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Key Findings

• Increasing marketplace cost-sharing reduction (CSR) subsidies via state funding to those who are already eligible for federal CSRs would increase enrollment and substantially reduce consumer spending for this group; however, using state funding to extend subsidies to those not eligible for federal subsidies would result in a reduction of subsidy value to those who were already eligible, leading to decreased insurance enrollment.
• The introduction of the public option plan would increase total enrollment and decrease spending for unsubsidized marketplace enrollees but would increase spending for subsidized marketplace enrollees because it would lower the subsidy value.
• Expanding eligibility for the state employee health plan would increase insurance coverage, would reduce consumer spending, and would not have a substantial impact on state spending.