The Consolidated Appropriations Act of 2023 (CAA, P.L. 117-328) decoupled the end of the continuous coverage requirement from the public health emergency (PHE), which provided states with a temporary 6.2 percentage point increase in the federal medical assistance percentage (FMAP). The CAA established an end date of March 31, 2023, for the requirement and a phase-down of the enhanced matching rate over the remainder of 2023 for states that met certain renewal processing and data reporting requirements. The reporting requirements included having states complete a report summarizing their monitoring plans, as well as submitting baseline and monthly unwinding data (beginning April 1, 2023) for a minimum of 14 months on their post-PHE progress and the Secretary of the U.S. Department of Health and Human services to make these data publicly available.
This issue brief summarizes data from the Centers for Medicare & Medicaid Services unwinding reporting metrics from April 2023 through June 2024. These reporting metrics include state reported monthly data on renewals, disenrollment, call center operations, and transitions to the federally facilitated and state-based marketplaces.
