via the Centers for Medicare & Medicaid Services (CMS):

Biden-Harris Administration Extends Millions in Funding to Minnesota for MinnesotaCare, its Basic Health Program, Key Connection to Coverage Supported by American Rescue Plan

The Centers for Medicare & Medicaid Services (CMS) is providing approximately $100 million in additional funding in 2022 to support MinnesotaCare, Minnesota’s Basic Health Program (BHP), as well as added funds for 2020 and 2021. The additional funds, made available through the American Rescue Plan, increase Minnesota’s ability to provide affordable, quality health care coverage to approximately 100,000 individuals.

Way back in October 2013, I launched the ACA Signups project as a light, nerdy hobby thing which was only supposed to last around six months, through the end of the first ACA Open Enrollment Period (March 31, 2014). Instead...well, let's just say that it's more than eight years later and I'm still doing this.

The reality is that The Graph itself doesn't serve a whole lot of useful function anymore. The enrollment patterns were erratic the first couple of years but have since settled into a pretty predictable...if not downright boring pattern for both the federal and state exchanges. The main reason I keep doing it each year is mostly out of tradition these days; after all, without The Graph, there wouldn't be an ACA Signups and I wouldn't have become a healthcare policy wonk in the first place.

The pattern for both the federal and state-based exchanges typically looks like this:

via the Washington HealthPlan Finder:

Over 208,000 Washington Residents Sign Up During First Week of Washington Healthplanfinder Open Enrollment

• Most customers can save by comparing plans

The annual open enrollment period for Washingtonians seeking health care coverage in 2022 began Monday, Nov. 1. Washington Health Benefit Exchange (Exchange) reports over 208,000 customers in Washington have already secured health coverage for 2022 through Washington Healthplanfinder, the state’s online insurance marketplace.

UPDATE 12/17/21: I've already submitted my comment to the Health & Human Services Dept. Now, the National Health Law Program’s My Care Counts project has created an easy-to-use public comment tool for you to submit your own. PLEASE DO SO before January 9th!

MAKE SURE *NOT* TO USE THE GENERIC DEFAULT LANGUAGE IN THE FORM, HOWEVER; MAKE IT YOUR OWN.

See the rest of the post below for the background/details on this issue.

About 2 years ago, GOP Georgia Governor Brian Kemp submitted an ACA Section 1332 Waiver request to the Centers for Medicare & Medicaid Services. As Katie Keith of Health Affairs explained at the time, it consisted of two parts...the first of which was fairly noncontroversial, the second of which was...well, not good:

DISCLAIMER: HealthSherpa is one of two Enhanced Direct Enrollment (EDE) ACA brokers which run banner ads on my site. EDEs are basically authorized private, 3rd-party versions of ACA exchange sites which have their back ends integrated directly into the federal exchange (HealthCare.Gov) (W3LL is the other EDE which advertises here).

Having said that, I believe Sherpa is the largest ACA EDE out there, and they're pretty transparent about their enrollment metrics, so until CMS posts their official Weekly Snapshot Enrollment Report (which should happen sometime today or tomorrow), Sherpa's updates are pretty good indicators of how things are going overall.

Here's what they said last year two weeks into Open Enrollment:

via DC Health Link:

DC Residents Can Get Covered and Stayed Covered by Going to DCHealthLink.com Before the January 31, 2022 Deadline 

(Washington, DC) - As the first week of DC Health Link’s 2022 open enrollment period comes to a close, Mayor Muriel Bowser is encouraging DC residents to sign up for high-quality, affordable health insurance at DCHealthLink.com, the District’s online state-based health insurance marketplace established under the Affordable Care Act (ACA). Open enrollment for individuals and families runs from November 1, 2021 and continues through January 31, 2022.

“Ensuring everyone in our community is insured is a critical step in making our healthcare landscape more equitable,” said Mayor Bowser. “Keeping our community healthy means ensuring all Washingtonians are getting the right care at the right time. We never want people in our city to put off healthcare because of a lack of coverage. Now is the time to get covered and stay covered, and that process can start at DCHealthLink.com.”

via Access Health CT:

• Free in-person help offered to Connecticut residents at pop-up enrollment fairs and daily on-site locations

HARTFORD, Conn. (Nov. 4, 2021)—Access Health CT (AHCT) announced today that in addition to on-site locations, it will offer three in-person enrollment fairs in Fairfield, Hartford and Waterbury during November, giving Connecticut residents more time to shop, compare and enroll in quality health insurance plans.

All in-person enrollment fairs will be held from 10 a.m. – 1 p.m. at the following locations in Fairfield, Hartford and Waterbury.

Here's the weekly look at the rate of COVID-19 cases & deaths at the county level since the end of June, broken out by partisan lean (i.e, what percent of the vote Donald Trump received in 2020).

The ratio of case rates has started to drop; new cases are now running 2.9x higher per capita in the reddest tenth of the country than the bluest tenth, down from 3.0x higher a couple of weeks ago:

Methodology reminders:

• I go by FULLY vaccinated residents only (defined as 2 doses of the Pfizer or Moderna vaccine or one dose of the Johnson & Johnson vaccine).

• I base my percentages on the total population, as opposed to adults only or those over 11 years old.

• For most states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
  • For Hawaii, Illinois, Vermont, Virginia and West Virginia, I'm using data from the COVID Act Now Risk & Vaccine Tracker database.
  • For Colorado, Georgia, Minnesota, New Mexico, North Carolina and Texas, I'm using their COVID vaccine dashboards set up by the state health departments.
  • For California, I'm using the CDC data for most counties and the state health dept. dashboard data for the 8 small counties which the CDC isn't allowed to post data for.
  • For Massachusetts, I'm using the CDC data for most counties but am now using the official Massachusetts Health Dept. weekly data report for Barnstable, Dukes & Nantucket counties, which the CDC only has partial data for.

Last Friday I took an in-the-weeds look at the healthcare provisions of the pared-down (but still hugely significant) Build Back Better Act.

Well, as the long-gestating legislation finally heads into the endgame this week, there's been a last-minute rush to add to & change some provisions of the bill before it actually gets voted on, and earlier today, the House Rules Committee released a revised/updated version of the bill, including a handy comparison version which shows exactly what legislative language has changed since the prior version.

Many of these changes are either simple grammatical or wording tweaks to make sure it all passes legal muster, while others simply provide clarification. Other changes involve simply increasing or decreasing the amount of federal money which would be allocated to one program or another.