MD
Maryland House Bill HB297

Maryland 2025 Regular Session

Maryland House Bill HB297 Compare Versions

OldNewDifferences
11
22
33 EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
44 [Brackets] indicate matter deleted from existing law.
5- Underlining indicates amendments to bill.
6- Strike out indicates matter stricken from the bill by amendment or deleted from the law by
7-amendment.
85 *hb0297*
96
107 HOUSE BILL 297
118 J5 5lr1017
12- CF SB 5
13-By: Delegate Kerr Delegates Kerr, Bagnall, Bhandari, Cullison, Guzzone, Hill,
14-S. Johnson, Kaiser, Lopez, Martinez, Pena –Melnyk, Rosenberg, Taveras,
15-White Holland, Woods, and Woorman
9+
10+By: Delegate Kerr
1611 Introduced and read first time: January 9, 2025
1712 Assigned to: Health and Government Operations
18-Committee Report: Favorable with amendments
19-House action: Adopted
20-Read second time: February 18, 2025
2113
22-CHAPTER ______
14+A BILL ENTITLED
2315
2416 AN ACT concerning 1
2517
2618 Maryland Health Benefit Exchange – State–Based Young Adult Health 2
2719 Insurance Subsidies Pilot Program – Sunset Repeal 3
2820
2921 FOR the purpose of renaming the State–Based Young Adult Health Insurance Subsidies 4
3022 Pilot Program to be the State–Based Young Adult Health Insurance Subsidies 5
3123 Program; repealing the termination date of certain provisions of law that establish 6
32-and govern the funding for the Program; authorizing rather than requiring the 7
33-Maryland Health Benefit Exchange to establish and implement the Program; 8
34-prohibiting the Exchange from implementing the Program if certain funds are not 9
35-available; and generally relating to the health insurance subsidies for young adults. 10
24+and govern the funding for the Program; and generally relating to the health 7
25+insurance subsidies for young adults. 8
3626
37-BY repealing and reenacting, without amendments, 11
38- Article – Insurance 12
39- Section 31–107(a) 13
40- Annotated Code of Maryland 14
41- (2017 Replacement Volume and 2024 Supplement) 15
27+BY repealing and reenacting, with amendments, 9
28+ Article – Insurance 10
29+ Section 31–107 and 31–122 11
30+ Annotated Code of Maryland 12
31+ (2017 Replacement Volume and 2024 Supplement) 13
4232
43-BY repealing and reenacting, with amendments, 16
44- Article – Insurance 17
45- Section 31–107(b), (f)(1)(iv), and (g)(1) and 31–122 18
46- Annotated Code of Maryland 19
47- (2017 Replacement Volume and 2024 Supplement) 20
33+BY repealing and reenacting, with amendments, 14
34+ Chapter 778 of the Acts of the General Assembly of 2021, as amended by Chapters 15
35+ 256 and 257 of the Acts of the General Assembly of 2023 16
36+ Section 2 17
37+
38+ SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 18
39+That the Laws of Maryland read as follows: 19
40+
41+Article – Insurance 20
42+
43+31–107. 21
44+
45+ (a) There is a Maryland Health Benefit Exchange Fund. 22
46+
47+ (b) (1) The purpose of the Fund is to: 23
4848 2 HOUSE BILL 297
4949
5050
51-BY repealing and reenacting, with amendments, 1
52- Chapter 778 of the Acts of the General Assembly of 2021, as amended by Chapters 2
53- 256 and 257 of the Acts of the General Assembly of 2023 3
54- Section 2 4
51+ (i) provide funding for the operation and administration of the 1
52+Exchange in carrying out the purposes of the Exchange under this subtitle; 2
5553
56- SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 5
57-That the Laws of Maryland read as follows: 6
54+ (ii) provide funding for the establishment and operation of the State 3
55+Reinsurance Program authorized under this subtitle; 4
5856
59-Article – Insurance 7
57+ (iii) provide funding for the Medical Assistance Program and the 5
58+Senior Prescription Drug Assistance Program; 6
6059
61-31–107. 8
60+ (iv) provide funding for the establishment and operation of Health 7
61+Equity Resource Communities under Title 20, Subtitle 14 of the Health – General Article; 8
62+and 9
6263
63- (a) There is a Maryland Health Benefit Exchange Fund. 9
64+ (v) provide funding for the establishment and operation of the 10
65+State–Based Young Adult Health Insurance Subsidies [Pilot] Program authorized under 11
66+this subtitle. 12
6467
65- (b) (1) The purpose of the Fund is to: 10
68+ (2) The operation and administration of the Exchange, the State 13
69+Reinsurance Program, the State–Based Young Adult Health Insurance Subsidies [Pilot] 14
70+Program, and the Qualified Resident Enrollment Program may include functions delegated 15
