One of the most inane restrictions of the ACA in my view, as I noted in my "If I Ran the Zoo" wish list back in 2017, is that, by default, it doesn't allow undocumented immigrants to enroll in ACA marketplace health plans ("Qualified Health Plans" or QHPs).

I don't just mean that they aren't eligible for federal financial subsidies--that's a prohibition which I can at least understand, even if I don't agree with it. I mean that they aren't allowed to enroll in ACA exchange-based QHPs even at full price, as noted in Section 1312(f)(3):

(3) Access limited to lawful residents.--If an individual is not, or is not reasonably expected to be for the entire period for which enrollment is sought, a citizen or national of the United States or an alien lawfully present in the United States, the individual shall not be treated as a qualified individual and may not be covered under a qualified health plan in the individual market that is offered through an Exchange.

via Maryland Health Connection:

Enrollment grew more than 17% since last year to an all-time high in 11th year of state-based marketplace

BALTIMORE (Jan. 18, 2024) – More people than ever before enrolled in health coverage during the recent open enrollment through Maryland Health Connection.

Open enrollment began Nov. 1, 2023, and ended Jan. 15. During the 90-day enrollment period, 213,895 enrolled – a 17% increase from the 182,166 Marylanders who enrolled a year ago. It was the largest increase and the largest total ever on Maryland’s health insurance marketplace.

“Health care is a basic right that every Marylander deserves. Today, we are one step closer to building a healthier state where everyone can receive the care they need," Governor Wes Moore said. “We will continue to move in partnership to ensure that in Maryland, health care is affordable and accessible to all. It's an integral part of our pledge to leave no one behind."


via Maryland Health Connection:

Compare 2024 health plans and prices at Maryland Health Connection

BALTIMORE (Nov. 1, 2023) – Marylanders can now enroll in health plans for 2024 at Maryland Health Connection, the state’s health insurance marketplace.

Open enrollment runs from Nov. 1, 2023, through Jan. 15, 2024. Coverage starts Jan. 1, 2024, for plans selected before Dec. 31, and coverage starts on Feb. 1, 2024, for plans selected the first two weeks of January. This open enrollment period is for private plans only. Those who qualify for Medicaid may enroll any time of year.

“Life can feel unpredictable - be it losing a job, losing Medicaid coverage following the end of the public health emergency, moving to Maryland, turning 26 and aging out of your parent’s plan, or deciding to be your own boss.” said Michele Eberle, executive director of the Maryland Health Benefit Exchange. “Maryland Health Connection has free or low-cost plans to give you peace of mind.”

via Maryland Health Connection:


  • In Celebration of Hispanic Heritage Month, MHC Engages in Community Initiatives to Empower Community

BALTIMORE (Oct. 20, 2023) – Maryland Health Connection continues to demonstrate its commitment to fostering health equity and improving access to coverage for all communities, including the Hispanic community as Hispanic Heritage Month wraps up and Open Enrollment approaches. In a collaborative effort to engage and inform the Latino community, Maryland Health Connection hosted the Hispanic Health Access Roundtable on Oct. 17, at the Montgomery College Rockville Campus.

via Maryland Health Connection:


BALTIMORE (Oct. 3, 2023) – Marylanders can now preview 2024 health plans and prices on, the state’s online health insurance marketplace. Use the “Get an Estimate” tool to compare health plans and savings. Open enrollment to sign up for a 2024 health plan runs from Nov. 1, 2023 through Jan. 15, 2024. Enroll in plans from Aetna, CareFirst, Kaiser Permanente and UnitedHealthcare. Vision and dental plans also are available.

“Maryland Health Connection is committed to keeping rates as low as possible for Marylanders and their families. We offer some of the lowest rates in the nation," said Michele Eberle, executive director of the Maryland Health Benefit Exchange. “Life happens. A health plan can give you a sense of security and stability when parts of your life may feel unpredictable.”

via the Maryland Insurance Dept:

Maryland Insurance Administration Approves 2024 Affordable Care Act Premium Rates

  • Reinsurance Program Continues Positive Impact on Individual Rates

BALTIMORE – Maryland Insurance Commissioner Kathleen A. Birrane today announced the premium rates approved by the Maryland Insurance Administration for individual and small group health insurance plans offered in the state for coverage beginning Jan. 1, 2024.

Rate Changes for the Individual Market

The rates for individual health insurance plans subject to the Affordable Care Act (ACA) will change/increase by an average of 4.7% for 2024. Approximately 229,000 Marylanders are impacted by the approved rates. However, the actual percentage by which the rates for a specific plan will change depends on the carrier and plan.

via the Maryland Insurance Administration:

Aetna CVS Health will join Maryland Health Exchange individual market in 2024

BALTIMORE – Aetna, a CVS Health company, has filed to offer its Aetna CVS Health individual health plans through Maryland Health Connection in 2024, giving consumers across Maryland another option for health coverage through the state-maintained marketplace.

“This is great news for the individuals and families who choose their health insurance coverage through the Maryland Health Connection marketplace,” said Governor Wes Moore. “It is vitally important for consumers to have choices to select the best plan for their needs. Maryland continues to be a national leader in maintaining a robust, affordable marketplace.”

Currently, three insurers – CareFirst BlueCross BlueShield, Kaiser Permanente and UnitedHealthcare – offer individual market health plans through Maryland Health Connection.

via the Maryland Health Benefit Exchange:


  • Program has helped drive down rates for Marylanders who buy their own health coverage to among the most affordable in the nation

BALTIMORE (July 5, 2023) – The Reinsurance Program that helped drive down costs for consumers who purchase their own health insurance in Maryland to among the lowest rates in the nation has been renewed for the next five years.

The U.S. Department of Health and Human Services and the Department of the Treasury informed Maryland health and insurance officials that they have approved the state’s application for the period from Dec. 31, 2023, when the current authorization expires, until Dec. 31, 2028.

via the Maryland Insurance Dept:

Health Carriers Propose Affordable Care Act (ACA) Premium Rates for 2024

  • Public Invited to Submit Comments

BALTIMORE – The Maryland Insurance Administration has received the rate filings containing the proposed 2024 premium rates for Affordable Care Act (ACA) products offered by health and dental carriers in the Individual, Non-Medigap and Small Group markets, which impact approximately 471,000 Marylanders.

via the Maryland Insurance Administration:

The national COVID-19 Public Health Emergency is scheduled to end on May 11, 2023.

What does that mean for your health insurance coverage? Here is what to expect with regard to COVID-19 Testing, Vaccinations, and Treatments.