Key Takeaways. On November 7, 2018, the Trump Administration issued new proposed regulations that would change the way Marketplace plans must bill and consumers must pay premiums for coverage in plans that include abortion services. The regulations would require: (1) Issuers to send two separate monthly bills either by mail or electronically to each policyholder: one bill for the non-Hyde abortion coverage (at least $1 per member per month) and one bill for the premium for the coverage of Essential Health Benefits and all other services. Consumers would need to pay their monthly premium in two separate transactions. (2) These regulations would disrupt coverage for many consumers, place additional administrative and reporting requirements on issuers, and add new oversight responsibilities for state insurance regulators. (3) Ultimately, it is highly likely that fewer women would have abortion coverage, thus making it more difficult for them to afford abortion services--even in states that have not enacted abortion coverage restrictions.
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