McAuliffe’s health care campaign package also includes proposals to increase oversight of pharmaceutical practices and drug prices, including a plan to require Virginia’s Medicaid office to directly administer pharmacy benefits separately from health plans administered by managed care insurance companies the state hires to control costs. However, the American Rescue Plan Act signed President Joe Biden signed in March expanded eligibility for federal subsidies of insurance premiums for people who earn above 400% of the federal poverty level, or about $51,000 for an individual, and also made about 390,000 Virginians eligible for “zero-dollar plans” with little or no premiums, based on income. As a result of the law’s changes, the State Corporation Commission has delayed the opening of the Virginia insurance exchange from 2023 to 2024.
Source Health insurance affordability has been a contentious issue in Virginia primarily for families that previously earned too much money to qualify for either Medicaid or federal subsidies on health plans offered in either the commercial market or the health exchange the federal government currently runs.
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