Federal & State Regulations | State insurance exchanges - Indiana

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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 Indiana two grants to build its Affordable Insurance Exchange:

In September 2010, Indiana was awarded a federal Exchange Planning grant of $1 million.
In May 2011, Indiana was awarded a federal Level One Establishment grant of $6.9 million, for updates to information technology and plan development.

On January 3, 2011, Indian Gov. Mitch Daniels issued Executive Order 11-01 establishing a conditional exchange.

On May 5, 2011, Indiana enacted a law (HEA 1210) which prohibits health plans purchased through insurance exchanges set up from provided coverage for abortion except in cases of rape, incest and when necessary to prevent the death of or “substantial and irreversible impairment of a major bodily function of the pregnant woman”.