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Healthcare Frequently Asked Question

My state has decided against setting up a health exchange. What happens now?...
February 13, 2013

My state has decided against setting up a health exchange. What happens now?

 

Answer: States that decide not to create a state-based exchange or a state/federal exchange are ceding authority to the Federal Government. The U.S. Department of Health and Human Services (HHS) will create and implement a Federally Facilitated Exchange (FFE) in your state. The FFE in your state will provide the same function as any other exchange, but will be run, overwhelmingly, by the Federal Government. HHS will try to coordinate as much as possible with your state in areas like plan certification, consumer assistance, and Medicaid services. Despite an FFE being implemented, a state may still apply in the future to establish its own state-based exchange. The role of the agent/broker is still being determined; PIA is currently involved in that dialogue. We expect to learn a lot more about these exchanges in the coming months.

To view more health care FAQs, visit: http://www.pianet.com/faq/health-care-reform-faq

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