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New Laws & Policies
Determining Eligibility
Enrolling in a Health Insurance Plan
Post-Enrollment Issues
Immigrant-Related Resources
Outreach & Enrollment Resources
Other Issues

This section provides information about new laws and policies that impact people enrolled in marketplace health insurance and Medicaid.

How does the American Rescue Plan impact premiums?
What new regulations affect coverage in 2022?
How does the COVID-19 public health emergency impact Medicaid?
What are the new protections against surprise medical bills?

Learn more about new laws and policies

This section provides comprehensive information on eligibility for premium tax credits and Medicaid.

What kind of financial help is available to reduce monthly premiums?
How are Medicaid and CHIP eligibility determined?
How is income estimated?
How is household size determined?
What disqualifies people from financial help?
How is eligibility for Special Enrollment Periods determined?

Learn more about determining eligibility

This section explains how health insurance plans work and provides resources to help with the plan selection process.

When and where can someone enroll?
How do health insurance plans work?
How does someone choose a health insurance plan?
What kind of financial help is available to reduce the cost of medical services?

Learn more about enrolling in a health insurance plan

This section includes information about post-enrollment issues that could affect a person’s eligibility for financial help or their ability to stay enrolled in coverage.

How are income and household changes reported?
How are data matching issues (DMIs) resolved?
How does someone file an appeal?
What if someone misses a premium payment?
What is automatic re-enrollment?

Learn more about post-enrollment issues

This section includes information about immigration status-related eligibility rules for Medicaid and marketplace coverage.

Learn more about immigration status-related eligibility rules

This section includes outreach and enrollment tools and resources, some of which are customizable and available in multiple languages.

Access outreach & enrollment resources

This section covers other issues that may impact the communities you serve.

How does the COVID-19 public health emergency impact Medicaid?
What are the new protections against surprise medical bills?
How is the premium tax credit reconciled?

Learn more about other issues that may impact the communities you serve

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Upcoming Webinars

You can view our past webinars here.

Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their health coverage.

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Beyondthebasics@cbpp.org

Support for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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