States aren't speeding to pass laws or issue rules to implement Affordable Care Act health insurance market reforms that take effect in 2014, with 11 states and
Of the states passing reforms, only
A total of 39 states have taken no action to implement the ACA market reforms. Those in part include a requirement to guarantee insurer acceptance of all individuals and employers who apply for coverage and prohibiting insurers from imposing waiting periods of more than 90 days before employee coverage takes effect. Other reforms are setting rating requirements that allow rates to vary based on family composition, geographic area, age and tobacco use only and banning insurers from denying people health insurance because of pre-existing conditions, the report said.
The uncertainty about ACA caused by the 2011
The authors said further state action is essential, because failing to move would limit regulators in 22 states in their ability to protect consumers. States can use existing authority to comply with many ACA requirements, but there are doubts about how effectively they can enforce the market reforms without new or expanded legal authority.
The report is based on responses received from 40 states and the