- Administration Denies More States' Plans to Customize Insurance Markets NPR by Alison Kodjak — Two states looking for approval to customize their health insurance systems under the Affordable Care Act reversed course after the Trump administration said their applications couldn't be approved in time for next year. Iowa withdrew its proposal to the federal Centers for Medicare and Medicaid Services for a waiver to alter its Affordable Care Act markets. Massachusetts' proposal was effectively denied by the administration. Both states sought to use some of the money that would have gone toward subsidies for consumers to instead create reinsurance programs that would protect insurers from major losses....The failures of the two states' waiver applications follow a trend. Several states have seen their proposals delayed, denied, or only partly approved, after administration officials actively encouraged states to apply.