SASC13005 Rev. 2/19/13 ALABAMA Executive Branch Governor Governor Robert Bentley (R) State Capitol N-104 600 Dexter Avenue Montgomery, AL 36130-2751 334-242-7100 [email protected]Medicaid Director Stephanie Azar Acting Commissioner Alabama Medicaid Agency 501 Dexter Avenue, P.O. Box 5624 Montgomery, AL 36103-5624 334-242-5600 Medicaid Pharmacy Director Kelli Littlejohn, R.Ph., Pharm.D. Director, Pharmacy Services 501 Dexter Avenue Montgomery, AL 36104 334-353-4525 [email protected]Legislative Branch House Speaker Representative Mike Hubbard (R) Alabama State House, Room 519-A 11 South Union Street Montgomery, AL 36130 334-242-7668 [email protected]House Health Policy Representative Jim McClendon (R) Alabama State House, Room 527-C 11 South Union Street Montgomery, AL 36130 334-774-9122 [email protected]House Health Appropriations Representative Steve Clouse (R) Alabama State House, Room 526-A 11 South Union Street Montgomery, AL 36130 334-774-9122 [email protected]Senate Health Policy Senator Greg Reed (R) State House, 7 th Floor 11 South Union Street Montgomery, AL 36130 334-242-7800 [email protected]Senate Health Appropriations Senator Arthur Orr (R) Alabama State Senate 11 South Union Street Montgomery, AL 36130 256-260-2147 [email protected]
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ALABAMA Executive Branch · 2015. 1. 13. · Governor Governor Mike Beebe (D) 250 State Capitol Building Little Rock, AR 72201 501-682-2345 [email protected] Medicaid Director
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STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
The Alaska Health Care Commission was established in state statute 18.09 in June 2010 to serve as the state
health planning and coordinating body. It is responsible for providing recommendations to the governor and the
legislature on comprehensive statewide health care policy and on strategies for improving the health of Alaskans.
New commission members were appointed September 14, 2010. The commission continues to meet.
State Health Insurance Exchange
Governor Sean Parnell announced on July 17, 2012, that Alaska will not create a state-run health insurance
exchange, opting instead to allow the federal government to do so.
For more information on what the state is doing, click here.
Research Round-Up
Alaska Health Care Commission Reports & Studies:
State of Alaska, Department of Health and Social Services, Health Insurance Exchange Planning: Final Report, prepared for the Department of Health and Social Services by Public Consulting Group (June 2012)
Transforming Health Care in Alaska: 2011 Report/2010-2014 Strategic Plan (December 2011) Transforming Health Care in Alaska: 2010 Report/ 2010-2014 Strategic Plan (January 2011) Implementation of Federal Health Care Legislation in Alaska: Status Report (August 2010) Preliminary Economic Impact of the Federal Patient Protection & Affordable Care Act- Prepared for
the Alaska Health Care Commission (October 14, 2010)
Alaska Health Care Reform Review Documents
Alaska Department of Law Constitutional Analysis of P.L. 111-148 State of Alaska’s Table of P.L. 111-148 Provisions Spreadsheet of Alaska’s Response to P.L. 111-148 Funding Opportunities Alaska Department of Health & Social Services P.L. 111-148 Medicaid Provisions Preliminary
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
State Health Insurance Exchange
Governor Jan Brewer established the Office of Health Insurance Exchanges to organize the state's
implementation efforts and conduct analysis on the establishment of an exchange in Arizona.
For more information on what the state is doing, click here.
Research Round-Up
State Planning and Establishment Grants for the Affordable Care Act’s Exchanges, Final Report, Office of Health Insurance Exchange (January 2012) ACA Health Insurance Exchange Gap Analysis: Arizona, prepared for the Governor’s Office of the State of Arizona by Social Interest Solutions (June 2011) Assistance Provided in Planning for the Arizona Exchange, Arizona Department of Insurance, report by Mercer Governmental Human Services Consulting Background Report: Estimating Eligibility For and Participation In the ACA Exchanges in Arizona, prepared for the Governor’s Office of the State of Arizona by Burns & Associates, Inc. (May 2011) Impact Arizona: Healthcare Reform Hits Arizona (October 2010) This report does not represent an
analysis conducted or contracted by the state, the report was produced by the St. Luke’s Health Initiatives.
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
In April 2010, former Governor Arnold Schwarzenegger formed the Health Care Reform Task Force to implement key short and long-term provisions of the ACA. The task force is no longer active. Since 2010, the Office of Statewide Health Planning and Development (OSHPD) has worked with the California Workforce Investment Board to develop a comprehensive strategy for workforce development related to the implementation of the Affordable Care Act. State Health Insurance Exchange
In 2010, California passed SB 900, Chapter 655 and AB 1602, Chapter 655 establishing a state health benefit exchange. For more information on what the state is doing, click here.
Research Round-Up
California Health Benefit Exchange Website Summary of the California Health Benefit Exchange
Pediatric Dental and Pediatric Vision Essential Health Benefits, a Policy Brief by the California Health Benefits
Review Program (October 2012)
Estimating the Change in Coverage in California with a Basic Health Program, Analysis by the UC Berkeley
Center for Labor Research and Education and the UCLA Center for Health Policy Research (August 2012)
The Economic Impact of the Affordable Care Act on California, Bay Area Council Economic Institute (May 2012) Issue Brief: California’s State Benefit Mandates and the Affordable Care Act’s “Essential Health Benefits,”
California Health Benefits Review Program (January 2011) Implementation of the Affordable Care Act in California: A Window of Opportunity for State Policy Makers,
California Health and Human Services Agency (December 2010) Implementing National Health Reform in California: Changes to Public and Private Insurance, California Health
Care Foundation (June 2010) The Patient Protection and Affordable Care Act: An Overview of Its Potential Impact on State Health Programs
(May 13, 2010) Moving Forward with Eligibility and Enrollment Process Improvements (May 3, 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background Former Governor Bill Ritter issued Executive Order B-2010-006 in April 2010, to create the Interagency Health Reform Implementation Board which provided quarterly reports to the governor on the status of implementation, and developed Implementing Health Care Reform: A Roadmap for Colorado, a strategic plan for implementing health reform in the state. The board is no longer active. The executive order also named a director to oversee 10 state agencies responsible for implementing health reform and created a new inter-agency task force. State Health Insurance Exchange In 2011, Colorado passed SB 200, Chapter No. 246 establishing a state health benefit exchange and creating the Legislative Health Benefit Exchange Implementation Review Committee. For more information on what the state is doing, click here. Research Round-Up
Health Care Reform in Colorado Website Colorado Health Benefit Exchange Website ACA Implementation—Monitoring and Tracking: Colorado, a report by the Urban Institute and the Robert Wood
Johnson Foundation (April 2012) The Future of Colorado Health Care: An Economic Analysis of Health Care Reform and the Impact on Colorado’s
Economy, New America Foundation and the University of Denver’s Center for Colorado’s Economic Future Implementing Health Care Reform: A Roadmap for Colorado (December 2010)
The Affordable Care Act: What Colorado Businesses Need to Know
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
On April 14, 2010, former Governor M. Jodi Rell issued Executive Order No. 43 creating the Health Care Reform
Cabinet. Members included commissioners from various state health agencies. The cabinet produced its last
progress report in September 2010.
