The Centers for Medicare & Medicaid Services today awarded $8.6 million to 30 states and the District of Columbia to provide state insurance regulators with the opportunity to enhance states’ ability to strengthen their health insurance markets through innovative measures. CMS said states can use the funds, which include individual grants ranging from $225,000 to $285,000, to conduct economic analyses and market scans of the state’s health insurance market to improve and expand the number of affordable health care coverage options under new flexibilities offered to states by CMS guidance and regulations. States also can use the funds to examine plan policies, procedures and claims-related data related to access to mental health and substance use disorder treatment services, including opioid treatment services. “We recognize that states are in the best position to assess the needs of their consumers and develop innovative measures to ensure access to affordable health coverage,” said CMS Administrator Seema Verma. The funding is part of $250 million for State Rate Review Grants provided by the Affordable Care Act to improve the process for how states review proposed health insurance rates. The funds announced today are unspent Rate Review Grant funding from prior years. Click here to see how the funding is allocated to each state.

Headline
Americans across 43 states enrolled in health plans from the nation’s four largest commercial health insurers face potential disparities in finding in-network…
Headline
The Centers for Medicare & Medicaid Services April 10 released a proposed rule that would establish electronic standards for drug prior authorizations.…
Perspective
Public
Few patient populations are more vulnerable to the shifting winds around health care today than Medicare beneficiaries who need specialized, high-acuity and…
Headline
The Centers for Medicare and Medicaid Services April 8 issued guidance on implementing a provision within the reconciliation bill passed in July 2025 regarding…
Headline
Average out-of-pocket premiums for Health Insurance Marketplace enrollees increased $65 per month in 2026 compared to 2025, going from $113 to $178, according…
Headline
In a commentary published March 26 by Healthcare Dive, AHA President and CEO Rick Pollack details why a new facility administrative policy from Anthem will…