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Showing posts from August, 2017

BHPs and CSRs and Appropriations! Oh My!

Here’s the question: if the federal government, for whatever reason, stopped making Cost Sharing Reduction (CSR) payments to health insurers, would federal funding of Basic Health Plan (BHP) programs in New York and Minnesota be reduced in kind? Let’s take a look! The amount the federal government pays a state for the BHP program is clearly defined in the original law: The amount determined under this paragraph for any fiscal year is the amount the Secretary determines is equal to 85 95 percent of the premium tax credits under section 36B of the Internal Revenue Code of 1986, and the cost-sharing reductions under section 1402, that would have been provided for the fiscal year to eligible individuals enrolled in standard health plans in the State if such eligible individuals were allowed to enroll in qualified health plans through an Exchange established under this subtitle. That’s a long way of saying 95% of PTCs and CSRs had this program not superseded the normal exchang