The Office of Health Reform & Innovation was later established within Lieutenant Governor Nancy Wyman’s office
to coordinate Connecticut’s statewide approach to federal health reform. The office continues to work with state
agencies to implement health reform projects statewide.
The SustiNet Health Care Cabinet, created the within the office of the Lieutenant Governor by Public Act No. 11-
58 of 2011, is responsible for advising the Governor and the Office of Health Reform & Innovation on issues
related to federal health reform implementation and development of an integrated health care system for
Connecticut. The cabinet continues to meet.
State Health Insurance Exchange
In 2011, Connecticut passed SB 921, Public Act 11-53 establishing a health benefit exchange.
For more information on what the state is doing, click here.
Research Round-Up
Office of Health Reform & Innovation SustiNet Health Care Cabinet The CT Health Insurance Exchange
Additional Reports:
Connecticut Health Care Reform Advisory Board's Final Report to Governor Rell and the General Assembly (June 30, 2010)
Implementing SustiNet Following Federal Enactment of the Patient Protection and Affordable Care Act of 2010 (May 30, 2010)* * The SustiNet Health Partnership is a Connecticut health plan created by a 2009 state law.
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
The Delaware Health Care Commission is charged with overseeing Delaware's implementation of federal health reform. The secretary of health & social services is leading the effort. The commission's activities will be supported by an interagency staff workgroup. The commission will create working groups of pertinent public and private stakeholders to assist in implementation policy discussions. Title 16, chapter 99 of the Delaware code created the Delaware Health Care Commission in 1990. State Health Insurance Exchange
The Health Care Commission is pursuing exchange planning. For more information on what the state is doing, click here.
Research Round-Up
Delaware Health Care Commission Delaware’s Health Insurance Exchange Basic Research Packet, Delaware Health Care Commission. This page
contains all background research the state has performed concerning health insurance exchanges. Delaware Health Insurance Exchange Planning: Frequently Asked Questions Medicaid and the Health Insurance Exchange, prepared for the Delaware Department of Health and Social
Services by Public Consulting Group (June 2011) Outreach, Education and Enrollment, prepared for the Delaware Department of Health and Social Services by
Public Consulting Group (June 2011) The Health Benefit Exchange and the Commercial Insurance Market, prepared for the Delaware Department of
Health and Social Services by Public Consulting Group (June 2011) Overview of Health Benefit Exchange, prepared for the Delaware Department of Health and Social Services by
Public Consulting Group (June 2011) Issue Brief: The Health Benefit Exchange and Small Employer Market, prepared for the Delaware Department of
Health and Social Services by Public Consulting Group (May 2011) Implementation of the Patient Protection and Affordable Care Act in Delaware, presentation to the General
Assembly by Rita Landgraf, Secretary, DHSS & Bettina Tweardy Riveros, Chair, DHCC (January 2011) DHSS and the Affordable Care Act: Concerns and Opportunities Annual Report and Strategic Plan: 2010
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
State Health Insurance Exchange
On July 1, 2012, Governor Rick Scott announced that Florida will not pursue a state-run health insurance exchange. In 2010 the Florida Agency for Health Care Administration received a $1 million federal Exchange Planning grant, which it later returned.
For more information on what the state is doing, click here.
Research Round-Up
Office of Insurance Regulation: Health Reform Web Site
Estimated Fiscal Impact to Florida's Medicaid Program (January 4, 2011)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
In July 2011, Governor Neil Abercrombie issued Executive Order 11-22 creating a healthcare transformation
coordinator to provide recommendations on how the state can achieve universal coverage, taking into account
provisions of the ACA. The coordinator is responsible for making recommendations to improve the organization
and delivery of healthcare, to promote efficient provision of state government healthcare services and consider
the roles and responsibilities of state agencies and programs. To do so, the coordinator may consult with existing
entities and convene working groups.
The healthcare transformation coordinator heads the governor’s Office of Healthcare Transformation, and
established the Hawaii Healthcare Transformation Initiative, a public-private partnership that aims to engage
stakeholders in identifying strategies to improve health care. The initiative is supported by the Transformation
Council, which includes representatives of state and county government, the private sector, and various health
care organizations. The Office of Healthcare Transformation continues to be an active entity.
State Health Insurance Exchange
In 2011, Hawaii passed SB 1348, Act 205 establishing Hawaii Health Connector, the state’s health benefit
exchange. The Act also establish an interim board of directors, which delivered a report and recommendations to
the legislature December 29, 2011.
For more information on what the state is doing, click here.
Research Round-Up
Office of Healthcare Transformation Website Hawaii Health Connector Website Policy Brief: Healthcare Transformation in Hawaii Health Care Transformation in Hawaii: A Primer of Relevant State Health and Economic Information, Office of
Healthcare Transformation Healthcare Transformation Concepts and Definitions, Office of Healthcare Transformation Hawaii Health Connector Interim Board of Directors Report to the 2012 Legislature (December 29, 2011)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
The Idaho Health Care Task Force, a legislative committee, was not created specifically in response to the
Affordable Care Act, but given its broad charge, implementation of the Affordable Care Act falls under its purview.
Governor C. L. Otter issued Executive Order 2011-03 in April 2011, prohibiting executive branch agencies
from implementing the Affordable Care Act in Idaho. In September 2011, he announced that he would permit the
Idaho Department of Health and Welfare and Idaho Department of Insurance to apply for federal funding to
establish a health insurance exchange.
State Health Insurance Exchange
For more information on what the state is doing, click here.
Research Round-Up
Health Care Task Force Website Federal Health Reform and Health Insurance in Idaho Website, Idaho Department of Insurance Health Insurance Exchange Frequently Asked Questions, Idaho Health Insurance Project Managers (January
2012) Patient Protection and Affordable Care Act: Health Reform’s Impact on Idaho Medicaid, presentation for Idaho
Department of Health and Welfare by Richard Armstrong (November 22, 2011) Developing an Insurance Exchange in Idaho, presentation by Department of Insurance Director Bill Deal
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
In July 2010 Governor Pat Quinn issued Executive Order 10-12 creating the Illinois Health Reform Implementation Council, which was made up of various state agency directors. The council is responsible for making recommendations to the governor on implementation of the Affordable Care Act. Recommendations focus on reforming Medicaid, increasing the health care workforce, pilot programs, insurance reforms, electronic medical records, and identifying possible funding.
State Health Insurance Exchange
Illinois passed SB 1555, Public Act 197-0142, a bill of legislative intent to establish a state based insurance exchange. The act also creates the Illinois Health Benefits Exchange Legislative Study Committee to investigate the establishment of the Illinois Health Benefits Exchange. The committee delivered its final report to the governor and leadership of the general assembly in October 2011. The committee continues to meet.
For more information on what the state is doing, click here.
