State health insurance regulators and exchange managers are starting to think harder about how to change everything, even if the Patient Protection and Affordable Care Act (PPACA) stays in place.
Joel Ario, a former state insurance commissioner and the first head of PPACA exchange regulation at the U.S. Department of Health and Human Services (HHS), is now working at Manatt Health Solutions, the health insurance advisory arm of a big law firm.
Ario and other colleagues at Manatt have prepared a slidedeck that shows policymakers how states can use the PPACA Section 1332 state innovation waiver provisions. The provisions let states ask HHS and the U.S. Treasury Department for PPACA waivers. Waivers could take effect as early as Jan. 1, 2017.