Milestone: Develop a plan for making the Exchange financially self-sustaining by 2015
While there are federal resources available to plan and implement Exchanges, states need to develop strategies to meet the ACA requirement that Exchanges be self-sustaining after they operational.
*Milestone details:
*Full name: Develop a plan for making the Exchange financially self-sustaining by 2015.
*Relevance to the ACA:
The ACA requires that states ensure Exchanges are financially self-sufficient beginning January 1, 2015. Relevant sections include:
§1311 - Eliminates federal funding for Exchanges beginning January 1, 2015. Requires states to make certain that Exchanges are self-sustaining. Allows Exchanges to charge assessments or user fees or employ other methods to generate revenue. Prohibits the Exchange from using administrative or operational funds for giveaways, retreats or excessive compensation.
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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 draft legislation establishes an Exchange under the authority of the Insurance Commissioner and outlines the functions and duties of the IA Exchange. Access the bill here:
http://www.statereforum.org/sites/default/files/iowa_sf_235-1.pdf