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.