Milestone: Decide whether to establish a state, sub-state, or multi-state Exchange or defer to the federal government
Deciding whether or not to establish a state-operated Exchange is the critical first step towards the creation of an Exchange that aligns with state priorities and goals.
*Milestone details:
*Full name: Decide whether to establish an Exchange at the sub-state level, the state level, participate in a multi-state Exchange, or defer to the federal government.
*Relevance to the ACA:
The ACA requires the establishment of health benefits Exchanges. It delegates primary responsibility to the states, but requires the federal government to step in for states that opt out. Provisions relevant to establishing an Exchange include:
§1311 - Establishes the Exchanges and creates grants for states to plan and launch them.
Also creates the option for regional Exchanges and sub-state Exchanges.
§1321 - Gives the Secretary of HHS the power to establish and operate an Exchange in a state that defers or whose Exchange does not meet statutory requirements.
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District of Columbia
HB 4574 would amend the exchange law to establish the exchange as an independent, nonprofit public entity that would not be considered an agency of the state.
District of Columbia
Illinois' Governor signed Exchange enabling legislation in July 2011.
District of Columbia
This report, issued by the Illinois Health Care Reform Implementation Council, provides an overview of issues to be addressed immediately, such as establishing an Exchange as a quasi-governmental entity, and issues that will need to be addressed after more information gathering by the Council. The Council’s report also recommends establishing workgroups focused on systems design, workforce, and quality improvement.
Access the report here: http://www.statereforum.org/sites/default/files/il_hric_initial_report.pdf
District of Columbia
This document requests stakeholder comments regarding areas where the ACA leaves states flexibility related to implementation and the Exchange. Access the document here:
http://statereforum.org/sites/default/files/key_issues_for_public_commen...