Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 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)
Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 2
Exchanges
Health Insurance Exchanges Are a Centerpiece of ACA
Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 3
By 11/16/2011…
States must submit “blueprints” to HHS:
Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 4
By 1/1/2014…
States must have a self-sufficient individual exchange in operation.
Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 5
By 1/1/2014…
States must have a self-sufficient small group exchange in operation.
Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 6
At any time…
States can choose to operate a separate exchange for government employers.
Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 7
At any time…
States can choose to merge the individual and small group markets.
Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 8
On 1/1/2016…
The ACA requires the SHOP to include employers with up to 100 FTEs.
Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 9
On 1/1/2017…
The ACA allows states to add employers of any size in the SHOP.
Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 10
On 1/1/2017…
States can include government employers in the SHOP exchange.
Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 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 Institute728 North James Lovell Street, Milwaukee, WI 53233Phone: 414-270-2953E-Mail: [email protected], [email protected]