71+by the Exchange to a third party under law or by contract. 16
6672
67- (i) provide funding for the operation and administration of the 11
68-Exchange in carrying out the purposes of the Exchange under this subtitle; 12
73+ (c) The Exchange shall administer the Fund. 17
6974
70- (ii) provide funding for the establishment and operation of the State 13
71-Reinsurance Program authorized under this subtitle; 14
75+ (d) (1) The Fund is a special, nonlapsing fund that is not subject to § 7–302 of 18
76+the State Finance and Procurement Article. 19
7277
73- (iii) provide funding for the Medical Assistance Program and the 15
74-Senior Prescription Drug Assistance Program; 16
78+ (2) The State Treasurer shall hold the Fund separately, and the 20
79+Comptroller shall account for the Fund. 21
7580
76- (iv) provide funding for the establishment and operation of Health 17
77-Equity Resource Communities under Title 20, Subtitle 14 of the Health – General Article; 18
78-and 19
81+ (e) The Fund consists of: 22
7982
80- (v) provide funding for the establishment and operation of the 20
81-State–Based Young Adult Health Insurance Subsidies [Pilot] Program authorized under 21
82-this subtitle. 22
83+ (1) any user fees or other assessments collected by the Exchange; 23
8384
84- (2) The operation and administration of the Exchange, the State 23
85-Reinsurance Program, the State–Based Young Adult Health Insurance Subsidies [Pilot] 24
86-Program, and the Qualified Resident Enrollment Program may include functions delegated 25
87-by the Exchange to a third party under law or by contract. 26
85+ (2) all revenue deposited into the Fund that is received from the 24
86+distribution of the premium tax under § 6–103.2 of this article; 25
8887
89- (c) The Exchange shall administer the Fund. 27
88+ (3) income from investments made on behalf of the Fund; 26
9089
91- (d) (1) The Fund is a special, nonlapsing fund that is not subject to § 7–302 of 28
92-the State Finance and Procurement Article. 29
90+ (4) interest on deposits or investments of money in the Fund; 27
9391
94- (2) The State Treasurer shall hold the Fund sep arately, and the 30
95-Comptroller shall account for the Fund. 31
92+ (5) money collected by the Board as a result of legal or other actions taken 28
93+by the Board on behalf of the Exchange or the Fund; 29
9694
97- (e) The Fund consists of: 32 HOUSE BILL 297 3
95+ (6) money donated to the Fund; 30
96+
97+ (7) money awarded to the Fund through grants; 31 HOUSE BILL 297 3
9898
9999
100100
101- (1) any user fees or other assessments collected by the Exchange; 1
101+ (8) any pass–through funds received from the federal government under a 1
102+waiver approved under § 1332 of the Affordable Care Act; 2
102103
103- (2) all revenue deposited into the Fund that is received from the 2
104-distribution of the premium tax under § 6–103.2 of this article; 3
104+ (9) any funds designated by the federal government to provide reinsurance 3
105+to carriers that offer individual health benefit plans in the State; 4
105106
106- (3) income from investments made on behalf of the Fund; 4
107+ (10) any funds designated by the State to provide reinsurance to carriers 5
108+that offer individual health benefit plans in the State; 6
107109
108- (4) interest on deposits or investments of money in the Fund; 5
110+ (11) any funds designated by the State to provide State–based health 7
111+insurance subsidies to young adults in the State; 8
109112
110- (5) money collected by the Board as a result of legal or other actions taken 6
111-by the Board on behalf of the Exchange or the Fund; 7
113+ (12) any federal funds received in accordance with § 31–121 of this subtitle 9
114+for the administration of small business tax credits; and 10
112115
113- (6) money donated to the Fund; 8
116+ (13) any other money from any other source accepted for the benefit of the 11
117+Fund. 12
114118
115- (7) money awarded to the Fund through grants; 9
119+ (f) (1) The Fund may be used only: 13
116120
117- (8) any pass–through funds received from the federal government under a 10
118-waiver approved under § 1332 of the Affordable Care Act; 11
121+ (i) 1. for the operation and administration of the Exchange in 14
122+carrying out the purposes authorized under this subtitle; 15
119123
120- (9) any funds designated by the federal government to provide reinsurance 12
121-to carriers that offer individual health benefit plans in the State; 13
124+ 2. for the establishment and operation of the State 16
125+Reinsurance Program; and 17
