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Policy & Regulation

Find ASPE’s latest releases on critical aspects of health and human services-related policy and regulation on the Federal and State levels. Learn more about the impact of these policies across the country.

Reports

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Department of Health & Human Services Evaluation Policy

May 12, 2021
This is an evaluation policy for the Department of Health and Human Services (HHS), required by the Foundations for Evidence-based Policymaking Act of 2018 (Evidence Act). ASPE convened a group of agency representatives from across HHS operating and staff divisions to develop the policy.

Department of Health & Human Services FY 2022 Evaluation Plan

May 12, 2021
As part of the Evidence Act, HHS is required to submit “an evaluation plan describing activities the agency plans to conduct pursuant to [its evidence-building plan].” Nine operating divisions within HHS and one staff division developed evaluation plans and included information on priority questions being examined by the agencies as well as data, methods, and challenges to addressing those ques

Factors influencing variation between states in efficiency of COVID-19 vaccine administration

May 4, 2021
Limited initial supplies of the COVID-19 vaccine necessitated the development of strategies to ensure efficient and equitable vaccine distribution. This brief summarizes the different vaccine distribution strategies and approaches taken by states and evaluates the extent to which these may have impacted the efficiency with which doses delivered to states are administered to patients.

Disparities in COVID-19 Vaccination Rates across Racial and Ethnic Minority Groups in the United States

May 4, 2021
Ensuring equitable distribution of the COVID-19 vaccine is essential to mitigate the disproportionate impact of COVID-19 on racial and ethnic minority populations. This brief summarizes currently available data on race and ethnicity of vaccinated persons at the state level.

Count Estimates of Zero- and Low-Premium Plan Availability, HealthCare.gov States Pre and Post ARP

April 12, 2021
These supplemental data tables are for the ASPE Issue Brief series, Access to Marketplace Plans with Low Premiums on the Federal Platform, that examines the availability of zero-premium and low-premium (defined as less than or equal to $50 per month) plans after application of advanced premium tax credits in states served by the federal Marketplace platform, HealthCare.gov, before and after the
ASPE Issue Brief

Access to Marketplace Plans with Low Premiums: Current Enrollees and the American Rescue Plan

April 12, 2021
The American Rescue Plan (ARP) enhances and expands Marketplace premium tax credits under the Affordable Care Act. Among the nearly 8 million current HealthCare.gov enrollees, we estimate 79 percent could find a zero premium health plan and 87 percent could find a low premium health plan under the ARP.
ASPE Issue Brief

Medicaid Churning and Continuity of Care

April 11, 2021
Research shows that disruptions in Medicaid coverage are common and often lead to periods of uninsurance, delayed care, and less preventive care for beneficiaries.
ASPE Issue Brief

Access to Marketplace Plans with Low Premiums: The Uninsured and the American Rescue Plan

March 31, 2021
The American Rescue Plan (ARP) enhances and expands eligibility for premium tax credits under the Affordable Care Act. Under the ARP, we estimate that the availability of zero-premium plans has increased by 19 percentage points and low-premium plans by 16 percentage points, respectively, among uninsured non-elderly adults potentially eligible for Marketplace coverage in HealthCare.gov states.
ASPE Issue Brief

Access to Marketplace Plans with Low Premiums on the Federal Platform

March 28, 2021
Many uninsured individuals can access zero-premium or low-premium health plans after application of premium tax credits under the Affordable Care Act.

The Remaining Uninsured: Geographic and Demographic Variation

March 22, 2021
The Affordable Care Act (ACA), signed into law on March 23, 2010, extended health coverage to millions of Americans through Medicaid (in the states participating in Medicaid expansion) and subsidized Marketplace coverage. However, research prior to enactment of the American Rescue Plan suggests many remaining uninsured people are not aware of their coverage options.