Fixing the Family Glitch and Other Priorities: The Next Wave of Federal Administrative Action to Enhance the Affordable Care Act


Last year was a busy time for health policy. After a change in administration in the midst of the ongoing COVID-19 pandemic, we saw numerous federal policy changes to strengthen the Affordable Care Act (ACA) and Medicaid program. Policymakers weren’t going it alone; stakeholders weighed in on health policy priorities, outlining administrative actions to increase access to affordable, comprehensive health insurance and promote health equity. The new year is a great time to take stock of President Biden’s first year in office as well as what health policy changes may be in store for 2022.

In her latest post for the Commonwealth Fund’s To the Point blog, Georgetown’s Katie Keith identifies thirteen high-priority administrative policies to strengthen the ACA and Medicaid and evaluates their current status. Keith finds the Biden administration completed roughly half of these actions in its first year, including reversal of the Trump administration’s public charge rule and increasing marketing, outreach, and enrollment assistance for HealthCare.gov. Other priorities, such as fixing the “family glitch” (a current policy preventing millions from accessing financial assistance on the ACA’s marketplaces), are expected to be implemented by the Biden administration in 2022. You can read more about the state of federal administrative health policy priorities here.





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