An Act Concerning The Connecticut Health Insurance Exchange.
Impact
The bill mandates that the Connecticut Health Insurance Exchange will administer a single marketplace for health insurance coverage, which may include offering plans with essential health benefits as dictated by the Affordable Care Act. The legislation also delineates the responsibilities of the exchange, such as certifying health benefit plans, managing enrollment periods, and providing information for consumers regarding available insurance options. This is expected to enhance transparency and access to necessary health services for residents who may currently lack coverage.
Summary
House Bill 5485 is an act concerning the Connecticut Health Insurance Exchange, aimed at organizing and refining the state’s processes regarding health insurance provision for individuals and small employers. The bill provides for the establishment of a health insurance exchange where both qualified individuals and employers can access health insurance plans. It aims to streamline the process of enrolling individuals who fall within certain income thresholds, making it easier for them to obtain affordable health coverage through the exchange.
Contention
Points of contention may arise regarding the specifics of how the exchange will operate and how it will affect existing health insurance markets in the state. Issues relating to funding, particularly around assessments or user fees charged to health carriers, may also provoke debate. Additionally, the bill requires the selection of a benchmark plan, which could face scrutiny based on its implications for coverage options available to consumers. Furthermore, the provision to generate funding through taxes or administrative fees might be controversial among various stakeholders in the health care industry.
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Requiring legislative approval prior to any state agency seeking or implementing a public assistance program waiver or other authorization from the federal government that expands eligibility for any public assistance program or increases cost to the state or making certain changes in services for persons with intellectual or developmental disabilities.