Research Round-Up
Health Insurance Reform Information Center Website, Illinois Department of Insurance Illinois Health Care Reform Implementation Council Website Updated Recommendations, Health Reform Implementation Council Illinois Navigator Program Design – Final Report, prepared for Illinois Department of Insurance by Health Management Associates (June 2012) Report: Findings of the Illinois Legislative Health Insurance Exchange Study Committee (October 2011) Illinois Exchange Strategic and Operational Needs Assessment, Final Report, prepared by Health Management Associates-Wakely Consulting Group (September 2011) Review of the Current Illinois Health Coverage Marketplace: Background Research Report, prepared by Deloitte (September 2011) Health Reform Implementation Council Initial Report to Governor Pat Quinn (March 2011) Illinois Law v. the Patient Protection and Affordable Care Act , Illinois Department of Insurance Health Care Reform Implementation Council Initial Report (March 1, 2011) Health Care Reform Implementation Council: Initial Recommendations to Governor Pat Quinn (January 31, 2011) America’s Health Benefit Exchange: The Basics, presentation by the Illinois Department of Insurance (December 14, 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
State Health Insurance Exchange
Indiana Governor Mitchell Daniels, Jr. created Executive Order 11-01 to establish the Indiana Health Benefit
Exchange. It names the Indiana Family and Social Services Administration to work with other state agencies to
establish and operate an exchange. The establishment of the exchange by executive order may still require
legislative action.
For more information on what the state is doing, click here.
Research Round-Up
Health Reform Website Financial Analysis Update (October 18, 2010) Fiscal Impact of the Affordable Care Act (May 21, 2010) Financial Analysis Presentation, Family and Social Services Administration (May 12, 2010) Indiana Attorney General Greg Zoeller's Impact Analysis of the Patient Protection and Affordable Care Act, a
report to Indiana Senator Richard Lugar (February 5, 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
2009 Iowa Acts, S.F. 389, §1 created the Iowa Legislative Health Care Coverage Commission to develop health care reform strategic plan. Although the commission is no longer active, it was responsible for conducting a review and analysis of options for health care coverage, providing prioritized recommendations and examining state health reform options. Links to the commission’s recommendations are listed above.
State Health Insurance Exchange
The Department of Health established an Interagency Planning Workgroup which will develop final recommenda-tions for creating a health benefit exchange.
For more information on what the state is doing, click here.
Research Round-Up
Iowa Legislative Health Care Coverage Commission Reports: Recommendations to the Legislature
Interagency Planning Workgroup Health Benefits Exchanges Overview- What are they and how will they work for Iowans? Iowa Health
Benefit Exchange (IHBE) Interagency Planning Work Group (December 2010) Medicaid Expansion under the Affordable Care Act, IHBE Interagency Planning Work Group (December
2010) Health Benefit Exchange (HBE) Planning Grant Key Implementation Decisions and Activities- IHBE
Interagency Planning Work Group – (November 9, 2010) The Check-Up Health Care Reform Newsletter from the Iowa Department of Public Health (IDPH) Iowa Legislative Health Care Coverage Commission: 2010 Recommendations Presentation to the 2011
General Assembly (December2010) Progress Report (January 2010) Fiscal Impact of the Commission’s Recommendations to the Legislature - Prepared by the Legislative
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
State Health Insurance Exchange
Insurance Commissioner Sandy Praeger requested a steering committee charter to make recommendations to
the Department of Insurance regarding the planning and development of a Kansas Health Benefit Exchange.
Planning work-groups comprised of citizens report to the steering committees.
For more information on what the state is doing, click here.
Research Round-Up
Health Insurance Reform: What it means in Kansas, State Website Kansas Insurance Exchange Planning Work Groups Website What the Affordable Care Act Could Mean for Kansas Employers and Health Insurance, Kansas Health Institute
(April 2012) Adopted Recommendations, Kansas Insurance Exchange Planning Work Groups A Health Insurance Exchange in Kansas? Decisions and Deadlines Ahead for State Leaders, Kansas Health
Institute (October 2011) Affordable Care Act’s Expansion of Medicaid Expected to Boost Kansas Enrollment, Kansas Health Institute
(October 2011) The Impact of Health Reform on Insurance Benefits and Mandates in Kansas, Kansas Health Institute (August
2011 ) Preliminary Estimate: Number of Users of Kansas Health Benefits Exchange, Kansas Health Institute (May 2011) The Impact of Health Reform on Health Insurance Coverage in Kansas, Kansas Health Institute (January 2011) Health Insurance Exchange Implementation, Kansas Insurance Department Presentation (January 27, 2011) The ACA—How would it impact health insurance in Kansas? Kansas Health Institute Senior Analyst Suzanne
Cleveland’s presentation before the State Senate Financial Institutions and Insurance Committee (January 11, 2011) Audio | Slides
The Impact of Health Reform on Health Insurance Coverage in Kansas, Kansas Health Institute (January 2011) Preliminary Estimates of the Impact of Federal Health Reform on State Spending in Kansas, Dr. Andrew Allison,
KHPA Executive Director (May 2010) Kansas: Impact of Federal Health Reform – Preliminary Estimates on Cost and Coverage, Kansas Health Policy
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
State Health Insurance Exchange
Governor Steven Beshear issued Executive Order 2012-587 on July 17, 2012, establishing the Kentucky Health
Benefit Exchange.
For more information on what the state is doing, click here.
Research Round-Up
Kentucky Department of Insurance Health Reform Implementation Webpage Overview of federal health insurance reform and state implementation, Kentucky Department of Insurance
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT Background
The Maine Legislature created a Joint Order establishing the Joint Select Committee on Health Reform
Opportunities and Implementation, a bi-partisan group of 17 legislators responsible for studying the federal law
and determining the role of the state in implementing health reform. The committee produced its final report in
December 2010 and is no longer active.
In April 2010 former Governor John Baldacci issued an Executive Order Implementing National Health Reform in
Maine (Executive Order 12), establishing the Health Reform Implementation Steering Committee. Although the
committee is no longer active, it produced a report in conjunction with the Advisory Council on Health Systems
Development.
State Health Insurance Exchange
In April 2012, Governor Paul LePage stated that Maine will not use the Level One Establishment grant awarded to
the state and that the state will not establish a state-based exchange. For more information on what the state is
doing, click here.
Research Round-Up
Maine Joint Select Committee on Health Care Reform Website Recommendations Regarding the Maine Health Benefit Exchange: Report to the Governor and the Joint Standing
Committee on Insurance and Financial Services, Advisory Committee on Maine’s Health Insurance Exchange (September 20, 2011)
Final Report of the Joint Select Committee on Health Care Reform: Opportunities and Implementation Final Report (December 2010)
Options and Opportunities for Implementing the Affordable Care Act in Maine, Advisory Council on Health Systems Development (December 17, 2010)
An excerpt from the Maine State Health Plan 2010-2012 titled “Implement Federal Health Reform”
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
In March 2010, Governor Martin O'Malley issued Executive Order 01.01.2010.15 amending Executive Order 01.01.2010.07, which established the Maryland Health Care Reform Coordinating Council. The council’s final report includes policy recommendations and implementation strategies. The council continues to meet.
State Health Insurance Exchange
In 2011, Maryland passed SB182 (Chapter 1) and HB 166 (Chapter 2) establishing a state health benefit exchange.
For more information on what the state is doing, click here.
