State Health Reform Efforts
Assessments on Payers
Some states are passing legislation to impose new taxes on the self-insured health plans sponsored by large employers, and use the funds collected to pay state-based insurance exchanges or other health-related activities.
State Innovation Waivers
Under the Affordable Care Act, states may pursue what is known as a State Innovation Waiver (also known as a 1332 Waiver) that permits increased flexibility in a state’s health care laws and regulations. While the scope of 1332 waivers is likely to vary greatly, in some instances a waiver can have a significant impact on employers that operate within a given state, including those offering self-insured health coverage for their employees.