Tuesday, December 16, 2025

FierceHealthcare: CMS’ plan to ‘wind down’ federal exchanges by 2020, shift funding to states

“The Centers for Medicare & Medicaid Services (CMS) plans to “wind down” support for the federal exchanges by the time open enrollment hits in 2019 and shift funding to states.”

“For that strategy to work, the agency is relying on Congress to do something it failed to do several times last year: Pass an ACA repeal.”

“CMS detailed its plan in a fiscal year 2019 budget justification (PDF) released this week that outlines a $403 million cut to its program operations budget next year. With less funding to oversee the federal exchanges for plan year 2020, CMS would dole out grants that allow states to ‘assume more control of their markets and expand enrollment options’.”

“The FY 2019 Budget assumes passage of legislation to repeal and replace Obamacare, which would phase down the Federal Exchanges as the new Market-Based Health Care grants become available…” Read the full article here.

Source: CMS’ plan to ‘wind down’ federal exchanges by 2020 relies on a big ask from Congress – By Evan Sweeney, April 5, 2018. FierceHealthcare.

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Jackie Gilbert
Jackie Gilbert
Jackie Gilbert is a Content Analyst for FedHealthIT and Author of 'Anything but COVID-19' on the Daily Take Newsletter for G2Xchange Health and FedCiv.

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