Research Round-Up
Maryland Health Reform Coordinating Council Website Department of Health Maryland Health Benefit Exchange Website
Maryland Health Connection Website (launched in August 2012)
Detailed Analysis for Financing the Maryland Health Benefit Exchange, a report by Wakely Consulting Group
(September 2012)
Maryland Health Care Reform Simulation Model: Detailed Analysis and Methodology, The Hilltop Institute,
University of Maryland (July 2012)
ACA Implementation—Monitoring and Tracking: Maryland, a report by the Urban Institute and the Robert Wood Johnson Foundation (February 2012)
Analysis of the Basic Health Program, DHMH, Medicaid Office of Planning and the Hilltop Institute (January 2012)
Recommendations for a Successful Maryland Health Benefit Exchange: A Report to the Governor and Maryland
General Assembly, Board of the Maryland Health Benefit Exchange (December 2011)
Maryland Health Care Reform Coordinating Council Final Report (January 2011)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
State Health Insurance Exchange
Massachusetts Chapter 58 of the Acts of 2006 created a health benefit exchange.
For more information on what the state is doing, click here.
Research Round-Up
National Health Care Reform Website Health Connector: Health Insurance for Massachusetts Residents
Affordable Care Act: Massachusetts Implementation Updates, published by the Executive Office of Health and
Human Services
Employer's Use of Health Insurance Exchanges: Lessons Learned from Massachusetts, a report by the Robert
Wood Johnson Foundation (October 2012)
Health Care Reform: Planning for National Reform Health Care Costs and Spending in Massachusetts: A Review of the Evidence, Blue Cross Blue Shield of
Massachusetts Foundation (March 2012) Health Reform Facts and Figures, Health Connector (Winter 2011/2012) PPACA Implementation Tasks for Calendar Year 2010 National Health Insurance Reform and Massachusetts: Frequently Asked Questions, Massachusetts Health
Connector The Massachusetts and Utah Health Insurance Exchanges: Lessons Learned, Georgetown University Health
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
Former Governor Jennifer Granholm issued Executive Order No. 2010-4 in March 2010, establishing a Health
Insurance Reform Coordinating Council to identify steps for implementing the Patient Protection and Affordable
Health Care Act. The council is required to provide recommendations.
State Health Insurance Exchange
For more information on what the state is doing, click here.
Research Round-Up
The Affordable Care Act’s Medicaid Expansion: Analyzing the Michigan Impact, a report by the Center for
Healthcare Research and Transformation (October 2012)
State Implementation Presentation (May 25, 2010)
Fiscal Analysis of the Federal Health Reform Legislation (April 2010) Strategic Plan to Implement the PPACA, Health Insurance Reform Coordinating Council (December 2, 2010) Cover Michigan: The State of Health Care Coverage in Michigan, Center for Healthcare Research and
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background Laws 2010, First Special Session, Chapter 1, Article 22, Section 4 authorized the governor to convene the Health Care Reform Task Force to advise and assist the governor and the legislature on state implementation of the ACA. On October 31, 2011, Governor Dayton issued Executive Order 11-30, establishing the Health Care Reform Task Force. The task force produced a report with recommendations for state law, program changes and implementation. The group’s primary deliverable is the Roadmap to a Healthier Minnesota, which will include policy recommendations and is expected to be presented to the governor and legislature in November 2012. The task force continues to meet. State Health Insurance Exchange The Department of Commerce, with support of Governor Mark Dayton, is pursing action through the establish-ment of the Health Insurance Exchange Advisory Task Force. For more information on what the state is doing, click here.
Research Round-Up
Health Care Reform Task Force Website
Health Insurance Exchange Advisory Task Force Website
Funding Options Worksheet, an analysis by the Finance Work Group of the Health Insurance Exchange Advisory
Task Force (September 2012)
ACA Implementation—Monitoring and Tracking: Minnesota, a report by the Urban Institute and the Robert Wood Johnson Foundation (July 2012)
Exchange Advisory Task Force Recommendations, Draft (January 17, 2012) Policy Levers for Addressing Health Disparities through the Exchange, Recommendations (January 17, 2012) Work Group Recommendations for Exchange Advisory Task Force, Draft (January 6, 2012) Health Disparities Recommendations (January 17, 2011) Presentation to Senate Finance Committee: Patient Protection and Affordable Care Act: Impacts for Minnesota,
Lynn A. Blewett, State Health Access Data Assistance Center (April 8, 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
State Health Insurance Exchange
Mississippi announced that its high-risk pool program, the Mississippi Comprehensive Health Insurance Risk Pool
Association, will establish the state’s health insurance exchange.
For more information on what the state is doing, click here.
Research Round-Up
The Patient Protection and Affordable Care Act, Mississippi Insurance Department Website Mississippi Health Insurance Exchange Website
The Fiscal and Economic Impacts of Medicaid Expansion in Mississippi, 2014-2025, University Research
Center(October 2012)
Final Recommendations: Essential Health Benefits, Mississippi Health Insurance Exchange Advisory Board (June
2012)
Building Mississippi’s Health Insurance Exchange, Winter 2012 Update, Center for Mississippi Health Policy (January 2012)
Preparing for the Mississippi Health Benefit Exchange: Final Report, prepared for the Mississippi Insurance Department by Leavitt Partners (September 2011)
Health Insurance Exchange Advisory Board Financial Impact Review of the Patient Protection and Affordable Care Act on the Mississippi Medicaid
Budget, prepared for the Mississippi Division of Medicaid by Milliman, Inc. (October 1, 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
Senate Joint Resolution 35 created a 2009 and 2010 interim committee within the Children, Families and Health and Human Services to study federal and state efforts related to health care reform and to make recommendations for state-level initiatives to be considered by the 62nd Montana Legislature. All aspects of the study, including presentation and review requirements were due by September 15, 2010.
State Health Insurance Exchange
In 2011, the legislature enacted Joint Resolution 33, creating an interim study committee to examine the feasibility of establishing a state-based health insurance exchange. The joint resolution requests a report, including recommendations for legislation and estimated fiscal impacts, be presented by September 15, 2012. For more information on what the state is doing, click here.
Research Round-Up
Federal Health Care Reform Website Health Insurance Reform in Montana: A Presentation to the 2011 Montana Legislature, Monica J. Lindeen,
Montana Commissioner of Securities and Insurance (January 2011) Examining Health Care: From Congressional Reforms to Cannibas (November 2010) Montana and Major Components of Federal Healthcare Reform (April 19, 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
The Nebraska Department of Insurance (NDOI) hosted five stakeholder meetings throughout the state in 2011
and met with additional stakeholders to discuss the Exchange planning process. NDOI’s report and recom-
mendations are available here. The Department of Insurance continues to moving forward with the design of a
state-based exchange, study of health reform, committee briefings and public information sessions. NDOI’s most
recent update is available here.
State Health Insurance Exchange
For more information on what the state is doing, click here.
