Will state exchanges give small business owners and individuals more choices of insurance plans? And will consumer protections and price limits still apply?
Yes. The law requires that at least two multi-state plans be offered in each state exchange. The HHS secretary and NAIC will issue regulations for multi-state options that can be entered into by 2016. The state and secretary must approve the option. Private insurers will be able to offer multi-state plans through the exchange. These plans will be subject to the same requirements as other qualified plans offered in the exchange, including the consumer protection laws of the purchaser’s state, and the secretary has to be assured that the policy will not weaken enforcement of state consumer protection laws. The agency that will oversee multi-state plans is the Office of Personnel Management (OPM), the federal agency that runs the Federal Employee Health Benefits Program (FEHBP), which covers federal employees and their families nationwide. It also includes members of Congress and their families. States will also be able to form “healthcare choice compacts” with other states to permit cros
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