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  1. Jun 27, 2023 · This legislation (HB 579) will transition Illinois to a state platform, redirecting that fee to Illinois to fund the new SBM. The full state-based marketplace goes live for plan year 2026, and consumers will start enrolling via the Illinois platform during the ACA Marketplace Open Enrollment Period beginning November 1, 2025.

  2. But starting in the fall of 2025, for coverage effective in 2026, Illinois will have its own state-run enrollment platform. 2. Eleven insurance companies offer Marketplace coverage in Illinois for 2025, 3 with service areas that vary quite a bit from one insurer to another. 4

  3. Jun 28, 2023 · Under this new law, Illinois will transition to a new state platform set to go live in 2026. The governor says the marketplace will cover Illinois residents should federal health care policy change.

    • Rules States Must Follow When Transitioning to A State-Run Exchange
    • Sbms: State-Run Marketplaces
    • Sbm-Fps: State-Based Marketplaces That Use The Federal Enrollment Platform
    • Change to Shop (Small Business) Exchange Management

    In the rulemaking process for 2024 coverage, HHS finalizeda more lenient approval process timeline for states that are transitioning away from the federally-run exchange to establish their own exchange and/or exchange platform. However, some additional rules have since been finalized for the transition, effective in 2025 and future years. The previ...

    Illinois (legislation enacted in 2023 called for the creation of an SBM-FP by 2025 and an SBM by 2026; CMS has confirmed that Illinois is no longer receiving federal Navigator funding as of the 202...
    Oregon (Oregon plans to operate a state-run exchange platform starting in the fall of 2026, per legislation enacted in 2023)8

    Arkansas, Mississippi, and Utah previously ran their own SHOP exchange (the platform for small businesses to enroll in coverage), but switched to using the federal platform or a direct-to-carrier process by 2018. But by that point, even the federal platform for small business enrollment was no longer functioning as it had in past years, and small g...

  4. Jun 28, 2023 · HB 579 will transition Illinois to a state platform, redirecting that fee to Illinois to fund the new state-based marketplace. The full state-based marketplace goes live for plan year 2026, and consumers will start enrolling via the Illinois platform during the ACA Marketplace Open Enrollment Period beginning November 1, 2025.

  5. May 30, 2023 · The bold-faced bit above is incorrect--there are currently 18 state-based ACA exchanges, but both Virginia and Georgia are on track to launch their own SBMs this fall, so Illinois would become the 21st state to do so...although other states like Texas are also likely moving to SBMs in the next few years as well, so there could be one or more doing so in 2026.

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  7. Jul 31, 2023 · The Governor and the sponsors of the bill have said that establishing a state-based exchange will enable Illinois consumers to enroll in Affordable Care Act or Medicaid plans in the same place, take advantage of more enrollment windows than the federal exchange offers, and insulate Illinois health insurance consumers from potential changes to the federal marketplace system and related federal ...

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