122126
123- (10) any funds designated by the State to provide reinsurance to carriers 14
124-that offer individual health benefit plans in the State; 15
127+ 3. for appropriations to the Health Equity Resource 18
128+Community Reserve Fund under § 20–1407 of the Health – General Article; 19
125129
126- (11) any funds designated by the State to provide State–based health 16
127-insurance subsidies to young adults in the State; 17
130+ (ii) in fiscal years 2021 and 2022, for the Medical Assistance 20
131+Program within the Medical Care Programs Administration of the Maryland Department 21
132+of Health; 22
128133
129- (12) any federal funds received in accordance with § 31–121 of this subtitle 18
130-for the administration of small business tax credits; and 19
134+ (iii) in fiscal year 2022, for the Senior Prescription Drug Assistance 23
135+Program established under Title 15, Subtitle 10 of the Health – General Article; and 24
131136
132- (13) any other money from any other source accepted for the benefit of the 20
133-Fund. 21
137+ (iv) for the establishment and operation of the State–Based Young 25
138+Adult Health Insurance Subsidies [Pilot] Program. 26
134139
135- (f) (1) The Fund may be used only: 22
140+ (2) In each of fiscal years 2023 through 2025, the Governor shall: 27
136141
137- (i) 1. for the operation and administration of the Exchange in 23
138-carrying out the purposes authorized under this subtitle; 24
139-
140- 2. for the establishment and operation of the State 25
141-Reinsurance Program; and 26
142-
143- 3. for appropriations to the Health Equity Resource 27
144-Community Reserve Fund under § 20–1407 of the Health – General Article; 28
142+ (i) transfer $15,000,000 to the Health Equity Resource Community 28
143+Reserve Fund; and 29
145144 4 HOUSE BILL 297
146145
147146
148- (ii) in fiscal years 2021 and 2022, for the Medical Assistance 1
149-Program within the Medical Care Programs Administration of the Maryland Department 2
150-of Health; 3
147+ (ii) include the funds transferred in accordance with item (i) of this 1
148+paragraph in the annual budget bill as an appropriation to the Health Equity Resource 2
149+Community Reserve Fund under § 20–1407 of the Health – General Article. 3
151150
152- (iii) in fiscal year 2022, for the Senior Prescription Drug Assistance 4
153-Program established under Title 15, Subtitle 10 of the Health – General Article; and 5
151+ (g) (1) The Board shall maintain separate accounts within the Fund for 4
152+Exchange operations, for the State Reinsurance Program, and for the State–Based Young 5
153+Adult Health Insurance Subsidies [Pilot] Program. 6
154154
155- (iv) for the establishment and operation of the State–Based Young 6
156-Adult Health Insurance Subsidies [Pilot] Program. 7
155+ (2) Accounts within the Fund shall contain the money that is intended to 7
156+support the purpose for which each account is designated. 8
157157
158- (2) In each of fiscal years 2023 through 2025, the Governor shall: 8
158+ (3) Funds received from the distribution of the premium tax under § 9
159+6–103.2 of this article shall be placed in the account for Exchange operations and may be 10
160+used only for the purpose of funding the operation and administration of the Exchange. 11
159161
160- (i) transfer $15,000,000 to the Health Equity Resource Community 9
161-Reserve Fund; and 10
162+ (4) The following funds may be used only for the purposes of funding the 12
163+State Reinsurance Program: 13
162164
163- (ii) include the funds transferred in accordance with item (i) of this 11
164-paragraph in the annual budget bill as an appropriation to the Health Equity Resource 12
165-Community Reserve Fund under § 20–1407 of the Health – General Article. 13
165+ (i) any pass–through funds received from the federal government 14
166+under a waiver approved under § 1332 of the Affordable Care Act to provide reinsurance to 15
167+carriers that offer individual health benefit plans in the State; 16
166168
167- (g) (1) The Board shall maintain separate accounts within the Fund for 14
168-Exchange operations, for the State Reinsurance Program, and for the State–Based Young 15
169-Adult Health Insurance Subsidies [Pilot] Program. 16
169+ (ii) any funds designated by the federal government to provide 17
170+reinsurance to carriers that offer individual health benefit plans in the State; 18
170171
171- (2) Accounts within the Fund shall contain the money that is intended to 17
