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Health Insurance Exchanges: Can States and the Federal Government Meet the Deadline?

Friday, July 27, 2012

According to the health reform law, health insurance exchanges are to begin covering people in every state by January 2014. While some states have made progress toward establishing their own exchanges by this deadline, others have displayed little activity in this arena. Now that the Supreme Court has ruled on the constitutionality of the law, many states are just now beginning to think about their options for state-run exchanges and federal-state partnerships to run them. With implementation and evaluation deadlines rapidly approaching, state governments face the challenge to decide and act quickly.

What needs to happen between now and January 2014 for states to successfully implement exchanges and other aspects of health reform? What are options for states if they fail to meet the upcoming November deadline for declaring their exchange plans? Will the federal government be prepared to administer exchanges in states that are not building their own? What are potential challenges of implementing the federal exchange, especially in states that have expressed opposition to the law? Will individuals who enroll in health plans through the federal exchange still be eligible for subsidies or premium tax credits? What does the Supreme Court ruling on the Medicaid expansion mean for exchanges and coverage for the population below 133 percent of the federal poverty level?

To address these questions and more, the Alliance for Health Reform and The Commonwealth Fund are sponsoring a July 27 breakfast briefing. Speakers will be: Mike Hash, Center for Consumer Information and Insurance Oversight, HHS; Timothy Jost, Washington and Lee University; Krista Drobac, National Governors Association; and Brian Webb, National Association of Insurance Commissioners. Ed Howard of the Alliance for Health Reform and Sara Collins of The Commonwealth Fund will co-moderate.


 Sara Collins, The Commonwealth Fund, Moderator
 Timothy Jost, Washington and Lee University School of Law, Speaker
 Brian Webb, National Association of Insurance Commisioners, Speaker
 Krista Drobac, National Governors Association, Speaker
 Mike Hash, Center for Consumer Information and Insurance Oversight, HHS , Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Briefing Transcript (Adobe Acrobat PDF), 7/27/2012
Full Webcast/Podcast: Health Insurance Exchanges: Can States and the Federal Government Meet the Deadline?

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Timothy Jost's Presentation (Adobe Acrobat PDF), 7/27/2012
Sara Collins' Presentation (Adobe Acrobat PDF), 7/27/2012
Brian Webb's Presentation (Adobe Acrobat PDF), 7/27/2012
Krista Drobac's Presentation (Adobe Acrobat PDF), 7/27/2012

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Materials List (Adobe Acrobat PDF), , 7/27/2012
Source List (Adobe Acrobat PDF), , 7/27/2012
Speaker Biographies (Adobe Acrobat PDF), , 7/27/2012
Agenda (Adobe Acrobat PDF), , 7/27/2012

Offsite Materials (briefing documents saved on other websites)

Health Law Deadlines Under Pressure, Kaiser Health News, 6/30/2012
- Appleby, Julie, Mary Agnes Carey, and Marilyn Werber Serafini.
The Massachusetts and Utah Health Insurance Exchanges (Adobe Acrobat PDF),Lessons Learned, 3/31/2012
- Corlette, Sabrina, Joan Alker, Joe Touschner and JoAnn Volk
Establishing Health Insurance Exchanges: An Overview of State Efforts (Adobe Acrobat PDF),The Henry J. Kaiser Family Foundation, 3/21/2012
Small Business Health Insurance Exchanges: Potentials and Pitfalls (Adobe Acrobat PDF),Health Affairs Blog, 2/9/2012
- Chris Fleming
Ruling Puts Pressure on States to Act, Kaiser Health News, 6/28/2012
- Galewitz, Phil and Marilyn Werber Serafini
Implementing Health Reform: A Final Rule On Health Insurance Exchanges, Health Affairs Blog, 3/3/2012
- Jost, Timothy
Implementing Health Reform: Amidst Turbulence, Federal Work Goes On, Health Affairs Blog, 4/27/2012
- Jost, Timothy
Tax Credits In Federally Facilitated Exchanges Are Consistent With The Affordable Care Act’s Language And History, Health Affairs Blog, 7/18/2012
- Jost, Timothy
CBO is taking the states threats to opt-out of the Medicaid expansion very seriously, Washington Post Wonkblog, 6/24/2012
- Kliff, Sarah
For Health Sector: Forward March, The Wall Street Journal, 6/29/2012
- Mathews, Anna
Romney Aide Helps States Comply With Health Care Law, New York Times, 7/21/2012
- Pear, Robert
Establishing Health Insurance Exchanges: Three States' Progress, The Commonwealth Fund, 7/1/2012
- Hall, Mark.
State Health Insurance Exchange Laws: The First Generation, The Commonwealth Fund, 6/1/2012
- Rosenbaum, Sarah, N. Lopez, T. Burke
Could the Health Law End Up Back in Court? Opponents Think So, Shots NPR’s HealthBlog, 7/18/2012
- Rovner, Julie
Status of State Health Insurance Exchange Implementation, Center on Budget and Policy Priorities, 7/24/2012
Rewriting The Obama Health Law Through Regulation?, Forbes Health Matters, 6/26/2012
- Turner, Grace-Marie
Governance Issues for Health Insurance Exchanges, National Academies for Social Insurance, 1/1/2012
- Van de Water, Paul and Richard P. Nathan
Decision Time for States on the Affordable Care Act, Health Affairs Blog, 7/2/2012
- Weil, Alan
Federally Facilitated Exchanges and the Continuum of State Options, National Academy of Social Insurance, 12/1/2011
- Bachrach, Debra and Patricia Boozang
Toward an Effective Health Insurance Exchange: A Roadmap to Successful Health Care Reform (Adobe Acrobat PDF),Center for American Progress, 6/1/2012
- Calsyn, Maura
Health Insurance Exchanges: Key Issues for State Implementation (Adobe Acrobat PDF),Academy Health, 9/1/2010
- Carey, Robert
Estimates for the Insurance Coverage Provisions of the Affordable Care Act Updated for the Recent Supreme Court Decision (Adobe Acrobat PDF),Congressional Budget Office, 7/1/2012
How each state will approach health care act, USA Today, 7/12/2012
Building a Relationship between Medicaid, the Exchange and the Individual Insurance Market, National Academy of Social Insurance, 1/1/2012
- Rosenbaum, Sara and Trish Riley
State Actions to Address Health Insurance Exchanges, National Conference of State Legislatures, 6/1/2012


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