Idahoans to See Health Insurance Costs Drop 12% with Approval of Key ‘Leading Idaho’ Waiver

Boise, Idaho – Governor Brad Little today announced that the State of Idaho has achieved a key milestone in the “Leading Idaho” plan – the approval of the state’s Innovation Waiver, ensuring assurance disease accessible to more Idahoans.

“Today the people of Idaho enjoyed another victory through our ‘Leading Idaho’ plan. Approval of the state’s innovation waiver is estimated to reduce insurance premiums for individuals by about 12%, keeping more Idahoans insured and giving them better access to health care. affordable”, said Governor Little.

The U.S. Department of Health and Human Services and the U.S. Department of the Treasury this week approved Idaho’s request for a State Innovation Section 1332 waiver. The state submitted the Section 1332 waiver to increase the affordability of individual health insurance in Idaho. This waiver approval is effective from January 1, 2023 through December 31, 2027, and is expected to reduce individual market health insurance premiums by 12% in the first year compared to premiums without a waiver.

The waiver will be implemented primarily by the Idaho Individual High Risk Reinsurance Pool, a state reinsurance program that helps reduce some of the costs of insuring certain serious medical conditions, thereby reducing the premiums charged to residents of the Idaho. Governor Little recommended and the Legislature this year approved a one-time transfer of $25 million from the general fund to the Idaho Individual High-Risk Pool Fund to reduce health insurance premiums statewide. The pool was created in 2000. Since its inception, it has successfully settled more than $164.6 million in claims from more than 13,000 Idahoans suffering from serious medical conditions.

“Governor and Legislature support was critical in receiving federal approval of the Idaho Reinsurance Pool’s innovation waiver,” Dean Cameron, Director of the Idaho Department of Insurance (DOI). “Thanks to their support and the efforts of our staff to develop a strong waiver claim, Idahoans who purchase their own health insurance will have lower premiums in the future.”

As part of the waiver process, legislation Governor Little signed this year, House Bill 611, authorized the DOI to submit the waiver request to federal agencies and condition the continuation of the state reinsurance program on the approval of derogation 1332.

The DOI also received public comments during the application process.

The 1332 Waiver Approval and State of Idaho Fact Sheet is posted online at https://www.cms.gov/CCIIO/Programs-and-Initiatives/State-Innovation -Waivers/Section_1332_State_Innovation_Waivers-.

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