172-support the purpose for which each account is designated. 18
172+ (iii) any funds designated by the State to provide reinsurance to 19
173+carriers that offer individual health benefit plans in the State; and 20
173174
174- (3) Funds received from the distribution of the premium tax under § 19
175-6–103.2 of this article shall be placed in the account for Exchange operations and may be 20
176-used only for the purpose of funding the operation and administration of the Exchange. 21
175+ (iv) except as provided in subsection (f) of this section, funds received 21
176+from the distribution of the assessment under § 6–102.1 of this article. 22
177177
178- (4) The following funds may be used only for the purposes of funding the 22
179-State Reinsurance Program: 23
178+ (h) (1) Expenditures from the Fund for the purposes authorized by this 23
179+subtitle may be made only: 24
180180
181- (i) any pass–through funds received from the federal government 24
182-under a waiver approved under § 1332 of the Affordable Care Act to provide reinsurance to 25
183-carriers that offer individual health benefit plans in the State; 26
181+ (i) with an appropriation from the Fund approved by the General 25
182+Assembly in the State budget; or 26
184183
185- (ii) any funds designated by the federal government to provide 27
186-reinsurance to carriers that offer individual health benefit plans in the State; 28
184+ (ii) by the budget amendment procedure provided for in Title 7, 27
185+Subtitle 2 of the State Finance and Procurement Article. 28
187186
188- (iii) any funds designated by the State to provide reinsurance to 29
189-carriers that offer individual health benefit plans in the State; and 30
190-
191- (iv) except as provided in subsection (f) of this section, funds received 31
192-from the distribution of the assessment under § 6–102.1 of this article. 32
187+ (2) Notwithstanding § 7–304 of the State Finance and Procurement Article, 29
188+if the amount of the distribution from the premium tax under § 6–103.2 of this article 30
189+exceeds in any State fiscal year the actual expenditures incurred for the operation and 31
190+administration of the Exchange, funds in the Exchange operations account from the 32
191+premium tax that remain unspent at the end of the State fiscal year shall revert to the 33
192+General Fund of the State. 34
193193 HOUSE BILL 297 5
194194
195195
196- (h) (1) Expenditures from the Fund for the purposes authorized by this 1
197-subtitle may be made only: 2
196+ (3) If operating expenses of the Exchange may be charged to either State 1
197+or non–State fund sources, the non–State funds shall be charged before State funds are 2
198+charged. 3
198199
199- (i) with an appropriation from the Fund approved by the General 3
200-Assembly in the State budget; or 4
200+ (i) (1) The State Treasurer shall invest the money of the Fund in the same 4
201+manner as other State money may be invested. 5
201202
202- (ii) by the budget amendment procedure provided for in Title 7, 5
203-Subtitle 2 of the State Finance and Procurement Article. 6
203+ (2) Any investment earnings of the Fund shall be credited to the Fund. 6
204204
205- (2) Notwithstanding § 7–304 of the State Finance and Procurement Article, 7
206-if the amount of the distribution from the premium tax under § 6–103.2 of this article 8
207-exceeds in any State fiscal year the actual expenditures incurred for the operation and 9
208-administration of the Exchange, funds in the Exchange operations account from the 10
209-premium tax that remain unspent at the end of the State fiscal year shall revert to the 11
210-General Fund of the State. 12
205+ (3) Except as provided in subsection (h)(2) of this section, no part of the 7
206+Fund may revert or be credited to the General Fund or any special fund of the State. 8
211207
212- (3) If operating expenses of the Exchange may be charged to either State 13
213-or non–State fund sources, the non–State funds shall be charged before State funds are 14
214-charged. 15
208+ (j) A debt or an obligation of the Fund is not a debt of the State or a pledge of 9
209+credit of the State. 10
215210
216- (i) (1) The State Treasurer shall invest the money of the Fund in the same 16
217-manner as other State money may be invested. 17
211+31–122. 11
218212
219- (2) Any investment earnings of the Fund shall be credited to the Fund. 18
213+ (a) In this section, [“Pilot Program”] “PROGRAM” means the State–Based Young 12
214+Adult Health Insurance Subsidies [Pilot] Program. 13
