NPR

Administration Denies More States' Plans to Customize Insurance Markets

Proposals from Iowa and Massachusetts to create reinsurance that would lower health insurance premiums didn't get off the ground.

Two states looking for approval to customize their health insurance systems under the Affordable Care Act reversed course after the Trump administration said their applications couldn't be approved in time for next year.

Iowa withdrew its proposal to the Centers for Medicare & Medicaid Services for a waiver to alter its Affordable Care Act markets. Massachusetts' proposal was effectively denied by the administration.

Both states sought to

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