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If a state chooses to provide some services to a Federally-Facilitated Exchange, will the state be reimbursed for its costs?

Yes in certain circumstances. HHS expects that states supporting the development of a Federally-Facilitated Exchange may choose to seek section 1311(a) Exchange Establishment cooperative agreement funding for activities including, but not limited to:

  • Developing data system interfaces with the Federally-Facilitated Exchange;
  • Coordinating the transfer of plan information (e.g., licensure and solvency) from the state insurance department to the Federally-Facilitated Exchange; and
  • Other activities necessary to support (and related to the establishment of) the effective operations of a Federally-Facilitated Exchange.

After section 1311(a) funds are no longer available, HHS anticipates continued funding, under a different funding vehicle, for state activities performed on behalf of the Federally-Facilitated Exchange. To the extent permissible under applicable law, HHS intends to make tools and other resources used by the Federally-Facilitated Exchange available to state partners in State Partnership Exchanges, as well as to State-Based Exchanges.

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Date
FAQ ID
94451
FAQ Question
If a state chooses to provide some services to a Federally-Facilitated Exchange, will the state be reimbursed for its costs?