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Table Compares California and Federal Benefit Exchange Provisions

(From CA Healthcare Foundation)  How will the California Health Benefit Exchange carry out the exchange provisions of the federal Affordable Care Act (ACA)? A table prepared by Ed Neuschler and Rick Curtis of the Institute for Health Policy Solutions compares provisions of California’s legislation to establish and define the state’s exchange (AB 1602/SB 900) with the corresponding ACA guidelines.

The side-by-side comparison addresses the principal components of both sets of laws regarding the exchange, including organizational location, governance, and staffing; funding of exchange operations; product offerings; and premium collection and plan payment. 

In addition, several unresolved issues are identified. Many provisions of the federal ACA are phrased in general terms, and their implications and requirements for the California exchange will not be fully understood until further federal regulations or administrative guidance are released.

Download the document here.

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