Research Round-Up
Presentation to the Banking, Commerce, and Insurance Committee, by Nebraska Department of Insurance (July 2012)
Exchange Planning Overview and Recommendations, Nebraska Department of Insurance (2011) Financial Analysis of PPACA with House Reconciliation (August 16, 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
Multiple entities are working on implementation in Nevada. The Health Care Reform Policy Planning Group was created by the Department of Health and Human Services; the Health Care Reform Implementation Working Group is led by the Administrator of the Division of Health Care Financing and Policy and focuses on how the new law will affect the state's Medicaid policies; and the Division of Health Care Financing; and Policy Administrator Charles Duarte oversees an implementation work group to examine in significantly greater detail the intricacies of the legislation and what affect it will have on state policies and procedures regarding Medicaid. Expanding the Medicaid program is one of the primary tools for expanding health insurance coverage in the reform bill, and many changes to Nevada’s Medicaid program will be required in order to conform to the legislation and accommodate new enrollees.
State Health Insurance Exchange
In 2011, Nevada passed SB 440, Chapter No. 439, creating the Silver State Health Insurance Exchange. For more information on what the state is doing, click here.
Research Round-Up
Health Reform Website Silver State Health Insurance Exchange Nevada Policy Papers Health Care Reform: Fiscal Impact (April 2010) Cost estimates (March 30, 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
In 2011, HB 601 (Chapter 264, Laws of 2011; RSA 420-N) established the Joint Health Care Reform Oversight
Committee. The committee is responsible for providing legislative oversight, policy direction, and recom-
mendations for legislation with respect to the Affordable Care Act. The committee issued an annual report in
December 2011, and continues to meet.
State Health Insurance Exchange
Governor John Lynch signed HB 1297 on June 18, 2012, prohibiting the state from participating or facilitating a
state-based health insurance exchange. The law does allow state agencies to work with the federal government
to create a federally-operated exchange.
For more information on what the state is doing, click here.
Research Round-Up
Joint Health Care Reform Oversight Committee Website Federal and State Information on Health Reform Website, New Hampshire Insurance Department Partnership v. Federal Plan Management: Impacts to New Hampshire Health Insurance Markets, presentation to
the Joint Health Care Reform Oversight Committee (July 25, 2012) Annual Report, Joint Health Care Reform Oversight Committee (December 2011) Presentation- Federal Health Reform, New Hampshire Insurance Department (March 2, 2011) Enrollment and Claims Cost Impact to NH Medicaid from ACA (August 27, 2010) Medicaid Enrollment Forecast: SFY 2011-2013 Update (August 2010)
Division of Medical Assistance and Health Services
7 Quakerbridge Plaza, P. O. Box 712
Trenton, NJ 08625-0712
609-588-2600
Medicaid Pharmacy Director Pharmacy Services Contracted to
Molina Medicaid Solutions
609-588-6036
Legislative Branch
House Speaker Speaker Sheila Y. Oliver (D)
State House
125 West State Street
Trenton, NJ 08625
973-395-1166
House Health Policy Assemblyman Herb Conaway (D)
Delran Prof. Center Building C, Suite 450
Delran, NJ 08075
856-461-3997
House Health Appropriations Assemblyman John J. Burzichelli (D)
935 King Highway, Suite 400
West Depford, NJ 08086
856-251-9801
Senate Health Policy Senator Joseph F. Vitale (D)
569 Rahway Avenue
Woodbridge, NJ 07095
732-855-7441
Senate Health Appropriations Senator Paul A. Sarlo (D)
State House
125 West State Street
Trenton, NJ 08625
201-804-8118
SASC13005 Rev. 2/19/13
NEW JERSEY (Cont’d.)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
State Health Insurance Exchange
On May 10, 2012, Governor Chris Christie vetoed AB 2171, which would have established a health insurance
exchange in the Department of Banking and Insurance.
For more information on what the state is doing, click here.
Research Round-Up
Rutgers Center for State Health Policy, report that estimates the impact of health reform in New Jersey, and examines exchange design issues, prepared at the request of New Jersey’s Interagency Working Group on the ACA
Federal Health Coverage Law – Patient Protection and Affordable Care Act, New Jersey Department of Banking & Insurance
Financial Analysis of a New Jersey Basic Health Program, prepared for Rutgers Center for State Health Policy by Oliver Wyman (August 2012)
The Basic Health Plan Option in New Jersey, Rutgers Center for State Health Policy (December 2011) Combining New Jersey’s Individual and Small Group Health Insurance Risk Pools, Rutgers Center for State
Health Policy (December 2011) Health Insurance Exchanges: Governance Issues for New Jersey, Rutgers Center for State Health Policy and
Seton Hall Law (September 2011) Health Insurance Status in New Jersey After Implementation of the Affordable Care Act, Rutgers Center for State
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
Prior to the passage of the ACA, SJM 1 (2010) created the New Mexico Health Reform Working Group to make recommendations to the governor and the legislature regarding implementation and supplementation of federal and state health care reform measures. The working group made its recommendations and is no longer active. In April 2010, former Governor Bill Richardson issued Executive Order 2010-012, establishing the New Mexico Health Care Reform leadership team for the implementation of national health reform. The leadership team issued its strategic plan, Implementing Federal Health Care Reform-A Roadmap for New Mexico, in July 2010. In August 2010, former Gov. Richardson signed Executive Order 2010-032, establishing the New Mexico Office of Health Care Reform and expanding the leadership team. The Office of Health Care Reform continues to work with the leadership team to help the executive branch create policies, priorities, and objectives for reaching implementation goals.
State Health Insurance Exchange
On April 8, 2011, Governor Susana Martinez vetoed SB 38, the New Mexico Health Insurance Act, which would have created a health insurance exchange.
For more information on what the state is doing, click here.
Research Round-Up
National Health Care Reform: Library of Facts, Articles and Opportunities, New Mexico Human Services Department
ACA Implementation—Monitoring and Tracking: New Mexico, a report by the Urban Institute and the Robert Wood Johnson Foundation (August 2012)
Fiscal Impact of Health Reform: New Mexico Health Care Reform Financial Modeling Tool, Evaluation of the Basic Health Program Costs (May 2012)
New Mexico Health Care Reform Fiscal Model: Detailed Analysis and Methodology, The Hilltop Institute (March 2012)
New Mexico’s Office of Health Care Reform- Transition Plan (December 2010) SJM 1 Health Care Reform Working Group: Report of Recommendations (November 2010) Implementing PPACA - A Road Map for New Mexico (July 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
In May 2010 then- Governor David Paterson established the Cabinet to Implement Federal Health Care Reform in New York. The cabinet will advise and make recommendations to the governor on all aspects of federal health reform, including identifying any changes needed to state statute, regulation, policy or procedure in order to implement the ACA. It will also develop a strategic plan to guide implementation. State agencies will make up the health reform cabinet and an advisory group will also be appointed to assist and advise the cabinet on reform provisions and include stakeholder and public engagement. On August 31, 2010, the former governor also formed the Health Care Reform Advisory Committee to ensure stakeholder and public engagement. These groups are no longer active.
State Health Insurance Exchange
On April 12, 2012, Governor Andrew Cuomo issued Executive Order 42, establishing the New York Health Benefit Exchange.
For more information on what the state is doing, click here.
