['Employee Benefits']
['Health Plans']
07/16/2024
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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.
Alabama received a $1,000,000 State Planning Grant in September 2010 with a supplemental award in of $180,312 in December 2011. The state also received an $8,592,139 Level One Establishment Grant.
On June 2, 2011, Alabama Gov. Robert Bentley issued Executive Order 17 establishing the Alabama Health Benefits Exchange Study Commission. The commission consisted of representatives from the Alabama legislature, state agencies and the health care and insurance industries. On November 13, 2012, Gov. Bentley announced that Alabama will not establish a state health insurance exchange.
State
Contacts
Alabama Department of Insurance
Alabama Department of Insurance Health Insurance Reform Information Center
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