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The Affordable Care Act

This document outlines critical deadlines and requirements for states under the Affordable Care Act (ACA) concerning health insurance exchanges. By 1/1/2014, states must have self-sufficient individual and small group exchanges operational. It explains options for states to manage these exchanges, including the ability to operate separate exchanges for government employers and the merging of individual and small group markets. Additionally, it provides insights on future requirements, such as the SHOP exchange accommodating employers of varying sizes by 2017. For inquiries, contact Michael Bare or David Riemer.

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The Affordable Care Act

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  1. The Affordable Care Act David Riemer, Senior Fellow Exchange Risk Pools: Policy Options for States Michael Bare, Research and Program Coordinator Project for Health Insurance Exchange Education (PHIXE)

  2. Exchanges Health Insurance Exchanges Are a Centerpiece of ACA

  3. By 11/16/2011… States must submit “blueprints” to HHS:

  4. By 1/1/2014… States must have a self-sufficient individual exchange in operation.

  5. By 1/1/2014… States must have a self-sufficient small group exchange in operation.

  6. At any time… States can choose to operate a separate exchange for government employers.

  7. At any time… States can choose to merge the individual and small group markets.

  8. On 1/1/2016… The ACA requires the SHOP to include employers with up to 100 FTEs.

  9. On 1/1/2017… The ACA allows states to add employers of any size in the SHOP.

  10. On 1/1/2017… States can include government employers in the SHOP exchange.

  11. Discussion and Thank You Please feel free to contact us: Michael Bare, Research Director and Program Coordinator, and David Riemer, Director of Policy and Planning Community Advocates Public Policy Institute 728 North James Lovell Street, Milwaukee, WI 53233 Phone: 414-270-2953 E-Mail: mike@mbare.org, DRiemerMil@yahoo.com

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