Research Round-Up
Federal Health Care Reform in New York State Website
Federal Health Care Reform in New York State: Research and Resources
Benefit Standardization Study for the State of New York, Wakely Consulting Group (June 2012) Business Plan of Operations New York Health Benefit Exchange, Wakely Consulting Group (June 2012) The Role of Producers and Other Third Party Assistors in New York's Individual and SHOP Exchanges, Wakely
Consulting Group (June 2012) Risk Adjustment and Reinsurance under the ACA New York State Recommendations, Wakely Consulting Group
(June 2012) ACA Implementation—Monitoring and Tracking: New York, a report by the Urban Institute and the Robert Wood
Johnson Foundation (April 2012) The Coverage and Cost Effects of Implementation of the Affordable Care Act in New York State, Urban Institute
(March 2012) Estimated New York State Medicaid Savings Under the PPACA, Urban Institute (March 2012) Preparing New York’s Information Technology Infrastructure for Health Reform: A Gap Analysis, prepared for
NYS Health Foundation by Social Interest Solutions (May 2011) Building the Infrastructure for a New York Health Benefit Exchange: Key Decisions for State Policymakers, A
Special Report by the United Hospital Fund (2011) Implementing Federal Health Care Reform: A Roadmap for New York State (August 2010) Federal Health Care Reform: Implications for New York, Division of Coverage and Enrollment Office of Health
Insurance Programs, Health Bureau Insurance Department (June 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
The state established eight workgroups on health care reform through the North Carolina Institute of Medicine which are coordinated by an Overall Advisory Group. The workgroups meet monthly to examine implementation issues including prevention, safety net, health professional workforce, health insurance exchange and insurance oversight, Medicaid, new models of care, quality, fraud and abuse. Members include representatives from state government, academia, insurers, provider groups, and consumer advocates. The group’s interim report is available here.
Health Insurance Exchange
North Carolina passed HB 22, Session Law No. 2011-391, a bill of legislative intent to establish a state based insurance exchange. Establishment legislation did not pass. The North Carolina Department of Insurance continues to plan a state-based exchange.
For more information on what the state is doing, click here.
Research Round-Up
Examining the Impact of the Patient Protection and Affordable Care Act in North Carolina: Draft of Final Report Pending U.S. Supreme Court Decision, prepared for the North Carolina Department of Health and Human Services and the Department of Insurance by the North Carolina Institute of Medicine (May 2012)
Overall Advisory Committee Workgroup Update, North Carolina Institute of Medicine (October 31, 2011) North Carolina Health Benefit Exchange Study, prepared for the North Carolina Department of Insurance by
Milliman, Inc. (July 18, 2011) Implementation of the PPACA in North Carolina: Interim Report, Health Reform Overall Advisory Group (March
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
In 2010, the Legislative Management committee created the Interim Industry, Business, and Labor Committee to examine health care reform in conjunction with a study of factors impacting the cost of health insurance. The committee’s role is to receive information relating to federal health reform’s impact on the state from state agencies and other interested parties. The chairman of Legislative Management has the authority to direct studies during the interim to monitor federal health reform.
State Health Insurance Exchange
For more information on what the state is doing, click here.
Research Round-Up
Health Care Reform, North Dakota Insurance Department Health Care Reform Review Committee Health Services Committee State Planning and Establishment Grants for the Affordable Care Act’s Exchanges: Final Project Report, Office of
Consumer Information and Insurance Oversight (January 25, 2012) Potential Impact of Health Reform on Rural North Dakota Health Workforce, Center for Rural Health, University of
North Dakota School of Medicine (Winter 2011) Health Benefit Exchange Planning Services: Narrative Summary (December 2, 2011) North Dakota Health Benefit Exchange Stakeholder Final Report (September 23, 2011)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
The Ohio Health Care Coverage and Quality Council was established by the Ohio General Assembly in July 2009 following its initial creation by an Executive Order from former Governor Ted Strickland. However, the council was later eliminated. Many of its efforts are now being led by the Office of Health Transformation. State Health Insurance Exchange
For more information on what the state is doing, click here.
Research Round-Up
Health Reform Website Ohio Insurance Exchange Website State of Ohio Health Insurance Exchange Planning: Strategic Architecture Roadmap and Budget Report,
prepared by KPMG (September 14, 2011) State of Ohio Health Insurance Exchange Planning: Strategic Architecture Blueprints Report, prepared by KPMG
(September 13, 2011) Assist with the first year of planning for design and implementation of a federally mandated American Health
Benefit Exchange, prepared for the Ohio Department of Insurance by Milliman, Inc. (August 31, 2011)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
In 2011, the Oklahoma legislature created the Joint Committee on Federal Health Care Law to explore state
options around health reform.
State Health Insurance Exchange
For more information on what the state is doing, click here.
Research Round-Up
Joint Committee on Federal Health Care Law Website Final Report of the Joint Committee on Federal Health Care Law, Oklahoma Legislature (February 22, 2012)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background Created in 2009, the Oregon Health Policy Board serves as the policy-making and oversight body for the Oregon Health Authority. In 2009, Oregon enacted HB 2009 which established the Oregon Health Care Authority in the executive branch. The authority is charged with implementing health care reform; the bill includes many provisions similar to or that will be enhanced by the federal health reform law. State Health Insurance Exchange In 2011 Oregon passed SB 99, Chapter 415 establishing a state health benefit exchange. In February 2012, the nine member governing board released the Oregon Health Insurance Exchange Corporation Business Plan, which was required under the establishing statute. On March 6, 2012, the legislature passed HB 4164, approving the exchange’s business plan. For more information on what the state is doing, click here. Research Round-Up
Oregon Division of Insurance: Federal Health Care Reform Home Oregon Health Policy Board Website The Oregon Health Insurance Exchange Website Oregon Health Insurance Exchange Corporation Business Plan, Oregon Health Insurance Exchange Corporation
(February 2012) ACA Implementation—Monitoring and Tracking: Oregon, a report by the Urban Institute and the Robert Wood
Johnson Foundation (February 2012) Building Oregon’s Health Insurance Exchange: A Report to the Oregon Legislature (December 2010) Governor Kulongoski Press Release (September 2010) Federal Affordable Care Act Preventive Care Requirements vs. Oregon Mandates (August 2010)
Former Governor Edward Rendell issued Executive Order 2010-02 in July 2010, creating the Commonwealth Health Care Reform Implementation Committee and the Commonwealth Health Care Reform Advisory Committee. The committees will work together to implement health reform. The Advisory Committee completed its final report in January 2011. State Health Insurance Exchange
For more information on what the state is doing, click here.
Research Round-Up
Pennsylvania Insurance Department – Health Insurance Exchange Website
Pennsylvania Commonwealth Health Care Reform Implementation Committee
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
The Joint Legislative Committee on Health Care Oversight was created to help Rhode Island prepare for the
implementation of the new federal law and to oversee the state’s health care activities. The committee, originally
created in 2000, monitors, studies, reports and makes recommendations on all areas of health, insurance, liability,
licensing, cost and delivery of services, and the adequacy, efficacy and efficiency of statutes, rules, regulations,
guidelines, practices, and programs related to health care, long-term care or health insurance coverage.
Additionally, Governor Lincoln Chafee signed Executive Order 11-04 in January 2011 establishing the RI
Healthcare Reform Commission. The commission, chaired by Lieutenant Governor Elizabeth Roberts, is
responsible for coordinating changes to the state’s healthcare system in accordance with federal mandates, seek
federal funding, and make recommendations to the governor.
