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State Partnership Exchange Update

llinois submitted its blueprint application for the state-federal partnership application on November 16, 2012, but is still awaiting final approval from the U.S. Department of Health and Human Services (HHS). The state has applied to maintain control over the plan management and in-person consumer assistance functions; the two functions HHS allowed under the partnership model. The state’s blueprint application has since been made public and can be viewed here. The state is also working to secure a vendor to assist in the implementation of the new plan management functions; a contract the Department of Insurance hopes to secure soon.


The Governor’s Health Reform Implementation Council will be holding a meeting on Monday, January 14 at 1 pm to provide an update on the state’s activities with respect to the ACA and to state-level exchange establishment efforts. The HRIC has offered two sites for the meeting: 1) Thompson Center, Room 9-040, Chicago and 2)Stratton Building – Capitol Development Board room, 349-C, Springfield.


HHS has only approved two partnership exchanges to date – Arkansas and Delaware. A total of 7 states have indicated or applied for partnership exchanges: Illinois, Iowa, North Carolina, Michigan, and West Virginia. A total of 19 states (including DC and MA and UT, both of which had exchanges in place prior to enactment of the ACA) have been approved by HHS to move ahead with a state-level exchange. A total of 25 states have either rejected a state or a partnership exchange, which means they will have to enroll residents in a federal exchange beginning October 1, 2013.

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