States’ Establishment of Health Insurance Exchanges

Fredrik C. Lewis (Editor)
Erin O. Walker (Editor)

Series: Health Care Issues, Costs and Access
BISAC: HEA028000



Volume 10

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Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick


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A central provision of The Patient Protection and Affordable Care Act (PPACA) requires the establishment of exchanges in each state, online marketplaces through which eligible individuals and small business employers can compare and select health insurance coverage from participating health plans. Exchanges are to begin enrollment by October 1, 2013, with coverage to commence January 1, 2014.

States have some flexibility with respect to exchanges by choosing to establish and operate an exchange themselves (i.e., state-based), or by ceding this authority to HHS (i.e., federally facilitated). States may also choose to enter into a partnership with HHS whereby HHS establishes the exchange and the state assists with operating various functions. According to HHS, 18 states will establish a state-based exchange, while 25 will have a federally facilitated exchange. Seven states will partner with HHS. This book examines the states’ responsibilities for establishing exchanges, the actions selected states have taken and the challenges they have encountered. (Imprint: Novinka )


Health Insurance: Seven States’ Actions to Establish Exchanges under the Patient Protection and Affordable Care Act

Status of Federal Funding for State Implementation of Health Insurance Exchanges
(Annie L. Mach, Alex C. Engler, C. Stephen Redhead, CRS)

Health Insurance Exchanges Under the Patient Protection and Affordable Care Act (ACA)
(Bernadette Fernandez, Annie L. Mach, CRS)


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