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06/10/2024
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Summary of differences between federal and state regulations
The U.S. Department of Health and Human Services (HHS) must make a determination on or before January 1, 2013, that a state will in fact have an exchange in operation by 2014 and that the exchange meets the requirements of the Affordable Care Act (ACA) and HHS guidance. In a letter dated November 15, 2012, Secretary Sebelius indicated that a state may submit both a letter of intent and an application to operate its own exchange by December 14, 2012. If a state elects not to operate an exchange, or if the HHS determines that the state will not be able to have an exchange operational by 2014 that meets the law’s requirements, the ACA gives the HHS the authority to establish and operate such exchange within the state.
The Federal government awarded Iowa the following grants to build its Affordable Insurance Exchange:
- The State Planning Grant, awarded September 30, 2010, in the amount of $1,000,000; and
- The Level One Establishment Grant, awarded in November 2011, in the amount of $7,753,662 with an additional grant of $26,623,003 being awarded in August 2012.
Iowa has not passed legislation authorizing a state sponsored Health Benefit Exchange. An Interagency Workgroup, formed with the Department of Human Services and the Insurance Division has begun initial panning. To meet ACA requirements regarding the employment of state exchange Navigators, Iowa Gov. Terry Branstad signed HF 2645. This legislation established licensing requirements for the Navigators.
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