Insurers Weigh ‘Marketplace Integrity’ Rule, Find Some Proposals Wanting

Apr 18
Apr 18, 2025

Health insurers, consumer advocates and other stakeholders are sounding off about the first Affordable Care Act marketplace rule proposed by the second administration of President Donald Trump. While the insurance industry voiced support for some proposals — like eliminating what it views as a problematic special enrollment period — other reviews of the Marketplace Integrity and Affordability Proposed Rule trended negative.

“This proposed rule on so-called marketplace integrity would make coverage more expensive, would make coverage cover less, would make coverage harder to get on and stay on — and will ultimately leave more Americans uninsured, living sicker, dying younger, and one emergency away from financial ruin,” Families USA Executive Director Anthony Wright said during an April 9 press call held by the consumer advocacy group.
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Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.