['Employee Benefits']
['Health Plans']
06/11/2024
...
SEARCH
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 states may submit both a letter of intent and an application to operate its own exchange by December 14. 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.
In 2011, Governor Snyder announced his support for the creation of MI Health Marketplace, a nonprofit to oversee Michigan’s health insurance exchange. In response to this, an exchange bill (SB 693) was passed in the Senate Health Policy Committee, though it has since stalled in the House Health Policy Committee.
To date, Michigan’s Department of Community Health has been awarded a $1 million federal Exchange Planning grant, and the Department of Licensing and Regulatory Affairs has been awarded a $9.8 million federal Level One Establishment grant to be used towards market analysis and technology planning. The Legislature, however, has yet to approve spending the funds.
Governor Snyder has expressed doubt that the state will be able to meet the federal timetable for implementation. Without the ability to spend its grant money, the administration is considering a possible state-federal partnership exchange instead. Whether the state decides to operate a state-based exchange or a state-federal partnership exchange, it must submit its intentions to the U.S. Department of Health and Human Services by December 14, 2012.
State
Contacts
Department of Community Health
Office of Financial and Insurance Regulation (OFIR)
Regulations
SB 693 (passed in Senate, stalled in House)
READ MORESHOW LESS
['Employee Benefits']
['Health Plans']
Load More
J. J. Keller is the trusted source for DOT / Transportation, OSHA / Workplace Safety, Human Resources, Construction Safety and Hazmat / Hazardous Materials regulation compliance products and services. J. J. Keller helps you increase safety awareness, reduce risk, follow best practices, improve safety training, and stay current with changing regulations.
Copyright 2024 J. J. Keller & Associate, Inc. For re-use options please contact copyright@jjkeller.com or call 800-558-5011.