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State Reinsurance Programs: Design, Funding, and 1332 Waiver Considerations for States

The brief provides a roadmap of policy, program design, and financing considerations for states that are contemplating development of a state-based reinsurance program under 1332 waiver authority. A state-based reinsurance program, similar to the federal program that reduced premiums by more than 10 percent per year from 2014 to 2016, is one solution to continued market instability.