CMS Lets Territories Get Out Of Key ACA Reforms, But Demands Return Of Unspent Grants

CMS on Thursday (July 17) told five U.S. territories that their individual and small group market insurers do not have to comply with several major ACA reforms, including guaranteed availability, community rating, rate review and the medical loss ratio requirement. The territories will not have to pay back any grant funding that has already been spent -- such as grants the federal government awarded to establish rate review programs and consumer assistance -- but unspent funding must be returned to...