220215
221- (3) Except as provided in subsection (h)(2) of this section, no part of the 19
222-Fund may revert or be credited to the General Fund or any special fund of the State. 20
216+ (b) The Exchange, in consultation with the Commissioner and as approved by the 14
217+Board, shall establish and implement a State–Based Young Adult Health Insurance 15
218+Subsidies [Pilot] Program to provide subsidies to young adults for the purchase of health 16
219+benefit plans in the individual health insurance market. 17
223220
224- (j) A debt or an obligation of the Fund is not a debt of the State or a pledge of 21
225-credit of the State. 22
221+ (c) The [Pilot] Program required under this section shall be designed to: 18
226222
227-31–122. 23
223+ (1) reduce the amount that young adults pay for health benefit plans in the 19
224+individual health insurance market; and 20
228225
229- (a) In this section, [“Pilot Program”] “PROGRAM” means the State–Based Young 24
230-Adult Health Insurance Subsidies [Pilot] Program. 25
226+ (2) target young adults who are not directly impacted by the State 21
227+Reinsurance Program. 22
231228
232- (b) (1) The SUBJECT TO PARAGRAPH (2) OF THIS SUBSECTION , THE 26
233-Exchange, in consultation with the Commissioner and as approved by the Board, shall MAY 27
234-establish and implement a State–Based Young Adult Health Insurance Subsidies [Pilot] 28
235-Program to provide subsidies to young adults for the purchase of health benefit plans in 29
236-the individual health insurance market. 30
229+ (d) (1) For EACH calendar [years 2022 through 2025] YEAR, the Exchange, in 23
230+consultation with the Commissioner and as approved by the Board, shall establish subsidy 24
231+eligibility and payment parameters for the [Pilot] Program. 25
237232
238- (2) THE EXCHANGE MAY NOT IMPL EMENT THE PROGRAM FOR 31
239-CALENDAR YEARS IN WH ICH FUNDS FROM THE D ISTRIBUTION OF THE A SSESSMENT 32
240-UNDER § 6–102.1 OF THIS ARTICLE ARE NOT AVAILABLE . 33
233+ (2) In determining the subsidy eligibility and payment parameters 26
234+required under paragraph (1) of this subsection, the Exchange shall consider: 27
235+
236+ (i) young adults at least 18 years old and under the age of 41 years; 28
237+and 29
238+
239+ (ii) income groups between 133% and 400% of the federal poverty 30
240+level. 31
241241 6 HOUSE BILL 297
242242
243243
244- (c) The [Pilot] Program required under this section shall be designed to: 1
244+ (e) [(1)] Subject to available funds [and paragraph (2) of this subsection], in 1
245+each [of] fiscal [years 2022 through 2026] YEAR, the Exchange may designate funds from 2
246+the Fund to be used for the [Pilot] Program so that annual subsidies may be provided to 3
247+young adults who meet the subsidy eligibility and payment parameters established under 4
248+subsection (d) of this section. 5
245249
246- (1) reduce the amount that young adults pay for health benefit plans in the 2
247-individual health insurance market; and 3
250+ [(2) For each of calendar years 2024 and 2025, the funds designated under 6
251+paragraph (1) of this subsection may not exceed $20,000,000 plus any unspent funds 7
252+designated for subsidies for young adults in a previous calendar year.] 8
248253
249- (2) target young adults who are not directly impacted by the State 4
250-Reinsurance Program. 5
254+ (f) The Exchange shall adopt regulations implementing the provisions of this 9
255+section. 10
251256
252- (d) (1) For EACH calendar [years 2022 through 2025] YEAR, the Exchange, in 6
253-consultation with the Commissioner and as approved by the Board, shall establish subsidy 7
254-eligibility and payment parameters for the [Pilot] Program. 8
257+ (g) The Exchange shall adopt regulations to provide a subsidy to cover 100% of 11
258+the cost of the premium for young adults who have a 0% expected contribution under the 12
259+subsidy eligibility parameters established under subsection (d) of this section. 13
255260
256- (2) In determining the subsidy eligibility and payment parameters 9
257-required under paragraph (1) of this subsection, the Exchange shall consider: 10
261+ (h) (1) The Exchange shall track on a monthly basis expenditures on subsidies 14
262+provided under the [Pilot] Program, including: 15
258263
259- (i) young adults at least 18 years old and under the age of 41 years; 11
260-and 12
264+ (i) the average number of young adults receiving subsidies under 16
265+the [Pilot] Program; and 17
261266
