Bill > S1400

This bill, the State Allowance for a Variety of Exchanges Act (SAVE Act), amends the Patient Protection and Affordable Care Act (ACA) to preserve the option for states to implement their own health insurance exchanges. The key provisions of the bill are: 1. It appropriates $200 million in grants to eligible states (those not currently operating an exchange) to establish their own state-based health insurance exchanges. These grants are limited to a 2-year period and cannot be renewed after December 31, 2022. 2. It requires any state that receives a grant under this provision to ensure its exchange is self-sustaining by January 1, 2024, such as by allowing the exchange to charge assessments or user fees to participating insurers. 3. It clarifies that the federal government's authority to establish an exchange in a state that fails to do so does not apply to states that elect to establish an exchange on or after January 1, 2014. The goal of the bill is to provide additional support for states that wish to set up their own health insurance marketplaces under the ACA, rather than defaulting to a federally-run exchange.

Health and Social Services

https://www.congress.gov/bill/116th-congress/senate-bill/1400/all-info