Legislation has been introduced in Mississippi that would transition the state to a state-run ACA exchange.
“If you have a state-based exchange, you can lower the cost of insurance for folks who buy off the exchange,” Mississippi Insurance Commissioner Mike Chaney told WLBT. "We may pick up anywhere from $25-$35 million a year in income with which we're paying to the federal government today. So, what would we do with that money? We can lower premiums more. We can offer more options. We can do a lot of things to help preventive healthcare within the state, especially in the rural areas of the state. This is a good plan.”
According to CMS, 18 states and the District of Columbia have opted to run their own exchanges rather than use the federal marketplace. Illinois also passed legislation in 2023 to operate its own ACA exchange.