By NextBestFitPhase 3: Waves 2 & 3: working-age adults · Step 3.5
Close the ACA Marketplaces
End of Year 3 · CMS CCIIO; state exchangesDiscuss this step
How other countries handled this same piece of implementation, what happened, and what it means for this plan.
Side by side
| Country | Approach | Result | Lesson for this plan |
|---|---|---|---|
| This plan (U.S.) | HealthCare.gov and state exchanges close at the end of Year 3. The $116.6B in premium tax credits is redirected to the UHP Trust Fund. | ||
| Taiwan | The health components of labor, government-employee, and farmer insurance ended on NHI launch day (March 1995). | No gap: members were enrolled in NHI the same day. | Close the old program on the same day the new one starts. |
| Netherlands | Abolished the split between public sickness funds and private insurance in a single 2006 switchover. | One unified market. | A fixed end date with automatic transition avoids coverage gaps. |
Taiwan
- What they did
- The health components of labor, government-employee, and farmer insurance ended on NHI launch day (March 1995).
- What happened
- No gap: members were enrolled in NHI the same day.
- Lesson for this plan
- Close the old program on the same day the new one starts.
Netherlands
- What they did
- Abolished the split between public sickness funds and private insurance in a single 2006 switchover.
- What happened
- One unified market.
- Lesson for this plan
- A fixed end date with automatic transition avoids coverage gaps.