Resolution No. 2010-341 created in June 2010, established a 17-member special Senate commission to study
cost containment, efficiency, and transparency in the delivery of quality patient care and access by hospitals. At
its own discretion, the commission may also study the development and establishment of a state-based insurance
exchange. The members met regularly beginning September 15, 2010 and December 31, 2011 and presented its
findings and recommendations on exchanges to the clerk of the Senate in March 2011.
State Health Insurance Exchange
In September 2011, Governor Lincoln Chafee signed Executive Order 2011-09 which established the Rhode
Island Health Benefits Exchange as a division within the Executive Department.
For more information on what the state is doing, click here.
Research Round-Up
RI Healthcare Reform Commission Website Lt. Governor’s Website – Health Benefit Exchange Joint Legislative Committee on Health Care Oversight Website Who Goes Where Under Federal Healthcare Reform: Rhode Island Population Insurance Status Projections,
2014 and Beyond by the Office of Health Insurance Commissioner (August 2012) Report of the Payment and Delivery Reform Workgroup, Rhode Island Healthcare Reform Commission (March
2012) ACA Implementation—Monitoring and Tracking: Rhode Island, a report by the Urban Institute and the Robert
Wood Johnson Foundation (February 2012) Lt. Governor’s Presentation on RI Health Benefit Exchange to RI Business Group on Health (March 2011) Healthy RI Task Force
Healthy RI Task Force Report - Getting National Health Reform Right for Rhode Island (September 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
State Health Insurance Exchange
In a July 2, 2012 letter, Gov. Haley indicated her opposition to implementing a state-based exchange. In 2011
Governor Nikki Haley signed Executive Order 2011-09 establishing the South Carolina Health Exchange Planning
Committee. The committee serves as an advisory group whose mission is to assist with research as determined
necessary by the Director of Insurance and to provide recommendations on the health insurance exchange
planning process.
For more information on what the state is doing, click here.
Research Round-Up
Health Care Reform Website – South Carolina Department of Insurance South Carolina Health Planning Committee (exchange planning website) Improving the Health Care Marketplace in South Carolina: Strategies and Policies Recommended by the South
Carolina Health Planning Committee (November 2011)
Health Planning Committee – Subcommittee Reports
Competitiveness and Transparency Subcommittee Report (November 2011) Consumer Driven Health Plans Subcommittee Report (November 2011) Consumer Protection/Medical Liability Subcommittee Report (November 2011) Information Technology Subcommittee Report (November 2011)
Additional Reports:
South Carolina Perspectives on a Health Insurance Exchange: A Focus Group Research Study, report for the Department of Insurance by the South Carolina Institute of Medicine and Public Health (October 2011)
Financial Impact Review of the Patient Protection and Affordable Care Act on the South Carolina Medicaid Budget, prepared for the South Carolina Department of Health and Human Services by Milliman, Inc. (December 8, 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
State Health Insurance Exchange
For more information on what the state is doing, click here.
Research Round-Up
Health Reform Website Health Insurance Exchange Website South Dakota’s Health Insurance Exchange Planning Effort: Report for Governor Dennis Daugaard (November
2011) Health Insurance Exchange Task Force Recommendations State of South Dakota Heath Insurance Exchange Feasibility Study, prepared by Navigant Consulting, Inc.
(October 21, 2011) 2011 South Dakota Health Insurance Survey: Summary Report, prepared by Market Decisions to provide
background research for a state based health insurance exchange (September 2011)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
State Health Insurance Exchange
The Benefits Administration and Department of Finance has taken the lead in pursing health insurance exchange
planning for the state. The departments established the Tennessee Planning Initiative for the PPACA Health
Insurance Exchange to identify key decision points, research policy alternatives and make recommendations on
health care.
For more information on what the state is doing, click here.
Research Round-Up
Health Insurance Exchange Website Health Care Reform Implementation Timeline Bridge Option: One Family, One Card Across Time, includes discussion of Basic Health Program (November
2011) Best Alternatives to a Federal Insurance Exchange in Tennessee: A Summary of Stakeholder Feedback, State of
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
In January 2010, the Texas House created a House Select Committee on Federal Legislation, with a focus on implementing federal health reform. For a list of members, click here. State Health Insurance Exchange
On July 9, 2012, Governor Rick Perry announced that Texas will not establish an exchange.
For more information on what the state is doing, click here.
Research Round-Up
Texas Department of Insurance Federal Health Care Reform Resource Page Biennial Report of the Texas Department of Insurance to the 82nd Legislature (December 2010) Texas Department of Insurance Summary of Key Insurance Implementation Requirements Presentation to Joint Committee Hearing of Senate Health and Human Services and Senate State Affairs
(November 23, 2010) Health Care Reform Overview of Federal Health Insurance Reform Requirements and TDI Implementation
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
State Health Insurance Exchange
Utah passed HB 133 in 2008 and HB 188 in 2009, establishing a health benefit exchange.
For more information on what the state is doing, click here.
Research Round-Up
Utah Federal Health Reform Website Health System Reform Task Force Website Utah Health Exchange Website Report on Implementation of Federal Health Reform Legislation to the Business & Labor Interim Committee,
Health Reform Task Force, and the Executive Appropriations sub-committee Executive Branch State Coordination PPACA Provisions Affecting Sections in the Utah Insurance Code Statewide Coordination of Federal Health Information Technology Funds (August 18, 2010) Initial Analysis of Federal Health Reform Legislation (March 30, 2010) Utah Response to Federal Request for Comments
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background In 2009 former Governor Jim Douglas issued Executive Order No. 18-17 (No.08-09) creating the Governor's Health Care Cabinet. This executive order was issued before the passage of federal health reform legislation, but was created in anticipation of federal health reform. The Health Care Cabinet was responsible for recommending a coordinated and strategic state response to legislative health reform initiatives at the state and federal levels. The executive order sunset on June 30, 2011. State Health Insurance Exchange In 2011 Vermont passed HB 202, Act No. 48, establishing a state health benefit exchange. In 2012, the legislature passed HB 559, defining the authority of the Green Mountain Care Board and the exchange. For more information on what the state is doing, click here. Research Round-Up
Health Benefit Exchange Website Summary of Promising Functional Overlaps Between Exchange and Non-Exchange Coverage Plans, the Pacific
Health Policy Group (June 5, 2012) Program Integration Report: Inventory of Functional Overlaps Between Exchange and Coverage Plans, the
Pacific Health Policy Group (May 18, 2012) Analysis of Basic Health Program Option (November 2011) Vermont’s Health Benefit Exchange: Model Options – draft for discussion with the Vermont Health Care
Exchange Advisory Group (September 12, 2011) Analysis of Exchange Financial Functions Final Report (August 2011) A Roadmap to Exchange Design in Vermont (March 2011) Study of the Uninsured and Underinsured, prepared for the Vermont Office of Health Access by Market Decisions
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
The Virginia Secretary of Health and Human Resources, Dr. Bill Hazel announced the establishment of the Health Care Reform Initiative on May 14, 2010. The Health Care Reform Initiative created an advisory council to manage activities related to federal health care reform, serves as the liaison between the governor's office, agencies and entities affected by health care reform, and assume lead development of the required Health Insurance Exchange among other duties. The Advisory Council formed six working groups to make findings and recommendations addressing Medicaid reform, insurance reform, health care delivery and payment reform, capacity, technology, and purchasers and is required to submit a report and recommendations in January of every year, through January 2014.
