You are here:HomeIssuesHealth Care Reform2012HHS Releases Final Exchange Blueprint with Navigator Provisions

HHS Releases Final Exchange Blueprint with Navigator Provisions

The U.S. Department of Health and Human Services (HHS) has released its final blueprint for states creating state-based or partnership health insurance exchanges
August 23, 2012

The U.S. Department of Health and Human Services (HHS) has released its final blueprint for states creating state-based or partnership health insurance exchanges. This blueprint includes new provisions regarding state regulation of navigators in the federally facilitated exchanges, which was discussed at the recent summer meeting of the National Association of Insurance Commissioners (NAIC).

There are also new provisions in the HHS blueprint recognizing the regulatory role of the states with respect to navigators in the federally facilitated exchanges. The navigator program was a major topic of discussion at the National Association of Insurance Commissioners summer meeting in Atlanta, August 9 to 14. Brokers and agents see navigators as competitors and want to see individual navigators regulated much like agents. There are also new provisions in the Blueprint recognizing the regulatory role of the states with respect to navigators in the federally facilitated exchanges.

PIA National issued a position paper on the role of navigators last week. Some states have taken action on the role of a navigator, while others have not. The issue paper provides a general overview of the issue and some guiding principles that states should act on when rolling out their navigator programs. It should be noted that states have the option of determining the requirements for navigators when they build their insurance exchanges, a fact that is now specifically recognized by the federal government in its HHS blueprint. This is another reason for PIA members and affiliates to add their input into the mix as states build these exchanges.

PIA Issue Paper: Role of Navigators (August 2012)

Filed under: