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Exchange warns federal rule changes and HR1 will require prioritization; staff outline phased project plan
Summary
General Counsel Leah Holmarshall told the board that proposed federal marketplace rules and HR1 changes will require phased implementation, costly audits and verification work, and could lead to meaningful enrollment declines; the Exchange described a cross‑program project structure to manage system, process and change‑management tasks.
General Counsel Leah Holmarshall told the board March 26 that a set of federal rule changes — including the marketplace rule and provisions in HR1 — will require the Exchange to prioritize implementation work and to deploy a coordinated project approach across marketplace, Medicaid and immigrant eligibility.
Leah outlined expected impacts: elevated carrier audit activity, additional verification and documentation requirements, curtailed use of conditional Advanced Premium Tax Credits (APTC) in coming years, and significant operational costs associated with compliance.…
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