Milestone: Decide whether to keep separate or merge the individual and small group market risk pools
States can merge or keep separate individual and small group markets. Merging markets can stabilize premiums and reduce rates for individuals, but may increase small group premiums and affect available strategies to avoid risk selection.
*Milestone details:
*Full name: Decide whether to keep separate or merge the individual and small group market risk pools.
*Relevance to the ACA:
The ACA gives states the option to either merge or keep separate their individual and small group markets, excluding grandfathered plans. Relevant sections include:
§1312 - Requires insurers to consider all enrollees in the individual market to be part of one risk pool and all enrollees in the small group market to be in one risk pool, regardless of whether they purchased coverage through the Exchange, unless they are enrolled through a grandfathered plan. A state also has the option to require that individual and small group markets be merged.
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District of Columbia
House Bill 33 was introduced in the NM legislature in 2011. It would establish the structure, governance, and duties of the Exchange.
Access the legislation here:
http://www.statereforum.org/sites/default/files/hb0033.pdf
District of Columbia
The purpose of this transition plan contained herein is to provide the incoming Executive Administration with key recommendations and information to assist in the successful implementation of national health care reform in New Mexico.
Access the plan here:
http://www.statereforum.org/sites/default/files/ohcr_transition_plan_122...