Governor Bob McDonnell appointed the members of the Health Care Reform Initiative Advisory Council in August 2010, click here to view the members. State Health Insurance Exchange
For more information on what the state is doing, click here.
Research Round-Up
Virginia Health Reform Initiative ACA Implementation—Monitoring and Tracking: Virginia, a report by the Urban Institute and the Robert Wood
Johnson Foundation (August 2012) Virginia Health Reform Initiative: Preliminary Analysis of Essential Health Benefits, Benefit Mandates, and
Benchmark Plans (February 2012) Virginia Health Reform Initiative Advisory Council Recommendations for a Health Benefit Exchange
(November 25, 2011) Virginia Health Reform Initiative: Considerations for structuring the Health Benefits Exchange and Insurance
Markets, presentation (September 9, 2011) Background Memorandums on Health Benefit Exchange Issues, Cindi B. Jones, Director, Virginia Health Reform Initiative, Office of the Secretary of Health and Human Resources
Third Background Memorandum on Health Benefit Exchange Issues: Preparing for Potential 2012 Health Benefit Exchange legislation (August 12, 2011)
Second Background Memorandum on Health Benefit Exchange Issues: Promoting Competition (June 29, 2011) Background Memorandum on Health Benefit Exchange (April 15, 2011)
Additional Reports:
Report and Recommendations, Virginia Health Reform Initiative Advisory Council (December 20, 2010) Medicaid Reform in Virginia: Eligibility and Benefits Under PPACA, Department of Medical Assistance Services
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
In April 2010, Governor Christine Gregoire issued Executive Order 10-01 creating the Health Care Cabinet, which is responsible for providing leadership and accountability for implementation of state and federal health reform. The cabinet was required to submit a work plan by August 1, 2010, outlining structures and processes needed by state agencies for implementation. Click here to view a list of cabinet members.
SB 6444 (Section 694) The legislature also passed a budget proviso in April 2010 establishing a Joint Select Committee on Health Care Reform, to be co-chaired by the chairs of the health committees of the senate and the house of representatives. Leadership of the two largest caucuses in the senate and the house of representatives shall each appoint two additional legislators to serve on the committee. The co-chairs may direct the formation of advisory committees, to focus on specific topic areas, such as insurance regulation, access and expansion of public and private programs, and workforce issues, and may invite interested stakeholders and additional experts to advise the committee. The committee continues to meet.
State Health Insurance Exchange
In 2011, Washington passed SB 5445, Chapter 317, Laws of 2011 establishing a state health benefit exchange. In 2012, HB 2319, also related to implementation of the health benefit exchange, passed, removing previous limitations on the board’s governing authority over the exchange.
For more information on what the state is doing, click here.
Research Round-Up
Health Care Reform Website, Washington State Health Care Authority Health Care Cabinet Website Health Benefit Exchange Program Website, Washington State Health Care Authority Joint Legislative Select Committee on Health Reform Implementation The ACA Medicaid Expansion in Washington, The Urban Institute (May 2012) Essential Health Benefits, prepared for Washington State Health Care Authority by Milliman, Inc. (January 31,
2012) State of the Uninsured: Health Coverage in Washington State – Costs, trends and projections 2008 to 2014,
Washington State Office of the Insurance Commissioner (December 2011) Washington State Health Benefits Exchange Resources and Needs Assessment, prepared for the Washington
State Health Care Authority by the Wakely Consulting Group (November 2011) Planning Washington’s Health Benefit Exchange- The Potential Impact of Three Key Decisions, prepared for the
Washington State Health Authority by Milliman, Inc. (June 2011) The Federal Basic Health Program: An Analysis of Options for Washington State Health Benefit Exchange Issue Briefs, Health Care Authority (January 1, 2011) Policy Brief- Reforming Health Care to Save Money and Drive Quality, Governor Chris Gregoire (2011)
Health Care Cabinet Federal Health Reform Task List (June 19, 2010)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
The Legislature created the Governor's Office of Health Enhancement and Lifestyle Planning (GOHELP) through
SB 414 during the 2009 Legislative Session to coordinate health care reform.
State Health Insurance Exchange
In 2011, West Virginia passed HB 408, Act No. 100, establishing a state health benefit exchange.
For more information on what the state is doing, click here.
Research Round-Up
Health Benefit Exchange Website Health Care Reform Website, Governor’s Office of Health Enhancement & Lifestyle Planning Office of the Insurance Commissioner- Health Care Reform Page Health Benefit Exchange Business Plan, Offices of the Insurance Commissioner (January 19, 2012) Health Insurance Exchange Stakeholder Summary Report (January 2011)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
In April 2010 former Governor Jim Doyle issued Executive Order #312, creating the Office of Health Care Reform. The Office of Health Care Reform was responsible for developing a plan that used national health care reform to build on the state's existing programs, provide transparent access to information, assess insurance markets reforms to prepare for national health reform, develop a plan to pursue federal funding for implementation, and create a health insurance purchasing exchange. The office no longer exists.
In January 2011, Gov. Scott issued Executive Order 10, creating the Office of Free Market Health Care. Nearly one year later, the governor issued Executive Order 57, which repealed the previous order, discontinued development of the health exchange and closed the Office of Free Market Health Care.
State Health Insurance Exchange
For more information on what the state is doing, click here.
Research Round-Up
Special Committee on Health Reform Implementation Website Preliminary Plan for Building the Wisconsin Health Insurance Portal and Interchange, Office of Free Market
Health Care Office of Free Market Health Care Releases Report on Impacts of PPACA, press release (August 24, 2011)
STATE ENTITIES TO IMPLEMENT THE AFFORDABLE CARE ACT
Background
Former Governor Dave Freudenthal convened a State Agency Leadership Team to determine how the health reform acts affect state programs and the people they serve. This group is no longer active.
State Health Insurance Exchange
HB0050, Act No. 102 created the Wyoming Health Insurance Exchange Steering Committee, which is responsible for studying whether the state should establish a health insurance exchange or participate in a regional exchange. In late 2011, SF 0058, Act No. 42 passed, allowing the Steering Committee to continue research on exchange implementation until 2013.
For more information on what the state is doing, click here.
Research Round-Up
Wyoming Health Insurance Exchange Steering Committee Website Wyoming Health Insurance Market Study Preliminary Results, presentation by Gorman Actuarial, LLC (October
2011) Health Benefit Exchange Project Budget Estimate for Exchange Operations, PCG presentation to House Labor,
Health and Social Services Committee (October 2011) Health Benefit Exchange Planning, PCG presentation (August 2011) Wyoming Health insurance Exchange: Technology Infrastructure Discussion (September 2011) Health Benefits Exchange Planning: Draft Final Report, prepared for State of Wyoming Department of Insurance
by Public Consulting Group (September 2011) Wyoming Medicaid Opt-Out Analysis, Wyoming Department of Health, presentation to the Joint Labor, Health and
Social Services Interim Committee by Lewin Group (December 9, 2010)
Impact of the ACA on the State of Wyoming, presentation to the Joint Labor, Health and Social Services Interim