Note: This isn't limited to Michigan...many of the items listed here could/should be applied in other states as well.

Dear Governor Whitmer & Michigan State House and Senate Members:

If you're familiar with me and this site, you probably know two things about me:

  • 2. Having said that, until universal coverage is feasible at the federal level in one way or another, I strongly believe that it is vitally important to protect, repair and strengthen the Affordable Care Act even if it ends up being replaced by something else in the near future.

One more reminder from the New York State of Health ACA exchange:

Press Release: NY State of Health Urges New Yorkers: Don’t Miss this Opportunity to Enroll in Health Coverage!

  • Open Enrollment Ends February 7
  • Thousands of Free, In-Person Assistors Available to Help Consumers

ALBANY, N.Y. (February 5, 2020) – NY State of Health, the state’s official health plan Marketplace, is encouraging New Yorkers who need health coverage to enroll in a 2020 Qualified Health Plan (QHP) by this Friday, February 7. The Open Enrollment deadline was extended an additional week to give consumers more time to find the health plan that fits their needs and enroll in coverage for 2020. Already, enrollment through NY State of Health is at its highest point ever, with more than 4.8 million New Yorkers enrolled in a health plan.

A few minutes ago I noted that the Supreme Court has announced that they'll be considering whether or not to expedite a review of the Texas vs. Azar (#TexasFoldEm) lawsuit at a private conference on February 21st.

What's that mean? Well, when we last checked in on the status of the case, the 20 Democratic state Attorneys General, led by California AG Xavier Becerra, had requested that the Supreme Court intervene in the ongoing federal court process and fast-track the case from where it is right now (bouncing around within the 5th Federal Circuit Court of Appeals) to instead hear the case directly and issue a final ruling on whether or not the Affordable Care Act will be struck down before the November election.

Speaking of the Texas Fold'em lawsuit (officially Texas vs. U.S. or Texas vs. Azar) which, if ultimately upheld, could result in the entire ACA being struck down, there's been a small but important development this morning:

Supreme Court to consider taking ObamaCare case

The Supreme Court on Wednesday listed a closely watched case seeking to strike down the Affordable Care Act for discussion at the justices’ private conference on Feb. 21. 

The justices will consider whether to take up the case and on what schedule. 

There is at least some possibility they could decide to take the case this term, meaning a ruling would be issued by June. But most observers expect a ruling will not come until after the 2020 election, either because the court waits until the next term to hear it, or because it decides not to take up the case at all until lower courts have finished considering it. 

I couldn't stomach watching most of Trump's Hate Rally Lie Fest State of the Union last night, but I did catch the healthcare portion. As usual, Trump blatantly lied through his teeth about almost everything, which is pretty standard these days. Still, I figured I should go through them point by point:

A good life for American families also requires the most affordable, innovative, and high-quality health system on Earth. I moved quickly to provide affordable alternatives. Our new plans are up to 60% less expensive, and better.

I'm pleased to announce that I'm officially a published academic textbook author! Well...sort of. Technically I'm officially a published author of...one chapter of an academic textbook.

OK, technically I'm officially a published author of half of one chapter of an academic textbook.

Nearly two years ago I was contacted by an online friend of mine, Gordon Herz, PhD of Forward Psychology Group, LLC, asking whether I'd be interested in co-authoring a chapter for an academic text being published by Oxford University Press. I'd never done anything like this before, but decided to give it a shot, and after some revisions and editing, voila, here it is:

This is very interesting. ACA Open Enrollment deadline extensions have become kind of a running joke over the years, but for the most part they've been restricted to the December deadlines. the states with deadlines already extending into January have stuck with them for the most part...until this year.

A few days ago, New York State of Health announced that they're extending their final enrollment deadline (for March 1st coverage) by a week, until midnight on Friday, February 7th.

Late last night, the DC Health Link announced that they, too, are extending their final deadline (for March 1st coverage) by five days, until midnight on Wednesday, February 5th.

As I noted a few days ago, I spent most of last week in Washington, DC attending the Families USA healthcare policy conference and meeting with staffers for a dozen or so House Democrats. My main goal in those meetings was to encourage as many House members as possible to sign on as cosponsors of what I've termed the "ACA 2.0" bills.

As a reminder, the main House ACA 2.0 bill, H.R. 1884, was also broken out into a dozen or so smaller, standalone bills. The smaller one I'm most focused on is H.R. 1868, which eliminates the ACA's 400% FPL income cap for subsidy eligibility and also beefs up the underlying subsidy formula.

Until my meetings, H.R. 1868 had 36 cosponsors including the lead sponsor, Rep. Lauren Underwood of Illinois...and hadn't had any new cosponsors sign on since October. H.R. 1884, meanwhile, had 160 cosponsors including the lead sponsor, Rep. Frank Pallone of New Jersey...but hadn't had anyone sign on since last August.

California and New York have both released updated 2020 Open Enrollment numbers, so I figured I'd update my spreadsheet one more time before the final data is released. This time I've included a smaller secondary table at the bottom which adjusts the Federal and State-based exchange numbers for Nevada.

OFFICIALLY, HealthCare.Gov enrollment is down nearly 128,000 people this year, but that's not fair because Nevada broke off of HC.gov onto their own full state-based exchange platform this year. When you adjust for that, HC.gov is only down 119,000 people for the remaining 38 states. Meanwhile, the state-based exchanges are officially down 2,900 at the moment, but again, with Nevada joining them, they're actually down around 8,900.people.

That leaves the missing enrollment data from five states. Rhode Island and Vermont haven't released any data...I'm assuming they'll both be very close to last year (call it at least 33,000 and 24,000 respectively). I'm assuming New York + DC will be good for perhaps 3,000 more enrollees combined in their final days. And California will likely tack on another 30,000 or so in their final 2 days of Open Enrollment.

With one day left to go before the 2020 ACA Open Enrollment Period wraps up in California, the largest state ACA exchange in the country issued one more update and call to action:

Covered California Sees Thousands of People Enroll Each Day as it Approaches Friday’s Final Day of Open Enrollment

  • More than 364,000 consumers have newly enrolled during the current open-enrollment period, which ends at midnight on Friday, Jan. 31
  • More than 33,000 people have enrolled since Monday, an average of more than 11,000 people per day.
  • California passed two new laws for 2020, one that requires Californians to have health insurance or face a penalty, while the other offers new financial help – for the first time – to eligible consumers purchasing coverage.

Open enrollment is the one time when people can sign up for health insurance in the individual market without needing a qualifying life event.

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