Quote from Lucrum:
:eek:
Ok trendlover, what say you?
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The link pspr show you is saying Obama is giving the waiver to business. Obama is telling the business they do not (temporary) have comply with this:
"As set forth in the interim final regulations, the restricted annual limits on the dollar value of essential health benefits cannot be lower than:
âh For plan or policy years beginning on or after September 23, 2010 but before September 23, 2011, $750,000;
http://www.hhs.gov/ociio/regulations/patient/ociio_2010-1_20100903_508.pdf
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Why? Because the exchanges need creation still.
"Thus, the goal is for exchanges to be marketplaces where consumers can not only learn about the coverage options that are available and compare price and value, but also can begin to understand how the quality of the care offered by qualified health plans might differ in key ways."
Specifically the law provides that:
Not less than one year from the date of enactment (thus, by March 23, 2011), the Secretary is required to make awards to states for planning the establishment of an American Health Benefit Exchange. Planning grants will be renewable in states that are ¡§making progress, as determined by the Secretary¡¨ in establishing the Exchange and in implementing the health insurance reforms applicable to insurance sold in the individual and group markets.[11]
States that elect to establish Exchanges must complete their operational planning by January 1, 2014.[12] By January 1, 2015, participating states must ¡§ensure¡¨ that their Exchanges are ¡§self-sustaining¡¨ and must permit the Exchange to ¡§charge assessments or user fees to participating health insurance issuers, or to otherwise generate funding¡¨ to support Exchange operations.[13]
Participating states must establish American Health Benefit Exchanges, whose purpose is to ¡§facilitate the purchase of qualified health plans¡¨ by individuals. States also must establish Small Business Health Options Programs (known as SHOP Exchanges), whose purpose is to assist qualified small employers (under 100 employees or under 50 employees at state discretion through 2016) in ¡§facilitating¡¨ the enrollment of their employees in ¡§qualified health plans¡¨ offered in a state¡¦s small group market.[14] States may elect to merge their American Health Benefit and SHOP Exchanges into a single exchange, ¡§but only if the exchange has adequate resources to assist such individuals and employers.¡¨[15]
The Secretary must, ¡§by regulation, establish criteria for the certification of health plans as qualified health plans¡¨ that may be sold in state Exchanges.[16] The criteria ¡§shall require¡¨ that in order to be certified, plans must:[17]
http://healthreformgps.org/resources/health-insurance-exchanges/
