Sec. 1304
- definitions of Markets... obvious... and not of interest to us
- definition of large employer..... ditto....
PART II - Consumer Choices and Insurance competition through health benefit exchanges
- US treasury (taxpayers) will set up exchanges in each state
- an exchange is a governmental or nonprofit that makes available qualified health ins plans to qualified people and qualified employers to enroll their qualified employees.
- details on certifying health plans as qualified.
- details on rating system
- enrollee satisfaction system.... (insert sarcastic remark here)
- will have internet portals
- prohibit wasteful use of funds... (this is worth cutting and pasting verbatim:
In carrying out activities under this subsection, an Exchange shall not utilize any funds intended for the administrative and operational expenses of the Exchange for staff retreats, promotional giveaways, excessive executive compensation, or promotion of Federal or State legislative and regulatory modifications.
Consumers Choice:
- describes: qualified consumers, qualified employers
- Members of US Congress must use a plan created under this ACT... (this is big... no more ideal plans just for them....)
- Access limited to lawful residents (citizens, national, alien lawfully present in US)
PART III - State flexibility relating to exchanges establishment of standards
- for exchanges
- for qualified health plans
- for establishing reinsurance and risk adjustment programs
consultation w insurance commissioners
Sec. 1322. Federal program to assist establishment & operation of nonprofit, member-run health insurance issuers called Consumer Operated and Oriented Plan (CO_OP) program.
- which will create nonprofit health insurers to offer qualified health plans
- by offering loans and grants
- stipulations.... advisory board....
- establish a private purchasing council to enter into collective purchasing arrangements
- $6,000,000,000. of taxpayer money will be used to establish the CO-OP program
We did it... we went through 20 pages!


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