Issue Briefs | Feb 13, 2026

Proposed Marketplace and Insurance Changes in the 2027 Notice of Benefit & Payment Parameters: Implications for States

On February 9, 2026, the Centers for Medicare & Medicaid Services released its annual proposed rule governing the Affordable Care Act Marketplaces and insurance reforms. The proposed “Notice of Benefit & Payment Parameters,” includes a broad set of policy and operational changes for 2027 that implement elements of H.R.1, roll back several Biden-era policies, revisit provisions of the Marketplace Integrity final rule, and introduce several new policies. This issue brief reviews provisions of the proposed rule with particular import for State-Based Marketplaces and state insurance departments. Comments on the proposed rule are due by March 13, 2026.


Expert Perspectives

May 22, 2026

The Power of Transparency: How States Can Use Data Dashboards to Effectively Monitor H.R. 1

H.R. 1 will bring wide-reaching changes to the Medicaid program and as these provisions take effect, states will face questions about how the changes are impacting both the Medicaid program and the individuals who rely on it for coverage. This expert perspective outlines the case for state H.R. 1 data dashboards, provides practical design guidance, and highlights successful examples of recent state dashboards.