Sen. Murray: New Trump Administration Health Rule ‘Open Invitation’ for Insurers to Charge More and Skirt Patient Protections
"With this new rule,
Background:
The final Notice of Benefit and Payment Parameters would:
* Open the door to less comprehensive coverage of the essential health benefits, including maternity care, mental health, and substance use disorder treatment.
* Water down the requirement that plans use a minimum percentage of premiums towards actual enrollee medical costs (known as the minimum Medical Loss Ratio).
* Increase the threshold for regulatory review of premium increases from 10 percent to 15 percent, which lowers regulatory review of large premium increases.
* Weakens federal oversight of network adequacy requirements.
* Undermine the navigator program and end the requirement that consumers have access to face-to-face enrollment assistance.
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