On April 20, 2018, the Maryland Health Benefit Exchange submitted a Draft of the 1332 Waiver Request in accordance with emergency legislation passed into law and signed by Governor Hogan. The law directs the Maryland Health Benefit Exchange to submit a State Innovation Waiver to the U.S. Secretaries of Health and Human Services and the Treasury to establish a State Reinsurance Program.
Under Section 1332 of the Affordable Care Act, states may apply for State Innovation Waivers to waive certain federal requirements with the goal of improving their health insurance markets.
The purpose of the State Reinsurance Program is to mitigate the premium impact of high-cost enrollees on carriers that participate in the individual market. The State Reinsurance Program will reduce rates from what they would have been without the program, creating some relief for Marylanders who have experienced high rate increases on their health insurance premiums.