House and Senate week 1 Ques 1 HCA 311

House and Senate week 1 Ques 1 HCA 311 - Difference in...

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Difference in opinion of the House and Senate: The House and Senate legislation in many respects are similar but one major difference is that the House proposal would set up a national exchange. with states having the right to opt out; the Senate version envisions state exchanges (allhealth.org) Senate bill does not require negotiation, but Manager’s Amendment allows exchanges to take into account excessive or unjustified premiums in certifying plans to participate. State operation offers knowledge of local insurance markets and regulatory environments Second biggest difference—exclusivity of the exchange House bill, nongroup market wholly with exchange (other than grandfathered Policies) Senate bill nongroup market outside exchange, less regulated Senate bill same risk pool and prices in and out, risk allocation, but difficult to administer House bill requires insurers to bid for participation and allows exchange to negotiate
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