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Insurance Exchange

The Patient Protection and Accountable Care Act of 2010 requires states to establish a health insurance exchange – a market where consumers may easily shop for health insurance. California was the first state to enact such legislation, establishing the California Health Benefit Exchange.

Summary of Proposed HHS Regulations for Exchange Navigators and Non-Navigator Assistance Personnel

The Department of Health and Human Services (HHS) recently proposed new rules to implement the Navigator and consumer assistance programs for the new health insurance Exchanges established by the Affordable Care Act (ACA). The proposed rules outline conflict-of-interest, training and certification, and meaningful access standards for Navigators and non-Navigator assistance […] more

Summary and Analysis of SB X1 3 (Hernandez)

The summary is available for download:   This is the Administration’s effort to authorize bridge plans (i.e. Medi-Cal managed care plans that participate in the Exchange for limited purposes). HHS issued guidance that “bridge plans” could be authorized for two purposes: 1) allow individuals who lost their Medi-Cal coverage to […] more

Redefining the Relationship between California’s State and County Governments: Creating Healthier Communities through Innovative Collaboration and Financing

California is the most populous and perhaps the most diverse state in the nation. To accommodate the needs of its different communities, the state relies on its 58 counties to administer many public and social services. The State formally realigned responsibility for administering certain public programs from the state to […] more

Summary and Analysis of Milliman Report on the Impact of the Affordable Care Act’s Underwriting Reforms and the Exchange on Individual Health Insurance Premiums in California

The full report is available for download: The Affordable Care Act makes a number of changes to assure access for everyone to the individual market; these include guaranteed issue, guaranteed renewal, no pre-existing condition exclusions, essential health benefits, refundable tax credits and the Exchange (a purchasing pool for individuals). Features […] more

Covered California Provides Updates about Service Center in Webinar

The staff of Covered California hosted a webinar on January 31 about the development of the Service Center. The staff reviewed the timeline for the rollout of the Service Center, the quick sort model for warm hand-offs of callers to county service centers, protocols for handling different types of applicants, […] more

Thinking Ahead – High Priorities for ACA Implementation in California

This report looks at California — where we are and where we need to go in implementing the Affordable Care Act. These materials reflect ITUP’s views on the challenges for California health reform and a status report for the progress we’ve made. We welcome your thoughts and feedback, and hope […] more

January Exchange Board Meeting: Covered California Announces Federal Grant Award, Considers Plan Contract Requirements and Bridge Plans to Include Medi-Cal Managed Care Plans

The January Exchange Board meeting opened with the Executive Director’s report, with Peter Lee summarizing Covered California’s major planned milestones for 2013. These goals include launching a Covered California consumer website in January, selecting an administrative vendor for the SHOP Exchange in February, announcing outreach grantees in April, beginning assister […] more

New Mexico Republican Governor Susana Martinez Announces State Will Move Forward with ACA Medicaid Expansion

New Mexico Governor Susana Martinez announced Tuesday that the Medicaid expansion under the Affordable Care Act (ACA) will move forward in the Land of Enchantment. She becomes only the second Republican governor to support the program’s expansion to 138% of federal poverty (roughly $14,856 in 2012) since the Supreme Court […] more

Exchange Update (December 2012)

This is a continuation of a previous ITUP report on the Exchange, which was updated until the February board meeting. This report will be continually updated to incorporate ongoing developments. Please refer to the previous report for background information and issues addressed during board meetings prior to February 21, 2012. […] more

California Health Benefit Exchange Receives Approval from Obama Administration

Health and Human Services (HHS) Secretary Kathleen Sebelius announced today that California received approval to operate a state-run health insurance Exchange. California was one of seven states (also including HI, ID, NV, NM, VT, and UT) that received approval for this type of Exchange, and this group of states joins […] more