Health Insurance Exchange Regs Are Out, And They Make Me Feel Like A Visitor From The Future

David Harlow

First posted 7/12/11 on Health Blawg

Health Insurance Exchange regulations were released by HHS yesterday — in a DC hardware store, for local color and homespun truths — with a go-live date of January 1, 2014, per the Affordable Care Act, and a key interim approval deadline of January 1, 2013, by which date each state needs to demonstrate that it has its act together and are on a glide path to the go-live date.  Despite the rancorous opposition to the ACA (consider, for example, the views of the Virginia Attorney General — who is leading a multi-state charge against the individual mandate — expressed at the American Health Lawyers Association Annual Meeting last month, where he was an invited keynote speaker, and later tweeted a tone-deaf assessment of the audience and an unkind skewering of a questioner who didn’t share his perspective), 49 states, D.C. and four territories have accepted health insurance exchange planning grants.  Thus, it seems unlikely (for now) that the federales will have to make use of the “Do I have to do everything for you?” clause which would allow HHS to step in and set up an exchange for a state.

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