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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Iowa
A second comparison docuemnt of Iowa's proposed exchange legislation from 2011.
Iowa
A comparison of the two different drafts of legislation from Iowa's 2011 legislative session. Exchange legislation was not enacted.
District of Columbia
This draft legislation would create the Exchange as a nonprofit corporation under the office of the governor. Access the bill here: http://www.statereforum.org/sites/default/files/iowa_sf348.pdf
District of Columbia
This draft legislation would establish the Exchange under the office of the insurance commissioner and would require enrollees to purchase coverage through a broker. Access the bill here: http://www.statereforum.org/sites/default/files/iowa_sf391.pdf
District of Columbia
This report outlines a series of activities and recommendations the Workgroup on Exchanges of the Legislative Health Care Commission has completed in considering the development of an insurance information exchange. It includes details on meetings held during the year, as well as recommendations specific to the purpose, governance structure, and purchasing in Exchanges.
http://statereforum.org/sites/default/files/ia_insurance_workgroup_repor...