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Creating the California Health Benefit Exchange: Progress to Date

An updated version is available for download, which incorporates February Exchange Board meeting news/developments.

A health benefit exchange is a health insurance “marketplace” where individuals can shop for coverage based on price and quality. The Patient Protection and Affordable Care Act (ACA), signed into law on March 23, 2010 by President Barack Obama, requires that states either create their own Exchanges or join a federal Exchange by January 1, 2014. The federal law allows states flexibility in constructing their Exchanges in terms of their relationships with public programs, governance, outreach, roles of brokers and CAAs, and whether they will be statewide or regional. Just over six months after the bill was signed, California became the first state to pass legislation creating a health benefit exchange. Estimates show that approximately three million currently uninsured individuals will be eligible to purchase coverage in California’s Exchange.[1]Since the legislation was signed into law, California has charged forward in setting up its statewide Exchange. This paper will summarize the framework set for the California Health Benefit Exchange, provide updates on its inception and present important decisions that will need to be made over the next few years.

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Updated (12/7/11)

Updated (3/7/12)
Creating the Health Benefit Exchange: Progress to Date (February 2012) Creating the Health Benefit Exchange: Progress to Date (February 2012).pdf


[1] Lavarreda SA & Cabezas L. Two-Thirds of California’s Seven Million Uninsured May Obtain Coverage Under Health Care Reform. UCLA Center for Health Policy Research, 2011.

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