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Post-election commentary: Achieving progress will be immensely challenging, given the likelihood of a divided Congress and the competing priority of addressing the ongoing pandemic. The most difficult challenge will be tackling health care disparities, especially among Black and Brown communities.
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The associated press release can be found here.
Individual coverage health reimbursement arrangements, or ICHRAs, are a small-scale initiative from the Trump administration with some appeal as a way to help workers access health coverage when it’s not available on the job. However, they pose significant risks for New York consumers, particularly lower-income enrollees.
These risks include higher individual market premiums due to adverse selection; the loss of employer-sponsored insurance; higher costs for lower-income consumers by ending their access to the Essential Plan and federal subsidies for health care insurance premiums; and new logistical and administrative burdens.
This brief explains the workings of ICHRAs and examines their risks and benefits for New Yorkers; it also suggests several ways ICHRAs could be improved for New Yorkers, helping establish ICHRAs as a tool to help address shortcomings in the employer-sponsored insurance market and the Affordable Care Act—rather than undermining them.