Milestone: Establish governance of the Exchange
Governance choices will shape Exchange operations, accountability, and the impact of the Exchange on health insurance markets. States will want to align governance decisions with their overall Exchange goals and priorities.
*Milestone details:
*Full name: Establish governance of the Exchange
*Relevance to the ACA:
The ACA requires that the Exchange be a nonprofit entity or governmental agency established by a state, but gives states great flexibility within these broad parameters. Sections relevant to Exchange governance include:
§1311 - Creates grants for states to plan and launch Exchanges. Requires Exchanges to be nonprofit entities or governmental agencies.
§1321 - Requires the Secretary to give guidance related to the creation of Exchanges. This section also gives the Secretary 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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California
Attached is sample/model legislation that states which are considering establishing a Basic Health Program can use for this purpose.
California
States should consider the needs of the low-income when setting up exchanges since these folks will be the majority of individuals shopping on the exchanges.
California
Attached are the California Health Benefit Exchange Board approved duty statements for the Executive Director and the General Counsel.
District of Columbia
This chart compares California's Exchange legislation with federal Exchange requirements. Access the chart here:
http://www.statereforum.org/sites/default/files/pdf_healthbenefitexchang...
District of Columbia
A presentation by Sandra Shewry on California’s recently passed health insurance exchange legislation, which covered issues other states might consider, such as purpose, governance, and authorities and tools. Access the presentation here:
http://www.statereforum.org/sites/default/files/nashp_shewry_ca_exchange...
District of Columbia
California's enacted SB 900 legislation creates the governance structure and board for the CA Exchange.
Click here to access the legislation:
www.statereforum.org/sites/default/files/sb_900_bill_20100825_enrolled.pdf