262- (ii) income groups between 133% and 400% of the federal poverty 13
263-level. 14
267+ (ii) the average subsidy amount received by young adults under the 18
268+[Pilot] Program. 19
264269
265- (e) [(1)] Subject to available funds [and paragraph (2) of this subsection], in 15
266-each [of] fiscal [years 2022 through 2026] YEAR, the Exchange may designate funds from 16
267-the Fund to be used for the [Pilot] Program so that annual subsidies may be provided to 17
268-young adults who meet the subsidy eligibility and payment parameters established under 18
269-subsection (d) of this section. 19
270+ (2) The Exchange shall track: 20
270271
271- [(2) (I) For each of calendar years 2024 and 2025, the funds designated 20
272-under paragraph (1) of this subsection may not exceed $20,000,000 plus any unspent funds 21
273-designated for subsidies for young adults in a previous calendar year.] 22
272+ (i) the impact the [Pilot] Program has on rates in the individual 21
273+insurance market; and 22
274274
275- (II) FOR CALENDAR YEAR 2026 AND EACH CALENDAR YE AR 23
276-THEREAFTER , THE EXCHANGE, IN CONSULTATION WITH THE COMMISSIONER , MAY 24
277-DESIGNATE FUNDS F ROM THE FUND TO PROVIDE ANNUA L SUBSIDIES TO YOUNG 25
278-ADULTS WHO MEET THE SUBSIDY ELIGIBILITY AND PAYMENT PARAMETE RS 26
279-ESTABLISHED UNDER SU BSECTION (D) OF THIS SECTION. 27
275+ (ii) the impact of covering 100% of the cost of premiums for qualified 23
276+participants on effectuation rates and termination for nonpayment rates. 24
280277
281- (f) The Exchange shall adopt regulations implementing the provisions of this 28
282-section. 29
278+ (3) The information tracked by the Exchange under paragraphs (1) and (2) 25
279+of this subsection shall be: 26
283280
284- (g) The Exchange shall adopt regulations to provide a subsidy to cover 100% of 30
285-the cost of the premium for young adults who have a 0% expected contribution under the 31
286-subsidy eligibility parameters established under subsection (d) of this section. 32
281+ (i) posted on the website of the Exchange; and 27
287282
288- (h) (1) The Exchange shall track on a monthly basis expenditures on subsidies 33
289-provided under the [Pilot] Program, including: 34 HOUSE BILL 297 7
283+ (ii) included in the annual report required under § 31–119(d) of this 28
284+subtitle. 29
285+
286+ Chapter 778 of the Acts of 2021, as amended by Chapters 256 and 257 of 30
287+the Acts of 2023 31
288+ HOUSE BILL 297 7
290289
291290
291+ SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 1
292+1, 2021. [It shall remain effective for a period of 5 years and, at the end of June 30, 2026, 2
293+this Act, with no further action required by the General Assembly, shall be abrogated and 3
294+of no further force and effect.] 4
292295
293- (i) the average number of young adults receiving subsidies under 1
294-the [Pilot] Program; and 2
296+ SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 5
297+1, 2025. 6
295298
296- (ii) the average subsidy amount received by young adults under the 3
297-[Pilot] Program. 4
298-
299- (2) The Exchange shall track: 5
300-
301- (i) the impact the [Pilot] Program has on rates in the individual 6
302-insurance market; and 7
303-
304- (ii) the impact of covering 100% of the cost of premiums for qualified 8
305-participants on effectuation rates and termination for nonpayment rates. 9
306-
307- (3) The information tracked by the Exchange under paragraphs (1) and (2) 10
308-of this subsection shall be: 11
309-
310- (i) posted on the website of the Exchange; and 12
311-
312- (ii) included in the annual report required under § 13
313-31–119(d) of this subtitle. 14
314-
315-Chapter 778 of the Acts of 2021, as amended by Chapters 256 and 257 of the Acts 15
316-of 2023 16
317-
318- SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 17
319-1, 2021. [It shall remain effective for a period of 5 years and, at the end of June 30, 2026, 18
320-this Act, with no further action required by the General Assembly, shall be abrogated and 19
321-of no further force and effect.] 20
322-
323- SECTION 2. AND BE IT FURTHER ENACTED, That thi s Act shall take effect July 21
324-1, 2025. 22
325-
326-
327-
328-Approved:
329-________________________________________________________________________________
330- Governor.
331-________________________________________________________________________________
332- Speaker of the House of Delegates.
333-________________________________________________________________________________
334- President of the Senate.