New York

I already mentioned this in my post from a few days ago, but I suspect it was lost in the larger scope of the entry, so I'm calling attention it more explicitly here:

With the 2026 ACA Open Enrollment Period officially starting on November 1st, and with millions of ACA enrollees being bombarded with scary letters from their insurance carriers and headlines warning of massive premium hikes, residents of six states* (as of this writing) can already enter their own household information to find out how much their net health insurance premiums are going to increase starting January 1st, 2026:

*It was five states on Sunday; since then Maryland has also gone live, and other states may have joined them by the time you read this. See here for important info about MD's new state-based financial subsidy program.

Twelve years ago, the Wall St. Journal ran a story about the impact of the American Taxpayer Relief Act of 2012, a sweeping tax bill signed into law by President Obama which locked in the Bush tax cuts for lower & middle-class households while allowing them to expire on schedule for wealthier Americans:

A compromise measure, the Act gives permanence to the lower rate of much of the Bush tax cuts, while retaining the higher tax rate at upper income levels that became effective on January 1 due to the expiration of the Bush tax cuts. It also establishes caps on tax deductions and credits for those at upper income levels. It does not tackle federal spending levels to a great extent, rather leaving that for further negotiations and legislation. The American Taxpayer Relief Act passed by a wide majority in the Senate, with both Democrats and Republicans supporting it, while most of the House Republicans opposed it.

I knew this was coming but it's still depressing to see it officially announced. Via NY State of Health:

Following Devastating Federal Funding Cuts, New York State Takes New Action to Preserve Health Care for As Many New Yorkers As Possible

New York State of Health

This actually happened a couple of weeks ago but I've been playing catchup after being on vacation for a week or so...

Via NY State of Health:

Estimated Health Impacts of Almost $13 Billion Annually, Paralyzing Our Health Care System

1.5 Million New Yorkers Stripped of Health Care Coverage and Become Uninsured; Projected $8 Billion in Losses for New York’s Hospitals

Governor Kathy Hochul today joined U.S. Representative Ritchie Torres, local elected officials, doctors, and healthcare leaders to warn of the destructive ramifications of President Trump and Congressional Republicans’ “Big Ugly Bill” on New York State. The cuts imposed by Washington Republicans are expected to have a significant impact, with an anticipated nearly $13 billion affecting New Yorkers healthcare system. Additionally, approximately 1.5 million New Yorkers are projected to lose their health insurance coverage, while over 300,000 households are expected to lose some or all of their SNAP benefits.

Originally posted 6/02/25

Hot off the presses via the New York Dept. of Financial Services:

MVP Health Plan, Inc.

Generally, once a year MVP files for a change to the current premium rates on file for their products based on a review of the adequacy of the rate level. Premiums need to be sufficient to cover all medical and pharmacy claims submitted from covered members, cover the administrative cost of operations, Federal and New York State taxes/assessments levied and New York State statutory reserve requirements.

MVP is proposing a premium rate adjustment effective January 1, 2026. Policyholders will be charged the proposed premium rates upon renewal in 2026 pending New York State’s Department of Financial Services review. There are 13,062 policyholders and 19,125 members currently enrolled in Individual MVP Health Plan, Inc. plans. The proposed premium rate adjustment represents an average increase of 8.00%. Premium changes will vary by plan design.

Premium rates are changing due to the following reasons:

Originally posted 12/10/24

New York has around ~222,000 residents enrolled in ACA exchange plans, 63% of whom are currently subsidized. I estimate they also have another ~31,000 unsubsidized off-exchange enrollees.

Combined, that's ~253,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 235,000 statewide.

Originally posted 3/10/25

Over the past couple of months I've compiled a master spreadsheet breaking out enrollment in ACA plans (Qualified Health Plans & Basic Health Plans), Medicaid/CHIP coverage (both traditional & via ACA expansion) and Medicare (both Fee-for-Services & Advantage) at the Congressional District levels.

With the pending dire threat to several of these programs (primarily Medicaid & the ACA) from the House Republican Budget Proposal which recently passed, I'm going a step further and am generating pie charts which visualize just how much of every Congressional District's total population is at risk of losing healthcare coverage.

USE THE DROP-DOWN MENU ABOVE TO FIND YOUR STATE & DISTRICT.

Originally posted 4/19/25

Over the past couple of months I've compiled a master spreadsheet breaking out enrollment in ACA plans (Qualified Health Plans & Basic Health Plans), Medicaid/CHIP coverage (both traditional & via ACA expansion) and Medicare (both Fee-for-Services & Advantage) at the Congressional District levels.

With the pending dire threat to several of these programs (primarily Medicaid & the ACA) from the House Republican Budget Proposal which recently passed, I'm going a step further and am generating pie charts which visualize just how much of every Congressional District's total population is at risk of losing healthcare coverage.

USE THE DROP-DOWN MENU ABOVE TO FIND YOUR STATE & DISTRICT.

via NY State of Health:

Part of Governor Hochul’s Extreme Heat Action Plan, Protecting New Yorkers From Summer Temperatures

Provides Free Air Conditioners to Eligible New Yorkers Enrolled in the State’s Essential Plan and With Persistent Asthma

Apply to the Cooling Program

Governor Kathy Hochul today announced the launch of the Essential Plan Cooling Program, an affordability initiative that provides free air conditioners to eligible New Yorkers who are enrolled in the State’s Essential Plan and live with persistent asthma, helps reduce heat-related health risks and improves quality of life during the hottest months of the year.

via NY State of Health:

  • More Than 240,000 New Yorkers Would Experience Increased Premiums From Elimination of American Rescue Plan Enhanced Tax Credits and Additional Changes 
  • Average Monthly Costs Could Rise by More Than $228 — an Increase of 38% for a Couple — Due to Elimination of Enhanced Tax Credits 
  • Estimated 65,000 to 80,000 New Yorkers, Approximately One Third of Enrollees, Could Lose Individual Marketplace Coverage 
  • Regional Breakdown Of Cost Increases Available Here; Congressional District Breakdown Available Here

Governor Kathy Hochul today released new data showing the massive impact the GOP’s ‘Big Ugly’ Reconciliation Bill would have on New York families. The latest bill threatens to severely disrupt health coverage for millions of New Yorkers. In addition to increasing the number of uninsured by 1.5 million and stripping $13.5 billion in annual funding from New York’s healthcare system, the bill would trigger steep increases in private health insurance premiums for vulnerable New Yorkers and impose excessive burdens on consumers enrolling through NY State of Health, the State’s official health plan marketplace.

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