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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District of Columbia
Nevada's Exchange Board selected Jon Hager as the Executive Director for the Silver State Exchange. Hager was previously chief financial officer for the Public Employee Benefits
Program.
District of Columbia
This project narrative highlights Nevada’s plans for conducting background research on how best to establish an exchange in the state. Activities include analyzing needed changes to regulations, engaging stakeholders, and providing recommendations on establishing a state-based exchange. Access the narrative here:
http://www.statereforum.org/sites/default/files/nevada_planning_grant_ap...
District of Columbia
This report provides an overview of the major provisions in the ACA, how they relate to Nevada, and outlines some key considerations for exchange governance, structure, and purchasing authority, and a proposed “Eligibility Engine” that would centralize eligibility for the state’s health coverage programs. Access the report here:
http://www.statereforum.org/sites/default/files/major_provisions_of_the_...