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July 11, 2011
In This Issue
Itís HERE! HHS Releases First Proposed Rule on Health Insurance Exchanges
NAIC Executive and Plenary Committees Meet Tomorrow Discuss Broker Bill and Approve Exchange White Papers
HHS May Take Over Health Insurance Rate Review For Up To Ten States
Debt Talks Continue
All Member Legislative Town Hall Webinar
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Itís HERE! HHS Releases First Proposed Rule on Health Insurance Exchanges

This morning, the federal Secretary of Health and Human Services (HHS) Kathleen Sebelius unveiled the much-anticipated initial proposed regulation governing the health benefit exchanges. The Patient Protection and Affordable Care Act (PPACA) requires an exchange to be established in every state by January 1, 2014. The new regulation spells out the minimum criteria for states to meet if they wish to establish their own exchange, the process for health plans to be certified to sell in the exchanges and other provisions meant to promote market stability. The administration also released a separate proposed regulation addressing the reinsurance and risk adjustment programs that are supposed to keep premiums stable in the exchanges. Read More

NAIC Executive and Plenary Committees Meet Tomorrow Discuss Broker Bill and Approve Exchange White Papers

The National Association of Insurance Commissioner’s Executive and Plenary committees will hold a joint meeting via teleconference tomorrow at 1:30 p.m Eastern  and on the agenda is a report from the Professional Health Insurance Advisors (PHIA) EX Task Force. The task force chair, Florida Insurance Commissioner Kevin McCarty, is expected to update the committees about the PHIA Task Force’s June 30 endorsement of H.R. 1206, the bipartisan legislation to remove independent agent and broker compensation from the PPACA medical loss ratio (MLR) requirements. Read More

HHS May Take Over Health Insurance Rate Review For Up To Ten States

Last week, HHS announced as part of the health insurance premium rate review requirements in PPACA, it may be forced to take over health insurance premium rate review duties for up to 10 states unless such states take additional action to improve their internal rate review structures by September 1. Alabama, Arizona, Idaho, Louisiana, Missouri, Montana and Wyoming could see rate review become federalized for all insurance markets. In addition, the federal government may assume rate review authority in Iowa, Pennsylvania and Virginia for the small group markets only. Read More

Debt Talks Continue

The exchange regulation is a welcome distraction for health policy wonks both in an out of Washington, DC. But outside of the health policy bubble, negotiations regarding raising the national debt ceiling and reducing the federal deficit through either spending cuts or tax increases or both, dominate.  After meeting for about 75 minutes Sunday, President Barack Obama and congressional leaders agreed to continue their budget negotiations this afternoon. Read More

All Member Legislative Town Hall Webinar

NAHU will be holding a legislative town hall webinar for all members on July 27 at 12:00 p.m. EDT. During the webinar, NAHU CEO Janet Trautwein and national Legislative Council Chair Troy Cook will discuss recent legislative and regulatory developments, like the new exchange rule and the medical loss ratio requirements, as well as NAHU’s political strategy moving forward. Read More

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