CMS Taking Steps On ACA’s Unimplemented Health Care Compacts

By Amy Lotven / December 8, 2025 at 1:35 PM

CMS has taken early steps toward implementing Section 1333 of the Affordable Care Act that would allow states to create Health Care Choice Compacts to streamline the sale of insurance across states lines, a policy that CMS exchange head Peter Nelson has championed but that state regulators and industry have dismissed as unworkable.


Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.