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 bill would establish the Texas Health Insurance Connector and creates a governance structure, including a seven-member board. The bill lays out the functions of the Exchange, as required by the ACA, and requires the board to create a mechanism for aggregating payments from individuals through the Exchange to pay premiums as well as to set billing procedures for employers offering coverage. Access the bill here: http://www.statereforum.org/sites/default/files/hb00636i-7.pdf