This project builds on the NAIC model act with the purpose of providing technical assistance to state policymakers interested in a broader range of policy options for designing an insurance Exchange. Sponsored by the National Academy of Social Insurance (NASI) and funded by the Robert Wood Johnson Foundation, this project offers policymakers a toolkit that includes legislative language with alternatives and additions to the NAIC model act, as well as a narrative explaining key issues and concerns that motivated the NASI model act. The narrative also addresses longer-term policy issues that state lawmakers may reasonably defer to a later time or delegate to the Exchange. In addition, the project will include a series of issue briefs that explore critical policy issues in state implementation of the ACA; the first of these focuses on the issue of Exchange governance.
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