From the heart of Texas, the round up of ACA rule enforcement is getting more precise and the lasso is lengthening its reach to other states. This session, aptly titled 'Cowboy Up,' will delve into the state of Texas' evolving role in the enforcement of Affordable Care Act (ACA) regulations, amidst a backdrop of federal deference and local policy shifts. The discussion will focus on the results of enforcing the single risk pool requirement, which began locally in 2023, and how insurers responded and how the state counter responded.
With Texas taking a stronger stance on rule enforcement, actuaries and healthcare professionals must be prepared for ongoing regulatory shifts and the implications for pricing and market stability. As we look ahead to 2026, we'll discuss what other states may be joining the rodeo.
Key topics will include:
The 2023 enforcement of the single risk pool requirement and its impact on the Texas marketplace.
A forward-looking analysis of the 2026 ACA rule monitoring process, with an emphasis on actuarial value calculations and their alignment with market realities. - How actuaries can anticipate and navigate these regulatory changes to ensure compliance and market sustainability.
The broader implications for insurers, state regulators, and consumers as the enforcement of ACA rules continues to strengthen in Texas.
Join us for a deep dive into these critical regulatory developments and get ready to 'Cowboy Up' as we prepare for the challenges and opportunities that lie ahead in ACA enforcement and actuarial practice.