CMS issues final rule establishing the methodology for determining federal funding for the Basic Health Program (BHP) in 2017-2018

02/26/16

The American College Health Association (ACHA) scored a regulatory victory on February 26, 2016, when the Centers for Medicare and Medicaid Services (CMS) issued a final rule establishing the methodology for determining federal funding for the Basic Health Program (BHP) in years 2017 and 2018. In late 2015, ACHA, along with other leading higher education associations, submitted comments on the proposed rule, supporting provisions that:

  • permit insurance issuers to establish separate risk pools for student health insurance coverage at individual institutions of higher education
  • exempt student health insurance coverage from the general actuarial value requirements under section 1302(d) of the ACA and instead merely require SHIC plans to provide a minimum actuarial value of at least 60 percent.

ACHA is grateful to the Student Health Insurance/Benefits Plans Coalition and executive leadership who spearheaded these efforts and provided critical advice and expertise to make this happen.