Illinois looks to create its own ACA exchange

Proposed legislation would make Illinois the latest state to operate its own ACA exchange. 

The state currently uses the federally facilitated ACA marketplace. 

The bill is moving through the state's House of Representatives. Two new co-sponsors signed on to the legislation May 4. 

Illinois Gov. J.B. Pritzker is backing the move to a state-based exchange. In a statement shared with Becker's, Mr. Pritzker said a state-based insurance marketplace "represents progress in creating a healthcare system in Illinois that ensures every person who is eligible can access the care and treatment they deserve." 

"A marketplace is a one-stop shop that lets Illinois consumers of all income levels compare all available plans in one place. In addition, traditionally underinsured communities can be connected directly with the coverage that is best for them and their families and will receive help with the enrollment process," Mr. Pritzker said. 

A spokesperson for Mr. Pritzker told Becker's the $10 million start-up cost for the state-based exchange is included in the governor's proposed budget. 

Several states already operate their own insurance exchanges. According to CMS, 17 states and the District of Columbia have opted to run their own exchanges rather than use the federal marketplace. 

Georgia is the most recent state to pass legislation to create a state-based exchange. Gov. Brian Kemp signed a bill creating a state-based platform into law May 2, and the move is pending approval from CMS.


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