Reaches 7.5 Million: U.S. Health and Human Services (HHS) Secretary Kathleen Sebelius testified at the Senate Finance Committee that an additional 400,000 consumers signed up for marketplace plans between April 1 and April 10, bringing total enrollment to 7.5 million since October 1, 2013.

Congressional Budget Office (CBO) Releases Updated Coverage Estimates: The CBO released updated Affordable Care Act (ACA) estimates this week; their projections maintain their previous assessment that six million consumers will enroll in the marketplaces, estimate that 12 million more Americans will have coverage due to the ACA, and decrease the projected costs to the federal government by $100 billion from previous estimates. The cost reduction mainly comes from lower-than-expected premiums.

Change in HHS Leadership: On April 11, President Obama announced the resignation of Secretary Sebelius and the nomination of a successor, Sylvia Mathews Burwell, who is currently the director of the Office of Management and Budget.

Next Steps for SBMs: Massachusetts, Minnesota, and Oregon are assessing how best to fix their technology before next year’s open enrollment period.

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