State Health Insurance Exchange Update

 

 

 

 

State Health Insurance Exchange Status. There a lot of decisions that are being made in regards to where we go from here with the affordable care act. However with the re-election of president Obama the implementation of Health Care Reform is solidified. Several weeks ago the department of Health and Human Services provided an extension for states to decided what type of exchange they want to implement, below is a comprehensive list that is updated weekly to provide a status of where each state is at in the process.

Each state has three options for the type of exchange they want to setup. They can elect to build an exchange that is managed and implemented by the state, They can choose a partnership where the state exchange is partnered with the Federal Exchange, or default and let the Federal government facilitate their exchange, if a State defaults, the Secretary of HHS will establish and maintain the exchange of any state that decide not to establish a state-based exchange. Consequently in the partnership model States will have a greater role, they may administer plan functions, in-person consumer assistance, or both, and The federal government will perform the remaining exchange functions.

State Health Insurance Exchange Decision

 

State-Based Exchange:  State will establish state-based exchanges

Partnership Exchange: State will partner with the federal government to operate an exchange

Federal Exchange: State will default to a federally-facilitated exchange

Undecided: State have not yet communicated a decision

State Health Insurance Exchange Structure

Existing Agency: Establish as part of an already existing state agency

Independent Agency:  public agency

Non-Profit: Will setup as a Non-for profit agency

State Based, and Partnership exchanges will have the flexibility for decision for setting up their plans . This requires a contract only with one health plan that will meet minimum federal requirements for qualified health plans.

 

 

 

 

 

 

 

State Health Insurance Exchange
Decision Status

State

Exchange
Decision

Source
of
Decision

Structure
of Exchange

Alabama

Federal Exchange

Executive Branch

NA

Alaska

Federal Exchange

Executive Branch

NA

Arizona

Federal Exchange

Executive Branch

NA

Arkansas

Partnership Exchange

Executive Branch

NA

California

State-based Exchange

Legislative

Independent Agency

Colorado

State-based Exchange

Legislative

Independent Agency

Connecticut

State-based Exchange

Legislative

Independent Agency

Delaware

Partnership Exchange

Executive Branch

NA

District of Columbia

State-based Exchange

Legislative

Independent Agency

Florida

Undecided

NA

NA

Georgia

Federal Exchange

Executive Branch

NA

Hawaii

State-based Exchange

Legislative

Non-profit

Idaho

Undecided

NA

NA

Illinois

Partnership Exchange

Executive Branch

NA

Indiana

Undecided

NA

NA

Iowa

State-based Exchange

Executive Branch

Decision Pending

Kansas

Federal Exchange

Executive Branch

NA

Kentucky

State-based Exchange

Executive Order

Exisiting Agency

Louisiana

Federal Exchange

Executive Branch

NA

Maine

Federal Exchange

Executive Branch

NA

Maryland

State-based Exchange

Legislative

Independent Agency

Massachusetts

State-based Exchange

Legislative

Independent Agency

Michigan

Partnership Exchange

Executive Branch

NA

Minnesota

State-based Exchange

Executive Branch

Decision Pending

Mississippi

State-based Exchange

Executive Branch

Non-profit

Missouri

Federal Exchange

Executive Branch

NA

Montana

Undecided

NA

NA

Nebraska

Federal Exchange

Executive Branch

NA

Nevada

State-based Exchange

Legislative

Independent Agency

New Hampshire

Federal Exchange

Legislative

NA

New Jersey

Federal Exchange

Executive Branch

NA

New Mexico

State-based Exchange

Executive Branch

Independent Agency

New York

State-based Exchange

Executive Order

Exisiting Agency

North Carolina

Partnership Exchange

Executive Branch

NA

North Dakota

Federal Exchange

Executive Branch

NA

Ohio

Partnership Exchange

Executive Branch

NA

Oklahoma

Federal Exchange

Executive Branch

NA

Oregon

State-based Exchange

Legislative

Independent Agency

Pennsylvania

Undecided

NA

NA

Rhode Island

State-based Exchange

Executive Order

Exisiting Agency

South Carolina

Federal Exchange

Executive Branch

NA

South Dakota

Federal Exchange

Executive Branch

NA

Tennessee

Undecided

NA

NA

Texas

Federal Exchange

Executive Branch

NA

Utah

Undecided

NA

NA

Vermont

State-based Exchange

Legislative

Exisiting Agency

Virginia

Undecided

NA

NA

Washington

State-based Exchange

Legislative

Independent Agency

West Virginia

Undecided

NA

NA

Wisconsin

Federal Exchange

Executive Branch

NA

Wyoming

Federal Exchange

Executive Branch

NA

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